SNHD Protocols [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
After contacting OEMSTS for providing care that may have been outside your scope of
practice, that information is then recorded on what form? - CORRECT ANSWER
Quality Improvement Review
A patient is anyone who meets the following 3 criterias: - CORRECT ANSWER 1.
A person with a CC, MOI or NOI that may be indicative of an injury/illness
2. A person who has obvious evidence of injury/illness
3. A person identified by a 2nd/3rd party caller as needing evaluation for potential
injury/illness
For patients under __ years old, refer to the Pediatric Patient Destination Protocol -
CORRECT ANSWER 18
Pediatric protocols are used on children who have not yet experienced puberty. What
are the signs of puberty in males and females? - CORRECT ANSWER Males:
chest/underarm hair
Females: breast development
If there are signs of Airway obstruction, what measures should be taken? - CORRECT
ANSWER Ventilation Management Protocols
What should you do if a patient is unconscious? - CORRECT ANSWER Check
breathing and pulse simultaneously
If there are signs of inadequate breathing, what measures should be taken? -
CORRECT ANSWER Respiratory Distress protocols
What should you do if you cannot adequately ventilate a patient? - CORRECT
ANSWER The patient must be transported to the nearest emergency department
,What should you never withhold from a patient in Respiratory Distress? - CORRECT
ANSWER Oxygen
Contact with medical control should be established through radio. Telephone contact
can only be used if the call is routed through a recorded phone line provided by the: -
CORRECT ANSWER FAO (Fire Alarm Office)
Patients with Traumatic Injuries shall be transported in accordance with the: -
CORRECT ANSWER Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: -
CORRECT ANSWER Burns Protocol
Pediatric Patients (less than 18 years old for transport purposes only) shall be
transported in accordance with the: - CORRECT ANSWER Pediatric Destination
Protocol
Patients with evidence of Stroke shall be transported in accordance with the: -
CORRECT ANSWER Stroke (CVA) Protocol
You arrive to the scene of 3 sexually assaulted individuals. Patient #1 is 12 years old,
Patient #2 is 15 years old, and Patient #3 is 20 years old. Name all appropriate
hospitals that patients 1, 2, and 3 may be taken to. - CORRECT ANSWER 1:
Sexual assault victims less than 13 years old shall be transported to Sunrise Hospital
2: Sexual assault victims between the ages of 13 and 18 shall be transported to Sunrise
Hospital, or UMC
3: Sexual assault victims 18 years and older shall be transported to UMC
Where should sexual assault patients be transported if they are more than 50 miles
from the nearest protocol designated destination? - CORRECT ANSWER The
nearest appropriate facility
Upon arriving in the emergency department, if transfer of care has not occurred, any
patients, excluding those placed on legal psychiatric hold, may be placed in the hospital
waiting room if they meet what 5 criteria requirements? - CORRECT ANSWER 1.
Normal Vital Signs
-HR: 60-100
-RR: 10-20
-Systolic BP: 100-180
-Diastolic BP: 60-110
-Room air pulse oximetry: greater than 94%
-A&Ox4 (Alert and Oriented x4)
,2. Did not receive any parenteral medications during EMS transport except for a single
dose of analgesia AND/OR an anti-emetic
3. In the judgement of the paramedic, does not require continuous cardiac monitoring (if
the transferring facility decides to start monitoring the patient, it may not be discontinued
by EMS personnel)
4. Can maintain a sitting position without adverse affect on their health
5. Is left with a verbal report to the hospital personnel
What 2 drugs are you allowed to give a patient and still leave them in the waiting room
before transfer of care has taken place? - CORRECT ANSWER a single dose of
analgesia AND/OR an anti-emetic
If a hospital declares an internal disaster, that facility is to be bypassed for all patients
EXCEPT for patients who are experiencing: - CORRECT ANSWER Cardiac Arrest
or the ability to adequately ventilate has not been established
(Not part of the answer but keep in mind that operational exceptions may be initiated in
regard to transport to hospitals on internal disaster. e.g. 3 hospitals in proximity going
on internal disaster)
During a general adult trauma assessment, if their Glasgow Coma Scale score is less
than 8, what should the responder do? - CORRECT ANSWER Ventilation
Management; BVM is O2 saturation is less than or equal to 94%
During a general adult trauma assessment, if their Glasgow Coma Scale score is
greater than or equal to 8, what should the responder do? - CORRECT ANSWER
Keep oxygen saturation above 94%
What care should be provided to a patient with a sucking chest wound? - CORRECT
ANSWER 3-sided occlusive dressing
What care should be provided to a patient with an active hemorrhage? - CORRECT
ANSWER Hemorrhage Control Tourniquet
What care should be provided to a patient with obvious fractures? - CORRECT
ANSWER Immobilize Fractures with Splints, assess distal pulses before and after
applications
What care can be provided at the EMT-B level to a patient with a suspected TBI
(Traumatic Brain Injury)? - CORRECT ANSWER Raise head of bed 30 degrees
, What care should be provided to a patient with open wounds? - CORRECT
ANSWER Cover the open wound with gauze. For abdominal evisceration, cover with
wet trauma dressing
When transporting a trauma patient to a Trauma Center, what should be done verbally?
- CORRECT ANSWER Contact the trauma center over the telemetry and inform
them of your status
What type of trauma patients should be evaluated with a high index of suspicion due to
their tendency to decompensate quickly? - CORRECT ANSWER Geriatric patients
What is an acceptable method of ventilating and managing an airway if pulse oximetry
can be maintained at or greater than 90%? - CORRECT ANSWER BVM
Nuero disorders or signs of hypoperfusion/shock in the presence of abdominal pain
indicate a(n) _______________ - CORRECT ANSWER Aneurysm
In patients _________________ years old, consider that the cause of abdominal pain
may be from a cardiac origin - CORRECT ANSWER at 35 years of age, or older
What type of pain in woman of childbearing age should be considered pregnancy until
proven otherwise? - CORRECT ANSWER Abdominal pain
A patient had an allergic reaction and is now experiencing signs of airway involvement
breathing difficulties. What care can you provide at the EMT-B level? - CORRECT
ANSWER Assist the patient with their own Epinephrine Auto-Injector
A patient goes into shock after having an allergic reaction. You have already assisted
administering Epinephrine via Auto-Injector one minute ago. What care can be provided
now at the EMT-B level? - CORRECT ANSWER Assist patient with their MDI
(Metered-Dose Inhaler)
True/False: You should not notify the receiving hospital that you are bringing a patient
whose CC was an allergic reaction (CC = Chief Complaint) - CORRECT ANSWER
False. Notify the Receiving Hospital
Radio contact should always be established for calls that involve: - CORRECT
ANSWER Trauma patients, code 3 patients, need for telemetry physician, time
sensitive/life threatening situations
and as per protocol
[QUESTIONS AND ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
After contacting OEMSTS for providing care that may have been outside your scope of
practice, that information is then recorded on what form? - CORRECT ANSWER
Quality Improvement Review
A patient is anyone who meets the following 3 criterias: - CORRECT ANSWER 1.
A person with a CC, MOI or NOI that may be indicative of an injury/illness
2. A person who has obvious evidence of injury/illness
3. A person identified by a 2nd/3rd party caller as needing evaluation for potential
injury/illness
For patients under __ years old, refer to the Pediatric Patient Destination Protocol -
CORRECT ANSWER 18
Pediatric protocols are used on children who have not yet experienced puberty. What
are the signs of puberty in males and females? - CORRECT ANSWER Males:
chest/underarm hair
Females: breast development
If there are signs of Airway obstruction, what measures should be taken? - CORRECT
ANSWER Ventilation Management Protocols
What should you do if a patient is unconscious? - CORRECT ANSWER Check
breathing and pulse simultaneously
If there are signs of inadequate breathing, what measures should be taken? -
CORRECT ANSWER Respiratory Distress protocols
What should you do if you cannot adequately ventilate a patient? - CORRECT
ANSWER The patient must be transported to the nearest emergency department
,What should you never withhold from a patient in Respiratory Distress? - CORRECT
ANSWER Oxygen
Contact with medical control should be established through radio. Telephone contact
can only be used if the call is routed through a recorded phone line provided by the: -
CORRECT ANSWER FAO (Fire Alarm Office)
Patients with Traumatic Injuries shall be transported in accordance with the: -
CORRECT ANSWER Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: -
CORRECT ANSWER Burns Protocol
Pediatric Patients (less than 18 years old for transport purposes only) shall be
transported in accordance with the: - CORRECT ANSWER Pediatric Destination
Protocol
Patients with evidence of Stroke shall be transported in accordance with the: -
CORRECT ANSWER Stroke (CVA) Protocol
You arrive to the scene of 3 sexually assaulted individuals. Patient #1 is 12 years old,
Patient #2 is 15 years old, and Patient #3 is 20 years old. Name all appropriate
hospitals that patients 1, 2, and 3 may be taken to. - CORRECT ANSWER 1:
Sexual assault victims less than 13 years old shall be transported to Sunrise Hospital
2: Sexual assault victims between the ages of 13 and 18 shall be transported to Sunrise
Hospital, or UMC
3: Sexual assault victims 18 years and older shall be transported to UMC
Where should sexual assault patients be transported if they are more than 50 miles
from the nearest protocol designated destination? - CORRECT ANSWER The
nearest appropriate facility
Upon arriving in the emergency department, if transfer of care has not occurred, any
patients, excluding those placed on legal psychiatric hold, may be placed in the hospital
waiting room if they meet what 5 criteria requirements? - CORRECT ANSWER 1.
Normal Vital Signs
-HR: 60-100
-RR: 10-20
-Systolic BP: 100-180
-Diastolic BP: 60-110
-Room air pulse oximetry: greater than 94%
-A&Ox4 (Alert and Oriented x4)
,2. Did not receive any parenteral medications during EMS transport except for a single
dose of analgesia AND/OR an anti-emetic
3. In the judgement of the paramedic, does not require continuous cardiac monitoring (if
the transferring facility decides to start monitoring the patient, it may not be discontinued
by EMS personnel)
4. Can maintain a sitting position without adverse affect on their health
5. Is left with a verbal report to the hospital personnel
What 2 drugs are you allowed to give a patient and still leave them in the waiting room
before transfer of care has taken place? - CORRECT ANSWER a single dose of
analgesia AND/OR an anti-emetic
If a hospital declares an internal disaster, that facility is to be bypassed for all patients
EXCEPT for patients who are experiencing: - CORRECT ANSWER Cardiac Arrest
or the ability to adequately ventilate has not been established
(Not part of the answer but keep in mind that operational exceptions may be initiated in
regard to transport to hospitals on internal disaster. e.g. 3 hospitals in proximity going
on internal disaster)
During a general adult trauma assessment, if their Glasgow Coma Scale score is less
than 8, what should the responder do? - CORRECT ANSWER Ventilation
Management; BVM is O2 saturation is less than or equal to 94%
During a general adult trauma assessment, if their Glasgow Coma Scale score is
greater than or equal to 8, what should the responder do? - CORRECT ANSWER
Keep oxygen saturation above 94%
What care should be provided to a patient with a sucking chest wound? - CORRECT
ANSWER 3-sided occlusive dressing
What care should be provided to a patient with an active hemorrhage? - CORRECT
ANSWER Hemorrhage Control Tourniquet
What care should be provided to a patient with obvious fractures? - CORRECT
ANSWER Immobilize Fractures with Splints, assess distal pulses before and after
applications
What care can be provided at the EMT-B level to a patient with a suspected TBI
(Traumatic Brain Injury)? - CORRECT ANSWER Raise head of bed 30 degrees
, What care should be provided to a patient with open wounds? - CORRECT
ANSWER Cover the open wound with gauze. For abdominal evisceration, cover with
wet trauma dressing
When transporting a trauma patient to a Trauma Center, what should be done verbally?
- CORRECT ANSWER Contact the trauma center over the telemetry and inform
them of your status
What type of trauma patients should be evaluated with a high index of suspicion due to
their tendency to decompensate quickly? - CORRECT ANSWER Geriatric patients
What is an acceptable method of ventilating and managing an airway if pulse oximetry
can be maintained at or greater than 90%? - CORRECT ANSWER BVM
Nuero disorders or signs of hypoperfusion/shock in the presence of abdominal pain
indicate a(n) _______________ - CORRECT ANSWER Aneurysm
In patients _________________ years old, consider that the cause of abdominal pain
may be from a cardiac origin - CORRECT ANSWER at 35 years of age, or older
What type of pain in woman of childbearing age should be considered pregnancy until
proven otherwise? - CORRECT ANSWER Abdominal pain
A patient had an allergic reaction and is now experiencing signs of airway involvement
breathing difficulties. What care can you provide at the EMT-B level? - CORRECT
ANSWER Assist the patient with their own Epinephrine Auto-Injector
A patient goes into shock after having an allergic reaction. You have already assisted
administering Epinephrine via Auto-Injector one minute ago. What care can be provided
now at the EMT-B level? - CORRECT ANSWER Assist patient with their MDI
(Metered-Dose Inhaler)
True/False: You should not notify the receiving hospital that you are bringing a patient
whose CC was an allergic reaction (CC = Chief Complaint) - CORRECT ANSWER
False. Notify the Receiving Hospital
Radio contact should always be established for calls that involve: - CORRECT
ANSWER Trauma patients, code 3 patients, need for telemetry physician, time
sensitive/life threatening situations
and as per protocol
