Back To Basics

412 Pages·2011·4.054 MB·English

by  Orchid Lee Lopez

Back To Basics
Critical Care Transport Certification Review
Orchid Lee Lopez
Copyright © 2011 by Orchid Lee Lopez.
Library of Congress Control Number: 2011901632
ISBN: Hardcover 978-1-4568-6273-2
ISBN: Softcover 978-1-4568-6272-5
ISBN: Ebook 978-1-4568-6274-9

All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or by any information storage and retrieval
system, without permission in writing from the copyright owner.

This book was printed in the United States of America.

To order additional copies of this book, contact:
Xlibris Corporation
1-888-795-4274
www.Xlibris.com
[email protected]
88683
Contents

Module 1 ECG and IABP Monitoring
Module 2 Hemodynamic Monitoring
Module 3 Cardiovascular and Medical Emergencies
Module 4 Respiratory Emergencies
Module 5 Neurological Emergencies
Module 6 Trauma and Burns
Module 7 Environmental and Toxicology Emergencies
Module 8 High-Risk Obstetrical Emergencies
Module 9 Neonatal and Pediatric Emergencies
Module 10 Flight Physiology, Safety, Survival, CAMTS

Appendix A CCP-C Summary of Examination
Appendix B FP-C Summary of Examination
Appendix C Flashcards
Appendix D Tips on How to Study for the Exam
Dedication
To my husband, Gene, my children, Raquel, Corinne, Alexis, Amanda, sons-in-
law, Eric, Robert II and my grandchildren, Jacob, Angelee, Gavin, Taylin,
Robert III—who have always been there through hard times and whose patience,
understanding, encouragement, and support have never wavered during the
many hours spent working on this textbook.
Acknowledgments
This critical care transport certification review textbook is also dedicated to all
the hard-working EMS educators and medical directors who have spent
countless hours, training and who have made a difference in improving the
quality of patient care in the prehospital ground and air medical transport
environment. Thank you for all that you have done and will continue to do.

John Samson, RN, CFRN, NREMT-P, FP-C
Sheryl Williams, RN, BSN, CFRN
Robert Hesse, RN, CFRN, NREMT-P, FP-C
Barb Wood, RN, RNC
Chuck Bauer, EMT-P, FP-C
Andrew Castellana, EMT-P, FP-C
Aaron Downey, EMT-P, FP-C
Chad Boesl, RN, CFRN
Gene Lopez, NREMT-P, FP-C
Mike Breithaupt, Rotor-Wing Pilot
Steve Farber, Rotor-Wing Pilot
Richard Dobson, Rotor-Wing Pilot
Karen Bajalis, RN, RNC
Carol Pribyl, RN, RNC
LeAnn Thorpe, RN, RNC
Melinda Boyer, RRT
Mike Bei, RN, RNC
Rick McKinstry, RN, CFRN
Christopher Hall, EMT-P, FP-C
Eric Lewis, RN, CFRN
Chuck Skinner, EMT-P, FP-C
Amy Caldwell, EMT-P, FP-C
John Elliott, MD
Steve Murphey, MD
Steve Maher, MD
Dave Tellez, MD
Dave Streitwieser, MD
Glenn Waterkotte, MD
Darren Braude, MD
Stephen Donohue, MD
In Memory Of
James Alan Baker, EMT-P, FP-C
New Mexico Clinical EMS Educator
Every job is a self-portrait of the person who does it.
Autograph your work with excellence. We are what we repeatedly do.
Excellence, then, is not an act, but a habit.
—Aristotle
Preface
Back To Basics Critical Care Transport Certification Review (BCCTPC) is
intended to meet the needs of prehospital care providers at all levels as they
strive for ever-increasing clinical excellence when preparing to take the
certification examinations. Prehospital care providers are confronted daily by a
variety of clinical conditions and must have an in-depth understanding of the
pathophysiology of these conditions to be able to assess and provide the medical
treatment necessary.
This book in organized into ten modules, which includes fifty questions in each
module, with a total of five hundred practice questions that will assist the readers
in preparing for the certification examination. Each question is provided with the
answer and rationale, which includes a comprehensive explanation as to why the
answer is correct and why the other answers are not correct. The practice
questions with rationale will provide the reader with a better conceptual basic
understanding of the subject matter. The figures and tables provided illustrate
pertinent concepts, thereby facilitating reading comprehension. This format also
makes the text useful as a quick reference guide. Study flashcards have been
provided to assist the reader in testing themselves over a variety of topics and
subject areas that could be included on the certification examination.
The BCCTPC examination content outlines have been provided so that the
reader has a better understanding of what topics or subject areas can be asked on
the certification examination. Studying is only a part of getting good results on
your exam. Preparation for your examination should begin several months prior;
this includes studying, reviewing study materials on a regular basis, and if
possible, attending a BCCTPC-approved sixteen-hour FP-C/CCP-C review
course. Students with better study methods and strategies have a better success
in passing the certification examination. Everyone is different; different methods
work for different people, and tips on how to study for the exam have been
provided for the purpose of improving upon your current studying techniques.
The material in this textbook contains the most current information available at
the time of publication. It is the responsibility of the readers to familiarize
themselves and to stay informed of any new changes or recommendations in the
policies and procedures set by the federal, state, and local agencies as well as the
institution or agency where the reader is employed. The author and the publisher
of this textbook disclaim any liability, loss, or risk resulting directly or indirectly
from the suggested procedures and theory from any undetected errors or from
the reader’s misunderstanding of the textbook.
All information used in advanced cardiac life support reflects the current
guidelines. Issues and concerns related to geriatrics, pediatrics, obstetrics, and
neonates are integrated throughout the text. The national standards for
cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC)
are reviewed and revised on a regular basis and may change after the publication
of this textbook. It is important that you know the most current recommended
guidelines for CPR and ECC.
The Back to Basics Critical Care Transport Certification Review text is an
independent publication and has not been authorized, sponsored, or otherwise
approved by BCCTPC Inc. Please note that this textbook is independent of the
actual CCP-C, FP-C, CFRN, or CTRN certification examination administration.
If you are interested in taking the FP-C or CCP-C certification examination, you
can contact the Board for Critical Care Transport Paramedic Certification
(BCCTPC) or visit their Web site at www.bcctpc.org. If you are interested in
taking the CFRN or CTRN certification examination, you can contact the Board
for Certification in Emergency Nursing (BCEN) or visit their Web site at
www.ena.org.
Module 1
ECG and IABP Monitoring
1. A sixty-six-year-old man complains of chest pain for three hours. The 12-
lead ECG shows the following:
A. Anterolateral myocardial infarction
B. Inferior myocardial infarction
C. Posterior myocardial infarction
D. Lateral myocardial infarction
2. Which of the following coronary arteries supplies the majority of the
circulation to the inferior portion of the heart?
A. Left coronary
B. Left ascending
C. Right coronary
D. Circumflex
3. V1-V6 chest leads are categorized as
A. Bipolar leads
B. Augmented leads
C. Unipolar leads
D. Limb leads
4. Which of the following references can be used to determine ST elevation, ST
depression, or QRS duration on the ECG tracing?
A. Delta wave
B. J point