Want to test your procedures knowledge before the NREMT-P exam? Below are free sample flashcards from the 180-card procedures section of our 1060-card NREMT-P (National Registry Paramedic) deck.
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You are managing a 55yo male in respiratory arrest. To optimize the airway for BVM ventilation, you move the head into the sniffing position. What anatomical alignment defines the goal of this position?
Show answer →The sniffing position aims to align the oral, pharyngeal, and laryngeal axes. This is achieved by flexion of the neck and extension of the head (atlanto-occipital extension). Clinically, the goal is to align the external auditory meatus (ear) with the sternal notch. Exam Tip: NREMT focuses on Ear-to-Sternal Notch as the gold standard for positioning. Distractor: Avoid simple hyperextension in medical patients, as it can collapse the airway in certain populations.
After successful ROSC, the patient's ETCO2 jumps from 15 mmHg to 55 mmHg. How should the paramedic adjust the ventilation strategy during post-ROSC maintenance?
Show answer →Maintain ventilations at 10-12 breaths/min to target an ETCO2 of 35-45 mmHg. Avoid hyperventilation (high rates), which increases intrathoracic pressure, reduces venous return, and decreases cerebral perfusion. Rationale: Post-ROSC washout causes a temporary spike in ETCO2 as accumulated CO2 is finally circulated to the lungs. Titrate based on continuous waveform monitoring to avoid hypocapnia, which causes cerebral vasoconstriction and worsens neurological outcomes.
You are treating a 4-year-old (16 kg) in V-Fib. According to PALS/ECC 2026 standards, what are the initial and subsequent energy doses for defibrillation?
Show answer →Initial: 2 J/kg (32 J). Second dose: 4 J/kg (64 J). Subsequent: 4-10 J/kg or adult dose. Rationale: Pediatric dosing starts low to minimize myocardial damage but escalates quickly. Exam Tip: NREMT focuses on the initial dose (2 J/kg). Be prepared to calculate this based on weight or a length-based tape.
A patient has had a tourniquet in place for 5 hours due to a prolonged extrication. As you prepare to release the TQ at the ED, what metabolic complications must you be prepared to manage?
Show answer →Reperfusion Injury: Release can cause a bolus of potassium, lactic acid, and myoglobin to enter systemic circulation. This leads to hyperkalemia (arrhythmias), metabolic acidosis, and potential Acute Kidney Injury (rhabdomyolysis). Management: Pre-treatment with IV fluids, Sodium Bicarbonate, and potentially Calcium Gluconate (per protocol). Exam Tip: If a TQ has been on >6 hours, it should generally NOT be removed in the field due to the risk of sudden hyperkalemic cardiac arrest.
When applying four-point physical restraints to an agitated patient, how should the limbs be ideally positioned to maximize safety and assessment capability?
Show answer →One arm should be restrained above the head (cephalad) and the other arm at the side (caudad), with both legs secured to the stretcher frame (not the rails). This one arm up, one arm down position prevents the patient from gaining enough leverage to roll or flip the stretcher. Clinical Pearl: Always use soft restraints (e.g., Velcro or cravats) and ensure you can still assess distal pulses and capillary refill. NEVER use metal handcuffs as a medical restraint; if law enforcement uses them, they MUST accompany the patient in the ambulance with the key.
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Try 30 free NREMT-P cards firstThe full NREMT-P deck contains 1060 flashcards, and 180 of them focus on procedures. This page shows 5 free samples.
Our NREMT-P deck dedicates 180 of 1060 cards (17%) to procedures — always cross-check the official NREMT exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the NREMT-P preview page has 30 more free cards. Full access to all 1060 cards is a one-time $7.
Basics
70 cards
Diagnostics
150 cards
Management
220 cards
Pathology
220 cards
Pharmacology
90 cards
Physiology
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