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Exam Number : CFRN
Exam Name : Certified Flight Registered Nurse
Vendor Name : Medical
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CFRN test Format | CFRN Course Contents | CFRN Course Outline | CFRN test Syllabus | CFRN test Objectives

1. General principles of transport nursing practice
A. Transport physiology
1. Physiologic stressors of transport
2. Effects of altitude on patients
B. Scene operations
1. Secure landing zone
2. Incident Command System
C. Communications
1. Radio operations
2. Patient handoff (e.g., history from referring provider, updates for receiving provider, SBAR)
3. Crew resource management
D. Safety and survival
1. ELT
2. Navigation (e.g., maps, GPS, night-vision goggles)
3. Transponder codes
4. Survival principles (post-crash)
5. Transport vehicle emergencies
6. Pre-mission preparation (e.g., shift preparedness, risk assessment, crew briefings, weather limitations,AMRM)
E. Management of man-made disasters (e.g., terrorism, industrial accident, transportation accident, mass casualties)
F. Professional issues
1. Evidence-based practice and research
2. Legal issues
c. Consent
d. Mandatory reporting (e.g., abuse, neglect, diversion, non-accidental trauma)
e. Legal concepts in patient care (e.g., negligence, assault, battery, abandonment)
3. Ethical issues
4. Psychosocial issues in transport, including families
G. Management
1. Quality management and fair work environment
2. Outreach and community education
3. Stress management (e.g., self-care, post-traumatic critical incident)
2. Resuscitation principles 27 31
A. Principles of assessment and patient preparation
1. Physical assessment
2. Pain and comfort assessment
3. Preparing the patient for transport (i.e., packaging)
B. Airway management
1. Airway assessment
2. Airway management
3. Difficulties encountered with airway
4. Rapid Sequence Induction for Intubation (RSI), including pharmacology
C. Mechanical ventilation
1. Invasive ventilation
2. Non-invasive ventilation
D. Perfusion
1. Components of oxygen delivery
2. Shock pathophysiology
3. Trauma triad (hypothermia, acidosis, coagulopathies)
4. Acid base imbalances
3. Trauma 26 31
A. Principles of management
1. Mechanism of injury
2. Shock
a. Hypovolemic
b. Obstructive
c. Distributive (including neurogenic)
d. Cardiogenic
3. Immobilization
B. Neurologic
1. Traumatic brain injuries
2. Spinal cord injuries
3. Post-traumatic seizures
C. Thoracic
1. Chest wall injuries
2. Pulmonary injuries
3. Cardiac injuries
4. Great vessel injuries
D. Abdominal
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
5. Abdominal compartment syndrome
E. Orthopedic
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft-tissue injuries
F. Burn
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Radiological burns
5. Inhalation injuries
G. Maxillofacial and neck
1. Facial injuries, including fractures
2. Ocular injuries
3. Blunt and penetrating neck injuries
4. Medical emergencies 44 44
A. Neurologic
1. Seizure disorders
2. Stroke
3. Neuromuscular disorders
4. Space occupying lesions
a. Blood
b. Tumors
c. Abscesses
d. Hydrocephalus
e. Encephalopathies
B. Cardiovascular
1. Acute coronary syndrome
2. Congestive heart failure
3. Pulmonary edema
4. Dysrhythmias
5. Aortic abnormalities
6. Hypertension
7. Mechanical/circulatory support (e.g., IABP, VAD, pacing)
C. Pulmonary
2. Acute lung injury/ARDS
3. Pulmonary infections
4. Asthma
5. Pulmonary embolism
D. Abdominal
1. Abdominal compartment syndrome
2. GI bleed
3. Conditions of the hollow organs (e.g., obstruction,rupture)
4. Conditions of the solid organs (e.g., pancreatitis, hepatitis)
E. Electrolyte disturbances
F. Metabolic and endocrine
1. Diabetic emergencies
2. Neuroendocrine disorders (e.g., diabetes insipidus, SIADH, HHNK)
3. Thyroid conditions
4. Adrenal disorders
G. Hematology
1. Coagulopathies (including platelet disorders)
2. Anemias
H. Renal
1. Acute kidney injury (i.e., acute renal failure)
2. Chronic renal failure
I. Infectious and communicable diseases
1. SIRS and sepsis
2. Isolation precautions (e.g., MRSA, influenza-like illness, highly-infectious diseases)
J. Shock
1. Hypovolemic
2. Obstructive
3. Distributive (including neurogenic and anaphylaxis)
4. Cardiogenic
K. Environmental and toxicological emergencies
1. Environment
a. Allergic reactions
b. Cold related (e.g., hypothermia, frostbite)
c. Heat related (e.g., heatstroke, heat exhaustion)
d. Submersion injuries (i.e., diving injuries, drowning, near drowning)
e. Bites and envenomation
2. Toxicology
A. Obstetrical patients
1. Complications of pregnancy
2. Delivery and post-partum care of mother and infant
3. Trauma
B. Pediatric
1. Trauma
2. Medical (e.g., respiratory, cardiac, and neurological emergencies, metabolic disturbances)
C. Geriatric
1. Trauma (e.g., falls, immobilization)
2. Medical (e.g., drug interactions and comorbidities, dementia)
D. Bariatric (e.g., logistical issues, drug dosage, skin issues,airway management)

PA catheter
Point-of-care testing
Video laryngoscopy
Chest radiographs
Transvenous pacing
Capnography for non-intubated patients
Surgical cricothyrotomy
Therapeutic hypothermia
Central venous pressure measurement
Arterial line
Needle cricothyrotomy
Needle thoracostomy
Tourniquet application
Central line
Chest tube
Pelvic stabilization
Non-invasive mechanical ventilation
Traction splint
12-lead ECG
Invasive mechanical ventilation
Transcutaneous pacing
Blood product administration
Capnography for intubated patients
Endotrachael intubation
Initiate/titrate medications
Intraosseous catheter
IABP operation
CT scans
Medical circulatory devices (VAD, Impella®)
Fracture/dislocation reduction
ICP monitoring
Neck radiographs
Ventriculostomy monitoring

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Medical Certified test contents

What you deserve to know about your medical professional’s medical credentials | CFRN PDF download and Latest Questions

Julie Evans  |  for Karmanos melanoma Institute

a listing of doctors and the clinical credentials that observe their names can feel like staring right into a bowl of alphabet soup. As a patient, you recognize that those abbreviations denote critical degrees, but is there a change between one category of medical professional and another? How do credentials affect the care you will acquire?

“understanding that somebody has expert scientific practicing is an excellent birth, but for those who’re getting scientific care, you may also need to be aware of more,” noted George Yoo, M.D., FACS, Chief clinical Officer at the Barbara Ann Karmanos cancer Institute. “it is vital to take note a doctor’s practising as well as their specialties to ensure you get the ideal take care of your individual wants.”

Doctorate levels


M.D. stands for doctor of medication. within the united states, M.D. is the most usual clinical diploma. To earn this credential, M.D.s ought to attend 4 years of scientific school and complete an internship and residency following a 4-year undergraduate diploma. This training prepares M.D.s to practice analysis-primarily based medication the use of equipment reminiscent of prescription medicine, scientific technology and surgical procedure. Many with this diploma will decide to specialise in one area of medication.


D.O. stands for medical professional of Osteopathic medication. whereas physicians with this degree follow a similar educational course as those with M.D. credentials -- 4 years of clinical faculty after receiving an undergraduate diploma plus an internship and residency – D.O.s comply with an osteopathic approach, which specializes in the complete physique. These physicians appear on the ways in which body techniques work collectively and make a contribution to holistic health. They regularly center of attention on prevention and can work within the primary care surroundings. despite the fact, some might also pursue really good working towards to work in a selected box of medicine.

“My working towards as a D.O. has helped me to peer my sufferers as a whole, to take care of them comprehensively, and to support them through the challenge of facing cancer,” noted Michael Dominello, D.O., radiation oncologist and chief of the neuro-oncology multidisciplinary group at Karmanos cancer Institute.


Ph.D. stands for medical professional of Philosophy. those reaching this degree center of attention on analysis in a particular container, which may also be in the medical area or an extra. for example, it is feasible to earn a Ph.D. in archaeology, conversation and numerous different areas.  requirements may range between fields but commonly, earning a Ph.D. is the highest college diploma and requires normal analysis, writing a thesis and defending that thesis. these with a Ph.D. may well be called docs, however they are not qualified to follow medication until they've additionally earned an M.D.


docs who wish to focus on a selected box of medication may additionally pursue a fellowship. Securing a fellowship is particularly competitive and reserved for those at the suitable of their fields. right through a fellowship, a physician works intently with a specialist to be taught alongside them. Upon completion, fellowship practising can add letters to a issuer’s title. for example, FAAD stands for ​Fellow of the American Academy of Dermatology and FACOG for Fellow of The American Congress of Obstetricians and Gynecologists. Seeing these credentials in the back of your medical professional’s title can ensure that they have got really expert skills in their container.

superior practice suppliers

superior apply providers (APPs) are fitness care authorities who work intently with medical doctors to operate scientific projects and analyses. APPs often offer extra appointment availability than physicians and can supply numerous the services that docs do, together with conducting physical exams, ordering lab work and prescribing remedy. The features supplied through APPs may additionally differ as a result of differing licensure from state to state.


NP stands for nurse practitioner. These APPs are registered nurses (RN) who complete additional practicing and earn a graduate diploma. Their practising follows the nursing model, which focuses on average care and preventative fitness. NPs regularly work with specialized populations comparable to pediatrics or ladies.

NPs who need to focus on a specific box may additionally take specific coursework throughout their graduate courses or comprehensive additional practising after commencement. as an example, nurses working in melanoma care can gain an OCN designation, which stands for oncology licensed nurse. To earn these letters, NPs have to meet rigorous eligibility standards and move a 3-hour examine. other really expert designations are additionally purchasable.

“incomes my OCN designation was difficult however very price it,” noted Pam Laszewski, BSN, RN, OCN, clinical leader, radiation oncology. “no longer simplest do I believe a way of accomplishment, i know that my patients can see how committed i am to training oncology nursing. I honestly cannot think about working in an additional field. Caring for cancer patients is each rewarding and challenging.”


PA stands for medical professional’s assistant. After receiving an undergraduate degree, college students ought to acquire a PA diploma at the master’s level, which generally takes three years, including classroom work and medical rotations. They regularly function essential healthcare providers. PA practising follows the scientific model, which emphasizes prognosis, evaluation and ailment management.

past the letters

whereas the designations defined above are probably the most common, you may additionally see other letters following your company’s identify. definitely, they have labored hard to earn really good credentials and will be satisfied to explain what they imply, so do not be afraid to ask.

when you are being treated for a continual sickness such as cancer, remember to do your research to determine no matter if your company is a expert of their box. Karmanos cancer Institute's on-line doctor listing makes it effortless to look a doctor’s specialties along with their educational heritage, practising, awards bought and different guidance to support slim down your search and discover the highest quality provider for your individual needs. At Karmanos, suppliers are focused totally on melanoma, which permits them to supply the most up-to-date cures and suggestions. When confronted with a virus, credentials and the journey that includes them can supply you your most fulfilling possibility.

The Barbara Ann Karmanos cancer Institute is headquartered in midtown Detroit with 14 other locations during Michigan. it is the simplest country wide cancer Institute (NCI)-detailed complete cancer middle within the area and one of just fifty one facilities of its form within the united states. For greater assistance, seek advice from their site. Appointments can be scheduled on-line or by way of calling 1-800-KARMANOS.

members of the editorial and information body of workers of The Detroit news have been now not involved in the advent of this content material.

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