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NREMT-PTE Exam Format | NREMT-PTE Course Contents | NREMT-PTE Course Outline | NREMT-PTE Exam Syllabus | NREMT-PTE Exam Objectives

Exam Name: National Registry of Emergency Medical Technicians (NREMT) Paramedic Trauma Exam

Vendor: National Registry of Emergency Medical Technicians (NREMT)

Exam Duration: 2 hours 30 minutes

Number of Questions: 80-150 (adaptive format)

Passing Score: Determined by adaptive scoring; no fixed percentage

Language: English

Exam Delivery: Computer-based testing at Pearson VUE testing centers



- Trauma Overview (10-15% of Exam)

- Mechanism of Injury (MOI): Understanding how trauma occurs (e.g., blunt vs. penetrating trauma).

- Kinematics of Trauma: Analyzing forces involved in trauma (e.g., motor vehicle collisions, falls).

- Trauma Triage: Prioritizing patients based on injury severity (e.g., START triage).

- Golden Hour: The critical first hour after a traumatic injury.

- Trauma Systems and Centers: Role of trauma centers and regional systems.



- Hemorrhage Control and Shock Management (20-25% of Exam)

- Types of Shock:

- Hypovolemic (e.g., blood loss)

- Cardiogenic (e.g., heart failure)

- Distributive (e.g., septic, anaphylactic, neurogenic)

- Obstructive (e.g., tension pneumothorax, cardiac tamponade)

- Hemorrhage Control:

- Direct pressure, tourniquets, hemostatic agents

- Fluid Resuscitation:

- Crystalloids (e.g., normal saline, lactated Ringer's)

- Blood products (e.g., packed red blood cells)

- Signs and Symptoms of Shock:

- Tachycardia, hypotension, altered mental status, cool/clammy skin



- Thoracic Trauma (15-20% of Exam)

- Pneumothorax:

- Simple vs. tension pneumothorax

- Needle decompression and chest tube management

- Hemothorax: Accumulation of blood in the pleural cavity.

- Flail Chest: Paradoxical chest wall movement due to rib fractures.

- Cardiac Tamponade: Fluid accumulation in the pericardial sac (e.g., Beck's triad).

- Rib Fractures and Pulmonary Contusion: Complications and management.



- Abdominal and Genitourinary Trauma (10-15% of Exam)

- Solid Organ Injuries: Liver, spleen, and kidney injuries.

- Hollow Organ Injuries: Stomach, intestines, and bladder injuries.

- Pelvic Fractures: Associated hemorrhage and stabilization.

- Genitourinary Trauma: Kidney, bladder, and urethral injuries.

- Abdominal Evisceration: Management of protruding organs.



- Head, Facial, and Spinal Trauma (15-20% of Exam)

- Traumatic Brain Injury (TBI):

- Concussion, contusion, intracranial hemorrhage (e.g., epidural, subdural)

- Signs of increased intracranial pressure (e.g., Cushing's triad)

- Facial Trauma:

- Airway management in facial fractures

- Nasal and orbital injuries

- Spinal Trauma:

- Spinal immobilization techniques

- Cervical spine injury exam (e.g., NEXUS criteria)

- Penetrating Head Injuries: Management and complications.



- Musculoskeletal Trauma (10-15% of Exam)

- Fractures:

- Open vs. closed fractures

- Reduction and splinting techniques

- Dislocations: Shoulder, hip, and knee dislocations.

- Compartment Syndrome: Signs, symptoms, and management.

- Crush Injuries: Systemic effects (e.g., rhabdomyolysis).



- Burn Trauma (5-10% of Exam)

- Burn Classification:

- Superficial, partial-thickness, full-thickness burns

- Rule of Nines: Estimating burn surface area.

- Inhalation Injuries: Carbon monoxide poisoning, airway burns.

- Fluid Resuscitation: Parkland formula for burn management.

- Electrical and Chemical Burns: Specific management considerations.



- Special Considerations in Trauma (5-10% of Exam)

- Pediatric Trauma: Unique anatomical and physiological considerations.

- Geriatric Trauma: Increased risk of complications in older adults.

- Pregnancy Trauma: Managing trauma in pregnant patients.

- Environmental Trauma: Hypothermia, hyperthermia, and drowning.



- Golden Hour: The critical first hour after a traumatic injury.

- Cushing's Triad: Bradycardia, hypertension, and irregular respirations (signs of increased intracranial pressure).

- Beck's Triad: Hypotension, jugular venous distension, and muffled heart sounds (signs of cardiac tamponade).

- Tension Pneumothorax: Life-threatening condition requiring immediate needle decompression.

- Rhabdomyolysis: Breakdown of muscle tissue releasing toxic substances into the bloodstream.

- Parkland Formula: 4 mL x body weight (kg) x % total body surface area (TBSA) burned = fluid requirement in the first 24 hours.

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