KITSAP COUNTY EMS PROTOCOLS EXAM
WITH VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+|| LATEST UPDATE 2026
Universal Patient Care
1. What is the first step in the Universal Patient Care Protocol?
o Assure scene safety and use appropriate Personal Protective
Equipment (PPE) and Body Substance Isolation (BSI).
2. What is the initial assessment focus in the Universal Patient Care
Protocol?
o Assess and assure the adequacy of Airway, Breathing, and
Circulation (ABCs).
3. When should pulse oximetry be applied?
o With any suspicion, sign, or symptom of respiratory compromise.
4. What history mnemonic is used to obtain patient history?
o SAMPLE: Signs and symptoms, Allergies, Medications, Past
medical history, Last oral intake, Events leading to injury or
illness.
5. When should blood glucose monitoring be performed?
o If the patient exhibits altered levels of consciousness.
6. When should a cardiac monitor or 12-lead EKG be considered?
o When appropriate, based on the patient's condition.
7. What should you do if a patient's chief complaint does not fit the
patient care protocols?
o Contact MCEP (Medical Control Emergency Physician) for
medical direction.
, 8. What is the minimal exam if not noted on a specific protocol?
o Establish a chief complaint, obtain vital signs, assess mental status,
and locate injuries and/or relevant signs and symptoms of illness.
9. What vital signs are required on every patient?
o Blood pressure, pulse, respiratory rate and quality, and pain
severity assessment where appropriate.
10.How are pediatric patients defined in the protocol?
o By a length-based tape (Broselow). If the patient's size exceeds the
dimensions of the tape, they are considered adults.
11.What should guide the time, destination, and mode of transport?
o The patient's clinical condition, Washington State Trauma Triage
Tool, and any Kitsap County and EMS Trauma Care Council
published policy.
12.Can nurses speak for the Base Station Physician?
o Yes, if the physician is unable to come to the Base Station
telephone. The nurse must give the pre-hospital provider the name
of the Base Station Physician who is directing the RN.
13.What should you do if you are unsure about an intervention?
o Do not perform interventions beyond your current level of training
and certification.
Trauma Triage
14.What constitutes a Level 1 trauma?
o Glasgow Coma Scale <14, Systolic Blood Pressure <90 mmHg, or
Respiratory Rate <10 or >29 breaths/minute (<20 in infant <1
year). Transport to Harborview (trauma center).
15.What constitutes a Level 2 trauma?
o Penetrating injuries, flail chest, two or more proximal long-bone
fractures, crushed/degloved/mangled extremity, amputation
proximal to wrist/ankle, pelvic fractures, open or depressed skull
fracture, paralysis, burns (with or without trauma). Transport to
Harborview (trauma center).
, 16.What constitutes a Level 3 trauma?
o Falls (adults >20 ft, children >10 ft or 2-3 times height), high-risk
auto crash (intrusion >12 in occupant site, >18 in any site, ejection,
death in same compartment, telemetry data), auto vs.
pedestrian/bicyclist hit >20 mph, motorcycle crash >20 mph.
Transport to closest appropriate hospital (St. Michael).
17.What constitutes a Level 4 trauma?
o Contact medical control and consider transport to trauma center.
Assess special patient or age considerations.
18.What are the special patient considerations for trauma triage?
o Older adults (risk increases after age 55), children (preferentially to
pediatric capable trauma center), ground level falls in elderly with
SBP <110, anticoagulation and bleeding disorders, time-sensitive
extremity injury, end-stage renal disease requiring dialysis,
pregnancy >20 weeks, EMS provider judgment.
19.What is the CDC National Trauma Triage first step?
o Measure vital signs and level of consciousness.
20.What is the second step in trauma triage if vitals are not abnormal?
o Assess anatomy of injury.
21.What is the third step if anatomy is not abnormal?
o Assess mechanism of injury and evidence of high-energy impact.
22.What is the fourth step if mechanism is not high-risk?
o Assess special patient or system considerations.
23.When should a patient be transported to a burn facility without other
trauma mechanism?
o Burns without other trauma mechanism: Triage to burn facility.
24.When should a patient with burns be transported to a trauma
center?
o Burns with trauma mechanism: Triage to trauma center.
25.What is the fall height threshold for adults in Level 3 trauma?
o Adults: >20 ft (one story is equal to 10 ft).
WITH VERIFIED QUESTIONS AND ANSWERS||
ALREADY GRADED A+|| LATEST UPDATE 2026
Universal Patient Care
1. What is the first step in the Universal Patient Care Protocol?
o Assure scene safety and use appropriate Personal Protective
Equipment (PPE) and Body Substance Isolation (BSI).
2. What is the initial assessment focus in the Universal Patient Care
Protocol?
o Assess and assure the adequacy of Airway, Breathing, and
Circulation (ABCs).
3. When should pulse oximetry be applied?
o With any suspicion, sign, or symptom of respiratory compromise.
4. What history mnemonic is used to obtain patient history?
o SAMPLE: Signs and symptoms, Allergies, Medications, Past
medical history, Last oral intake, Events leading to injury or
illness.
5. When should blood glucose monitoring be performed?
o If the patient exhibits altered levels of consciousness.
6. When should a cardiac monitor or 12-lead EKG be considered?
o When appropriate, based on the patient's condition.
7. What should you do if a patient's chief complaint does not fit the
patient care protocols?
o Contact MCEP (Medical Control Emergency Physician) for
medical direction.
, 8. What is the minimal exam if not noted on a specific protocol?
o Establish a chief complaint, obtain vital signs, assess mental status,
and locate injuries and/or relevant signs and symptoms of illness.
9. What vital signs are required on every patient?
o Blood pressure, pulse, respiratory rate and quality, and pain
severity assessment where appropriate.
10.How are pediatric patients defined in the protocol?
o By a length-based tape (Broselow). If the patient's size exceeds the
dimensions of the tape, they are considered adults.
11.What should guide the time, destination, and mode of transport?
o The patient's clinical condition, Washington State Trauma Triage
Tool, and any Kitsap County and EMS Trauma Care Council
published policy.
12.Can nurses speak for the Base Station Physician?
o Yes, if the physician is unable to come to the Base Station
telephone. The nurse must give the pre-hospital provider the name
of the Base Station Physician who is directing the RN.
13.What should you do if you are unsure about an intervention?
o Do not perform interventions beyond your current level of training
and certification.
Trauma Triage
14.What constitutes a Level 1 trauma?
o Glasgow Coma Scale <14, Systolic Blood Pressure <90 mmHg, or
Respiratory Rate <10 or >29 breaths/minute (<20 in infant <1
year). Transport to Harborview (trauma center).
15.What constitutes a Level 2 trauma?
o Penetrating injuries, flail chest, two or more proximal long-bone
fractures, crushed/degloved/mangled extremity, amputation
proximal to wrist/ankle, pelvic fractures, open or depressed skull
fracture, paralysis, burns (with or without trauma). Transport to
Harborview (trauma center).
, 16.What constitutes a Level 3 trauma?
o Falls (adults >20 ft, children >10 ft or 2-3 times height), high-risk
auto crash (intrusion >12 in occupant site, >18 in any site, ejection,
death in same compartment, telemetry data), auto vs.
pedestrian/bicyclist hit >20 mph, motorcycle crash >20 mph.
Transport to closest appropriate hospital (St. Michael).
17.What constitutes a Level 4 trauma?
o Contact medical control and consider transport to trauma center.
Assess special patient or age considerations.
18.What are the special patient considerations for trauma triage?
o Older adults (risk increases after age 55), children (preferentially to
pediatric capable trauma center), ground level falls in elderly with
SBP <110, anticoagulation and bleeding disorders, time-sensitive
extremity injury, end-stage renal disease requiring dialysis,
pregnancy >20 weeks, EMS provider judgment.
19.What is the CDC National Trauma Triage first step?
o Measure vital signs and level of consciousness.
20.What is the second step in trauma triage if vitals are not abnormal?
o Assess anatomy of injury.
21.What is the third step if anatomy is not abnormal?
o Assess mechanism of injury and evidence of high-energy impact.
22.What is the fourth step if mechanism is not high-risk?
o Assess special patient or system considerations.
23.When should a patient be transported to a burn facility without other
trauma mechanism?
o Burns without other trauma mechanism: Triage to burn facility.
24.When should a patient with burns be transported to a trauma
center?
o Burns with trauma mechanism: Triage to trauma center.
25.What is the fall height threshold for adults in Level 3 trauma?
o Adults: >20 ft (one story is equal to 10 ft).
