SNHD Paramedic Protocol Exam Study
Guide 2025 Questions and Answers
Identify the Parkland Burn Formula for Fluid Replacement. - ....ANSWER ...-4ml
x (body weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8
hours; give remainder over next 16 hours
Pg. 28
For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center.
- ....ANSWER ...-10 feet or two times the height of the child
Pg. 127
What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? -
....ANSWER ...-2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
For a traumatic cardiac arrest, what interventions must be performed prior to
considering terminating resuscitation efforts? - ....ANSWER ...-Provide effective
ventilation with 100% oxygenation for two (2) minutes
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood
pressure greater than 100 mmHg, what is the dose of Nitroglycerin? -
....ANSWER ...-1.6 mg SL
Pg. 49
Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
....ANSWER ...-A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2
trauma center only. - ....ANSWER ...-False (Level 1, 2 or 3)
Pg. 127
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, When should radio contact be established to a receiving facility? - ....ANSWER ...-
All trauma patients
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
How often can additional Diazepam (Valium) doses be administered to a pregnant
patient who is refractory to Magnesium Sulfate? - ....ANSWER ...-Every 5 minutes
Pg. 43
For non-trauma patients, telemetry reports should include at a minimum which of the
following? - ....ANSWER ...-Attendant/vehicle identification, Nature of call:
INFORMATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient
information (i.e. number, age, sex), Patient condition (i.e. stable, full arrest), History,
Objective findings, Treatment, Estimated time of arrival including any special
circumstances that may cause a delay in transport
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
Guide 2025 Questions and Answers
Identify the Parkland Burn Formula for Fluid Replacement. - ....ANSWER ...-4ml
x (body weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8
hours; give remainder over next 16 hours
Pg. 28
For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center.
- ....ANSWER ...-10 feet or two times the height of the child
Pg. 127
What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? -
....ANSWER ...-2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
For a traumatic cardiac arrest, what interventions must be performed prior to
considering terminating resuscitation efforts? - ....ANSWER ...-Provide effective
ventilation with 100% oxygenation for two (2) minutes
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood
pressure greater than 100 mmHg, what is the dose of Nitroglycerin? -
....ANSWER ...-1.6 mg SL
Pg. 49
Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
....ANSWER ...-A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2
trauma center only. - ....ANSWER ...-False (Level 1, 2 or 3)
Pg. 127
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, When should radio contact be established to a receiving facility? - ....ANSWER ...-
All trauma patients
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
How often can additional Diazepam (Valium) doses be administered to a pregnant
patient who is refractory to Magnesium Sulfate? - ....ANSWER ...-Every 5 minutes
Pg. 43
For non-trauma patients, telemetry reports should include at a minimum which of the
following? - ....ANSWER ...-Attendant/vehicle identification, Nature of call:
INFORMATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient
information (i.e. number, age, sex), Patient condition (i.e. stable, full arrest), History,
Objective findings, Treatment, Estimated time of arrival including any special
circumstances that may cause a delay in transport
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
