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Here is exactly how the 80-question board exam (150 minutes, 70% to pass) breaks down — and which training level, field case, rhythm and drug card covers each slice. Check items off as you study; your progress saves on this device.
Airway & Ventilation Oxygenation before intubation, waveform capnography numbers, BVM technique and failed-airway backups.
0 of 11 study items checked off · 38 questions in the bank for this area
🌌 Ketamine Pain: 0.1–0.3 mg/kg IV. Sedation for procedures: 1–2 mg/kg IV. Excited delirium: 4–5 mg/kg IM. 😴 Midazolam Seizures: 5 mg IM/IN or 2.5–5 mg IV. Sedation: 1–2.5 mg IV titrated. 🕊️ Fentanyl 1 mcg/kg IV/IN (typically 50–100 mcg), repeat per protocol. 🏃 Sinus Tachycardia Find and fix the why: pain, fever, hypovolemia, hypoxia. 🐢 Sinus Bradycardia Symptomatic → atropine 1 mg, then pacing / dopamine / epi drip. 🌊 The 3 a.m. drowning on dry land Difficulty breathing, 74-year-old male, third floor walk-up. 🎈 BVM ventilation One-person seal with visible chest rise, 10–12 breaths/min, ETCO₂ 30–35 — no bag-squeezing marathons. 🥢 OPA / NPA placement Sizes and seats an adjunct in under 10 seconds, knows gag = no OPA. 🪖 Supraglottic airway (i-gel/King) Inserts, seals, and confirms with capnography on the first attempt during compressions. 🎯 Endotracheal intubation First-pass success with bougie backup, continuous capno, and a plan B already open. 🌀 Airway suctioning Clears vomit/blood in under 15 seconds per pass, pre-oxygenates, never blinds a tube. Cardiology & Resuscitation Rhythm recognition, ACLS dosing and timing, 12-lead patterns, post-ROSC care and when to shock.
0 of 33 study items checked off · 48 questions in the bank for this area
⚡ Epinephrine Arrest: 1 mg (1:10,000) IV/IO q3–5 min. Anaphylaxis: 0.3–0.5 mg (1:1,000) IM. Push-dose: 5–20 mcg q1–5 min. 🌀 Amiodarone Arrest (VF/pVT): 300 mg IV/IO, then 150 mg. Stable VT: 150 mg over 10 min. ⏸️ Adenosine 6 mg rapid IV push + 20 mL flush, then 12 mg; may repeat 12 mg. 🐢 Atropine 1 mg IV q3–5 min, max 3 mg. 🧊 Lidocaine 1–1.5 mg/kg IV, repeat 0.5–0.75 mg/kg q5–10 min (max 3 mg/kg). 🌪️ Magnesium sulfate 1–2 g IV over 5–20 min (arrest: 1–2 g push). 🦴 Calcium chloride / gluconate CaCl 1 g (10 mL of 10%) IV slow; gluconate 1–3 g. 🧱 Procainamide 20–50 mg/min IV until rhythm breaks, max 17 mg/kg, then maintenance drip. 🐌 Diltiazem 0.25 mg/kg IV over 2 min (≈20 mg), repeat 0.35 mg/kg (≈25 mg). 🧪 Sodium bicarbonate 1 mEq/kg IV (≈50 mEq) — repeat per protocol. ⚡ Ventricular Fibrillation CPR + defibrillate now. Epi q3–5, amio 300 after 3rd shock. 😰 Ventricular Tachycardia Pulse + stable → amiodarone. Pulse + unstable → sync. No pulse → defibrillate. 🎀 Torsades de Pointes Magnesium 1–2 g. Pulseless → defibrillate. 🫥 PEA CPR + epi + reversible causes. Not shockable. ➖ Asystole CPR + epi. Do NOT shock. Hunt the H's and T's. ⏩ SVT Vagal → adenosine 6/12/12 → sync cardioversion if unstable. 🌊 Atrial Fibrillation (RVR) Stable → rate control. Unstable → synchronized cardioversion. 💔 3rd-Degree AV Block Pace. Atropine usually will not work. ⚠️ 2nd-Degree Type II (Mobitz II) Pace. Atropine usually fails and can worsen it. 🔋 Paced Rhythm Assess capture: every spike needs a matching complex and a pulse. 🐘 The 58-year-old with the elephant on his chest Chest pain, conscious and breathing, 58-year-old male at a hardware store. ⚡ The gym collapse Cardiac arrest, bystander CPR in progress at a gym. 🦴 The dialysis miss Weakness, 63-year-old female who missed two dialysis sessions. 🎀 The new antibiotic and the twisting strip Syncope, 71-year-old female, started an antibiotic two days ago. ⏩ The 24-year-old whose heart 'won't stop buzzing' Palpitations at a college apartment. Patient anxious but talking. 💉 IV access Hits an AC or forearm vein in two sticks or fewer, clean securement, first-try above 70%. 🦴 IO access (EZ-IO) Proximal humerus or tibial IO in under 60 seconds during an arrest, flush under pressure. 🫀 High-performance CPR 100–120/min, 2-inch depth, full recoil, compressor swap under 5 seconds, 60%+ fraction. ⚡ Defibrillation & cardioversion Pads on and first shock inside 90 seconds of arrival; syncs for unstable tachy without being asked. 🔌 Transcutaneous pacing Pads, rate 60–80, milliamps up until mechanical capture — confirmed by pulse, not just spikes. 📋 12-lead acquisition Clean, artifact-free 12-lead in under 5 minutes — V4R and posterior leads when the story calls for them. 🔍 Rhythm & 12-lead interpretation Calls the rhythm in 10 seconds, spots STEMI, Wellens, de Winter, and Sgarbossa in paced rhythms. 🧮 Medication math Computes drips, weight-based doses, and push-dose pressors without a calculator under pressure. Trauma Bleeding control order, shock recognition, chest decompression, spinal motion restriction and transport decisions.
0 of 11 study items checked off · 44 questions in the bank for this area
🧷 Tranexamic Acid (TXA) 1 g IV over 10 minutes, within 3 hours of injury. 🕊️ Fentanyl 1 mcg/kg IV/IN (typically 50–100 mcg), repeat per protocol. 🔩 Norepinephrine 0.05–0.5 mcg/kg/min titrated to MAP ≥ 65. 🌌 Ketamine Pain: 0.1–0.3 mg/kg IV. Sedation for procedures: 1–2 mg/kg IV. Excited delirium: 4–5 mg/kg IM. 🏃 Sinus Tachycardia Find and fix the why: pain, fever, hypovolemia, hypoxia. 🫥 PEA CPR + epi + reversible causes. Not shockable. ⚡ The gym collapse Cardiac arrest, bystander CPR in progress at a gym. 🩺 Assessment & vitals Full head-to-toe with lung sounds, pupils, and skin in under 3 minutes, trending not snapshotting. 🗣️ History taking (OPQRST/SAMPLE) Pulls a complete history from a scared patient in plain language, and hears what is not said. 🦺 Scene safety & size-up Reads the scene before the patient: hazards, mechanism, number of patients, resources needed. 🏋️ Lifting & moving Power lifts, stair chair, and draw-sheet moves with zero back strain — for a 30-year career. Medical & OB/GYN Stroke and sepsis screens, toxicology, endocrine emergencies, obstetric complications and pediatric dosing.
0 of 15 study items checked off · 42 questions in the bank for this area
🔑 Glucagon 1–5 mg IV (beta-blocker overdose); may repeat. Hypoglycemia: 1 mg IM/IN. 🤢 Ondansetron 4 mg ODT/IV/IM; may repeat once. 🌙 Morphine 2–4 mg IV, titrate to effect. 🧊 Metoprolol 5 mg IV q5 min × 3 as tolerated. 🚽 Furosemide 20–40 mg IV, or double the patient's home dose. 🧪 Sodium bicarbonate 1 mEq/kg IV (≈50 mEq) — repeat per protocol. 🐢 Sinus Bradycardia Symptomatic → atropine 1 mg, then pacing / dopamine / epi drip. 🔗 Junctional Rhythm Treat symptoms and look for digoxin toxicity or ischemia. 🕯️ Idioventricular / Agonal Often a pre-arrest or post-ROSC rhythm. Check a pulse, treat causes, pace if perfusing poorly. 💊 The teenager and the pill bottle Overdose, 17-year-old female, parents found an empty amitriptyline bottle. 🍼 The baby who went quiet Unresponsive infant, 7 months old, mother on the line with dispatch. 🩺 Assessment & vitals Full head-to-toe with lung sounds, pupils, and skin in under 3 minutes, trending not snapshotting. 🗣️ History taking (OPQRST/SAMPLE) Pulls a complete history from a scared patient in plain language, and hears what is not said. 🦺 Scene safety & size-up Reads the scene before the patient: hazards, mechanism, number of patients, resources needed. 🏋️ Lifting & moving Power lifts, stair chair, and draw-sheet moves with zero back strain — for a 30-year career. EMS Operations Scene safety, triage, incident command, documentation, consent and refusal, crew resource management.
0 of 10 study items checked off · 44 questions in the bank for this area
🩸 Aspirin 162–324 mg chewed (usually 4 × 81 mg baby aspirin). 💥 Nitroglycerin 0.4 mg SL q5 min ×3 (BP permitting). Infusion 5–200 mcg/min. 🩸 Heparin STEMI per protocol: typically 60 units/kg bolus, max 4,000 units. ✅ Normal Sinus Rhythm Monitor. Treat the patient, not the box. 🐌 1st-Degree AV Block Usually benign. Watch for progression and check meds. 🐘 The 58-year-old with the elephant on his chest Chest pain, conscious and breathing, 58-year-old male at a hardware store. 📻 Radio report / handoff A 60-second report that paints the patient: age, chief, vitals, findings, treatment, ETA — no filler. ✍️ Documentation (PCR) Chart written like a lawyer reads it: times, findings, refusals with capacity, narrative that matches the monitor. 📖 Protocol fluency Runs every cardiac algorithm from memory and knows exactly which drugs need online medical control. 📡 Ultrasound / capnography use Reads ETCO₂ trends as a vital sign — CPR quality, tube confirmation, ROSC spike, sepsis clue.