NYC REMAC PROTOCOLS EXAM QUESTIONS
NYC REMAC PROTOCOLS EXAM QUESTIONS {MUST KNOW} |VERIFIED
Introduction - Accurate AnswerEach level provider should start from the top of any given protocol, and complete the treatments in the order listed. EMTs and Paramedics should complete their treatments...
NYC REMAC PROTOCOLS EXAM
QUESTIONS
NYC REMAC PROTOCOLS EXAM QUESTIONS {MUST KNOW} |VERIFIED
Introduction - Accurate Answer ✅✅Each level provider should start from the top of any given protocol, and complete the treatments in the order listed. EMTs and Paramedics should complete their treatments
for the lower provider levels before proceeding to the section for their level of care.
Introduction: Pediatric Protocols start at what age - Accurate Answer ✅✅Pediatric protocols should be considered for patients who have not yet reached their 15th birthday.
General Cardiac Arrest Care (Non-traumatic) (Adult) - Accurate Answer ✅✅Special Considerations When
applying pads: if a pt has a medication patch, it should be removed (use PPE)
prior to pad placement, the chest should be dry, if needed shave chest hair attach external chest pads
if pt has a pacemaker position pads at least 1 inch away from the pacemaker device.
VFIB/ Pulseless V-Tach (adult) - Accurate Answer ✅✅Do not interrupt compressions for placement of an advanced airway
maximum joule setting may vary depending on defibrillator Calcium Chloride and Sodium Bicarb should be given in separate IV lines or separated by at least a 2cc flush.
PEA/ Asystole (adult) - Accurate Answer ✅✅Do not interrupt compressions for advanced airway
consider possibility of conditions masquerading PEA/Asystole which require immediate intervention If the glucometer reading is above 60mg/dL, dextrose should be withheld. Calcium Chloride and Sodium Bicarb must be separate lines or 20cc flush.
Non traumatic Cardiac Arrest and Severe Bradycardia (pediatric) - Accurate Answer ✅✅The IV dose of Epinephrine is 0.01mg/kg (0.1mL/kg 1:10,000 solution) refer all weight based fluids.meds to e Length Based Dosing Device
15:2 ration of compressions to ventilations at a rate of 120 events (105 compressions : 15 ventilations) per minute. If defib is unable to deliver recommended dose, use the lowest available setting.
Respiratory Distress/Failure/APE (adult) - Accurate Answer ✅✅All pts must have ventilators assistance unless a valid NYS Prehospital DNR and/or MOLST for is presented. Assisted ventilations should be done with pocket mask, 02 10-15LPM or BVM and reservoir flow set 10-
15LPM
*Drug advisories* Nitroglycerin- shall not be administered to pts who have used erectile dysfunction meds in the past 72 hours, unless otherwise directed by telemetry. Or BP <100mmHg
Respiratory Distress/Failure/Arrest (pediatric) - Accurate Answer ✅✅respiratory. Distress characterized by: increased resp. Effort WITHOUT central cyanosis. Ie: anxiety, nasal flaring, or intercostal retractions
resp. Failure characterized by: ineffective resp. Effort WITH central cyanosis. Ie: agitation, lethargy, severe
dyspnea, labored breathing, bobbing, grunting, or intercostal/parasternal retractions
bradycardia is ominous sign that indicated hypoxia cardiac arrest may be imminent
high flow 02 always should be used
DO NOT press mask against eyes
DO NOtT hyperextend neck. Tension pneumothorax may develop
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