• Combitube[A1] In-service Quiz
  • 1. What are indications for a combitube ?
  • A. Cardiac Arrest
  • B. Respiratory Arrest/Apnea
  • C. Asthma
  • D. Congestive heart failure
  • E. Aand B
  • F. A and C
  • G. A,B and C.
  • H. All the above.
  • 2. What are the contraindications for a Combitube?
  • A. The patient is under age of 18.
  • B. The patient is less then 4 ft. tall.
  • C. The patient has swallowed a corrosive substance.
  • D. A and C.
  • E. A and B
  • F. All the above.
  • 3. What are the contraindications for a Combitube?
  • A. The patient has known Esophageal Disease.

B. The EMT not trained and authorized to use the Combitube.®

  • C.Suspected cervical spine injury requiring cervical spine immobilization.
  • D. A nd B
  • E. A and C
  • F. A, B and C.
  • Intial Assessment of Patient in Code 500 status or respiratory arrest

4. Assure scene safety and use universal blood / body fluid precautions.

True or False

5. Clear airway and ventilate with 2 rescue breaths.

True or False

6. Check Pulse – if absent, follow the AED Protocol.

True or False

7. After the 2nd analysis cycle (if no shock is indicated) or after the 2nd series of 3 shocks is administered – insert the Combitube ® as per the insertion procedure.

True or False

8. If the patient initially has a pulse but is apneic – follow the insertion procedure and perform rescue breathing through the Combitube ®.

True or False

9. Continually re-assess for spontaneous respirations.

True or False

10. ALS may continue Combitube® use, orally intubate around the Combitube®, or remove the Combitube® at the discretion of the responding Paramedic.

True or False

Using The Combitube :

11. Measure the patient by putting a loop of measuring device over the patient’s foot.

True or False

Determine which Combitube to use. Combitube or Combitube SA.

12. IF LESS THAN 4 FEET - use basic airway maintenance techniques.

True or False

13. Select SA tube if the patient is over 4 feet but less then 5ft 6 inches.

True or False

14. Use regular combitube if patient over 5 foot 6 inches.

True or False

15. IS THIS THE PROPER Procedure for checking combitube:

A. Check the Cuffs

B. Inflate Pilot Balloon #1 with 100cc’s of air.

C. Check for proper inflation of cuff.

D. Deflate Cuff.

E. Inflate Pilot Balloon #2 with 15cc’s of air.

F. Check for proper inflation of cuff.

G. Deflate Cuff.

True or False

  • 16. IS THIS THE PROPER Procedure for Insert the Combitube:
  • Hold tube like a pencil with dominant hand.
  • Lift jaw and tong between thumb and index finger of non-dominant hand.
  • Insert Combitube into mouth with curve facing upward.
  • Stop inserting when the upper teeth or gums are between the Black Rings.
  • Insert the Combitube
  • True or False
  • 17. If any resistance is met during insertion: Remove the Combitube, Reposition and Re-insert one time.
  • True or False
  • 18. If resistance is met on the second attempt:
  • Remove the Combitube and Maintain airway using basic airway techniques.
  • True or False
  • Removing the Combitube
  • 19. If the Combitube needs to be removed at any time - True or False
  • A. Get suction ready,
  • B. Turn patient on left side,
  • C. Deflate both balloons,
  • D. Remove tube,
  • E. Suction as necessary.
  • CONTRAINDICATIONS - True or False
  • 20. A patient under age of 18 and less then 4 ft tall.
  • True or False
  • 21. A patient who has swallowed a corrosive substance.
  • True or False
  • 22. A patient with a known Esophageal Disease.
  • True or False
  • 23. EMT not trained and authorized to use the Combitube. ®
  • True or False
  • 24. Suspected cervical spine injury requiring cervical spine immobilization.
  • True or False
  • Possible Complications of Combitube Insertion - True or False
  • 25. Tear or rupture of esophagus.
  • True or False
  • 26. Bleeding.
  • True or False
  • 27. Puncture of carotid artery.
  • True or False
  • 28, Tear of pharynx.
  • True or False
  • 29. Pneumothorax.
  • True or False
  • 30. Death from asphyxiation.
  • True or False
  • 31. Vocal cord injury
  • True or False

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