NYC 2022-2024 REMAC Protocol (Paramedic
Protocols) Questions With Complete Solutions
Non-traumatic cardiac arrest Adult Dose of Epi [dose in mg, concentration, & time for repeat] correct answer: 1 mg IV (10ml of 1:10,00 concentration) repeat every 3-5 mins
Non-traumatic cardiac arrest Adult Dose of Amiodarone correct answer: 300mg IV Push
Non-traumatic cardiac arrest Adult Dose of Lidocaine correct answer: 100 mg IV push
Non-traumatic cardiac arrest, OLMC Option for Sodium Bicarbonate. (Dose and repeat dose and how many mins apart when needed) correct answer: 44-88 mEq via IV, Repeat 44mEq, every 10 mins
Non-traumatic cardiac arrest, OLMC Calcium Chloride dose correct answer: 1g via IV followed by a flush
Non-traumatic cardiac arrest, ADULT, OLMC Amiodarone correct answer: 150mg
Non-traumatic cardiac arrest, ADULT, OLMC Lidocaine correct
answer: 50 mg
Non-traumatic cardiac arrest, ADULT, OLMC Magnesium Sulfate correct answer: 2g IV diluted in 10ml Normal Saline Non-traumatic cardiac arrest, ADULT, OLMC; weight dose and max of Crystalloid fluid? correct answer: 20 ml/kg IV (max 2 L)
Non-traumatic cardiac arrest PED dose, concentration and repeat
time of Epi correct answer: 0.01 mg/kg IV (Max 1mg) (0.1 ml/kg of a 1:10,000 concentration), repeat every 3-5 mins
Non-traumatic cardiac arrest, PED joule setting for Defibrillation . Initial setting, second and third setting. correct answer: Initial: 2 J/kg , Second: 4 J/kg, Third 10 J/kg
Non-traumatic cardiac arrest, PED, Amiodarone dose and max correct answer: 5 mg/kg IV (max 300mg)
Non-traumatic cardiac arrest, PED Lidocaine dose and max correct answer: 1 mg/kg (max 100mg)
Non-traumatic cardiac arrest, PED, if BGL <60mg/dl : Age 1 month and or less. Dose and max correct answer: 0.5mg/kg 10% Dextrose (max 25g)
Non-traumatic cardiac arrest, PED, if BGL <60 mg/dl : Age 1 month-14 years dose and max correct answer: 0.5 G /kg IV 25% Dextrose (max 25g)
Non-traumatic cardiac arrest, PED dose and max of Sodoum bicarbonate, repeat time correct answer: Sodium Bicarbonate 1mEq/kg IV (max 44mEq) repeat every 10 mins Non-traumatic cardiac arrest, PED, dose and max of Crystalloid fluid correct answer: Crystalline Fluid 20mL/kg IV (max 2L)
Non-traumatic cardiac arrest, PED, OLMC dose and max of Amiodarone (how many cumulative doses) correct answer: Amiodarone 5mg/kg IV (Max 150mg) repeat as needed (max 3 cumulative doses)
Non-traumatic cardiac arrest, PED, OLMC Magnesium Sulfate dose and max correct answer: Magnesium Sulfate 25-50mg/kg IV (max 2g)
Severe Bradycardia, PED, Epinephrine dose, concentration, max
and repeat time correct answer: Epinephrine 0.01 mg/kg IV (max 1mg) concentration of (0.1ml/kg of a 1:10,000 concentration) repeat every 3-5 mins
Severe Bradycardia, PED, Atropine dose; minimum & max dose
correct answer: Atropine 0.02mg/kg IV (min 0.1mg; max 0.5mg)
Severe Bradycardia, PED, OLMC, Atropine min & max dose, correct answer: Atropine 0.02 mg/kg (min 0.1mg; max 0.5mg)
Severe Bradycardia, PED, OLMC, what electrical therapy can you call for? correct answer: Transcutaneous pacing
Respiratory Distress/Failure, ADULT, for suspected Pulmonary Edema, what medication and required systolic blood pressure? What is the repeat doses and time ? correct answer: Nitroglycerin 0.4mg SL/IV with a SBP >120mmHg, repeat every 5 mins as needed
Respiratory Distress/Failure, ADULT, under EMT what appendix is CPAP therapy found under? correct answer: Appendix N: CPAP
Respiratory Distress/Failure, ADULT, OLMC for suspected Pulmonary Edema, dose and route of Furosemide? correct answer: Furosemide 20-80 mg IV
Respiratory distress / Resp Failure; PED; under CFR what is the rate of ventilations? correct answer: 20-30 breaths/min
Respiratory distress / Resp Failure; PED; What Appendix is Neede Decomp found under? correct answer: Appendix M: Needle decompression
Altered Mental Status ADULT & PED, what is the dose of Dextrose for Adults? correct answer: Dextrose up to 25g
Altered Mental Status ADULT & PED, for PED up to one month old, what is the weight based formula and dose of dextrose ? correct answer: { Dextrose 0.5 g/kg (Max 25g) }
10% Dextrose
Altered Mental Status ADULT & PED, for PED one month to fourteen years old, what is the weight based formula and dose of
dextrose? correct answer: { Dextrose 0.5g/kg (Max 25g) }
25% Dextrose
