SNHD EMT EMS PROTOCOLS REVISION EXAM 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔Describe a dystonic reaction - ✔✔Involuntary muscle movements or spasms of the
face, neck, and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
✔✔Patients placed on backboard for extrication or movement should not be moved to a
soft matress - ✔✔False
✔✔If cardiac arrest is witnessed by EMS or CPR in progress and patient is
unresponsive with no pulse, begin CPR at 30 compressions and two ventilations -
✔✔False (need to do CCC)
✔✔Deep suctioning is recommended during neonatal resuscitation - ✔✔False
✔✔For a patient to be transported to an approved alcohol and drug abuse facility, the
GCS score must be above what level? - ✔✔14
✔✔What level trauma center is UMC? - ✔✔1
✔✔What does optimal prehospital care result from? - ✔✔(1) Careful patient assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
✔✔What protocols must be followed in the specific sequence noted? - ✔✔General
assessment
✔✔What is the most common cause of bradycardia in a child? - ✔✔Hypoxemia
✔✔For a drowning victim in cardiac arrest, what should emphasis be placed on? -
✔✔oxygenation/ventilation
✔✔How much does a leg represent in a pediatric patient in the rule of 9's? - ✔✔14
✔✔Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria Protocol
and occur within the St. Rose Dominican Hospital - Siena Campus Catchment Area,
City of Henderson, or the geographical area bordered by Paradise Road to the west
continuing along that portion where it becomes Maryland Parkway, Sunset Road to the
north, and the county line to the east, are to be transported to Sunrise Hospital &
Medical Center and the medical directions for the treatment of the patient must be
transported to Sunrise Trauma Center - ✔✔True
✔✔When are backboard indicated? - ✔✔extrication/patient movement
, ✔✔Even if a patient indicates they wish to receive life-rescusitating treatment, the
DNR/POLST Order or Identification shall be honored - ✔✔False
✔✔The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the
provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and occur
within the City of Henderson or the geographical area bordered by Interstate 15 to the
west and Sunset road to the north, and the county line to the east, are to be transported
to St. Rose Dominican Hospital - Siena Campus and the medical directions for the
treatment of the patient must originate at that center - ✔✔True
✔✔How should oxygen be delivered to patients with smoke inhalation? - ✔✔100% NRB
✔✔Patients with a possible spinal injury found in motor vehicles should not be asked if
they are able to exist the motor vehicle on their own - ✔✔False
✔✔In patients in which the ability to ventilate cannot be established, where shall the
patient be transported to? - ✔✔the nearest emergency department
✔✔Circumferential burns meets criteria to be transported to a burn center - ✔✔True
✔✔A patient with burns that involve the face, hands, feet, genitalia, perineum, or major
joints meets criteria to be transported to a burn center - ✔✔True
✔✔What are possible causes of Cardiogenic Shock? - ✔✔Myocardial contusion
Heart failure
MI
toxins
Cardiomyopathy
✔✔When is cervical stabilization not performed? - ✔✔Injuries where placement of the
collar might compromise patient assessment, airway management, ventilation, and/or
hemorrhage control
Patients in cardiac patient
Penetrating trauma to the head and/or neck with no evidence of spinal injury
✔✔For cardiac arrest patients who are pregnant, manual CPR is recommended -
✔✔True
✔✔How shall contact with medical control be established? - ✔✔by radio
✔✔When should patient care be rendered? - ✔✔en route to a definitive treatment
facility
QUESTIONS WITH ANSWERS GRADED A+
✔✔Describe a dystonic reaction - ✔✔Involuntary muscle movements or spasms of the
face, neck, and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
✔✔Patients placed on backboard for extrication or movement should not be moved to a
soft matress - ✔✔False
✔✔If cardiac arrest is witnessed by EMS or CPR in progress and patient is
unresponsive with no pulse, begin CPR at 30 compressions and two ventilations -
✔✔False (need to do CCC)
✔✔Deep suctioning is recommended during neonatal resuscitation - ✔✔False
✔✔For a patient to be transported to an approved alcohol and drug abuse facility, the
GCS score must be above what level? - ✔✔14
✔✔What level trauma center is UMC? - ✔✔1
✔✔What does optimal prehospital care result from? - ✔✔(1) Careful patient assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
✔✔What protocols must be followed in the specific sequence noted? - ✔✔General
assessment
✔✔What is the most common cause of bradycardia in a child? - ✔✔Hypoxemia
✔✔For a drowning victim in cardiac arrest, what should emphasis be placed on? -
✔✔oxygenation/ventilation
✔✔How much does a leg represent in a pediatric patient in the rule of 9's? - ✔✔14
✔✔Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria Protocol
and occur within the St. Rose Dominican Hospital - Siena Campus Catchment Area,
City of Henderson, or the geographical area bordered by Paradise Road to the west
continuing along that portion where it becomes Maryland Parkway, Sunset Road to the
north, and the county line to the east, are to be transported to Sunrise Hospital &
Medical Center and the medical directions for the treatment of the patient must be
transported to Sunrise Trauma Center - ✔✔True
✔✔When are backboard indicated? - ✔✔extrication/patient movement
, ✔✔Even if a patient indicates they wish to receive life-rescusitating treatment, the
DNR/POLST Order or Identification shall be honored - ✔✔False
✔✔The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the
provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and occur
within the City of Henderson or the geographical area bordered by Interstate 15 to the
west and Sunset road to the north, and the county line to the east, are to be transported
to St. Rose Dominican Hospital - Siena Campus and the medical directions for the
treatment of the patient must originate at that center - ✔✔True
✔✔How should oxygen be delivered to patients with smoke inhalation? - ✔✔100% NRB
✔✔Patients with a possible spinal injury found in motor vehicles should not be asked if
they are able to exist the motor vehicle on their own - ✔✔False
✔✔In patients in which the ability to ventilate cannot be established, where shall the
patient be transported to? - ✔✔the nearest emergency department
✔✔Circumferential burns meets criteria to be transported to a burn center - ✔✔True
✔✔A patient with burns that involve the face, hands, feet, genitalia, perineum, or major
joints meets criteria to be transported to a burn center - ✔✔True
✔✔What are possible causes of Cardiogenic Shock? - ✔✔Myocardial contusion
Heart failure
MI
toxins
Cardiomyopathy
✔✔When is cervical stabilization not performed? - ✔✔Injuries where placement of the
collar might compromise patient assessment, airway management, ventilation, and/or
hemorrhage control
Patients in cardiac patient
Penetrating trauma to the head and/or neck with no evidence of spinal injury
✔✔For cardiac arrest patients who are pregnant, manual CPR is recommended -
✔✔True
✔✔How shall contact with medical control be established? - ✔✔by radio
✔✔When should patient care be rendered? - ✔✔en route to a definitive treatment
facility
