Santa Clara County EMS Paramedic
Protocol Test Solved 100% Correct
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-yes
Can 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 Triage
D. 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
Protocol Test Solved 100% Correct
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-yes
Can 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 Triage
D. 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
