SNHD EMT PROTOCOLS ACTUAL TEST
QUESTIONS AND ANSWERS WITH
DETAILED SOLUTION GUIDE
●● Allergic Reactions
Answer: No anaphylaxis - diphenhydramine 50mg IV,IO,PO
Anaphylaxis‼️- Epi 1:1000 0.5mg IM, q15mins up to max dose 1.5mg,
Albuterol 2.5mg SVN repeat as many times needed, vasc access and
500ml bolus if hypovolemia, consider Benny as well
●● Altered Mental Status/Syncope
Answer: BGL TESTING- BGL<60 - D10 25g IV,IO, may repeat once in
5 mins, Glucagon 1mg if no vasc access
If no improvement or 60<BGL- 12lead, consider stroke, seizure,
intoxication, narcotics
●● S.A.F.E.R behavioral emergency
Answer: Stabilize situation, lowering stimuli
Asses and acknowledge crisis
Fascilitate resources, family
Encourage patient to use resources
, Recovery or referral.
●● Burns
Answer: Thermal Exposure- stop burning with water or NS, remove
burned clothes jewels, DO NOT REMOVE clothes stuck to skin, cover
burn with dry sterile dressing, NS or LR 500ml if hypoperfusion OR >
20% TBSFA
●● Cardiac Arrest (Non Traumatic)
Answer: CPR 30:2 NPA OPA, once advanced airway in place= continues
compression and ventilate every 6sec, AED, Apply cardiac monitor,
Rhythm Shockable - VF VT defebrilate, cpr 2 mins, vasc access,
defibrillate, Epi 1:10,000 1mg IV, IO, q3-5 mins, consider supraglotic
airway, repeat cpr epi and ventilation and monitoring
Rhythm Not Shockable - Asystole / PEA, CPR and ventilations, vasc
access, Epi 1:10,000 1mg q3-5 mins, consider suprsglottoc airway,
repeat CPR ventilations and epi
If patient remains unresponsive to resuscitation efforts, consider
Termination of Resuscitation Protocol
●● Chest Pain
QUESTIONS AND ANSWERS WITH
DETAILED SOLUTION GUIDE
●● Allergic Reactions
Answer: No anaphylaxis - diphenhydramine 50mg IV,IO,PO
Anaphylaxis‼️- Epi 1:1000 0.5mg IM, q15mins up to max dose 1.5mg,
Albuterol 2.5mg SVN repeat as many times needed, vasc access and
500ml bolus if hypovolemia, consider Benny as well
●● Altered Mental Status/Syncope
Answer: BGL TESTING- BGL<60 - D10 25g IV,IO, may repeat once in
5 mins, Glucagon 1mg if no vasc access
If no improvement or 60<BGL- 12lead, consider stroke, seizure,
intoxication, narcotics
●● S.A.F.E.R behavioral emergency
Answer: Stabilize situation, lowering stimuli
Asses and acknowledge crisis
Fascilitate resources, family
Encourage patient to use resources
, Recovery or referral.
●● Burns
Answer: Thermal Exposure- stop burning with water or NS, remove
burned clothes jewels, DO NOT REMOVE clothes stuck to skin, cover
burn with dry sterile dressing, NS or LR 500ml if hypoperfusion OR >
20% TBSFA
●● Cardiac Arrest (Non Traumatic)
Answer: CPR 30:2 NPA OPA, once advanced airway in place= continues
compression and ventilate every 6sec, AED, Apply cardiac monitor,
Rhythm Shockable - VF VT defebrilate, cpr 2 mins, vasc access,
defibrillate, Epi 1:10,000 1mg IV, IO, q3-5 mins, consider supraglotic
airway, repeat cpr epi and ventilation and monitoring
Rhythm Not Shockable - Asystole / PEA, CPR and ventilations, vasc
access, Epi 1:10,000 1mg q3-5 mins, consider suprsglottoc airway,
repeat CPR ventilations and epi
If patient remains unresponsive to resuscitation efforts, consider
Termination of Resuscitation Protocol
●● Chest Pain
