SNHD AEMT CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
● Definition of a patient: A patient is any individual that meet sat least one of the following
criteria:. Answer: 1) A person who has a complaint or mechanism suggestive of potential
illness or injury 2) A person who has obvious evidence of illness or injury 3) A person
identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or
injury
● Pediatric patient considerations:. Answer: Pediatric treatment protocols are to be used on
children who have not yet experienced puberty. Signs of puberty include chest or underarm
hair on males, and any breast development in females.
● Sexual assault victims protocol. Answer: -Sexual assault victims less than 13 y/o shall be
transported to sunrise hospital -Sexual assault victims 13-18 y/o shall be transported to
Sunrise Hospital or UMC -Sexual assault victims 18 y/o and older shall be transported to UMC
-Sexual assault victims outside a 50-mile radius from the above facilities, the patient shall be
transported to the nearest facility
● Waiting Room Criteria. Answer: -Cant be on legal psychiatric hold -Normal vital signs -Did
not receive any parental medication during EMS transport except single dose of analgesia
and/or an antiemetic -Can maintain a sitting position without adverse impact on their medical
condition -is left with a verbal report to hospital personnel
● Internal Disaster. Answer: -If a hospital declares an internal disaster, that facility is to be
bypassed for all patients except patients in cardiac arrest or in whom the ability to adequately
ventilate has not been established -Operational exceptions may be initiated in regard to
transport to hospitals on internal disaster
● Excited Delirium Syndrome. Answer: -Medical emergency-combination of delirium,
psychomotor agitation, anxiety, hallucination, speech disturbances, disorientation, violent
behavior, insensitivity to pain, hyperthermia, and increased strength -Potentially life
threatening, and associated with the use of physicals control measures including restraints,
TASER, or similar device. -Most common in male subjects with history of serious mental
illness and/or acute chronic drug abuse, particularly stimulants
● Dystonic Reaction. Answer: -condition causing involuntary muscle movements or spasms
typically of the face, neck and upper extremities -typically an adverse reaction to drugs such
, as haloperidol -When recognized, administer diphenhydramine 50mg IM/IV/IO
● S.A.F.E.R. Answer: -Stabilize the situation by containing and lowering the stimuli -Assess
and acknowledge the crisis -Facilitate the identification and activation of resources (Chaplain,
family, friends or police) -Encourage patient to use resources and take actions in his/her best
interest -Recovery or referral. Leave patient in care of responsible person or professional, or
transport to appropriate facility
● Thermal Burn Exposure Protocol. Answer: -Stop the burning process with water or saline
-Remove smoldering clothing and jewelry -Do not remove stuck clothing Cover burned area
with dry sterile dressing
● Chemical/Electrical Exposure Protocol. Answer: Eye involvement? -Continuous saline flush
in affected eyes -flush with water or NS for 10-15min -Remove jewelry, constricting items, and
expose burned area -identify and exit sites, apply sterile dressings
● Burn Care Centers. Answer: UMC OR Sunrise
● Differential of Burns. Answer: -Superficial (1st degree)-red and painful -Partial Thickness
(2nd degree)-blistering -Full thickness(3rd degree)-painless/charred or leathery skin
● Types of burns. Answer: -Thermal -Chemical -Electrical -Radiation -Lightning
● Burn Pearl. Answer: -Circumferential burns to extremities are dangerous due to potential
vascular compromise secondary to soft tissue swelling. Elevate extremity! -Burn patients are
prone to hypothermia-never apply ice or cool burns; must maintain normal body temperature
● Burn Care Center Criteria. Answer: 1. Second degree burns >10% body surface area 2.
Any third degree burns 3. Burns that involve the face, hands, feet, genitalia, perineum, or
major points 4. Electrical burns including lightning injury 5. Chemical burns 6. Circumferential
burns 7. Inhalation burns 8. Burn injury with concomitant trauma
● Electrical Burn Pearls. Answer: -Do not contact the patient until you are certain the source
of the electric shock has been disconnected -Attempt to locate contact points, (entry wound
where the AC source contacted the patient; an exit at the ground point); both sites will
generally be full thickness. -Cardiac monitor; anticipate ventricular or atrial irregularity to
include V-Tach, V-Fib, heart blocks, etc. -Attempt to identify the nature of electrical source
(AC vs DC), the amount of voltage and the amperage the patient may have been exposed to
during the electrical shock
● Chemical Burn Pearl. Answer: Certainly 0.9% NaCI Sol'n or sterile water is preferred;
however if it is not readily available, do not delay; use tap water for flushing the affected area
WITH SOLUTIONS GRADED A+
● Definition of a patient: A patient is any individual that meet sat least one of the following
criteria:. Answer: 1) A person who has a complaint or mechanism suggestive of potential
illness or injury 2) A person who has obvious evidence of illness or injury 3) A person
identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or
injury
● Pediatric patient considerations:. Answer: Pediatric treatment protocols are to be used on
children who have not yet experienced puberty. Signs of puberty include chest or underarm
hair on males, and any breast development in females.
● Sexual assault victims protocol. Answer: -Sexual assault victims less than 13 y/o shall be
transported to sunrise hospital -Sexual assault victims 13-18 y/o shall be transported to
Sunrise Hospital or UMC -Sexual assault victims 18 y/o and older shall be transported to UMC
-Sexual assault victims outside a 50-mile radius from the above facilities, the patient shall be
transported to the nearest facility
● Waiting Room Criteria. Answer: -Cant be on legal psychiatric hold -Normal vital signs -Did
not receive any parental medication during EMS transport except single dose of analgesia
and/or an antiemetic -Can maintain a sitting position without adverse impact on their medical
condition -is left with a verbal report to hospital personnel
● Internal Disaster. Answer: -If a hospital declares an internal disaster, that facility is to be
bypassed for all patients except patients in cardiac arrest or in whom the ability to adequately
ventilate has not been established -Operational exceptions may be initiated in regard to
transport to hospitals on internal disaster
● Excited Delirium Syndrome. Answer: -Medical emergency-combination of delirium,
psychomotor agitation, anxiety, hallucination, speech disturbances, disorientation, violent
behavior, insensitivity to pain, hyperthermia, and increased strength -Potentially life
threatening, and associated with the use of physicals control measures including restraints,
TASER, or similar device. -Most common in male subjects with history of serious mental
illness and/or acute chronic drug abuse, particularly stimulants
● Dystonic Reaction. Answer: -condition causing involuntary muscle movements or spasms
typically of the face, neck and upper extremities -typically an adverse reaction to drugs such
, as haloperidol -When recognized, administer diphenhydramine 50mg IM/IV/IO
● S.A.F.E.R. Answer: -Stabilize the situation by containing and lowering the stimuli -Assess
and acknowledge the crisis -Facilitate the identification and activation of resources (Chaplain,
family, friends or police) -Encourage patient to use resources and take actions in his/her best
interest -Recovery or referral. Leave patient in care of responsible person or professional, or
transport to appropriate facility
● Thermal Burn Exposure Protocol. Answer: -Stop the burning process with water or saline
-Remove smoldering clothing and jewelry -Do not remove stuck clothing Cover burned area
with dry sterile dressing
● Chemical/Electrical Exposure Protocol. Answer: Eye involvement? -Continuous saline flush
in affected eyes -flush with water or NS for 10-15min -Remove jewelry, constricting items, and
expose burned area -identify and exit sites, apply sterile dressings
● Burn Care Centers. Answer: UMC OR Sunrise
● Differential of Burns. Answer: -Superficial (1st degree)-red and painful -Partial Thickness
(2nd degree)-blistering -Full thickness(3rd degree)-painless/charred or leathery skin
● Types of burns. Answer: -Thermal -Chemical -Electrical -Radiation -Lightning
● Burn Pearl. Answer: -Circumferential burns to extremities are dangerous due to potential
vascular compromise secondary to soft tissue swelling. Elevate extremity! -Burn patients are
prone to hypothermia-never apply ice or cool burns; must maintain normal body temperature
● Burn Care Center Criteria. Answer: 1. Second degree burns >10% body surface area 2.
Any third degree burns 3. Burns that involve the face, hands, feet, genitalia, perineum, or
major points 4. Electrical burns including lightning injury 5. Chemical burns 6. Circumferential
burns 7. Inhalation burns 8. Burn injury with concomitant trauma
● Electrical Burn Pearls. Answer: -Do not contact the patient until you are certain the source
of the electric shock has been disconnected -Attempt to locate contact points, (entry wound
where the AC source contacted the patient; an exit at the ground point); both sites will
generally be full thickness. -Cardiac monitor; anticipate ventricular or atrial irregularity to
include V-Tach, V-Fib, heart blocks, etc. -Attempt to identify the nature of electrical source
(AC vs DC), the amount of voltage and the amperage the patient may have been exposed to
during the electrical shock
● Chemical Burn Pearl. Answer: Certainly 0.9% NaCI Sol'n or sterile water is preferred;
however if it is not readily available, do not delay; use tap water for flushing the affected area
