Flight Paramedic Questions | With Complete
Solutions
.Absense - ANSWER-Abrupt and sudden onset impairment of consciousness, interruption of ongoing
activities, A BLANK STARE
.Air Medical Resource Management - ANSWER-Distributes workload.
.AMI treatment - ANSWER-Reduce Preload/Pain (MONA)
Reduce HR/ O2 demand (Beta-Blocker/Calcium Channel Blocker)
Clot Prevention (ASA, GP3B2A)
Reperfusion (Chemical or Surgical)
.Anaphylactoid Syndrome of Pregnancy - ANSWER-Caused by maternal exposure to fetal cells.
Disseminated Intravascular Coagulopathy and Anaphylaxis at the same time
Sudden onset of pleuritic chest pain, tachypnea, tachycardia, fever
Tx: Fluid resus, Increase PEEP (pt is Hypoxic), Blood
.Angiotensin Converting Enzyme Inhibitors - ANSWER-Prevents ventricular remodeling in the Post-MI
patient
.Anterior LAD - ANSWER-ST segment changes in V2, V3, V4
treat with MONA
.Anteroseptal LAD - ANSWER-ST changes in V1, V2, V3,V4
,Left ventricle and septum affected
papillary muscle dysfunction- leads to cardiogenic shock
treat with MONA
.Aortic Dissection - ANSWER-Ripping and Tearing Sensation between shoulder blades, Ascending Aorta is
common site,
CXR: widened mediastinum, loss of aortic knob, pleural effusion
Tx: first Betablocker (Labetolol) Second Vasodilator (nitroprusside)
Pain meds, Morphine, Fetanyl, ketamine
Restrict fluids unless profound hypotensive
.ARDS - ANSWER-Causes: Pancreatitis, Sepsis, Trauma, Aspiration Pneumonia
CXR: Ground Glass apperance, Patchy infiltrates, Bilateral Diffuse Infiltrates
Swan Ganz: Increase PAWP (18-20), Increased resistance to pump against in lungs
Treatment: PEEP (10), High Vt (>10)
.Area Orientation - ANSWER-5 hours total w/ 2 at night
.Arterial Gas Embolism - ANSWER-Boyle's Law
breathe holding during ascent on a dive. causes pnuemo. air can be forced into blood stream creating air
bubble blocks.
Hyperbaric Chamber! fly in aircraft under 10k Mean Sea Level
.Assist-control ventilation - ANSWER-Preferred mode for pts in Respiratory Distress
Ventilator supports every breath. Used in ARDS, paralyzed or sedated patients.
Auto-peep (hyperventilation) Breath Stacking can cause VILI
,.Asthma - ANSWER-"the problem is breathing out"
Flattened Diaphragm, and Chest Cavity is over expanded
Exhalation problems fatigue the quickest
Treatment: Increase the I:E ratio to 1:4
High flow O2
Bronchiodilators
IV Fluids
RSI with Ketamine for bronchodilation
.atmosphere - ANSWER-Sea Level = 1 ATM = 760 Torr
33ft = 2 ATM
66ft = 3 ATA
.Atonic - ANSWER-"drop" seizures (falls to floor): commonly mistaken for fainting
.Autonomic Dysreflexia
Autonomic Hyperreflexia - ANSWER-paralyzed bladder, that requires foley and drainage slowly,
Increases B/P, HR, ICP
.Barondontalgia - ANSWER-Boyle's Law
Ascent Air trapped in the fillings
.Barosinusitis - ANSWER-Both Ascent and Descent
Sinus Block
.Barotitis - ANSWER-Descent, Middle ear can't vent
, .Basillar skull fracture - ANSWER-Results from an extension of fractures from the Calvaria (roof of skull)
CSF leakage
.Bends Ground transport is preferred - ANSWER-Type 1 Nitrogen related, painful joints mottled skin,
pruritus; "ants are crawling on their Skin"
Cutis Marmorata- Mottled Skin, can look like a sunburn
Type 2 Neurologic s/s hypovolemic Shock
.Beta-Blocker - ANSWER-Do NOT use in Bi-fasicular blocks or BBB
.Boyle's Law (Balloon=Barotrauma - ANSWER-The pressure a gas is inversely proportional to the volume
of a gas at a constant temperature.
IV drip rates increase, affects ETT cuffs
.Breech Delivery - ANSWER-Don't touch until umbilicus is delivered
Don't attempt a footling breech
.Bronchiolitis - ANSWER->90% viral
Cough, SOB, Nasal flaring, wheezing/crackling on exam
RSV
Isolation Required
Supportive care, 02 Fluids, Isolation
WATCH for APNEA
.Brudzinki's sign - ANSWER-The appearance of involuntary lifting of the legs when lifting a patient's head
with the patient lying supine
.Cardiac Output Transducer - ANSWER-Placed to Phlebostatic axis
