A 38-year-old male has been pulled from a river in the middle of January. It is unknown how long the patient has been in the river. He is pulseless and apneic so you direct your partner to start CPR immediately. You attach the defibrillation pads and find the patient to be in V-Fib. You deiver one defibrillation and initiate CPR again. The patient feels extremely cold to the touch and an axillary temperature reads 80.5 F. Your partner just completed another two minutes of CPR. The cardiac monitor still shows V-Fib. Which of the following is the most appropriate action? - Initiate IV/IO therapy and give Epi, followed by Amiodarone and continuous warm fluid administration until the patient's core temperature rises above 86 F. CPR will not be effective until the patient is properly rewarmed. - Stop all treatment and transport the patient immediately. Attempt to move the patient as little as possible so they won't go into asystole. - Resume CPR and initiate rapid transport. Do not administer drug or electrical therapy and perform continuous CPR until the patient has been rewarmed to a core temperature of 86 degrees F. - Perform defibrillation and continue CPR. Continue defibrillating the patient every 2 minutes until ROSC is achieved.

The NREMT exam asks questions on these topics: - Airway, Respiration & Ventilation - Cardiology & Resuscitation - Trauma - Medical/Obstetrics/Gynecology - EMS Operations All sections, except EMS Operations, have a content distribution of 85% adult and 15% pediatrics [based questions].  Topic weightage: For the EMT exam, 18%-22% of questions asked will cover airway, respiration, and ventilation; 20%-24% will cover cardiology and resuscitation; 14%-18% will cover trauma; 27%-31% will cover medical/obstetrics/gynecology; and 10%-14% will cover EMS operations.  For the EMR, advanced EMT... Show more

The NREMT exam asks questions on these topics:

- Airway, Respiration & Ventilation
- Cardiology & Resuscitation
- Trauma
- Medical/Obstetrics/Gynecology
- EMS Operations

All sections, except EMS Operations, have a content distribution of 85% adult and 15% pediatrics [based questions]. 

Topic weightage: For the EMT exam, 18%-22% of questions asked will cover airway, respiration, and ventilation; 20%-24% will cover cardiology and resuscitation; 14%-18% will cover trauma; 27%-31% will cover medical/obstetrics/gynecology; and 10%-14% will cover EMS operations. 
For the EMR, advanced EMT and paramedic exams, the numbers differ only by 1%-2% in each category. 

Note: The NREMT exam bases questions off of the National EMS Education Standards, current accepted practices of EMS, and Current AHA Guidelines for CPS and ECC (Emergency Cardiovascular Care). 

Show less