FLIGHT PARAMEDIC ADVANCED AIRWAY MANAGEMENT
EXAM 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
In the hospital setting, what is the gold standard for ETT confirmation? -
ANSWER--Chest X-Ray
What should you expect to see on a chest X-Ray if your ETT is in the
right position? - ANSWER--Distal tip of ETT should be 2-3 cm from the
carina or 1" above the carina.
It should be at the level of the T2-T3 vertebrae.
What is the next most reliable confirmation method? - ANSWER--
Visual confirmation of the tube passing through the vocal cords.
What is the gold standard of ETT placement in the prehospital setting? -
ANSWER--Waveform Capnograghy.
What should the pressure of the distal cuff be to prevent damage? -
ANSWER--25-30mmHg
What can lead to a false positive of capnography? - ANSWER--You can
get a false positive due to soda or beer belly for the colorimetric device.
What is a tube check? - ANSWER--It is placing a bulb over the ETT
after intubation to confirm placement. If the ETT is in the wrong place,
the bulb with not re-inflate.
, FLIGHT PARAMEDIC ADVANCED AIRWAY MANAGEMENT
EXAM 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
End-tidal CO2 (ETCO2) - ANSWER--The measurement of CO2
concentration at the end of expiration
*Normal Range is 30-45 mmHg*
What is an EMMA Emergency Capnometer - ANSWER--A reusable
ETCO2 device that gives both CO2 and RR in the abscence of a cardiac
monitor.
What is a normal expiratory plateau when measuring capnograpghy? -
ANSWER--35-45.
List the 7 P's of RSI. - ANSWER--1) Preparation
2) Preoxygenation
3) Pretreatment
4) Paralysis with induction
5) Protection and positioning
6) Placement with proof
7) Post intubation management
How long should you preoxygenate your patient prior to RSI and at what
oxygen concentration? - ANSWER--3-5 minutes, 10-15lpm if possible. `
, FLIGHT PARAMEDIC ADVANCED AIRWAY MANAGEMENT
EXAM 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
Remember your gameplan using the A,B,C,D method. What does this
consist of? - ANSWER--A- Tube, B-Backup, C- Cric, D- Death.
If intubation is not working, how many things should you change? -
ANSWER--2.
What is the LOAD acronym? - ANSWER--L - Lidocaine (Head & Lung
Injury) Tight head, tight lung
O- Opiates (Blunts the pain response)
A- Atropine (Prevents reflexive bradycardia)
D- Diffisiculating Dose (small bumps of succs, roc, or vec)
________________________ is a depolarizing nueromuscular blocking
agent. (NMBA) - ANSWER--Succinycholine
Succinylcholine usually causes ? - ANSWER--Muscle twitching or
fasiculations
What is the dose for Succinycholine? - ANSWER--1-2mg / kg.
, FLIGHT PARAMEDIC ADVANCED AIRWAY MANAGEMENT
EXAM 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
What is the onset and duration for Succinycholine? - ANSWER--1-2
minute onset, 4-6 minute duration.
What are the contraindications for Succinycholine? - ANSWER--Crush
injuries, eye injuries, malignant hypothermia, burns.
Succinycholine can cause _____________________ ? - ANSWER--
hyperkalemia
What are common signs of Maligant Hyperthermia? - ANSWER--
Spasm or lock jaw (Trismus)
High fever (could be as high as 110.)
Increased ETCO2
Tachycardia , Hypotension
Sustained muscle contractions
How medication is used to treat Malignant Hyperthermia? - ANSWER--
Dantolene Sodium (Dantrium)
______________________ is a non depolarizing nueromuscular blocker
with a duration of 30-45 minutes. - ANSWER--Vecuronium.
What is the onset of Vecuronium? - ANSWER--4-6 minutes.
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