SNHD EMT PROTOCOLS FINAL PAPER
QUESTIONS AND ACCURATE ANSWERS
COMPLETE PREPARATION KIT
●● RACE evaluates what 6 things?
Answer: Facial palsey, arm motor, leg motor, head/gaze deviation,
aphasia(disordered speach), agnosia (inability to recognize objects,
people, smells, etc.)
●● NIR Capable Centers? (8)
Answer: UMC, Sunrise, St. Rose Sienna, Spring Valley, Valley Hospital,
Southern Hills Hospital, Centennial Hills, Henderson Hospital
●● Trauma Field Triage Criteria (TFTC) Red Injury Patterns (9)
Answer: --Penetrating injuries to head, neck, torso and proximal
extremeties
--Skull deformity, suspected skull fracture
--Suspected spinal injury with new motor or sensory loss
--Chest wall instability, deformity
--Suspected pelvic fracture
--Suspected fracture of two or more proximal long bones
--Crushed, degloved, mangled, or pulseless extremity
--Amputation proximal to wrist or ankle
,--Active bleeding requiring tourniquet or wound packing with
continuous pressure
●● TFTC Red Mental Status and Vital Signs
Answer: --Unable to follow commands (GCS Motor <6)
--RR <10 or >29 breaths/min
--Resp distress or need for resp support
Room-air pulse oximetry <90%
●● TFTC Red Vital Signs, when found in presence of traumatic
mechanism
Answer: Age 0-9: SBP <70 mmHg + (2 x age years)
Age 10-64: SBP <90 mmHg or HR>SBP
Age >65: SBP < 110 mmHg or HR>SBP
●● TFTC Yellow MOIs
Answer: --High risk auto crash including
--partial or complete ejection,
--significant intrusion (incl. roof) of >12 inches on occupant side OR
>18 inches on any site
--need for extrication for entrapped pt
--death in passenger compartment
, --children (0-9 yrs) unrestrained or in unsecured safety seat, -----vehicle
telemetry data consistent with severe injury
--Pedestrian/bike rider thrown, run over, or with significant impact
Fall from height > 10 ft for all ages
●● Possible Yellow EMS Situations, depending on EMS judgement
Answer: --Low level falls in young children under 5, or older adults over
65 with suspected head injury
--anticoagulant/antiplatelet use
--Suspicion of child abuse
--Special, high-resource healthcare needs
--Pregnancy over 20 weeks.
IF CONCERNED, TAKE TO TRAUMA CENTER
●● TFTC Red Injury adults should be transported to...
Answer: UMC or Sunrise depending on location
●● TFTC Red Injury pediatrics should be transported to...
Answer: UMC
●● TFTC Yellow Injury adults should be transported to...
Answer: UMC, Sunrise, Siena, or MOMMC
QUESTIONS AND ACCURATE ANSWERS
COMPLETE PREPARATION KIT
●● RACE evaluates what 6 things?
Answer: Facial palsey, arm motor, leg motor, head/gaze deviation,
aphasia(disordered speach), agnosia (inability to recognize objects,
people, smells, etc.)
●● NIR Capable Centers? (8)
Answer: UMC, Sunrise, St. Rose Sienna, Spring Valley, Valley Hospital,
Southern Hills Hospital, Centennial Hills, Henderson Hospital
●● Trauma Field Triage Criteria (TFTC) Red Injury Patterns (9)
Answer: --Penetrating injuries to head, neck, torso and proximal
extremeties
--Skull deformity, suspected skull fracture
--Suspected spinal injury with new motor or sensory loss
--Chest wall instability, deformity
--Suspected pelvic fracture
--Suspected fracture of two or more proximal long bones
--Crushed, degloved, mangled, or pulseless extremity
--Amputation proximal to wrist or ankle
,--Active bleeding requiring tourniquet or wound packing with
continuous pressure
●● TFTC Red Mental Status and Vital Signs
Answer: --Unable to follow commands (GCS Motor <6)
--RR <10 or >29 breaths/min
--Resp distress or need for resp support
Room-air pulse oximetry <90%
●● TFTC Red Vital Signs, when found in presence of traumatic
mechanism
Answer: Age 0-9: SBP <70 mmHg + (2 x age years)
Age 10-64: SBP <90 mmHg or HR>SBP
Age >65: SBP < 110 mmHg or HR>SBP
●● TFTC Yellow MOIs
Answer: --High risk auto crash including
--partial or complete ejection,
--significant intrusion (incl. roof) of >12 inches on occupant side OR
>18 inches on any site
--need for extrication for entrapped pt
--death in passenger compartment
, --children (0-9 yrs) unrestrained or in unsecured safety seat, -----vehicle
telemetry data consistent with severe injury
--Pedestrian/bike rider thrown, run over, or with significant impact
Fall from height > 10 ft for all ages
●● Possible Yellow EMS Situations, depending on EMS judgement
Answer: --Low level falls in young children under 5, or older adults over
65 with suspected head injury
--anticoagulant/antiplatelet use
--Suspicion of child abuse
--Special, high-resource healthcare needs
--Pregnancy over 20 weeks.
IF CONCERNED, TAKE TO TRAUMA CENTER
●● TFTC Red Injury adults should be transported to...
Answer: UMC or Sunrise depending on location
●● TFTC Red Injury pediatrics should be transported to...
Answer: UMC
●● TFTC Yellow Injury adults should be transported to...
Answer: UMC, Sunrise, Siena, or MOMMC
