SNHD AEMT Protocol Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
A patient is defined as - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✅✅chest or underarm hair on males, and
any breast development in females.
General Adult Assessment - CORRECT 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
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 - CORRECT
ANSWER✅✅transported in accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries - CORRECT ANSWER✅✅Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) - CORRECT ANSWER✅✅Transported in
accordance with the Pediatric Destination protocol
Disposition for patients with evidence of stroke - CORRECT ANSWER✅✅Transported in
accordance with the Stroke (CVA) protocol
,Disposition for sexual assault victims < 13 y/o - CORRECT ANSWER✅✅Transported to
Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o - CORRECT ANSWER✅✅Transported
to Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - CORRECT
ANSWER✅✅transported to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
CORRECT ANSWER✅✅Transported to the nearest appropriate facility
Disposition for stable patients - CORRECT ANSWER✅✅Transported to the hospital of
their choice, if the patient has no preference the patient should be transported to the nearest
appropriate facility
Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations - CORRECT ANSWER✅✅The licensee providing emergency medical care
shall transport the patient to the nearest appropriate facility
Waiting room criteria - CORRECT 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
Internal disaster - CORRECT ANSWER✅✅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.
General Adult Trauma Assessment - CORRECT ANSWER✅✅1. General Adult
assessment; cervical stabilization
2 GCS
<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 evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - CORRECT ANSWER✅✅Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms - CORRECT ANSWER✅✅Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening) - CORRECT ANSWER✅✅Tension
pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
Hypothermia
General Adult trauma Pearls - CORRECT ANSWER✅✅Recommended exam: mental
status, skin, HEENT, heart, lung, abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally procedures should be performed
enroute when possible
Geriatric patients should be evaluated with a high index of suspicion; occult injuries may be
present and geriatric patients can decompensate quickly
BVM is an acceptable method of ventilating and managing an airway if pulse ox can be
maintained >90%
Abdominal/Flank Pain, Nausea & Vomiting - CORRECT ANSWER✅✅1. General adult
assessment
QUESTIONS AND CORRECT ANSWERS
A patient is defined as - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✅✅chest or underarm hair on males, and
any breast development in females.
General Adult Assessment - CORRECT 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
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 - CORRECT
ANSWER✅✅transported in accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries - CORRECT ANSWER✅✅Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) - CORRECT ANSWER✅✅Transported in
accordance with the Pediatric Destination protocol
Disposition for patients with evidence of stroke - CORRECT ANSWER✅✅Transported in
accordance with the Stroke (CVA) protocol
,Disposition for sexual assault victims < 13 y/o - CORRECT ANSWER✅✅Transported to
Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o - CORRECT ANSWER✅✅Transported
to Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - CORRECT
ANSWER✅✅transported to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
CORRECT ANSWER✅✅Transported to the nearest appropriate facility
Disposition for stable patients - CORRECT ANSWER✅✅Transported to the hospital of
their choice, if the patient has no preference the patient should be transported to the nearest
appropriate facility
Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations - CORRECT ANSWER✅✅The licensee providing emergency medical care
shall transport the patient to the nearest appropriate facility
Waiting room criteria - CORRECT 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
Internal disaster - CORRECT ANSWER✅✅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.
General Adult Trauma Assessment - CORRECT ANSWER✅✅1. General Adult
assessment; cervical stabilization
2 GCS
<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 evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - CORRECT ANSWER✅✅Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms - CORRECT ANSWER✅✅Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening) - CORRECT ANSWER✅✅Tension
pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
Hypothermia
General Adult trauma Pearls - CORRECT ANSWER✅✅Recommended exam: mental
status, skin, HEENT, heart, lung, abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally procedures should be performed
enroute when possible
Geriatric patients should be evaluated with a high index of suspicion; occult injuries may be
present and geriatric patients can decompensate quickly
BVM is an acceptable method of ventilating and managing an airway if pulse ox can be
maintained >90%
Abdominal/Flank Pain, Nausea & Vomiting - CORRECT ANSWER✅✅1. General adult
assessment
