![]() ![]() ![]() Questions will not appear in any particular order. Airway, Respiration, and Ventilation (18%-22%).For each of the first four areas, the questions are split between Adult (85%) and Pediatric (15%): The exam is split into five content areas. If you do well on the first question, the second question will be harder conversely, if you do poorly on the first question, the second question will be easy. The first question is judged to be of medium difficulty, and depending on your performance, the next question may be easier or harder. This exam is a computer-adaptive test (CAT), so depending on your performance, the difficulty of your test will increase or decrease as you go on. These questions are used to evaluate future exam questions’ fairness and validity. Ten of the questions are unscored “pretest” questions. The EMT exam contains between 70 and 120 multiple-choice questions, and you will be given 2 hours to complete it. You must have successfully completed the National Registry cognitive exam and a state-approved psychomotor exam.You must have a current CPR-BLS for Healthcare Provider or similar credential. ![]() You must have successfully completed a state-approved EMT course that meets NEMSES standards.It is contraindicated in patients with severe trauma to the head or face or a history of fractured nasal bone.Īssisted ventilations are appropriate for patients who are in respiratory distress or arrest this patient is in neither.To be eligible for the EMT exam, you must meet all of the following requirements: It is contraindicated in patients who are conscious or have an active gag reflex.Ī nasopharyngeal airway is generally reserved for patients who have an active gag reflex and cannot maintain a patent airway spontaneously. The head-tilt/chin-lift maneuver is used to open the airway of patients who do not have suspected spinal trauma.Īn oropharyngeal airway is used in patients to keep the tongue from obstructing the airway and ease suctioning, if necessary. The jaw is then moved upward with the index and middle fingers while the thumbs are used to help position the lower jaw. To perform the jaw-thrust maneuver, the rescuer kneels above the patient's head with fingers behind the angles of the lower jaw. Inline stabilization of the cervical spine is used to ensure no further damage occurs until a cervical collar can be applied. The jaw-thrust maneuver is the appropriate method of opening the airway in a patient with suspected cervical spinal trauma. School-age child (6-12 yr) 18-30, 70-120, > 80Īdolescent (post-puberty) 12-16, 60-100, > 90Ĭorrect answer: Apply an oropharyngeal airway after opening the airway with the jaw-thrust maneuver while maintaining inline cervical spine stabilization. Rapid respiratory rate of >60 breath/min (any age) or 60 Bradycardia indicates critical hypoxia or ischemia. Serial assessments showing a trend over time may be more accurate and more useful. Normal values vary with age, and more important than identifying ""normal"" signs in a pediatric patient is to be aware of indications of respiratory distress/failure and circulatory shock. Vital signs in children need to be carefully interpreted within the overall history, context of appearance, work of breathing, and circulation to the skin (the Pediatric Assessment Triangle) and the entire physical assessment. Correct answer: Respirations 20 breaths per minute, heart rate 98 beats per minute, BP 106/78 mmHg. ![]()
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