1
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NYC REMAC PROTOCOLS and GOPs
Questions and Answers (100% Correct
Answers) Already Graded A+
High index of suspicion [ ANS: ] mechanism of injury
injury/illness severity
abnormal vital signs
family testimony to change in patients condition
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reported suiciidal or homicidal behavior
testimony from health care provider stating change in patients
condition
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unable to contact medical control [ ANS: ] standing order
treatments only
criteria for contacting OLMC [ ANS: ] treat and release patient
decisions
transport decision for alternative destination
high index RMA
Definition of alternative destination [ ANS: ] regionally approved
911 system receiving facility that may have limited and/or
specialized capabilities but is not a 911 system ambulance
destination emergency department
Operational control during MCI, hazmat, unscheduled medvac
transports or other unusual public health emergencies belongs to [
ANS: ] FDNY
, 2
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True or False: REMAC OLMC Physician that administers care
beyond the scope of practice of the paramedic must
accompany the patient [ ANS: ] true
ALS Orders for NON-OLMC REMAC physicians [ ANS: ] Non-REMAC
OLMC certified physicians who appropriately identify themselves
on scene and who request to intervene in ALS care, MUST have
prior approval from OLMC. After OLMC approval, the on scene
physician may provide direction in ALS care so long as that care
does not conflict with REMAC prehospital treatment protocol
standing orders, policies and procedures
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when should a patient be taken to the nearest emergency
ambulance destination [ ANS: ] patients with an unmanageable
airway
patients with major burns should be transported to the nearest
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burn center UNLESS [ ANS: ] cardiac arrest or unmanageable
airway
trauma center transport criteria
activation of nyc burn disaster plan bf fdny, doh, nycem or
DOHMH
patients with acute stroke symptoms <24 hrs require transport to
the nearest stroke center unless [ ANS: ] cardiac arrest or
unmanageable airway
trauma center transport criteria
patients with indication of stemi should be transported to nearest
stemi center unless [ ANS: ] unmanageable airway
trauma center transport criteria
, 3
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IF the patient deteriorates into cardiac arrest, continue to the
STEMI center
cpr shall be initiated on all pulseness or apneic patients unless has
any of the following conditions [ ANS: ] extreme dependent lividity
rigor mortis
tissue decomposition
obvious mortal injury
valid DNR, MOLST
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the following medications can be administered instranasally [ ANS:
] glucagon
fentanyl
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lorezepam
midazolam
naloxone
ketaine
diazepam
io access can be attained in adult and pediatric patients in shock
when [ ANS: ] iv access is missed after two attempts
conscious IO [ ANS: ] administered preservative-free 2% lidocaine
0.5 mg/kg slowly over 2-3 minutes. additional dose 0.25 mg.kg
minimum size iv catheter for vasopressor infusion [ ANS: ] 18 or
larger
is there a perference for airway management for patients in
cardiac arrest [ ANS: ] no
, 4
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can EMTs transported a patient with a secued iv? [ ANS: ] as long
as fluids or medications are not attached
use of pre existing central venous lines [ ANS: ] unstable patients,
including those in cardiac arrest, paramedics may consider using
PICC lines under standing orders
use of non-picc central lines [ ANS: ] OLMC only
age definition of a pediatric patient [ ANS: ] less than or equal to
15 years old
definition of preterm birth [ ANS: ] prior to 37 weeks gestation
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definition: newborrn [ ANS: ] immediaitely following birth to the first
few hours after birth
definition: neonate [ ANS: ] after the first few hours of birth up to 28
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days
definition: infant [ ANS: ] between ages 1 month to 1 year
definition: child [ ANS: ] between the ages of 1 and 9 years old
definition: adolescent child [ ANS: ] ages between 9-14 years old
conditions that qualify for laws of emancipation [ ANS: ] married
pregnant
parent
request treatment for HIV and other STI/STD
military enlistment
self supporting and has left their parents home
the oldest age that an infant may be abandoned at [ ANS: ] less
than or equal to 30 days
For Expert help and assignment solutions, +254707240657
NYC REMAC PROTOCOLS and GOPs
Questions and Answers (100% Correct
Answers) Already Graded A+
High index of suspicion [ ANS: ] mechanism of injury
injury/illness severity
abnormal vital signs
family testimony to change in patients condition
© 2025 Assignment Expert
reported suiciidal or homicidal behavior
testimony from health care provider stating change in patients
condition
Guru01 - Stuvia
unable to contact medical control [ ANS: ] standing order
treatments only
criteria for contacting OLMC [ ANS: ] treat and release patient
decisions
transport decision for alternative destination
high index RMA
Definition of alternative destination [ ANS: ] regionally approved
911 system receiving facility that may have limited and/or
specialized capabilities but is not a 911 system ambulance
destination emergency department
Operational control during MCI, hazmat, unscheduled medvac
transports or other unusual public health emergencies belongs to [
ANS: ] FDNY
, 2
For Expert help and assignment solutions, +254707240657
True or False: REMAC OLMC Physician that administers care
beyond the scope of practice of the paramedic must
accompany the patient [ ANS: ] true
ALS Orders for NON-OLMC REMAC physicians [ ANS: ] Non-REMAC
OLMC certified physicians who appropriately identify themselves
on scene and who request to intervene in ALS care, MUST have
prior approval from OLMC. After OLMC approval, the on scene
physician may provide direction in ALS care so long as that care
does not conflict with REMAC prehospital treatment protocol
standing orders, policies and procedures
© 2025 Assignment Expert
when should a patient be taken to the nearest emergency
ambulance destination [ ANS: ] patients with an unmanageable
airway
patients with major burns should be transported to the nearest
Guru01 - Stuvia
burn center UNLESS [ ANS: ] cardiac arrest or unmanageable
airway
trauma center transport criteria
activation of nyc burn disaster plan bf fdny, doh, nycem or
DOHMH
patients with acute stroke symptoms <24 hrs require transport to
the nearest stroke center unless [ ANS: ] cardiac arrest or
unmanageable airway
trauma center transport criteria
patients with indication of stemi should be transported to nearest
stemi center unless [ ANS: ] unmanageable airway
trauma center transport criteria
, 3
For Expert help and assignment solutions, +254707240657
IF the patient deteriorates into cardiac arrest, continue to the
STEMI center
cpr shall be initiated on all pulseness or apneic patients unless has
any of the following conditions [ ANS: ] extreme dependent lividity
rigor mortis
tissue decomposition
obvious mortal injury
valid DNR, MOLST
© 2025 Assignment Expert
the following medications can be administered instranasally [ ANS:
] glucagon
fentanyl
Guru01 - Stuvia
lorezepam
midazolam
naloxone
ketaine
diazepam
io access can be attained in adult and pediatric patients in shock
when [ ANS: ] iv access is missed after two attempts
conscious IO [ ANS: ] administered preservative-free 2% lidocaine
0.5 mg/kg slowly over 2-3 minutes. additional dose 0.25 mg.kg
minimum size iv catheter for vasopressor infusion [ ANS: ] 18 or
larger
is there a perference for airway management for patients in
cardiac arrest [ ANS: ] no
, 4
For Expert help and assignment solutions, +254707240657
can EMTs transported a patient with a secued iv? [ ANS: ] as long
as fluids or medications are not attached
use of pre existing central venous lines [ ANS: ] unstable patients,
including those in cardiac arrest, paramedics may consider using
PICC lines under standing orders
use of non-picc central lines [ ANS: ] OLMC only
age definition of a pediatric patient [ ANS: ] less than or equal to
15 years old
definition of preterm birth [ ANS: ] prior to 37 weeks gestation
© 2025 Assignment Expert
definition: newborrn [ ANS: ] immediaitely following birth to the first
few hours after birth
definition: neonate [ ANS: ] after the first few hours of birth up to 28
Guru01 - Stuvia
days
definition: infant [ ANS: ] between ages 1 month to 1 year
definition: child [ ANS: ] between the ages of 1 and 9 years old
definition: adolescent child [ ANS: ] ages between 9-14 years old
conditions that qualify for laws of emancipation [ ANS: ] married
pregnant
parent
request treatment for HIV and other STI/STD
military enlistment
self supporting and has left their parents home
the oldest age that an infant may be abandoned at [ ANS: ] less
than or equal to 30 days
