CORRECT VERIFIED ANSWERS NEWEST VERSION | A+
GRADED | NEW AND REVISED
A patient is defined as - ANSWER✔✔-A person who has a complaint or mechanism
suggestive of potential illness 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
Pediatric patient considerations - ANSWER✔✔-For patients < 18 yo, use the Pediatric
Patient Destination protocol; Pediatric treatment protocols are to be used on children
who have not yet experienced puberty.
Signs of puberty include - ANSWER✔✔-chest or underarm hair on males, and any
breast development in females.
General Adult Assessment - ANSWER✔✔-1. Scene safety / scene size up; NOI/MOI;
PPE/BSI; Bring all equipment to patients 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
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,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
*Transport to closest facility for Airway emergencies (inability to adequately ventilate)
Disposition for patients sustaining traumatic injuries - ANSWER✔✔-transported in
accordance with the Trauma Field Triage Criteria Protocol
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,Disposition for patients sustaining burn injuries - ANSWER✔✔-Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) - ANSWER✔✔-Transported in accordance
with the Pediatric Destination protocol
Disposition for patients with evidence of stroke - ANSWER✔✔-Transported in
accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o - ANSWER✔✔-Transported to Sunrise
Hospital
Disposition for sexual assault victims 13-18 y/o - ANSWER✔✔-Transported to Sunrise
Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - ANSWER✔✔-transported to
UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
ANSWER✔✔-Transported to the nearest appropriate facility
Disposition for stable patients - ANSWER✔✔-Transported to the hospital of their
choice, if the patient has no preference the patient should be transported to the nearest
appropriate facility
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, Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations - ANSWER✔✔-The licensee providing emergency medical care shall
transport the patient to the nearest appropriate facility
Waiting room criteria - ANSWER✔✔-Upon arrival in the ED, if transfer of care has not
occurred in accordance with NRS 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 monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
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