SNHD EMT PROTOCOLS FULL SOLUTION
VIEW AHEAD QUESTIONS AND ANSWERS
STUDY COMPANION
●● What does OEMSTS stand for?
(Forward 5, 6)
Answer: Office of EMS & Trauma System
●● When should you fill out a Protocol Deviation form?
(Forward 5, 6)
Answer: When the provider feels the administration of an ordered
medication would endanger the patient, a medication is not available, or
a physician's orders is outside the protocol.
●● What is the definition of a patient?
(Forward 5, 6)
Answer: A patient is any individual that meets at least one of the
following criteria:
- a person who has a complaint or mechanism suggestive of potential
illness or injury
,- a person who has obvious evidence of illness or injury
- a person identified by any informed 2nd or 3rd party caller as requiring
evaluation for potential illness or injury
●● Who is considered a pediatric patient?
(Forward 5, 6)
Answer: Patients under 18 yo and for patients who do not show signs of
puberty (including chest hair or underarm hair on males & any breast
development in females).
●● Where should you take sexual assault victims?
(General Adult Assessment Protocol 11, 12)
Answer: - Victims under 13 yo should be transported to Sunrise Hospital
- Victims 13 yo to 18 yo should be transported to Sunrise Hospital or
UMC
- Victims 18 yo and older should be transported to UMC
* Victims outside a 50 mile radius from Sunrise Hospital and UMC
should be transported to the nearest appropriate facility
●● What is the Waiting Room Criteria?
,(General Adult Assessment Protocol 11, 12)
Answer: 1. Normal vital signs
2. Did not receive any parenteral medication during EMS transport
except for a single dose of analgesia &/or antiemetic
3. Does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their
medical condition
5. Is left with a verbal report to hospital personnel
*patients cannot be on a L2K
●● What are you immediate treatments for:
- suspected tension pneumothorax
- sucking chest wound
- control active hemorrhaging
- obvious fractures
- suspected traumatic brain injury
- open wounds
(General Adult Trauma Assessment Protocol 13, 14)
Answer: - suspected tension pneumothorax → needle decompression
- sucking chest wound → apply 3 sided occlusive dressing
- control active hemorrhaging → hemorrhage control
, - obvious fractures → immobilize fracture and assess distal pulses
- suspected traumatic brain injury → capnography (ETCO2 35mmHg)
- open wounds → cover with gauze; wet trauma dressing for abdominal
evisceration
●● When should you do a 12 Lead ECG?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16),
(Chest Pain (Non-Traumatic) and Suspected Acute Coronary Syndrome
Protocol 29, 30)
Answer: Over the age of 35 yo experiencing jaw/chest/abdominal
discomfort
●● What are the medications to be given in for nausea and vomiting for
an adult patient?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16)
Answer: - ONDANSETRON (Zofran) 4mg ODT/IM/IV/IO
- DROPERIDOL 1.25mg IM/IV/IO
- METOCLOPRAMIDE 10mg slow IVP over 1-2 mins or IM
- PROCHLORPERAZINE up to 10mg IV/IM/IO
VIEW AHEAD QUESTIONS AND ANSWERS
STUDY COMPANION
●● What does OEMSTS stand for?
(Forward 5, 6)
Answer: Office of EMS & Trauma System
●● When should you fill out a Protocol Deviation form?
(Forward 5, 6)
Answer: When the provider feels the administration of an ordered
medication would endanger the patient, a medication is not available, or
a physician's orders is outside the protocol.
●● What is the definition of a patient?
(Forward 5, 6)
Answer: A patient is any individual that meets at least one of the
following criteria:
- a person who has a complaint or mechanism suggestive of potential
illness or injury
,- a person who has obvious evidence of illness or injury
- a person identified by any informed 2nd or 3rd party caller as requiring
evaluation for potential illness or injury
●● Who is considered a pediatric patient?
(Forward 5, 6)
Answer: Patients under 18 yo and for patients who do not show signs of
puberty (including chest hair or underarm hair on males & any breast
development in females).
●● Where should you take sexual assault victims?
(General Adult Assessment Protocol 11, 12)
Answer: - Victims under 13 yo should be transported to Sunrise Hospital
- Victims 13 yo to 18 yo should be transported to Sunrise Hospital or
UMC
- Victims 18 yo and older should be transported to UMC
* Victims outside a 50 mile radius from Sunrise Hospital and UMC
should be transported to the nearest appropriate facility
●● What is the Waiting Room Criteria?
,(General Adult Assessment Protocol 11, 12)
Answer: 1. Normal vital signs
2. Did not receive any parenteral medication during EMS transport
except for a single dose of analgesia &/or antiemetic
3. Does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their
medical condition
5. Is left with a verbal report to hospital personnel
*patients cannot be on a L2K
●● What are you immediate treatments for:
- suspected tension pneumothorax
- sucking chest wound
- control active hemorrhaging
- obvious fractures
- suspected traumatic brain injury
- open wounds
(General Adult Trauma Assessment Protocol 13, 14)
Answer: - suspected tension pneumothorax → needle decompression
- sucking chest wound → apply 3 sided occlusive dressing
- control active hemorrhaging → hemorrhage control
, - obvious fractures → immobilize fracture and assess distal pulses
- suspected traumatic brain injury → capnography (ETCO2 35mmHg)
- open wounds → cover with gauze; wet trauma dressing for abdominal
evisceration
●● When should you do a 12 Lead ECG?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16),
(Chest Pain (Non-Traumatic) and Suspected Acute Coronary Syndrome
Protocol 29, 30)
Answer: Over the age of 35 yo experiencing jaw/chest/abdominal
discomfort
●● What are the medications to be given in for nausea and vomiting for
an adult patient?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16)
Answer: - ONDANSETRON (Zofran) 4mg ODT/IM/IV/IO
- DROPERIDOL 1.25mg IM/IV/IO
- METOCLOPRAMIDE 10mg slow IVP over 1-2 mins or IM
- PROCHLORPERAZINE up to 10mg IV/IM/IO
