SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
1. A patient is de- A person who has a complaint or mechanism suggestive of potential illness
fined as or injury; A person who has obvious evidence of illness or injury; or A person
identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury
2. Pediatric patient For patients < 18 yo, use the Pediatric Patient Destination protocol; Pediatric
considerations treatment protocols are to be used on children who have not yet experienced
puberty.
3. Signs of puberty chest or underarm hair on males, and any breast development in females.
include
4. General Adult As- 1. Scene safety / scene size up; NOI/MOI; PPE/BSI; Bring all equipment to patients
sessment side
2. Level of consciousness -> unresponsive -> check pulse-> none -> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need for telemetry
physician & as per protocol
Transport per Disposition Criteria if applicable
, SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
*Transport to closest facility for Airway emergencies (inability to adequately ven-
tilate)
5. Disposition for transported in accordance with the Trauma Field Triage Criteria Protocol
patients sustain-
ing traumatic in-
juries
6. Disposition for Transported in accordance with the Burns Protocol
patients sustain-
ing burn injuries
7. Disposition for Transported in accordance with the Pediatric Destination protocol
pediatric pa-
tients (<18 y/o)
8. Disposition for Transported in accordance with the Stroke (CVA) protocol
patients with evi-
dence of stroke
9. Disposition for Transported to Sunrise Hospital
sexual assault
victims < 13 y/o
10. Disposition for Transported to Sunrise Hospital or UMC
sexual assault
victims 13-18 y/o
11. Disposition for transported to UMC
sexual assault
victims 18 y/o
and older
, SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
12. Disposition for Transported to the nearest appropriate facility
sexual assault
victims outside
a 50-mile radius
from the above
facilities
13. Disposition for Transported to the hospital of their choice, if the patient has no preference the
stable patients patient should be transported to the nearest appropriate facility
14. Disposition for The licensee providing emergency medical care shall transport the patient to the
patients outside nearest appropriate facility
a 50 mile radius
from the pro-
tocol designated
transport desti-
nations
15. Waiting room cri- Upon arrival in the ED, if transfer of care has not occurred in accordance with NRS
teria 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 moni-
, SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
toring
4. Can maintain a sitting position without adverse impact on their medical condi-
tion
5. Is left with a verbal report to hospital personnel
16. Internal disaster 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.
17. General Adult 1. General Adult assessment; cervical stabilization
Trauma Assess- 2 GCS
ment <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 eviscera-
tion
5. Transport and radio contact to appropriate trauma center based on TFTC
18. General Adult Time and mechanism of injury
Trauma History damage to structure or vehicle
location in structure or vehicle
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
1. A patient is de- A person who has a complaint or mechanism suggestive of potential illness
fined as or injury; A person who has obvious evidence of illness or injury; or A person
identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury
2. Pediatric patient For patients < 18 yo, use the Pediatric Patient Destination protocol; Pediatric
considerations treatment protocols are to be used on children who have not yet experienced
puberty.
3. Signs of puberty chest or underarm hair on males, and any breast development in females.
include
4. General Adult As- 1. Scene safety / scene size up; NOI/MOI; PPE/BSI; Bring all equipment to patients
sessment side
2. Level of consciousness -> unresponsive -> check pulse-> none -> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need for telemetry
physician & as per protocol
Transport per Disposition Criteria if applicable
, SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
*Transport to closest facility for Airway emergencies (inability to adequately ven-
tilate)
5. Disposition for transported in accordance with the Trauma Field Triage Criteria Protocol
patients sustain-
ing traumatic in-
juries
6. Disposition for Transported in accordance with the Burns Protocol
patients sustain-
ing burn injuries
7. Disposition for Transported in accordance with the Pediatric Destination protocol
pediatric pa-
tients (<18 y/o)
8. Disposition for Transported in accordance with the Stroke (CVA) protocol
patients with evi-
dence of stroke
9. Disposition for Transported to Sunrise Hospital
sexual assault
victims < 13 y/o
10. Disposition for Transported to Sunrise Hospital or UMC
sexual assault
victims 13-18 y/o
11. Disposition for transported to UMC
sexual assault
victims 18 y/o
and older
, SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
12. Disposition for Transported to the nearest appropriate facility
sexual assault
victims outside
a 50-mile radius
from the above
facilities
13. Disposition for Transported to the hospital of their choice, if the patient has no preference the
stable patients patient should be transported to the nearest appropriate facility
14. Disposition for The licensee providing emergency medical care shall transport the patient to the
patients outside nearest appropriate facility
a 50 mile radius
from the pro-
tocol designated
transport desti-
nations
15. Waiting room cri- Upon arrival in the ED, if transfer of care has not occurred in accordance with NRS
teria 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 moni-
, SNHD AEMT PROTOCOL TEST ACTUAL QUESTIONS AND CORRECT VERIF
ANSWERS NEWEST VERSION | A+ GRADED | NEW AND REVISED
toring
4. Can maintain a sitting position without adverse impact on their medical condi-
tion
5. Is left with a verbal report to hospital personnel
16. Internal disaster 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.
17. General Adult 1. General Adult assessment; cervical stabilization
Trauma Assess- 2 GCS
ment <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 eviscera-
tion
5. Transport and radio contact to appropriate trauma center based on TFTC
18. General Adult Time and mechanism of injury
Trauma History damage to structure or vehicle
location in structure or vehicle
