While at NAEMSE Symposium 2016, we presented daily one NREMT-style question to the crowd at the exhibit hall and asked them to choose the best answer. There never seemed to be clear consensus on what the best answer was. At the end of the day Dan created a video explaining the correct answer and provided tips on how to teach students to answer these types of questions.
Can you choose the best answer in these questions?
A 76 year old female with a history of emphysema is on home oxygen at 4 Lpm via nasal cannula. She says her respiratory treatments aren’t working. Her vital signs are BP 108/82, P 82, R 26 and shallow and her SpO2 is 90% on 4 Lpm. You should first
A. determine if she uses an inhaler.
B. increase the flow rate of her home oxygen.
C. ventilate her with a bag valve mask device.
D. administer oxygen by non-rebreather mask
A 68 year old man with a history of chronic bronchitis calls because he is short of breath. You find him cyanotic, leaning forward and coughing frequently. He says “this coughing is much worse today.” You respond by asking him
A. “do you have a fever?”
B. “can you describe the color of your sputum?”
C. “how many times have you used your inhaler today?”
D. “how many months have you been diagnosed with bronchitis?”
The most reliable method to assess the effectiveness of your ventilations is to observe the
A. rise and fall of the chest.
B. improvement in SpO2 readings.
C. color of skin in small capillary beds.
D. improvement in the level of consciousness.