Kitsap County EMS Protocols Exam
Questions & Answers (Grade A+)
What constitutes a level 1 trauma? -
correct answer ✅TAKE TO HARBORVIEW (trauma center)
Glascow score of < 14 or
Systolic Blood Pressure of <90
Respiratory rate of <10 or >29 breaths/ Minute (<20 in infant to one
year)
What constitutes a level 2 trauma? -
correct answer ✅Assess anatomy of injury: HARBORVIEW (trauma
center)
- Penetrating injuries
- flail chest
- two or more fractures to the long bones
- crushed injuries
- amputations
- pelvic fractures
- open or depressed skull fracture
-Paralysis
- Burns (with or w/o trauma)
,Kitsap County EMS Protocols Exam
Questions & Answers (Grade A+)
What constitutes a level 3 trauma? -
correct answer ✅TRANSPORT TO CLOSEST APPROPRIATE HOSPITAL
(St Michael)
Mechanism of Injury and evidence of high- energy impact.
Falls
-Adults >20 ft
-Children >10 ft (or 2-3 times the height of the child)
High- Risk Auto Crash
-Intrusion >12in. Occupant site; >18in Any site
-Ejection (partial or complete) from automobile
-Death in the same compartment
-Vehicle telementry data consistent with high risk of injury
Auto vs pedestrian/ Bicyclist hit >20 mph
Motorcycle crash >20 mph
What constitutes a level 4 trauma -
correct answer ✅CONTACT MEDICAL CONTROL AND CONSIDER
TRANSPORT TO TRAUMA CENTER
Assess special patient or AGE
Older adults- Risk of injury is more significant after age 55
, Kitsap County EMS Protocols Exam
Questions & Answers (Grade A+)
Children- Should be triaged to preferentially to ped capable trauma
center
-Ground level falls in geriatrics
-SBP <110 in 65yr and older
-anticoagulation and bleeding disorders
- Time sensitive Extremity Injury
- End- Stage Renal Disease Requiring Dialysis
- Pregnancy > 20 weeks
EMS provider judgement
What constitutes a Red patient when triaging? -
correct answer ✅RR >30, Cap refill >2 seconds, Doesn't obey
commands
Peds: <15 or >45, no palpable pulse, inappropriate commands
Triage: What color is this patient?
Pt is breathing at a rate of 33 and their cap refill is 3 seconds, -
correct answer ✅Red
Questions & Answers (Grade A+)
What constitutes a level 1 trauma? -
correct answer ✅TAKE TO HARBORVIEW (trauma center)
Glascow score of < 14 or
Systolic Blood Pressure of <90
Respiratory rate of <10 or >29 breaths/ Minute (<20 in infant to one
year)
What constitutes a level 2 trauma? -
correct answer ✅Assess anatomy of injury: HARBORVIEW (trauma
center)
- Penetrating injuries
- flail chest
- two or more fractures to the long bones
- crushed injuries
- amputations
- pelvic fractures
- open or depressed skull fracture
-Paralysis
- Burns (with or w/o trauma)
,Kitsap County EMS Protocols Exam
Questions & Answers (Grade A+)
What constitutes a level 3 trauma? -
correct answer ✅TRANSPORT TO CLOSEST APPROPRIATE HOSPITAL
(St Michael)
Mechanism of Injury and evidence of high- energy impact.
Falls
-Adults >20 ft
-Children >10 ft (or 2-3 times the height of the child)
High- Risk Auto Crash
-Intrusion >12in. Occupant site; >18in Any site
-Ejection (partial or complete) from automobile
-Death in the same compartment
-Vehicle telementry data consistent with high risk of injury
Auto vs pedestrian/ Bicyclist hit >20 mph
Motorcycle crash >20 mph
What constitutes a level 4 trauma -
correct answer ✅CONTACT MEDICAL CONTROL AND CONSIDER
TRANSPORT TO TRAUMA CENTER
Assess special patient or AGE
Older adults- Risk of injury is more significant after age 55
, Kitsap County EMS Protocols Exam
Questions & Answers (Grade A+)
Children- Should be triaged to preferentially to ped capable trauma
center
-Ground level falls in geriatrics
-SBP <110 in 65yr and older
-anticoagulation and bleeding disorders
- Time sensitive Extremity Injury
- End- Stage Renal Disease Requiring Dialysis
- Pregnancy > 20 weeks
EMS provider judgement
What constitutes a Red patient when triaging? -
correct answer ✅RR >30, Cap refill >2 seconds, Doesn't obey
commands
Peds: <15 or >45, no palpable pulse, inappropriate commands
Triage: What color is this patient?
Pt is breathing at a rate of 33 and their cap refill is 3 seconds, -
correct answer ✅Red
