NREMT Updated EMT Exam Questions and Answers by liberty

Comprehensive and Detailed Explanation From Exact Extract:

According toPediatric Basic Life Support (PBLS) guidelinesby theAmerican Heart Association (AHA), when a child becomes unresponsive due to foreign body airway obstruction (FBAO), the immediate next step is to beginchest compressions. This is donebefore checking the airway or giving breathsbecause the airway is presumed obstructed. The compressions may dislodge the object.

After 30 compressions, open the airway and check for visible objects. If none are seen, attempt rescue breaths. This protocol reflects the high risk of complete airway blockage in children with sudden collapse following a choking episode.

Comprehensive and Detailed Explanation From Exact Extract:

In pediatric START orJumpSTARTtriage, a "delayed" status is appropriate if the child is breathing adequately, has palpable pulses, and follows commands. The respiratory rate of 16 is normal for a 9-year-old, and being able to walk also supports the “delayed” tag.

"Mottled skin" and "breathing only after airway opening" would more likely lead to "immediate" or even "expectant" categories depending on associated symptoms.

Comprehensive and Detailed Explanation From Exact Extract:

This patient is showing signs ofepiglottitisor aserious upper airway obstruction— drooling, difficulty swallowing, fever, and tripod positioning.

EMT actions should include:

Position of comfortto avoid airway agitation

Gentle suctioningif secretions threaten airway

Do not force the patient to lie flat, as this mayworsen airway compromise.CPAPandhumidified oxygenmay be considered in hospital care but not as first-line interventions during prehospital airway management in epiglottitis.