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Combitube In-service Quiz
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1.
What are indications for a combitube ?
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A. Cardiac Arrest
B. Respiratory Arrest/Apnea
C. Asthma
D. Congestive heart failure
E. Aand B
F. A and C
G. A,B and C.
H. All the above.
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2.
What are the contraindications for a Combitube?
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A. The patient is under age of 18.
B. The patient is less then 4 ft. tall.
C. The patient has swallowed a corrosive substance.
D. A and C.
E. A and B
F. All the above.
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3.
What are the contraindications for a Combitube?
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A. The patient has known Esophageal Disease.
B. The EMT not trained and authorized to use the Combitube.®
C.Suspected cervical spine injury requiring cervical spine immobilization.
D. A nd B
E. A and C
F. A, B and C.
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Intial Assessment of Patient in Code 500 status or respiratory arrest
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4. Assure scene safety and use universal blood / body fluid precautions.
True or False
5. Clear airway and ventilate with 2 rescue breaths.
True or False
6. Check Pulse – if absent, follow the AED Protocol.
True or False
7. After the 2nd analysis cycle (if no shock is indicated) or after the 2nd series of 3 shocks is
administered – insert the Combitube ® as per the insertion procedure.
True or False
8. If the patient initially has a pulse but is apneic – follow the insertion procedure and
perform rescue breathing through the Combitube ®.
True or False
9. Continually re-assess for spontaneous respirations.
True or False
10. ALS may continue Combitube® use, orally intubate around the Combitube®, or remove
the Combitube® at the discretion of the responding Paramedic.
True or False
Using The Combitube :
11. Measure the patient by putting a loop of measuring device over the patient’s foot.
True or False
Determine which Combitube to use. Combitube or Combitube SA.
12. IF LESS THAN 4 FEET - use basic airway maintenance techniques.
True or False
13. Select SA tube if the patient is over 4 feet but less then 5ft 6 inches.
True or False
14. Use regular combitube if patient over 5 foot 6 inches.
True or False
15. IS THIS THE PROPER Procedure for checking combitube:
A. Check the Cuffs
B. Inflate Pilot Balloon #1 with 100cc’s of air.
C. Check for proper inflation of cuff.
D. Deflate Cuff.
E. Inflate Pilot Balloon #2 with 15cc’s of air.
F. Check for proper inflation of cuff.
G. Deflate Cuff.
True or False
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16. IS THIS THE PROPER Procedure for Insert the Combitube:
Hold tube like a pencil with dominant hand.
Lift jaw and tong between thumb and index finger of non-dominant hand.
Insert Combitube into mouth with curve facing upward.
Stop inserting when the upper teeth or gums are between the Black Rings.
Insert the Combitube
True or False
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17. If any resistance is met during insertion: Remove the Combitube, Reposition and Reinsert one time.
True or False
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18. If resistance is met on the second attempt:
Remove the Combitube and Maintain airway using basic airway techniques.
True or False
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Removing the Combitube
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19. If the Combitube needs to be removed at any time - True or False
A. Get suction ready,
B. Turn patient on left side,
C. Deflate both balloons,
D. Remove tube,
E. Suction as necessary.
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CONTRAINDICATIONS - True or False
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20. A patient under age of 18 and less then 4 ft tall.
True or False
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21. A patient who has swallowed a corrosive substance.
True or False
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22. A patient with a known Esophageal Disease.
True or False
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23. EMT not trained and authorized to use the Combitube. ®
True or False
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24. Suspected cervical spine injury requiring cervical spine immobilization.
True or False
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Possible Complications of Combitube Insertion - True or False
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25. Tear or rupture of esophagus.
True or False
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26. Bleeding.
True or False
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27. Puncture of carotid artery.
True or False
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28, Tear of pharynx.
True or False
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29. Pneumothorax.
True or False
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30. Death from asphyxiation.
True or False
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31. Vocal cord injury
True or False