MASSACHUSETTS STATE PROTOCOLS – EMT SCOPE OF 80 PRACTICE
AND TREATMENT GUIDELINES (2025 EDITION) WITH MOST TESTED
QUESTIONS GRADED A+
THIS RESOURCE PROVIDES A DETAILED GUIDE TO MASSACHUSETTS EMT STATE
PROTOCOLS, INCLUDING BASIC LIFE SUPPORT (BLS) INTERVENTIONS,
MEDICATION USE, PATIENT ASSESSMENT, AND FIELD TRIAGE STANDARDS.
ALIGNED WITH 2025 STATE REQUIREMENTS, IT IS IDEAL FOR EMT STUDENTS,
ACTIVE PROVIDERS, AND THOSE PREPARING FOR CERTIFICATION OR
CONTINUING EDUCATION IN EMERGENCY MEDICAL SERVICES.
You are treating an 8-year-old child [60lbs] suffering from stridor, tachycardia, and edema to lips,
following apparent peanut exposure. What medication intervention would be MOST appropriate?
a)Epinephrine 1:1000 0.3mg SC
b)Diphenhydramine 25mg IV/IO/IN
c)Epinephrine 0.3mg via auto-injector
d)Epinephrine 0.15mg via auto-injector - CORRECT ANSWER-c) Epinephrine 0.3mg via auto-injector
Protocol 2.2A
When managing a 56-year-old male presenting with confusion, tachycardia, and cool/clammy skin.
He has a medical alert bracelet indicating "IDDM," But you do not have a glucometer available. You
do not suspect a stroke. What treatment would be MOST appropriate?
a)Oral Glucose 1 tube PO
b)Glucagon 1mg IV/IO/IM/IN
c)Monitoring and transport to emergency department
d)Insulin, in accordance with patient's prescriptions - CORRECT ANSWER-c) Monitoring and
transport to emergency department
Protocol 2.3A
When providing care to a patient experiencing a CVA/TIA, we should avoid hyperoxygenation.
Oxygen administration should be titrated to patient condition, and withheld unless evidence of
hypoxemia, dyspnea, or an SPO2 of less than %.
, a) 94
b) 99
c) 96
d) 98 - CORRECT ANSWER-a) 94
Protocol 2.18
You respond for a 3yo F who has fallen out of the third story window of an apartment complex who
has a controlled airway and is not in cardiac arrest. According to the state's Trauma Point of Entry
Plan which receiving facility should this patient be transported to?
a) The closest appropriate Trauma Center which is Level III Trauma Center that is 10 minutes away.
b) By pass the Level III Trauma Center to go to a Level 1 Trauma Center that is 25 minutes away.
c) Transport to the nearest receiving facility which is not a Trauma Center
d) Transport to a certified Stroke Center as the patient will need a CT Scan - CORRECT ANSWER-a)
The closest appropriate Trauma Center which is Level III Trauma Center that is 10 minutes away.
Protocol A4
The Amtrak's Downeaster is approaching the Sutton Street Crossing and derails. The train is carrying
78 passengers. What level of a Multiple Casualty Incident would this be?
a) Level 1
b) Level 2
c) Level 3
d) Level 4 - CORRECT ANSWER-d) Level 4
Protocol 8.2
The local police department deploys their electronic control weapons to apprehend a suspect.
During the deployment, the electronic control weapon is embedded in the posterior region of the
neck. How should this patient be treated?
a) Have law enforcement remove it.
b) EMS are authorized to remove it.
c) Leave it in place and treat it as an impaled object.
AND TREATMENT GUIDELINES (2025 EDITION) WITH MOST TESTED
QUESTIONS GRADED A+
THIS RESOURCE PROVIDES A DETAILED GUIDE TO MASSACHUSETTS EMT STATE
PROTOCOLS, INCLUDING BASIC LIFE SUPPORT (BLS) INTERVENTIONS,
MEDICATION USE, PATIENT ASSESSMENT, AND FIELD TRIAGE STANDARDS.
ALIGNED WITH 2025 STATE REQUIREMENTS, IT IS IDEAL FOR EMT STUDENTS,
ACTIVE PROVIDERS, AND THOSE PREPARING FOR CERTIFICATION OR
CONTINUING EDUCATION IN EMERGENCY MEDICAL SERVICES.
You are treating an 8-year-old child [60lbs] suffering from stridor, tachycardia, and edema to lips,
following apparent peanut exposure. What medication intervention would be MOST appropriate?
a)Epinephrine 1:1000 0.3mg SC
b)Diphenhydramine 25mg IV/IO/IN
c)Epinephrine 0.3mg via auto-injector
d)Epinephrine 0.15mg via auto-injector - CORRECT ANSWER-c) Epinephrine 0.3mg via auto-injector
Protocol 2.2A
When managing a 56-year-old male presenting with confusion, tachycardia, and cool/clammy skin.
He has a medical alert bracelet indicating "IDDM," But you do not have a glucometer available. You
do not suspect a stroke. What treatment would be MOST appropriate?
a)Oral Glucose 1 tube PO
b)Glucagon 1mg IV/IO/IM/IN
c)Monitoring and transport to emergency department
d)Insulin, in accordance with patient's prescriptions - CORRECT ANSWER-c) Monitoring and
transport to emergency department
Protocol 2.3A
When providing care to a patient experiencing a CVA/TIA, we should avoid hyperoxygenation.
Oxygen administration should be titrated to patient condition, and withheld unless evidence of
hypoxemia, dyspnea, or an SPO2 of less than %.
, a) 94
b) 99
c) 96
d) 98 - CORRECT ANSWER-a) 94
Protocol 2.18
You respond for a 3yo F who has fallen out of the third story window of an apartment complex who
has a controlled airway and is not in cardiac arrest. According to the state's Trauma Point of Entry
Plan which receiving facility should this patient be transported to?
a) The closest appropriate Trauma Center which is Level III Trauma Center that is 10 minutes away.
b) By pass the Level III Trauma Center to go to a Level 1 Trauma Center that is 25 minutes away.
c) Transport to the nearest receiving facility which is not a Trauma Center
d) Transport to a certified Stroke Center as the patient will need a CT Scan - CORRECT ANSWER-a)
The closest appropriate Trauma Center which is Level III Trauma Center that is 10 minutes away.
Protocol A4
The Amtrak's Downeaster is approaching the Sutton Street Crossing and derails. The train is carrying
78 passengers. What level of a Multiple Casualty Incident would this be?
a) Level 1
b) Level 2
c) Level 3
d) Level 4 - CORRECT ANSWER-d) Level 4
Protocol 8.2
The local police department deploys their electronic control weapons to apprehend a suspect.
During the deployment, the electronic control weapon is embedded in the posterior region of the
neck. How should this patient be treated?
a) Have law enforcement remove it.
b) EMS are authorized to remove it.
c) Leave it in place and treat it as an impaled object.
