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Air Methods Critical Care exam (Latest
Update 2026 / 2027) Questions with
Answers 100% Correct {Grade A}
second degree heart block type 1 Wenkebach - Correct answer AV block in which occasional electrical impulses from the SA node fail to be conducted to the ventricles. PR interval progressively lengthens greater than 120-200ms + dropped beats. Maternal cardiopulmonary arrest...If any moribund patient is 24 weeks or more perimortem c section must be considered. AHA recommends c section initiation within... - Correct answer 4 minutes... delivery with in 5 minutes of any unsuccessful maternal resuscitative attempts. Second Degree Heart Block (Mobitz II) - Correct answer = Damage AT av node - moderate
- PR-interval is normal; QRS complexes are dropped erratically
- ALL must have a pacemaker in the next 72 hrs.
STEMI Nitro gtt - Correct answer 5 - 10 mcg per minute Titrate by 10 mcg max dose 300 mcg per minute How do you mix epi? - Correct answer Mix 1 mg in 1 L NS or D5W or LR for a concentration of 1 mcg/ ml What's the epi dose for hypotension s/p arrest? - Correct answer 0.1 - 0.5 mcg/kg/min What is the epi dose for anaphylaxis? - Correct answer Pediatric Epinephrine dose - Correct answer PALS 2020 update - Correct answer AHA 2020 BASIC BP
Consider OPA or NPA. IDENTIFY type and Severity of respiratory problems Initial management of pediatric respiratory distress or Failure B - Correct answer 2. B-Monitor Spo2 withPulse ox. Provide high concentration O2, via non rebreather
- Administer inhaled meds: Albuterol or Epi. as needed
- Assist ventilation with child ambu + o2 if needed. Prepare for intubation if needed. Initial management of pediatric respiratory distress or Failure C - Correct answer 3.C- Monitor heart rate, rhythm and BP. Establish IV/IO access. and fluids/ meds as needed. Evaluate Identify Intervene What is an upper airway obstruction? - Correct answer Interruption in airflow through nose, mouth, pharynx, or larynx. The large always outside the thorax. PALS What causes upper airway obstruction? - Correct answer Airway Swelling
(anaphylactoid rx) ,Infection r/t croup Aspirated foreign body enlarged tonsils or adenoids Decreased level of consciousness GCS of 8? Infants and small children are especially vulnerable to - Correct answer Upper airway obstruction. Infants are obligate nose breathers. PALS Management of upper airway obstruction - Correct answer position of comfort, or jaw thrust chin lift 100% FIO2 via non rebreather
- Carefully weigh decision to suction. Don't do it if it's croup of anaphylaxis.
- give nebulizer epinephrine particularly if swelling is beyond the tongue.
- Give inhaled or IV cortical steroids
- OPA for AMS and NPA for ams with a gag.
PALS Management of upper airway obstruction caused by croup. - Correct answer PALS Management of Anaphylaxis - Correct answer In addition to ABC....
- Administer IM epic by auto injector or regular syringe every 10 to 15 minutes as needed. Repeat doses may be needed.
- Treat bronchospasm with albuterol MDI or Nebulizer
- Give continuous nebulizer treatment if needed.
- **For severe respiratory distress anticipate further airway swelling and prepare for endotracheal intubation PALS Management of anaphylaxis continues - Correct answer To treat hypotension:
- Place child in trendelenburg position as tollerated
- administer isotonic crystalloid (NS/LR) at 20ml/kg repeat as needed.
- For hypotension unresponsive to fluids and IM epinephrine, start a gtt at 0.05- 2 mcg/kg/min titrate to effect
Pals Management of anaphylaxis continues finally... - Correct answer Administer Diphenhydramine 1mg/kg and an H2 blocker, ranitadine IV.
- Administer methylprednisolone or equivalent IV PALS Management of Lower Airway Obstruction - Correct answer After ABC... If assisted ventilation is needed provide at a slow rate. PALS Management of Lower Airway Obstruction Bronchiolitis - Correct answer After ABC
- Suction as needed Consider labs: viral studies, chest X-ray and ABG trial nebulize epi or albuterol, if no improvement, Discontinue PALS Management of acute asthma Mild to Moderate - Correct answer - Administer humidified O2 in high concentration via nasal cannnula or O2 mask. K
- Keep SpO2 >= 94%
- Bipap
- If refractory hypoxemia intubate. Epi Dose, Flight nurse trick - Correct answer 0.1ML/kg no matter what concentration according to Bill. PALS Defibrillation dose - Correct answer 2 J/kg PALS Cardioversion dose - Correct answer 0.5-1 J/KG PALS Calcium Dose & Indication - Correct answer Only for known/suspected hypocalcemia 20 mg/kg Calcium Chloride SLOW IV push PALS Increased ICP Cushings Triad - Correct answer Caused by increased ICP and impending herniation.
- Irregular Breathing
- Hypertension
- Tachycardia In adults it's bradycardia Hyperventilate the patient to prevent further increases in ICP
- hypertonic saline, Osmotic agents (dose?)
- Treat pain and agitation aggressively once airway is established.
- Avoid hyperthermia PALS management of respiratory distress due to poisoning - Correct answer - Support airway
- give antidote
- call poison control Ventilation Management - Correct answer a Tidal volume is 5-7mL/Kg aprox. 500ml for an adult
chemistry panels (renal, hepatic, comprehensive, metabolic) - Correct answer Na+
- PaCO2: 35-
- PaO2: 80-
- HCO3: 22-
- 135 -
- Cl- 95 -
- K+ 3.5-4.
- Cr 0.6-1.
- Glucose 70-
- Magnesium 1.7-2.
- Magnesium - Correct answer 1.7-2.
Na+ - Correct answer 135 - 145 mEq/L Glucose - Correct answer 70 - 110 mg/dL Cr (Creatinine) - Correct answer 0.6-1.3 mg/dL Spontaneous Intermittent Mandatory Ventilation SIMV - Correct answer - Has a preset rate /minute ventilation Allows patient to over breathe a set Spontaneous breaths are not supported, so tidal volume varies based on what the patient can pull Pressure Control Ventilation - Correct answer Set pressure - Machine is set to deliver a certain pressure over a certain I-time. pressure remains constant Tidal Volume changes as lungs change
RSI drugs paralytics Succs - Correct answer Succs 1mg/kg Onset Duration Contraindications: hyperkalemia 10 days post burn crush Denervation injury MH predisposition RSI drugs induction k - Correct answer Ketamine 1-2 mg/kg Bronchodilator RSI Drugs Induction E - Correct answer Etomidate 0.3mg/kg RSI drugs pretreat lidocaine - Correct answer Used to blunt sympathetic response to intubation. Ex TBI with increased ICP
Lidocaine 1mg/kg Lead II looks at - Correct answer The apex of the heart- should be a positive deflection. It's a positive lead that looks at the apex of the heart. P wave: atrial depolarization Left bundle branch... - Correct answer Is what actually depolarizes the intraventricular septum In lead II, depolarization of the septum ( LBB) is what part of the ekg? - Correct answer The negative deflection known as the Q wave! The Q wave is indicative of intraventricular Septal depolarization The R the wave is indicative of - Correct answer Ventricular depolarization
Vasopressin push dose & infusion dose - Correct answer 1 dose of 40 units 0.02-0.04 units per minute Thrombocytopenia - Correct answer Platelet count of less than < 150,000 uL Trauma triad of death - Correct answer - Hypothermia: warm room, warm blanket, warmed fluid
- Coagulapathy
- Metabolic acidosis DIC Coag Lab values - Correct answer D-Dimer 1-5 mcg/ml Fibrinogen < 100 mg/dL (Normal 200-400 mg/dL) Normal PR interval - Correct answer 0.12-0.20 seconds
Normal QRS duration - Correct answer 0.04-0.12 seconds WBC - Correct answer Normal is 5-10K mm A normal Q-T interval is ________. - Correct answer 0.31-0.41 sec when heart rate is 70 beats/min Has to be corrected for HR Shockable rhythms - Correct answer V fib V tach (pulseless) Junctional Escape Rhythm - Correct answer a rhythm that occurs when the SA node fails to initiate the electrical activity and one of the backup pacemaker sites takes over Rate 40-60 (61-100 accelerated) No p wave
