Loyola System Entry Exam (Region VIII)
– BLS 2026 Questions and Answers
Radio Report Order - Correct answer--agency name, unit number/call sign, desired
destination (if different than hospital being contacted), level of care being provided
-patient age, sex, approx. weight
-LOC and orientation (GCS)
-Chief complaint/primary impression, symptoms, MOI/NOI, pertinent scene info,
pertinent negatives/associated complaints
-vital signs: BP, HR, RR, SpO2, temperature, pain score 0-10 (Wong Baker)
-Cincinnati Stroke Scale/NIH Stroke Scale findings
-Last known well
-Blood glucose level
-Pupils, lung sounds, skin parameters, history, medications, allergies
-Interventions, medications given, disposition
-Destination, ETA
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,General Patient Assessment - Correct answer-Initial Assessment:
-Scene safety/PPE
-ABCs/C-spine: airway (establish and maintain), breathing (assess, assist or
provide ventilations, assess lung sounds), circulation (check pulse, control
hemorrhage)
-AVPU
-expose/examine
-priority transport
Focused history and physical exam
-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS; allergies; medications;
pertinent medical history; last oral intake/menstrual period; events leading to)
-initial vital signs
-pain 0-10 scale
Detailed physical exam
Ongoing assessment - reassess ABCDs
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Most adult SMOs include - Correct answer--AIMC or PIMC
-AITC or PITC
-don't do anything if contraindicated
-Refer to other SMOs as needed
-transport, support ABCs, keep warm
-when in doubt contact MD
Considerations for patients with special healthcare needs - Correct answer-Be
aware of situation and equipment and utilize resources such as caregivers/family
Streamlined BLS communication - Correct answer--Name and vehicle number of
provider
-Patient age and gender
-Chief complain/MOI
-SMO being followed
-Any deviation from SMO or unusual circumstance
-ETA
Load-and-go situation - Correct answer--When needing hospital care for patient
stability
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, -May need to omit/adapt SMO based on own medical judgment
-Document deviations thoroughly
-not implying speed of transport increases but emphasize rapid patient packaging
and limited on-scene time
Withholding or withdrawing resuscitative efforts - Correct answer--uncertainty =
begin treating and contact MD
-emotional support to significant others
Who can pronounce a patient dead? - Correct answer-ED physician
-document time in PCR
Power of attorney - Correct answer--honor only if written POLST/DNR order
signed by patient's attending practitioner is presented
-other healthcare decisions may be made by POA if document allows
-bring all documents to hospital
Living Will/surrogates - Correct answer--may not be honored; treat and contact
MD
-no situation where surrogate can give direct instructions to EMS provider; treat,
contact MD, explain
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
– BLS 2026 Questions and Answers
Radio Report Order - Correct answer--agency name, unit number/call sign, desired
destination (if different than hospital being contacted), level of care being provided
-patient age, sex, approx. weight
-LOC and orientation (GCS)
-Chief complaint/primary impression, symptoms, MOI/NOI, pertinent scene info,
pertinent negatives/associated complaints
-vital signs: BP, HR, RR, SpO2, temperature, pain score 0-10 (Wong Baker)
-Cincinnati Stroke Scale/NIH Stroke Scale findings
-Last known well
-Blood glucose level
-Pupils, lung sounds, skin parameters, history, medications, allergies
-Interventions, medications given, disposition
-Destination, ETA
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,General Patient Assessment - Correct answer-Initial Assessment:
-Scene safety/PPE
-ABCs/C-spine: airway (establish and maintain), breathing (assess, assist or
provide ventilations, assess lung sounds), circulation (check pulse, control
hemorrhage)
-AVPU
-expose/examine
-priority transport
Focused history and physical exam
-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS; allergies; medications;
pertinent medical history; last oral intake/menstrual period; events leading to)
-initial vital signs
-pain 0-10 scale
Detailed physical exam
Ongoing assessment - reassess ABCDs
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Most adult SMOs include - Correct answer--AIMC or PIMC
-AITC or PITC
-don't do anything if contraindicated
-Refer to other SMOs as needed
-transport, support ABCs, keep warm
-when in doubt contact MD
Considerations for patients with special healthcare needs - Correct answer-Be
aware of situation and equipment and utilize resources such as caregivers/family
Streamlined BLS communication - Correct answer--Name and vehicle number of
provider
-Patient age and gender
-Chief complain/MOI
-SMO being followed
-Any deviation from SMO or unusual circumstance
-ETA
Load-and-go situation - Correct answer--When needing hospital care for patient
stability
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, -May need to omit/adapt SMO based on own medical judgment
-Document deviations thoroughly
-not implying speed of transport increases but emphasize rapid patient packaging
and limited on-scene time
Withholding or withdrawing resuscitative efforts - Correct answer--uncertainty =
begin treating and contact MD
-emotional support to significant others
Who can pronounce a patient dead? - Correct answer-ED physician
-document time in PCR
Power of attorney - Correct answer--honor only if written POLST/DNR order
signed by patient's attending practitioner is presented
-other healthcare decisions may be made by POA if document allows
-bring all documents to hospital
Living Will/surrogates - Correct answer--may not be honored; treat and contact
MD
-no situation where surrogate can give direct instructions to EMS provider; treat,
contact MD, explain
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
