EMD V14 EVALUATION EXAM QUESTIONS AND ANSWERS
2025/2026
✔✔9. - ✔✔When the complaint description
Involves both NON-TRAUMATIC chest
pain/HEART ATTACK symptoms and breathing problems, choose the Chief Complaint
Protocol that best fits the patient's foremost symptom, with ECHO-level conditions
taking
precedence. (>/16, alert, not pregnant.
Do reported STROKE symptoms) Use the Aspirin Diagnostic & Instruction
Tool on either protocol as appropriate.
✔✔10. - ✔✔Since severe thermal burns to the eye almost always affect the face or
head, go to Protocol 7 for these incidents.
✔✔11. - ✔✔If the complaint description involves hazardous materials (toxic substances)
that pose a threat to bystanders or responders, go to Protocol 8.
✔✔12. - ✔✔If the complaint description involves both chest pain/HEART ATTACK
symptoms and STROKE symptoms, go to Protocol 10 but do not utilize the Aspirin
Diagnostic & Instruction Tool.
✔✔13. - ✔✔When the complaint description strongly suggests GENERALIZED seizure,
go to Protocol 12 regardless of consciousness and breathing status, If the scenario is
atypical of GENERALIZED seizure, and Is more typical of sudden cardiac arrest, go to
Protoco 9,
✔✔14. - ✔✔For a complaint description of
POSTPARTUM hemorrhage only, go to Protocol 21 if no complications with baby and
the placenta has been delivered.
✔✔15. - ✔✔For dangerous, uncontrolled hemorrhage neck, armpit or groin. excluding
scene safety complaints, go to protocol 21
✔✔16. - ✔✔If the complaint description involves vomit(emesis ) with a coffee grounds
appearance, or unusually dark or
black and tar-like fecal matter (stoo.), go to Protocol 21 as these are signs of
gastrointestinal bleeding.
✔✔17. - ✔✔If the actual type of suicide attempt is determined to be overdose, carbon
monoxide, stab, or gunshot wound, go to and dispatch from that more specific protocol
✔✔18. - ✔✔If pregnant patients have "illness" as the primary complaint, go to Protocol
26 unless the problem concerns vaginal bleeding, labor, MISCARRIAGE, or waters
broken.
, ✔✔19. - ✔✔If the complaint description involves sickle cell crisis/thalassemia,
autonomic dysreflexia/hyperreflexia, or acute adrenal insufficiency/adrenal
crisis/Addisonian crisis/Addison's disease, go to Protocol 26.
✔✔20. - ✔✔For abdominal and thoracic eviscerations, go to Protocol 27.
✔✔21. - ✔✔Protocol 27 should not be used for insignificant or peripheral puncture
wounds such as household pins, needles, tacks, or stepping on nails. Go to Protocol 21
or 30 as appropriate.
✔✔22. - ✔✔For chest pain due to trauma (current or non receny, go to Protocol 30.
✔✔23. - ✔✔For ground-level falls caused by fainting, near fainting, or dizziness, go to
Protocol 31.
✔✔24. - ✔✔If the Chief Complaint and status of consciousness and/or breathing are
unknown initially (3rd party caller), go to
Protocol 32
✔✔Rules - ✔✔The EMD must weigh the dynamic and often conflicting priorities of
obtaining and verifying a useful location versus helping the caller get to safety. If initial
efforts to identity an exact location fail, it is essential that critical safety instructions be
provided without further delay. Further attempts to locate can then be made to
determine the street or highway of travel, direction of travel, and last cross street or
identifiable objects seen.
✔✔2. - ✔✔Some critical patient care instructions may be necessary prior to the "send*
point. Any significant scene safety concerns take precedence and must be addressed
before the provision of instructions.
✔✔3. - ✔✔For a 1st party caller in a sinking vehicle, obtaining an exact location, when
not immediately available, should not delay PAls. Further attempts to locate can be
made following/during critical safety instructions as time/circumstance permits.
✔✔4. - ✔✔Case Entry Questioning must always be completed after PDis when directed
by
(hanging, strangulation, suffocation, underwater, choking, person on fire).
✔✔5. - ✔✔Use of the Breathing Verification
Diagnostic is not necessary when
UNCERTAIN BREATHING or
INEFFECTIVE BREATHING is associated with unconsciousness.
2025/2026
✔✔9. - ✔✔When the complaint description
Involves both NON-TRAUMATIC chest
pain/HEART ATTACK symptoms and breathing problems, choose the Chief Complaint
Protocol that best fits the patient's foremost symptom, with ECHO-level conditions
taking
precedence. (>/16, alert, not pregnant.
Do reported STROKE symptoms) Use the Aspirin Diagnostic & Instruction
Tool on either protocol as appropriate.
✔✔10. - ✔✔Since severe thermal burns to the eye almost always affect the face or
head, go to Protocol 7 for these incidents.
✔✔11. - ✔✔If the complaint description involves hazardous materials (toxic substances)
that pose a threat to bystanders or responders, go to Protocol 8.
✔✔12. - ✔✔If the complaint description involves both chest pain/HEART ATTACK
symptoms and STROKE symptoms, go to Protocol 10 but do not utilize the Aspirin
Diagnostic & Instruction Tool.
✔✔13. - ✔✔When the complaint description strongly suggests GENERALIZED seizure,
go to Protocol 12 regardless of consciousness and breathing status, If the scenario is
atypical of GENERALIZED seizure, and Is more typical of sudden cardiac arrest, go to
Protoco 9,
✔✔14. - ✔✔For a complaint description of
POSTPARTUM hemorrhage only, go to Protocol 21 if no complications with baby and
the placenta has been delivered.
✔✔15. - ✔✔For dangerous, uncontrolled hemorrhage neck, armpit or groin. excluding
scene safety complaints, go to protocol 21
✔✔16. - ✔✔If the complaint description involves vomit(emesis ) with a coffee grounds
appearance, or unusually dark or
black and tar-like fecal matter (stoo.), go to Protocol 21 as these are signs of
gastrointestinal bleeding.
✔✔17. - ✔✔If the actual type of suicide attempt is determined to be overdose, carbon
monoxide, stab, or gunshot wound, go to and dispatch from that more specific protocol
✔✔18. - ✔✔If pregnant patients have "illness" as the primary complaint, go to Protocol
26 unless the problem concerns vaginal bleeding, labor, MISCARRIAGE, or waters
broken.
, ✔✔19. - ✔✔If the complaint description involves sickle cell crisis/thalassemia,
autonomic dysreflexia/hyperreflexia, or acute adrenal insufficiency/adrenal
crisis/Addisonian crisis/Addison's disease, go to Protocol 26.
✔✔20. - ✔✔For abdominal and thoracic eviscerations, go to Protocol 27.
✔✔21. - ✔✔Protocol 27 should not be used for insignificant or peripheral puncture
wounds such as household pins, needles, tacks, or stepping on nails. Go to Protocol 21
or 30 as appropriate.
✔✔22. - ✔✔For chest pain due to trauma (current or non receny, go to Protocol 30.
✔✔23. - ✔✔For ground-level falls caused by fainting, near fainting, or dizziness, go to
Protocol 31.
✔✔24. - ✔✔If the Chief Complaint and status of consciousness and/or breathing are
unknown initially (3rd party caller), go to
Protocol 32
✔✔Rules - ✔✔The EMD must weigh the dynamic and often conflicting priorities of
obtaining and verifying a useful location versus helping the caller get to safety. If initial
efforts to identity an exact location fail, it is essential that critical safety instructions be
provided without further delay. Further attempts to locate can then be made to
determine the street or highway of travel, direction of travel, and last cross street or
identifiable objects seen.
✔✔2. - ✔✔Some critical patient care instructions may be necessary prior to the "send*
point. Any significant scene safety concerns take precedence and must be addressed
before the provision of instructions.
✔✔3. - ✔✔For a 1st party caller in a sinking vehicle, obtaining an exact location, when
not immediately available, should not delay PAls. Further attempts to locate can be
made following/during critical safety instructions as time/circumstance permits.
✔✔4. - ✔✔Case Entry Questioning must always be completed after PDis when directed
by
(hanging, strangulation, suffocation, underwater, choking, person on fire).
✔✔5. - ✔✔Use of the Breathing Verification
Diagnostic is not necessary when
UNCERTAIN BREATHING or
INEFFECTIVE BREATHING is associated with unconsciousness.
