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Exam (elaborations)

SNHD EMT/Paramedic Protocol 2025 Exam: 250 Questions & Rationales | Clark County Study Guide

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Prepare for the Southern Nevada Health District (SNHD) EMT and Paramedic Protocol Exam 2025 with the latest actual test resource. This complete guide features 250 exam questions with correct, detailed answers and rationales, covering Clark County’s updated treatment protocols, medications, and operational guidelines for certification.

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Written in
2025/2026
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SNHD EMT PARAMEDIC PROTOCOL 2025 EXAM
LATEST ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+




What is the GOAL of the protocol manual?


(Forward 5, 6) - .....ANSWER ...✔✔ The GOAL is to
STANDARDIZE prehospital patient care in Clark County.


What does OEMSTS stand for?


(Forward 5, 6) - .....ANSWER ...✔✔ Office of EMS &
Trauma System


When should you fill out a Protocol Deviation form?


(Forward 5, 6) - .....ANSWER ...✔✔ When the
provider feels the administration of an ordered
medication would endanger the patient, a medication is

,2|Page



not available, or a physician's orders is outside the
protocol.


What is the definition of a patient?


(Forward 5, 6) - .....ANSWER ...✔✔ A patient is any
individual that meets at least one of the following
criteria:
- a person who has a complaint or mechanism suggestive
of potential illness or injury
- a person who has obvious evidence of illness or injury
- a person identified by any informed 2nd or 3rd party
caller as requiring evaluation for potential illness or
injury


Who is considered a pediatric patient?


(Forward 5, 6) - .....ANSWER ...✔✔ Patients under 18
yo and for patients who do not show signs of puberty
(including chest hair or underarm hair on males & any
breast development in females).


Where should you take sexual assault victims?

,3|Page



(General Adult Assessment Protocol 11, 12) -
.....ANSWER ...✔✔ - Victims under 13 yo should be
transported to Sunrise Hospital
- Victims 13 yo to 18 yo should be transported to
Sunrise Hospital or UMC
- Victims 18 yo and older should be transported to UMC
* Victims outside a 50 mile radius from Sunrise Hospital
and UMC should be transported to the nearest
appropriate facility


What is the Waiting Room Criteria?


(General Adult Assessment Protocol 11, 12) -
.....ANSWER ...✔✔ 1. Normal vital signs
2. Did not receive any parenteral medication during
EMS transport except for a single dose of analgesia
&/or antiemetic
3. Does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact
on their medical condition
5. Is left with a verbal report to hospital personnel


*patients cannot be on a L2K

, 4|Page



What are you immediate treatments for:
- suspected tension pneumothorax
- sucking chest wound
- control active hemorrhaging
- obvious fractures
- suspected traumatic brain injury
- open wounds


(General Adult Trauma Assessment Protocol 13, 14) -
.....ANSWER ...✔✔ - suspected tension pneumothorax
→ needle decompression
- sucking chest wound → apply 3 sided occlusive
dressing
- control active hemorrhaging → hemorrhage control
- obvious fractures → immobilize fracture and assess
distal pulses
- suspected traumatic brain injury → capnography
(ETCO2 35mmHg)
- open wounds → cover with gauze; wet trauma
dressing for abdominal evisceration


When should you do a 12 Lead ECG?
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