CDHEMSSMay 2017 Skills Quiz

  1. You are caring for apatient who was outside in the elements upon your arrival on the scene the ambient temperature outside is 40 degrees farenheit, you apply the pulse oximetry to the patient to check for oxygenation, the machine keeps alarming and you are unable to get a reading. This is occurring due to :
  2. Nail polish application to fingernails
  3. Synthetic fingernails
  4. Local poor perfusion due to cold hands
  5. Exposure to carbon monoxide
  1. What is the target SPO2 saturation for a patient that does not have a history of COPD?
  2. 88-91%
  3. 84-89%
  4. 92-94%
  5. 94-98%
  1. Capnography provides:
  2. Earliest indication of ROSC
  3. Probability of success in resuscitation
  4. Immediate changes in the ET tube position following correct placement
  5. All of the above
  1. Humeral Head IO exclusion criteria include all of the following
  2. Fracture above the site of insertion
  3. Infection at the site of insertion
  4. Burn a the site of insertion
  5. All of the above
  1. Which needle selection would be appropriate for a patient who requires an IO and has moderate tissue over bone?
  2. 15mm
  3. 25mm
  4. 45mm
  5. None of the above
  1. Utilizing humeral head IO technique the correct angle for insertion is:
  2. 30 degrees
  3. 45 degrees
  4. 90 degrees
  5. 95 degrees
  1. You are called to the scene of a patient who was stabbed in the upper right leg, you attempt to control the bleeding with direct pressure to no avail, it has been determined that a tourniquet will need to be applied, what is the correct placement of the tourniquet on the limb?
  2. Position the tourniquet 4-5 inches above the bleeding site directly over the bone
  3. Position the tourniquet 2-3 inches above the bleeding site directly to the skin avoiding bone
  4. Position the tourniquet 1-2 inches above the bleeding site directly to the skin avoiding bone
  5. Position the tourniquet directly over the bleeding site directly to the skin
  1. When the tourniquet is applied to the above patient bleeding is still not controlled your other option at this point is to:
  2. Apply second tourniquet
  3. Nothing the bleeding will slow down eventually
  4. Elevate the limb
  5. Advise medical control that you are expediting transport
  1. The following picture (etC02) indicates :
  1. Bronchospasm
  2. Displacement of the tube
  3. Sedation wearing off
  4. Normal capnography
  1. You are treating a patient who is unresponsive and was not breathing and has since been intubated, you observe the EtCO2 which indicates a decline in waveform to less than 10mmHg. What does this indicate?
  2. Indication of ROSC
  3. Normal EtCO2
  4. Inadequate CPR
  5. High quality CPR