NREMT-PTE reality - NREMT Paramedic Trauma test Updated: 2023 | ||||||||
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Exam Code: NREMT-PTE NREMT Paramedic Trauma test reality November 2023 by Killexams.com 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 Medical Paramedic reality | ||||||||
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Medical NREMT-PTE NREMT Paramedic Trauma Exam https://killexams.com/pass4sure/exam-detail/NREMT-PTE 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 called? 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. For More exams visit https://killexams.com/vendors-exam-list Kill your test at First Attempt....Guaranteed! | ||||||||
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. 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 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:
"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 https://vrna.net. About VRSim: VRSim Contacts: Sales: Media:
SOURCE VRSim, Inc. 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 MORE: Toronto 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.” KALAMAZOO, Mich. — 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. | ||||||||
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