EMS 1021 COURSE CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
● sign. Answer: an objective condition that you can observe or measure. example: urticaria
caused by an allergic reaction
● symptom. Answer: subjective condition that the patient feels and tells you about *treatment
you will provide is based on symptoms, not exact diagnosis example: patient is feeling pain in
lower abdomen
● subjective. Answer: anecdotal information that comes from opinions, perceptions or
experiences example: patient's pain level and their descriptions of symptoms
● objective. Answer: data that can be verified or observed by multiple people and get the
same results example: vital signs and physical exam findings.
● scene size up. Answer: refers to your evaluation of the conditions in which you will be
operating evaluating potential or actual scene hazards and threats, protected yourself and
your team, decided whether or not you need additional resources, evaluated dispatch
information, the environment in which you are responding, initial view of patient setting to
being understand what happened and action you should take
● when to start scene size up. Answer: must use situational awareness throughout the
entire call to ensure safety from the moment you are called into action until you reach your
patient, you will consider multiple things that make effect safety example: before you know
specific location of incident, consider the weather, time of day, currently available resources,
other incidents in the same district etc
● situational awareness. Answer: paying attention to the conditions and people around you
at all times and the potential risks those conditions and people pose
● Which of the following situations best demonstrates a scene that is immediately
unsafe to the EMS provider?. Answer: A vehicle collision involving a leaking tractor trailer
that has a placard indicating it is carrying a corrosive substance
● three priorities in EMS. Answer: 1. you 2. your partner 3. your patient
, ● what constitutes a hazard. Answer: anything that puts you and your partner in danger "is
it safe for my team and me to enter the scene and approach and manage the patient?" if the
answer is no, then do not approach the scene or somehow make scene safe and call for extra
resources
● Which of the following would be a hazard at the scene of a vehicle collision?. Answer:
Other emergency vehicles, Hazardous materials, Downed power lines
● forms of hazards. Answer: environmental physical chemical electrical water fire explosions
physical violence potential for violence
● how to determine need for extra resources. Answer: 1. does scene pose a threat to me,
my patient, or others? 2. how many patients? 3. do we have correct resources to respond to
conditions?
● primary assessment. Answer: all important goal: to identify and begin treatment of
immediate or imminent life threats
● components of primary assessment. Answer: 1. rapid physical examination 2. assess
level of consciousness (LOC), 3. assess ABC's + X (airway breathing, circulation, and any
other life threats) 4. identify life threats and immediately work to correct them from here will be
able to determine priority of patient care + transport DOES NOT INCLUDE IN DEPTH
PHYSICAL EXAM OR ASSESSMENT
● ABC's + X, airway. Answer: assess for any obstruction, ensure airway remains open and
adequate responsive patient: talking/crying, watch/listen to how patient speaks, identify
problem, stop assessment and work to clear airway unresponsive patient: immediately asses
airway, use jaw thrust when necessary, use head chin tilt lift when necessary, relaxation of
tongue can cause obstruction signs of obstruction: obvious trauma, blood, obstruction noisy
breathing extremely shallow or absent breathing
● ABC's + X, breathing. Answer: make sure airway is open and make sure patients
breathing is present + adequate ask: 1. is patient breathing? 2. breathing adequately? 3.
patient hypoxic? consider positive pressure ventilations with airway adjunct when: 1.
respirations exceed 28 breaths/min 2. respirations fewer than 8 breaths/min -goal of
oxygenation is oxygen saturation of 94%-99% -also look for way to shallow breaths observe
how much effort is required: retractions use of accessory muscles nasal flaring 2 to 3 word
dysphea (shortness of breath from talking) tripod position labored breathing respiratory
distress: increased work of breathing increased effort and rate respiratory failure: occurs when
blood is inadequately oxygenated, or ventilation is inadequate to meeting oxygen demands of
body
QUESTIONS WITH SOLUTIONS GRADED A+
● sign. Answer: an objective condition that you can observe or measure. example: urticaria
caused by an allergic reaction
● symptom. Answer: subjective condition that the patient feels and tells you about *treatment
you will provide is based on symptoms, not exact diagnosis example: patient is feeling pain in
lower abdomen
● subjective. Answer: anecdotal information that comes from opinions, perceptions or
experiences example: patient's pain level and their descriptions of symptoms
● objective. Answer: data that can be verified or observed by multiple people and get the
same results example: vital signs and physical exam findings.
● scene size up. Answer: refers to your evaluation of the conditions in which you will be
operating evaluating potential or actual scene hazards and threats, protected yourself and
your team, decided whether or not you need additional resources, evaluated dispatch
information, the environment in which you are responding, initial view of patient setting to
being understand what happened and action you should take
● when to start scene size up. Answer: must use situational awareness throughout the
entire call to ensure safety from the moment you are called into action until you reach your
patient, you will consider multiple things that make effect safety example: before you know
specific location of incident, consider the weather, time of day, currently available resources,
other incidents in the same district etc
● situational awareness. Answer: paying attention to the conditions and people around you
at all times and the potential risks those conditions and people pose
● Which of the following situations best demonstrates a scene that is immediately
unsafe to the EMS provider?. Answer: A vehicle collision involving a leaking tractor trailer
that has a placard indicating it is carrying a corrosive substance
● three priorities in EMS. Answer: 1. you 2. your partner 3. your patient
, ● what constitutes a hazard. Answer: anything that puts you and your partner in danger "is
it safe for my team and me to enter the scene and approach and manage the patient?" if the
answer is no, then do not approach the scene or somehow make scene safe and call for extra
resources
● Which of the following would be a hazard at the scene of a vehicle collision?. Answer:
Other emergency vehicles, Hazardous materials, Downed power lines
● forms of hazards. Answer: environmental physical chemical electrical water fire explosions
physical violence potential for violence
● how to determine need for extra resources. Answer: 1. does scene pose a threat to me,
my patient, or others? 2. how many patients? 3. do we have correct resources to respond to
conditions?
● primary assessment. Answer: all important goal: to identify and begin treatment of
immediate or imminent life threats
● components of primary assessment. Answer: 1. rapid physical examination 2. assess
level of consciousness (LOC), 3. assess ABC's + X (airway breathing, circulation, and any
other life threats) 4. identify life threats and immediately work to correct them from here will be
able to determine priority of patient care + transport DOES NOT INCLUDE IN DEPTH
PHYSICAL EXAM OR ASSESSMENT
● ABC's + X, airway. Answer: assess for any obstruction, ensure airway remains open and
adequate responsive patient: talking/crying, watch/listen to how patient speaks, identify
problem, stop assessment and work to clear airway unresponsive patient: immediately asses
airway, use jaw thrust when necessary, use head chin tilt lift when necessary, relaxation of
tongue can cause obstruction signs of obstruction: obvious trauma, blood, obstruction noisy
breathing extremely shallow or absent breathing
● ABC's + X, breathing. Answer: make sure airway is open and make sure patients
breathing is present + adequate ask: 1. is patient breathing? 2. breathing adequately? 3.
patient hypoxic? consider positive pressure ventilations with airway adjunct when: 1.
respirations exceed 28 breaths/min 2. respirations fewer than 8 breaths/min -goal of
oxygenation is oxygen saturation of 94%-99% -also look for way to shallow breaths observe
how much effort is required: retractions use of accessory muscles nasal flaring 2 to 3 word
dysphea (shortness of breath from talking) tripod position labored breathing respiratory
distress: increased work of breathing increased effort and rate respiratory failure: occurs when
blood is inadequately oxygenated, or ventilation is inadequate to meeting oxygen demands of
body
