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NREMT Advanced EMT Study Guide

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Section 1 assess airway, respiratory, and ventilatory findings Preview

Preview: 1. Airway, Respiration & Ventilation (9%-13%)

Preview includes
  • 4 of 7 lesson topics
  • 1 overview segment
  • 3 core concepts
  • 2 exam tips

Lesson Topics

  • Airway Patency and Protection
  • Breathing and Ventilation Assessment
  • Oxygenation vs. Ventilation
  • Work of Breathing and Breath Sounds

Overview

Assess airway, respiration, and ventilation as separate but linked functions. The exam rewards rapid recognition of airway obstruction, inadequate ventilation, hypoxemia, and respiratory fatigue before a precise diagnosis is known.

Core Concepts

  • Airway patency: look and listen for obstruction, secretions, blood, vomitus, swelling, trauma, snoring, gurgling, stridor, inability to speak, or declining mental status.
  • Breathing assessment: rate alone is not enough. Evaluate depth/tidal volume, rhythm, chest rise, work of breathing, accessory-muscle use, skin signs, speech, mental status, and breath sounds.
  • Ventilation means moving air; oxygenation means getting oxygen into blood. A patient may have an acceptable SpO2 and still ventilate poorly, especially early in hypoventilation.

Exam Tips

  • Do not choose 'high-flow oxygen' reflexively when the real problem is inadequate ventilation; support ventilation when breathing is ineffective.
  • A normal-looking SpO2 should not override obvious respiratory failure or poor ventilation.
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Section 2 connect respiratory assessment cues with pathophysiology Pro
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Section 3 select management from assessment findings and response to care Pro
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Section 4 assess cardiovascular and resuscitation findings Pro
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Section 5 connect cardiovascular assessment cues with pathophysiology Pro
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Section 6 select management from assessment findings and response to care Pro
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Section 7 assess trauma findings and identify immediate threats Pro
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Section 8 connect trauma assessment cues with pathophysiology Pro
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Section 9 select trauma management from assessment findings and response to care Pro
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Section 10 assess medical, obstetric, or gynecologic findings Pro
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Section 11 connect medical, obstetric, or gynecologic cues with pathophysiology Pro
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Section 12 select management from assessment findings and response to care Pro
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Section 13 maintain or operate emergency vehicles and equipment safely Pro
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Section 14 demonstrate leadership and professionalism Pro
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Section 15 communicate and document patient care Pro
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Section 17 manage the environment of care Pro
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Section 18 communicate during an EMS response Pro
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Section 19 lead during an EMS response Pro
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Section 20 recognize relevant cues Pro
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Section 21 analyze relevant cues Pro
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Section 22 define the leading hypothesis Pro
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Section 23 generate appropriate solutions Pro
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Section 24 take the most appropriate action Pro
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Section 25 evaluate the patient response and revise the plan Pro
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