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NEW QUESTION # 41
While responding to an emergency, a car is tailgating the ambulance. Which of the following actions should the EMT take?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In situations where a vehicle is tailgating an emergency unit, tapping the brakes briefly is a standard defensive driving maneuver to alert the driver behind to increase distance. It is less risky than slowing dramatically or pulling over, which could endanger crew or delay response.
Speeding up could reduce your reaction window or increase accident risk. EMS operators must follow safe driving practices per NFPA 1002 and DOT Emergency Vehicle Operation Guidelines.
References:
NREMT Operations Section - Driving and Scene Safety
NFPA 1002: Standard for Fire Apparatus Driver/Operator Professional Qualifications
U.S. DOT: Emergency Vehicle Operator Course (EVOC)
NEW QUESTION # 42
An 83-year-old patient is unresponsive and lying on the floor. The patient has a large bruise and laceration on the forehead. The patient's vital signs are BP 90/60, P 126, and R 0. Which of the following conditions should the EMT most suspect?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Givenfall with head traumaandabsent respirations, the most concerning cause isspinal injury, particularly acervical spine fracture. Ahigh cervical injury (C1-C4)canparalyze the diaphragm, leading toapnea despite a beating heart.
Brain herniation can also depress respirations but often presents withunequal pupils,posturing, andCushing' s triad(not described here).Commotio cordisis sudden cardiac arrest from blunt chest trauma (not head).
Open pneumothoraxaffects chest mechanics, not directly linked here.
References:
NREMT Trauma Skills - Spinal Assessment
Brady Emergency Care (13th ed.), Chapter: Spine Injuries
National EMS Education Standards - CNS Trauma and Spinal Immobilization
NEW QUESTION # 43
What components are necessary to maintain adequate perfusion? Select the three correct options.
Answer: B,D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Perfusionrefers to delivery of oxygen and nutrients to tissues. It depends on three essential components:
* Patent airway: Ensures oxygen reaches lungs
* Intact microcirculation: Capillary-level exchange must function
* Sufficient blood volume: Maintains blood pressure and oxygen transport Hypoxic drive relates toCOPD physiology, not perfusion.High alveolar pressure(like from CPAP) may impede venous return, and alow ventilation-perfusion ratiomeans poor oxygenation efficiency, which negatively affects perfusion.
References:
NREMT Cardiovascular and Shock Guidelines
National EMS Education Standards - Perfusion and Circulatory Assessment AHA ACLS Provider Manual - Systemic Perfusion Concepts
NEW QUESTION # 44
You have consulted with on-line medical direction to terminate resuscitation of a 74-year-old female.
How should you inform her family of this decision?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
EMS professionals are expected to useempathetic yet clear languagewhen communicating a death. The phrase"She has passed"is bothrespectfuland commonly accepted as an appropriate way toconvey death compassionatelywithout being overly clinical or harsh.
"Died" may sound too blunt in an emotional moment, while "didn't make it" and "at peace" can feelvague or dismissive. Clear, empathetic communication is critical for patient dignity and family support during death notifications.
References:
National EMS Education Standards - Ethics, Communication, and Patient Advocacy NAEMT Guidelines for Death Notification in the Field Brady Emergency Care (13th ed.), Chapter: Special Situations and Emotional Support
NEW QUESTION # 45
A 27-year-old patient reports trouble breathing after being struck by a car. Which of the following findings are indicative of a possible chest wall injury? Select the three answer options that are correct.
Answer: D,E,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Clavicle deformity suggests potential rib or thoracic trauma. Unequal chest rise may indicate a flail segment, pneumothorax, or hemothorax. Subcutaneous emphysema, the presence of air under the skin, is a classic finding in pneumothorax or tracheobronchial injury.
Occipital depression is not chest related; epigastric distension is a GI symptom; and jugular vein distention would suggest tension pneumothorax or cardiac tamponade, which are more advanced complications.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Chest Injuries
AAOS Emergency Care and Transportation (11th ed.), Chapter: Chest and Abdominal Trauma
NEW QUESTION # 46
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