SNHD AEMT ACTUAL CERTIFICATION
PAPER 2026 QUESTIONS WITH ANSWERS
FULL SOLUTION.
Disposition for stable patients. Answer: Transported to the hospital
of their choice, if the patient has no preference the patient should be
transported to the nearest appropriate facility
Disposition for patients outside a 50 mile radius from the protocol
designated transport destinations. Answer: The licensee providing
emergency medical care shall transport the patient to the nearest
appropriate facility
Waiting room criteria. Answer: Upon arrival in the ED, if transfer of
care has not occurred in accordance with NRS 450B.790, any patient,
excluding patients on a legal psychiatric hold, meeting ALL criteria may
be placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
,Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport
except a single dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, 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
Internal disaster. Answer: If a hospital declares internal disaster, that
facility is to be bypassed for all patients except patients in cardiac arrest
or in whom the ability to adequately ventilate has not been established
Operational exceptions may be initiated in regard to transport to
hospitals on internal disaster.
General Adult Trauma Assessment. Answer: 1. General Adult
assessment; cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
,4. Secondary survey:
Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal
evisceration
5. Transport and radio contact to appropriate trauma center based on
TFTC
General Adult Trauma History. Answer: Time and mechanism of
injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms. Answer: Pain, swelling
Deformity, lesions, bleeding
, AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening). Answer:
Tension pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
Hypothermia
General Adult trauma Pearls. Answer: Recommended exam: mental
status, skin, HEENT, heart, lung, abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally procedures
should be performed enroute when possible
PAPER 2026 QUESTIONS WITH ANSWERS
FULL SOLUTION.
Disposition for stable patients. Answer: Transported to the hospital
of their choice, if the patient has no preference the patient should be
transported to the nearest appropriate facility
Disposition for patients outside a 50 mile radius from the protocol
designated transport destinations. Answer: The licensee providing
emergency medical care shall transport the patient to the nearest
appropriate facility
Waiting room criteria. Answer: Upon arrival in the ED, if transfer of
care has not occurred in accordance with NRS 450B.790, any patient,
excluding patients on a legal psychiatric hold, meeting ALL criteria may
be placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
,Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport
except a single dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, 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
Internal disaster. Answer: If a hospital declares internal disaster, that
facility is to be bypassed for all patients except patients in cardiac arrest
or in whom the ability to adequately ventilate has not been established
Operational exceptions may be initiated in regard to transport to
hospitals on internal disaster.
General Adult Trauma Assessment. Answer: 1. General Adult
assessment; cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
,4. Secondary survey:
Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal
evisceration
5. Transport and radio contact to appropriate trauma center based on
TFTC
General Adult Trauma History. Answer: Time and mechanism of
injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms. Answer: Pain, swelling
Deformity, lesions, bleeding
, AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening). Answer:
Tension pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
Hypothermia
General Adult trauma Pearls. Answer: Recommended exam: mental
status, skin, HEENT, heart, lung, abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally procedures
should be performed enroute when possible
