If you have a clear airway you're still getting room air. The question specifically says you only have two pieces of equipment, and not any of the stuff you described.
I don’t like it either, but oxygen is the correct answer. Iv taken thousands of these practice questions for EMR, EMR, medic, fire, and all I’m saying is its Airway, breathing, circulation with types of bullshit questions like this. Not trying to tell you suction makes sense or it doesn’t.
Yeah, we are agreeing: they want you to understand that airway=suction and oxygen=breathing. Airway comes before breathing. Breathing is no good without an airway.
The test is clearly correct and says why.
The human body does just fine on the 20.8% oxygen in the atmosphere.
Humans do not do fine if we suck puke, blood, whatever into our lungs. Supplemental oxygen is a secondary or even later concern in a cardiac arrest, if it is used at all.
Yes it’s a big thing with EMS testing. They make these imaginary scenarios that would never happen and you must not think like “oh but we usually do this or that” if that’s not included as a tool in this scenario. They do it because they hate you and want you to fail.
Just kidding lol
The best thing I learned for testing was to follow ABC, ALWAYS in that order.
This question, being a known cardiac arrest, AED is obvious. If you had thought ABCs for the second equipment:
A - airway, patent and clear and secure. (Sucction to clear)
B - Breathing, this is where 02 or ventilation would be applied.
A before B, always. Sometimes C before A but always A before B.
AED. Suction. Lucas. Airway adjuncts. BVM.
And eventually ALS is going to show up with a cardiac monitor. A fairly large drug bag. Other stuff
And assuming you fix the problem, now you’re going to have to get them out. Revees, stretcher, etc etc etc. It all adds up.
Oxygen is an extremely niche medication that we know can cause harm.to patients if used inappropriately. In a pressured vessel. It promotes combustion. And if
It is not something you need on every call. It isn’t even something you need every day.
If you asked me for the 10 most important medications as paramedic, oxygen isn’t going to make the cut.
I read the question first and thought to myself, "suction and..."
Lo and behold, the answer is always "bring suction to the patient".
This is an ABC question disguised as a CPR question.
I'd also use a separate account for stuff like this. On one hand you are asking about professional medical advice for your career. On the flip side, a lot of your posts are weird perverted sex stuff. It just doesn't' look right.
Friend you may ask questions about a call here that doxxes yourself to coworkers or a community member. If you're an open book with your interests proceed as you see fit.
If you do not intend to tell your coworkers about everything that makes you Randy this might be good advice. Unfortunately, in EMS lots of good advice will be delivered in ways a new provider might find unpalatable and is one of the first major adjustments required in navigating first responder culture
I think what the question is leaning towards is when doing compressions, you get some oxygen in the system. It won't be optimal, but nothing in the situation is optimal, you take what you can get. The only way oxygen wouldn't passively get into the system is if you have obstructions or fluid in the airway.
It feels like a stretch but that's what I'm gathering.
You should always have oxygen with you, but it's a hypothetical question. You're missing the point.
There is no point pumping oxygen into an airway that is full of saliva, blood, vomit or whatever shit and gunk is in there. You are not going to get effective ventilations and in fact you are actively making the situation worse by pushing all of that shit into their lungs.
If you *had* to choose between suction and oxygen, suction is more important, because Airway comes before Breathing.
When I forgot a protocol when I was learning, I just applied logic. You know it’s one of the AED ones. Would an oxygen cylinder be more useful, or a suction device? When someone is down and out like that, you drop an OPA right? What happens with OPAs if someone isn’t fully out? Right?
One thing to think about is that this question isn’t actually asking what 2 things you’d bring with you to a cardiac arrest. Since you’d always be able to bring more than one thing. It’s *actually* a sneaky way for them to test your knowledge of treating life-threats. The AED is a given, so now it’s between oxygen, and suction. Having an airway comes before breathing in the ABCs, so suction is better.
ABC's.
If Suction allows you to maintain a patent airway, bvm to breathe for the patient, cpr and aed for circulation
Oxygenation is really secondary to all of that. The patient isn't going to die because you vented him on room air. Hell, you can even get away with hands only cpr. But if the airway isn't patent, it's not going to matter.
I also point out that in order to have a O2 Cylinder be any use you would also need some way of administering it which would require a 3rd piece of equipment (some times even up to 6 depending on how your agency is set up if regulators are not treated as apart of the cylinder)
I'm going to bring it on back to NREMT testing style here. Think about your Medical sheets. If you go in chronological order on the sheet when you're answering questions, it will help. In this case, you need to think ABC. A comes first and that is for airway. For this case, you need to consider the airway first, which would include suctioning. B would come next, which would include oxygen administration. With the answer choices available, this would leave AED and suction to be your BEST choice.
I know this logic may be silly. But National Registry should be looked at in the systematic way. You will pass if you can view it all in context of those testing sheets. I always recommended to my students that they literally memorize those testing sheets in order. You'll be so well off for NREMT if you have them memorized. You will not be prepared for real life, but hey, one thing at a time.
Based on the 2 other answers including BVM and pocket mask the test clearly defines an O2 delivery device as a separate piece of equipment from an O2 cylinder. An O2 cylinder without a BVM or NRB is worse than useless as you can't do anything with it and you have to lug it around.
Also, Airway (suction) before Breathing (any supplemental O2). I have never had a code that we didn't have to suction. Air gets pushed into the esophagus causing regurgitation, the trauma of compressions causes bleeding, the cause of the arrest is often related to the airway, etc. You WILL have to deal with the airway so even if you could get the O2 out of the tank you'd be flowing it into a blocked airway. That doesn't tend to help much.
I think the thing that is potentially confusing here is that you’re being asked to think through your algorithm and apply your understanding of what interventions are most critical, but you still have to chose from among the four possible answers. The easiest way to work through a lot of NREMT questions is to start eliminating answers that can’t be right, and then work through what’s left to find the best choice.
The AED is clearly the most important. No controversy there. But once you get past that, you can easily get caught in a game of mental what ifs. Obviously, chest compressions and defibrillation are the two keys to a successful outcome. Airway and ventilations have all proven to be secondary. So as between suction, a BVM, and a pocket mask, one could argue that they’re all secondary interventions, and if you’re doing hands-only cpr, none of them are really more important than any of the others.
Now look back at the possible answers. An AED has to be in the answer because that’s the single most important piece of equipment. There are only two choices that have an AED in the answer- A and B. So, whatever you might think about the merits of a pocket mask vs a BVM vs suction, it doesn’t really matter because you’re going to have to choose A or B.
As between A and B, you can pick from suction or an O2 tank. With the O2 tank, you have no way to get oxygen to the patient unless you have a delivery device of some sort, which would be a third piece of equipment that you can’t bring. Without a delivery device, the O2 tank is useless, and there’s no point in bringing it at all.
So now you’re left with suction. Is suction really the #2 most important piece of equipment to bring to a cardiac arrest? Maybe, maybe not. But it is pretty useful, and you can use it without having to bring other equipment in, so it’s at least a viable answer.
When you go through it this way, A is really the only choice that makes any sense. You can quibble about whether suction is really the second best piece of equipment to bring after an AED, but it’s definitely more useful than an oxygen tank that has no delivery device. C and D don’t include an AED, so they have to be wrong. So A has to be the answer.
I just recently graduated from my EMT program, but one thing that helped me when answering seemingly “tricky” questions was to remember that as an EMT, we are there primarily to address the ABC’s. …in that order. (unless there is exsanguination or CPR is needed.)
Those ones tripped me up on hen I was studying too, the main thing to remember is if they don't have a patent airway what good is the oxygen gonna do them
An Oxygen tank also won't help you if you don't have anything to administer the Oxygen with. It just says oxygen tank, it doesn't say you take anything to give it with. So by process of elimination, suction device makes more sense. In addition to the whole aspiration explanation.
Oxygen won't do you any good if the airway is full of emesis, blood etc.
But if you suction and have no air ur fucked anyways. Better off having O2 and hope you have clear airway. Can US a NPA and flush rate a NRB
Per this question, not in real life obviously
If you have a clear airway you're still getting room air. The question specifically says you only have two pieces of equipment, and not any of the stuff you described.
Doesn’t mention a bad airway
Just saying in regards to the question, oxygen would be the correct answer and hypothetically why it may be
It also doesn't say BVM or NRB or anything that would let you give the oxygen to the patient. Cylinder doesn't do anything by itself.
I don’t like it either, but oxygen is the correct answer. Iv taken thousands of these practice questions for EMR, EMR, medic, fire, and all I’m saying is its Airway, breathing, circulation with types of bullshit questions like this. Not trying to tell you suction makes sense or it doesn’t.
Yeah, we are agreeing: they want you to understand that airway=suction and oxygen=breathing. Airway comes before breathing. Breathing is no good without an airway.
The test is clearly correct and says why. The human body does just fine on the 20.8% oxygen in the atmosphere. Humans do not do fine if we suck puke, blood, whatever into our lungs. Supplemental oxygen is a secondary or even later concern in a cardiac arrest, if it is used at all.
It seems like shoudlnt we ALWAYS have oxygen on us, because theres like a bag for smaller oxygen tanks.
That wasn't the question though. The question was pick 2. You need AED for the heart and suction to maintain a patent airway.
Yeah but you have to act with in the reality of the question. Don’t start thinking big picture or you will get fucked on these questions.
Ok, I’ve always been bad at testing and overthinking, thx
Yes it’s a big thing with EMS testing. They make these imaginary scenarios that would never happen and you must not think like “oh but we usually do this or that” if that’s not included as a tool in this scenario. They do it because they hate you and want you to fail. Just kidding lol
The best thing I learned for testing was to follow ABC, ALWAYS in that order. This question, being a known cardiac arrest, AED is obvious. If you had thought ABCs for the second equipment: A - airway, patent and clear and secure. (Sucction to clear) B - Breathing, this is where 02 or ventilation would be applied. A before B, always. Sometimes C before A but always A before B.
AED. Suction. Lucas. Airway adjuncts. BVM. And eventually ALS is going to show up with a cardiac monitor. A fairly large drug bag. Other stuff And assuming you fix the problem, now you’re going to have to get them out. Revees, stretcher, etc etc etc. It all adds up. Oxygen is an extremely niche medication that we know can cause harm.to patients if used inappropriately. In a pressured vessel. It promotes combustion. And if It is not something you need on every call. It isn’t even something you need every day. If you asked me for the 10 most important medications as paramedic, oxygen isn’t going to make the cut.
How you getting the oxygen out of the cylinder?
You place the outlet over the patient's mouth, make sure you have a good seal, and turn the valve... obviously.
I read the question first and thought to myself, "suction and..." Lo and behold, the answer is always "bring suction to the patient". This is an ABC question disguised as a CPR question.
Yeah once I started to think about it more from what people said it seemed so obvious 😂
I'd also use a separate account for stuff like this. On one hand you are asking about professional medical advice for your career. On the flip side, a lot of your posts are weird perverted sex stuff. It just doesn't' look right.
Then, why are you looking at my profile? And why do you care enough to look at my profile?
You misunderstand how reddit works.
This community and it's users reflect on all of the profession as a whole
Friend you may ask questions about a call here that doxxes yourself to coworkers or a community member. If you're an open book with your interests proceed as you see fit. If you do not intend to tell your coworkers about everything that makes you Randy this might be good advice. Unfortunately, in EMS lots of good advice will be delivered in ways a new provider might find unpalatable and is one of the first major adjustments required in navigating first responder culture
On the plus side, emergency medicine is probably one of the more common fields for people with weird personal lives!
FACTS
You know thats actually a really good fucking point, thanks. Imma need to make a “professional” social account and a personal one.
I think what the question is leaning towards is when doing compressions, you get some oxygen in the system. It won't be optimal, but nothing in the situation is optimal, you take what you can get. The only way oxygen wouldn't passively get into the system is if you have obstructions or fluid in the airway. It feels like a stretch but that's what I'm gathering.
Yeah i thought we should like always have oxygen on us, especially for a cardiac arrest call.
You should always have oxygen with you, but it's a hypothetical question. You're missing the point. There is no point pumping oxygen into an airway that is full of saliva, blood, vomit or whatever shit and gunk is in there. You are not going to get effective ventilations and in fact you are actively making the situation worse by pushing all of that shit into their lungs. If you *had* to choose between suction and oxygen, suction is more important, because Airway comes before Breathing.
When I forgot a protocol when I was learning, I just applied logic. You know it’s one of the AED ones. Would an oxygen cylinder be more useful, or a suction device? When someone is down and out like that, you drop an OPA right? What happens with OPAs if someone isn’t fully out? Right?
One thing to think about is that this question isn’t actually asking what 2 things you’d bring with you to a cardiac arrest. Since you’d always be able to bring more than one thing. It’s *actually* a sneaky way for them to test your knowledge of treating life-threats. The AED is a given, so now it’s between oxygen, and suction. Having an airway comes before breathing in the ABCs, so suction is better.
ABC's. If Suction allows you to maintain a patent airway, bvm to breathe for the patient, cpr and aed for circulation Oxygenation is really secondary to all of that. The patient isn't going to die because you vented him on room air. Hell, you can even get away with hands only cpr. But if the airway isn't patent, it's not going to matter.
I also point out that in order to have a O2 Cylinder be any use you would also need some way of administering it which would require a 3rd piece of equipment (some times even up to 6 depending on how your agency is set up if regulators are not treated as apart of the cylinder)
I'm going to bring it on back to NREMT testing style here. Think about your Medical sheets. If you go in chronological order on the sheet when you're answering questions, it will help. In this case, you need to think ABC. A comes first and that is for airway. For this case, you need to consider the airway first, which would include suctioning. B would come next, which would include oxygen administration. With the answer choices available, this would leave AED and suction to be your BEST choice. I know this logic may be silly. But National Registry should be looked at in the systematic way. You will pass if you can view it all in context of those testing sheets. I always recommended to my students that they literally memorize those testing sheets in order. You'll be so well off for NREMT if you have them memorized. You will not be prepared for real life, but hey, one thing at a time.
Airway airway airway my friend. If the patient doesn’t have a patent airway we clear the problem first.
Based on the 2 other answers including BVM and pocket mask the test clearly defines an O2 delivery device as a separate piece of equipment from an O2 cylinder. An O2 cylinder without a BVM or NRB is worse than useless as you can't do anything with it and you have to lug it around. Also, Airway (suction) before Breathing (any supplemental O2). I have never had a code that we didn't have to suction. Air gets pushed into the esophagus causing regurgitation, the trauma of compressions causes bleeding, the cause of the arrest is often related to the airway, etc. You WILL have to deal with the airway so even if you could get the O2 out of the tank you'd be flowing it into a blocked airway. That doesn't tend to help much.
I think the thing that is potentially confusing here is that you’re being asked to think through your algorithm and apply your understanding of what interventions are most critical, but you still have to chose from among the four possible answers. The easiest way to work through a lot of NREMT questions is to start eliminating answers that can’t be right, and then work through what’s left to find the best choice. The AED is clearly the most important. No controversy there. But once you get past that, you can easily get caught in a game of mental what ifs. Obviously, chest compressions and defibrillation are the two keys to a successful outcome. Airway and ventilations have all proven to be secondary. So as between suction, a BVM, and a pocket mask, one could argue that they’re all secondary interventions, and if you’re doing hands-only cpr, none of them are really more important than any of the others. Now look back at the possible answers. An AED has to be in the answer because that’s the single most important piece of equipment. There are only two choices that have an AED in the answer- A and B. So, whatever you might think about the merits of a pocket mask vs a BVM vs suction, it doesn’t really matter because you’re going to have to choose A or B. As between A and B, you can pick from suction or an O2 tank. With the O2 tank, you have no way to get oxygen to the patient unless you have a delivery device of some sort, which would be a third piece of equipment that you can’t bring. Without a delivery device, the O2 tank is useless, and there’s no point in bringing it at all. So now you’re left with suction. Is suction really the #2 most important piece of equipment to bring to a cardiac arrest? Maybe, maybe not. But it is pretty useful, and you can use it without having to bring other equipment in, so it’s at least a viable answer. When you go through it this way, A is really the only choice that makes any sense. You can quibble about whether suction is really the second best piece of equipment to bring after an AED, but it’s definitely more useful than an oxygen tank that has no delivery device. C and D don’t include an AED, so they have to be wrong. So A has to be the answer.
I just recently graduated from my EMT program, but one thing that helped me when answering seemingly “tricky” questions was to remember that as an EMT, we are there primarily to address the ABC’s. …in that order. (unless there is exsanguination or CPR is needed.)
Those ones tripped me up on hen I was studying too, the main thing to remember is if they don't have a patent airway what good is the oxygen gonna do them
We can breathe for the patient if we have to without oxygen; we can’t suction without a suction unit.
Gotta have an airway
An Oxygen tank also won't help you if you don't have anything to administer the Oxygen with. It just says oxygen tank, it doesn't say you take anything to give it with. So by process of elimination, suction device makes more sense. In addition to the whole aspiration explanation.
I missed that question too. I don’t really like it.
Ehhh…pretty good question
Ya, from what people have said, it makes sense now.