Santa Clara County EMS Paramedic Protocol Test. Questions + Answers Graded A+

A BLS ambulance arrives on scene of a 9-1-1 call and the patient is experiencing acute shortness of breath. The on-scene fire department paramedic should maintain care and accompany the patient to the hospital if no other ambulance is responding. A. True B. False - Answer-True A MPMP with 15 patients would qualify as what level? - Answer-level 2 According to county protocols what is the age that determines whether a patient is considered an adult or a child? - Answer-Under 15 years of age All of the below are criteria found in an MCI activation Level 1 except? A. Less than 10 patients B. 3 ambulances and a supervisor are automatically sent C. Up to 4 ambulances are sent D. All hospitals are ordered open - Answer-All hospitals are ordered open Alternative tactical channels work only in a ______________ mode. - Answer-line-of-sight Can activated charcoal be administered in an ETOH intoxication? - Answer-no Can patients with no medical complaint be transported to the destination established by the law enforcement agency responsible for executing the 5150 hold? - Answer-yes Can the IO drill be used on PTs weighing less than 3kg? - Answer-yesCan you let out a competent adult during transport before arrival at the ER? - Answer-yes Clinical protocols are found in the Prehospital Care Policy 700. The EMS Field Guide is a tool for the individual paramedic to use and maintain as a quick reference guide only. The individual paramedic is responsible for updating their personal guide and for adhering to all protocols established in Policy 700. The updated policies can be found on the county EMS website. A. True B. False - Answer-True Consider 1,000ml fluid bolus for burns greater than _______ TBSA? - Answer-20% County routing is done on _____ A. County EMS B. Command 92 C. Command 93 D. Command 94 - Answer-Command 92 D10 should be administered with a BG of less than what? - Answer-80mg/dl or less Do you need to make base contact for a patient that is pregnant and requires Ondansetron (Zofran)? - Answer-yes! During a level 3 MCI activation, which interventions should be performed on scene? A. Pleural decompression B. CPAP C. Only START TriageD. C-Spine - Answer-Only START Triage During an MCI Level 1 activation how many ambulances and EMS supervisors are utilized? - Answer-3 ALS ambulances and one EMS supervisor (collectively known as an XSC EMS Ambulance Task Force 1) Give three examples of adult physiological trauma triage criteria: - Answer-GCS 14, SBP 90, R 10 or 29 Give three examples of pediatric physiological trauma triage criteria: - Answer-GCS 14, 6 years old or younger 60 SBP or older than 6 and 90 SBP, R 10 or 29 (and R 20 for infant 1 year old) Hazmat distance for small and large events? - Answer-100 feet for small and 500 feet for large How long to report level A variance? - Answer-Must be reported to EMS Duty Chief IMMEDIATELY and to the EMS Agency within 24 hours on the EMS System Variance Report Form. How many answers of "yes" to the SC county stroke scale, does it take to transport a patient on a "Stroke Alert" - Answer-1 (any one of them) How many patients are involved in levels 1, 2, 3, 4, and 5 MCI activations? - Answer-up to 10; 11-20; 21- 100; 101-1000, 1000+ How many patients require transportation in a MPMP level 1 incident? - Answer-10 If a patient was given a spray of nitro and becomes hypotensive what should your first action be? - Answer-place in shock position and consider a 250mL fluid bolus In addition to the information in a standard ring down, a trauma ring down should include what additional information? - Answer-MOI and anatomic / physiological MTV criteria In the case of on-scene pronouncement with a DNR patient, when does EMS leave the body in the care of PD / FD? - Answer-If the decedent is at home (as opposed to in public) and PD / FD is presentIn the event that a paramedic is found guilty of violating a local policy, which resulted in an injury to a patient, which of the following may occur? A. Loss or suspension of accreditation B. Civil or criminal legal action C. Loss or suspension of paramedic licensure by the state EMS authority D. All of the above - Answer-All of the above