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Exam Code: NREMT-PTE NREMT Paramedic Trauma test reality November 2023 by team

NREMT-PTE NREMT Paramedic Trauma Exam

Exam Details:
- Number of Questions: The number of questions in the NREMT Paramedic Trauma test (NREMT-PTE) can vary, but it typically consists of approximately 80 to 120 multiple-choice questions. The exact number of questions may vary depending on the specific version of the exam.

- Time: Candidates are usually given a specific time limit to complete the NREMT-PTE, which is typically around 2 to 3 hours. It is important to manage time effectively to ensure all questions are answered within the allocated time.

Course Outline:
The NREMT-PTE test focuses on assessing the knowledge and skills of paramedics in the area of trauma management. While the exact course outline and content may vary, the test generally covers the following key areas:

1. Trauma Assessment and Management:
- Primary and secondary survey techniques
- Recognition and management of life-threatening injuries
- Identification and management of shock
- Assessment and treatment of head, neck, spine, and chest injuries
- Management of abdominal and pelvic trauma
- Assessment and treatment of musculoskeletal injuries
- Management of burns and thermal injuries

2. Airway Management and Ventilation:
- Airway assessment and maintenance techniques
- Use of airway adjuncts (e.g., oral airway, supraglottic airway devices)
- Bag-mask ventilation techniques
- Endotracheal intubation and advanced airway management
- Management of complications related to airway interventions

3. Cardiac and Cardiovascular Emergencies:
- Recognition and management of cardiac arrest
- Cardiovascular assessment and monitoring
- Use of defibrillation and advanced cardiac life support techniques
- Management of acute coronary syndromes
- Identification and treatment of dysrhythmias
- Hemodynamic monitoring and management

4. Medical Emergencies:
- Assessment and management of respiratory emergencies
- Neurologic emergencies and stroke management
- Allergic reactions and anaphylaxis management
- Endocrine emergencies (e.g., diabetic emergencies, adrenal crisis)
- Management of toxicological emergencies
- Assessment and treatment of psychiatric emergencies

5. Pediatric and Geriatric Trauma:
- Assessment and management of trauma in pediatric and geriatric populations
- Special considerations for pediatric and geriatric patients
- Age-specific assessment techniques and interventions

Exam Objectives:
The objectives of the NREMT-PTE test typically include:
- Assessing the candidate's knowledge and understanding of trauma assessment and management principles.
- Evaluating the candidate's ability to apply critical thinking skills in the context of trauma scenarios.
- Testing the candidate's knowledge of airway management, ventilation, and cardiac emergencies.
- Assessing the candidate's ability to apply appropriate interventions for medical emergencies.
- Evaluating the candidate's understanding of special considerations for pediatric and geriatric trauma patients.

Exam Syllabus:
The specific test syllabus for the NREMT-PTE may vary, but it generally includes the following topics:

1. Trauma Assessment and Management:
- Primary and secondary survey
- Life-threatening injuries
- Shock management
- Head, neck, spine, and chest injuries
- Abdominal and pelvic trauma
- Musculoskeletal injuries
- Burns and thermal injuries

2. Airway Management and Ventilation:
- Airway assessment and maintenance
- Airway adjuncts
- Bag-mask ventilation
- Endotracheal intubation
- Advanced airway management
- Airway intervention complications

3. Cardiac and Cardiovascular Emergencies:
- Cardiac arrest management
- Cardiovascular assessment and monitoring

- Defibrillation and advanced cardiac life support
- Acute coronary syndromes
- Dysrhythmia recognition and treatment
- Hemodynamic monitoring

4. Medical Emergencies:
- Respiratory emergencies
- Neurologic emergencies and stroke
- Allergic reactions and anaphylaxis
- Endocrine emergencies
- Toxicological emergencies
- Psychiatric emergencies

5. Pediatric and Geriatric Trauma:
- Pediatric and geriatric trauma assessment and management
- Age-specific considerations

It is important to note that the specific content and emphasis of the NREMT-PTE may vary depending on the NREMT's guidelines and updates. Candidates should refer to the official study materials and resources provided by the NREMT for the most accurate and up-to-date information regarding the test syllabus and content.
NREMT Paramedic Trauma Exam
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Podiatry-License-Exam-Part-III Podiatry License test Part III - 2023 NREMT-PTE test PDF comprises of Complete Pool of NREMT-PTE Q&A with Dumps checked and updated with references and clarifications. Our objective to assemble the NREMT-PTE Q&A is not just to pass the NREMT-PTE test at the first attempt yet Really Improve Your Knowledge about the NREMT-PTE test subjects.
NREMT Paramedic Trauma Exam
Question: 41
Which of the following most accurately describes the finding of jugular venous
distension in pneumothorax?
A. It is an early finding of even minor pneumothoraxes
B. It indicates relative hypovolemia in the thorax due to hemorrhage
C. It is indicative of high intrathoracic pressure
D. Pneumothorax is more likely to cause jugular vein flattening
Answer: C
JVD is typically a sign of increased intrathoracic pressure, but can be a very late
finding. It presents when increased pressure on the great vessels in the thorax
cause a backup of blood returning from the head. This typically presents in
serious tension pneumothoraxes and does not appear in minor cases.
Question: 42
Becks triad is a combination of increased JVD, hypotension and muffled heart
tones and occurs in which of the following?
A. Hemothorax
B. Cardiac tamponade
C. Aortic dissection
D. Traumatic brain injury
Answer: B
Becks triad is observed in cases of cardiac tamponade and is caused by the
increase in pressure in the pericardial sac, which, in turn, causes the inability of
the ventricles to expand fully. This results in hypotension systemically and a
backup of blood in the jugular veins.
Question: 43
Upon arrival to the scene of a stabbing, you find a patient with a stab wound to
the left chest, midclavicular, 4th intercostal space. The patient is in peri-arrest,
hypotensive, with a rapid, thready pulse and jugular venous distension. The
patients GCS score is 3. You perform bilateral needle decompression, but there is
no rush of air or improvement in patients condition. The patient no longer has a
pulse and now presents in PEA. Which of the following is suspected in assessing
the patient?
A. Cardiac rupture
B. Diaphragmatic rupture
C. Hemopneumothorax
D. Pericardial tamponade
Answer: D -Hypotension presenting with JVD and clear mechanism of
traumatic injury is highly suspect for pericardial tamponade. Consideration for a
hemothorax, pneumothorax, or hemopneumothorax should be made and can be
differentiated by considering location of penetrating trauma, presence of Becks
triad and clinical suspicion. Cardiac rupture is almost entirely caused by blunt
force trauma, particularly in MVAs.
Question: 44
Other than rapid transport to a trauma center, which of the following is most
helpful for a patient suffering from pericardial tamponade?
A. Needle thoracostomy
B. Positive pressure ventilation therapy
C. Aggressive IV fluid administration
D. Remote ischemic conditioning
Answer: C
The best prehospital treatment for patients with pericardial tamponade is to
maintain vital signs and keep perfusion up. Oxygenation is typically not a
problem for these patients, but the increase in pressure around the heart requires
that adequate preload be maintained.
Question: 45
Which type of mechanism of injury is not likely in patients with posterior rib
fractures of the second and third ribs?
A. Frontal strike
B. Compression of the ribcage from the side
C. Relatively high force impact
D. All of the above.
Answer: A
Frontal impacts are more likely to cause lateral fractures, not posterior fractures.
Posterior second and third rib fractures are usually a result of high velocity side
impact to the chest. The first, second, and third ribs in healthy adults are strong
and require a high degree of force to fracture. When posterior fractures do occur,
it is usually from side impact.
Question: 46
You are called to the scene of an elderly patient female who slipped and fell,
landing on her chest. She complains of dyspnea and chest pain that increases with
inspiration and palpation. She states that her symptoms are much better when she
holds pressure on her left side. What is the most likely cause of her symptoms?
A. Hypovolemia from hip fracture
B. Tension pneumothorax
C. Rib fracture
D. Traumatic asphyxiation
Answer: C
This patient likely has a fractured rib. Elderly patients are more vulnerable to rib
fractures due to their bones becoming more brittle with age. The presentation of
mild dyspnea with improvement in symptoms when being held is very typical of
rib fractures.
Question: 47
You are called to the scene of an elderly patient female who is displaying classic
symptoms of a fractured rib. The patients GCS level is 15, oxygen saturation on
room air is 93%. Heart rate is 112, blood pressure is 142/102. What is the most
appropriate course of treatment for this patient?
A. Use rib binders for comfort, apply high flow O2, transport to a trauma center
B. Apply supplemental O2 via nasal cannula, monitor for ventilatory changes,
transport to a trauma center
C. Bind the ribs for comfort, apply nebulized albuterol for dyspnea, supply 324mg
aspirin for chest pain, transport to a trauma center
D. supply nitroglycerine 0.4mg sublingual for chest pain, apply high flow O2,
transport to a cardiac center
Answer: B
The optimal treatment for patients with broken ribs includes supplemental O2 as
needed and monitor for changes during transport to trauma center. C-spine
precautions should be considered per protocol. The use of chest binders is
contraindicated as it can result in hypoventilation. This patient should receive an
assessment for cardiac chest pain, but this etiology is unlikely given the
mechanism of injury and nature of complaints.
Question: 48
Flail chest occurs when a segment of the rib cage is broken and detached
following trauma. This typically presents as a section of the rib cage moving out
of sync and independent of from breathing motions. What is this phenomenon
A. Pulsus paradoxus
B. Rib contusion
C. Paradoxic chest wall movement
D. Traumatic pneumonia
Answer: C
This pattern of chest wall movement is called paradoxic chest wall movement.
This paradoxical movement causes significant pain and dyspnea and is usually
accompanied by a pulmonary contusion, the latter of which and can lead to
respiratory compromise.
Question: 49
What is the best management for a patient with flail chest who is deteriorating
and developing severe respiratory distress?
A. Analgesia to reduce the pain of respiration
B. Needle thoracostomy to reduce internal pressure
C. Encouragement to hold their breath to increase the internal pressure
D. CPAP or positive pressure by BVM to internally splint the injury
Answer: D
Patients that are starting to develop severe respiratory distress require ventilation
assistance in order to avoid complete respiratory compromise. By applying
positive airway pressure carefully, the flail segment can become splinted
internally, allowing for better ventilation. Analgesics would have been more
applicable before a patient reaches this point. Needle thoracostomy would not
help this patient.
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Medical Paramedic reality - BingNews Search results Medical Paramedic reality - BingNews Medical Moment: Using AI to train first responders No result found, try new keyword!Virtual reality can take you to places you’ve never been, and it can supply you experiences you may never have had before. Thu, 09 Nov 2023 12:07:46 -0600 en-us text/html Jewish EMS group from Palm Beach County brings cyanide antidote to Israel No result found, try new keyword!"We have a whole group of people securing supplies whether that be tactical or medical and work to coordinate the supplies and ship it over to Israel," said Hersh Those supplies now include a rare ... Thu, 16 Nov 2023 11:25:00 -0600 en-us text/html Paramedic Overview No result found, try new keyword!Paramedics and emergency medical technicians are licensed professionals who care for sick and injured patients. They assess patients and help determine courses of treatment in collaboration with a ... Tue, 24 Oct 2023 18:30:00 -0500 Paramedic Salary No result found, try new keyword!How Much Does a Paramedic Make? Paramedics made a median salary of $46,770 in 2021. The best-paid 25% made $58,810 that year, while the lowest-paid 25% made $37,120. Finding your dream job starts ... Tue, 14 Nov 2023 10:00:00 -0600 Ex-paramedic Nikki Jurcutz's warning about a health red flag for children that means they should see a doctor within five minutes No result found, try new keyword!A former paramedic has warned about a health red flag in children ... it can block the oxygen from getting to the lungs, which is why it is a medical emergency,' she said. While the disease is rare, ... Sat, 04 Nov 2023 11:08:00 -0500 en-us text/html Bachelor of Science In Paramedicine

A paramedic has a level of knowledge, skill, and treatment capabilities that are significantly beyond those of an Emergency Medical Technician (EMT) and which can dramatically Improve a patient’s outcome at the hospital. In response to the need for these uniquely trained emergency medical care professionals, the University of New Haven developed its paramedicine program. This program will prepare you to become a new breed of first responder – one who holds dual certification as both a firefighter and as a paramedic.

Hands-on learning will be a major part of your education. You’ll ride along with ambulance services and take patients’ vitals. You’ll practice doing chest compressions and starting IV lines on high-fidelity mannequins. You’ll become part of teams who care for patients in whatever medical emergency unfolds. The goal of the paramedicine program is to make your education as real-world as it gets.

Through this program, offered in partnership with Hartford Healthcare, you will also:
  • Become an Emergency Medical Technician (EMT)
  • Gain more than 700 hours of clinical and internship experience through multiple models of EMS services, including hospital-based and fire-based
  • Expand your knowledge through classes in anatomy and physiology virtual reality experiences
  • Become eligible to sit for the National Registry Paramedic test at the completion of your studies
  • Have a chance to join the Pre-Health Professions (PHP) Scholars Program, which can serve as a launching pad for pursuing a career or further study in healthcare

Please be aware, during the clinical rotations students will be working within a healthcare environment, which has the potential for exposure to airborne and bloodborne pathogens. Each student is responsible for maintaining healthcare insurance which can cover treatment and follow-up care in the event of an exposure. In addition to the vaccination and medical requirements, facial hair is not permitted in clinical nor field settings, as it will interfere with proper fitting of respiratory protection.

Program Cost

Academic tuition and fees are based on enrollment status and number of credit hours. Lab fees are used to support courses requiring specialized materials and/or a specialized learning environment.

In addition to tuition and fees, students are responsible for the cost of uniforms, supplies (stethoscope), and books. Additionally, students are responsible for transportation to/from clinical and internship sties as well as any cost associated with meeting health/vaccination requirements for clinical and internship experiences. Students are also responsible for the costs associated with state and national testing and maintenance of associated licenses and certifications.

View Course Brochure

Thu, 09 Nov 2023 12:01:00 -0600 en text/html
VRSim Hosts Successful Open House and Launches Cutting-Edge VRNA EMS Training Product

VRSim Unveils VRNA EMS, Immersive Training for Emergency Medical Professionals and First Responders

EAST HARTFORD, Conn., Nov. 8, 2023 /PRNewswire/ -- VRSim, Inc., a leading innovator and provider of virtual reality training solutions, announced its latest product, VRNA EMS, at an Open House event on November 3rd. VRNA EMS uses VR technology to provide immersive training for Emergency Medical Professionals and First Responders. The Open House featured VRSim staff demonstrating VRNA EMS' ability to provide hands-on learning experiences focused on critical life-saving skills required in the field.

VRSim's Alejo Fudge demonstrates newly announced VRNA EMS' hands-on skills training capabilities.

VRSim Unveils VRNA EMS, Immersive Training for Emergency Medical Professionals and First Responders.

The Open House, held at VRSim headquarters in East Hartford, CT, attracted a diverse audience of industry professionals, government representatives, and local community members. Attendees experienced VRSim's renowned immersive training technology, including SimSpray, VRTEX, VRNA CNA, and the newly announced VRNA EMS.

With VRNA EMS, trainees engage in realistic scenarios, practice critical decision-making, and enhance their skills through hands-on activities in safe, controlled environments. The immersive tool covers testable skills that align with the National Registry and are required by state and national certifications.

"We need to train and field a new generation of EMS providers, and this is going to help us do that," said Ben Zura, VRSim's EMS consultant.

VRNA EMS' key features and benefits include:

  • Realistic EMS Scenarios: Learning content uses a library of scenarios based on real-life situations ranging from trauma incidents to medical emergencies.
  • Immersive Training: Trainees use physical actions to treat virtual patients, use equipment, and interact with environments as they practice.
  • Performance Feedback: In-depth performance metrics help trainers assess and Improve trainee proficiency.
  • Cost Efficient: VRNA is a cost-effective way for more students to access hands-on learning experiences at lower costs than traditional mannequins and materials.
  • Accessibility: VRNA supplements lab and field training with easy-to-use, hands-on skills experiences that can be used in class, home, or practical lab settings.

"We are proud to introduce VRNA EMS, which has the potential to revolutionize the way emergency medical professionals and first responders receive training," said Matthew Wallace, CEO and President of VRSim. "All of our products underscore our commitment to creating career pathways and enhancing safety and preparedness in these critical jobs."

For more information about VRNA EMS, please visit

About VRSim:
VRSim is a leading provider of virtual reality (VR) training solutions for the skilled trades and allied health. Headquartered in East Hartford, CT, VRSim works to reimagine skills education through innovative training systems for welding, industrial coatings, construction, manufacturing, and allied health career fields. VRSim technology is used worldwide in high schools, vocational training institutions, and workforce development initiatives. VRSim values industry collaboration and partners with global leaders, including the International Union of Painters and Allied Trades, the National Truck Equipment Association, The Boeing Company, Caterpillar, and the U.S. Navy. For more information, please visit:

VRSim Contacts:


Julie Parrett

VRSim Logo (PRNewsfoto/VRSim, Inc.)

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Wed, 08 Nov 2023 04:43:00 -0600 en text/html
'Code Red': Paramedic union says lack of ambulances a near-daily reality in Toronto

Ambulance shortages in Toronto have become a near-daily reality, the city's paramedic union said after issuing a 'Code Red' on Monday.

“It's only a matter of time before somebody [...] dies waiting on an ambulance,” Mike Merrimen, Chair at Toronto Civic Employees’ Union Local 416 paramedics’ unit, told CP24 on Tuesday afternoon.

A day earlier, the union had shared a post to social media, alerting the public to a lack of transport ambulances available in the city – a situation dubbed ‘Code Red.’

“[An] ambulance for an unconscious elderly person was over 28 minutes away and Peel Paramedic Services had to be called in to help,” the union wrote in the post, shared to X.'

The union also issued a 'Code Red' in early October, claiming the service requested aid from neighbouring municipalities.

READ MOREToronto paramedic union issues 'code red' after it says no ambulances available in the city

When reached for comment, the City of Toronto, overseeing Toronto Paramedic Services, told CTV News it was aware of the union’s posts.

“Toronto Paramedic Services does not track data classified as ‘Code Red,’” spokesperson Dineen Robinson said in a written statement.

Typically, the city said Tuesday, the current 911 wait time sits at an average of 30 seconds. Robinson said there are, however, periods of time when ambulance availability is low in Toronto.

“During these busier periods, paramedics are diverted from lower priority calls to respond to higher priority calls,” she said, adding that calls deemed of higher priority “will always be responded to first.”

Merrimen, on the other hand, said a lack of available transport ambulances is becoming a near-daily reality in the city.

“I'm getting from my members that this is probably happening close to daily,” he said.

For the most part, the chair said the union aims to avoid alerting the public to ‘Code Reds’ on a daily basis, despite that being the current reality.

“For the most part, we don't want to send out a ‘Code Red’ [publicly] every day – we don't want the public, politicians, or anybody else to become immune to it,” Merrimen said, adding that the union uses the term “sparingly.”

In an interview with CP24 earlier in October, the union said that in 2021, the most recent year with available data, the service faced ‘Code Red’ situations 1,139 times.

When speaking to reporters Tuesday, Toronto Mayor Olivia Chow pointed to offload delays at hospital emergency departments across the region as one cause of the lack of ambulances.

“The emergency rooms don’t have room, [...] as a result, ambulance folks cannot offload and they are just sitting there waiting,” Chow said.

The problem isn’t something the city can solve alone, the mayor said, pointing to a lack of municipal control over hospitals.

A spokesperson for the minister of health said in a written statement that the province has invested an additional $51 million over three years in the Dedicated Offload Nursing Program, including nearly $9 million to Toronto Paramedic Services through this year's budget.

"Should any paramedic service want to increase their budget, the province will be there to match that request," the statement reads.

While Merriman acknowledged hospital delays as a problem facing Toronto medics, the union attributes the problem to “a major staffing issue” within the service.

“I've been a medic for almost 33 years now and we've always had [...] offload delays,” Merrimen said.

The difference now is, after “decades of not hiring to meet the demand,” as put by the union chair, the unit doesn’t have the staffing levels needed to field daily calls. Ultimately, the service needs more people, he said.

“This blame game of continually blaming the hospital as the hospitals [...] is not servicing the citizens of Toronto,” Merrimen said. “Nobody wins with the blame game.” 

Tue, 31 Oct 2023 08:46:00 -0500 en text/html
Emergency medical worker shortage in Michigan extends wait time for lifesaving help

An emergency medical worker shortage is forcing people who need lifesaving help to wait longer than anyone would like.

Michigan is short 1,000 emergency personnel workers split between EMT's and paramedics, according to the Michigan Association of Ambulance Services.

The industry has been playing catch up ever since the COVID-19 pandemic when agencies were unable to educate more people, according to Angela Madden, the Executive Director of Michigan Association of Ambulance Services.

Riding in an ambulance is not where anyone envisions spending their day, but it's the care in between the hospital that makes someone vulnerable feel safe, according to Madden.

“To know you have that coverage when you are at your worst that you have a medical professional who is going to arrive and perform life saving treatment, it is exceptionally important that we keep those people in the system," Madden said.

Now it's even more vital to keep EMT's as there has been a steady 10% drop for about a decade, according to Madden, who said a 30% drop was recorded during COVID.

“People were overworked. They were scared," Madden said.

Now agencies are struggling to attract employees.

“Work life balance, pay, just the shear magnitude of the job alone are all things and then the pandemic are all things that have led us to where we are today," Madden said.

“That can be a vicious cycle with people worked aggressively and there is never a slow day," Life EMS President Mark Meijer said. "So we have worked to address that."

A $30 million grant from the state covers tuition costs for EMT's and paramedic students.

The state's funding has bolstered recruiting efforts, Meijer said.

“We are still at a tight limit from a deployment perspective but we are very hopeful," Meijer said.

In October, legislation was referred to state house committees to allow 17-year-olds to receive their medical first responder or EMT license.

Madden and Meijer both agree, this legislation would help fill positions sooner.

Mon, 06 Nov 2023 15:37:00 -0600 en text/html

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