EMT Region VIII System Entry
Questions and Correct
Answers
In some circumstances, early contact with Medical Control can be beneficial to minimizing the
time to definitive care, and these SMOs are designated as Time Sensitive by what graphic?
Clock
Name of medical director
Steve Graham (might have changed since 2020 idk)
Patients can only be pronounced dead by who?
ED Physician
Spinal immobilization is a part of what? A, B, C, or D
A (airway)
,Who is the best source of information on medications, baseline vitals, functional level/normal
mentation, likely medical complication, equipment operation and troubleshooting, and
emergency procedures in patients with special healthcare needs
Parents, caregivers, or home health nurses
What is the target SpO2 for patients?
94-98% (92% with COPD)
In what cases are hyperoxia contraindicated?
uncomplicated myocardial infarction / STEMI, post-cardiac arrest, acute exacerbations of COPD,
stroke, newly born / neonatal resuscitation. If supplemental oxygen is used in these patients,
the goal is to relieve hypoxemia without causing hyperoxia (target SpO2 94%, not 100%).
Where do you transport a patient?
Transport to the closest appropriate hospital. By law, a physician must certify that the benefits
outweigh the risks of transport to a facility other than the closest appropriate hospital, unless
patient meets Level 1 Trauma criteria.
Outline for streamlined communication for BLS calls
1. Name and vehicle number of provider
2. Patient age and gender
3. Chief complaint/mechanism of injury
4. SMO being followed
5. Any deviation from SMO or unusual circumstances
6. ETA
, Drug Administration Guidelines for Pediatric Patients
When calculating drug dosages for pediatric patients, the maximum individual and total doses
should not exceed the respective adult doses. This does not apply to IV fluid boluses (where the
pediatric dose of 20 mL/kg may exceed the 200 mL adult dose) or individual doses of Versed
(midazolam) or Narcan (naloxone) due to weight-based dosing.
Can living wills be honored by EMS?
No
What makes up a valid DNR?
Name of patient
Resuscitation Order (the words "Do Not Resuscitate", "Withhold Treatment")
Three signatures
Effective date
Long-term indications of death
Decapitation • Rigor Mortis without hypothermia • Profound dependent lividity •
Decomposition • Mummification/putrefaction • Incineration • Frozen state (no resuscitative
efforts for these patients)
Triple Zero patients
Questions and Correct
Answers
In some circumstances, early contact with Medical Control can be beneficial to minimizing the
time to definitive care, and these SMOs are designated as Time Sensitive by what graphic?
Clock
Name of medical director
Steve Graham (might have changed since 2020 idk)
Patients can only be pronounced dead by who?
ED Physician
Spinal immobilization is a part of what? A, B, C, or D
A (airway)
,Who is the best source of information on medications, baseline vitals, functional level/normal
mentation, likely medical complication, equipment operation and troubleshooting, and
emergency procedures in patients with special healthcare needs
Parents, caregivers, or home health nurses
What is the target SpO2 for patients?
94-98% (92% with COPD)
In what cases are hyperoxia contraindicated?
uncomplicated myocardial infarction / STEMI, post-cardiac arrest, acute exacerbations of COPD,
stroke, newly born / neonatal resuscitation. If supplemental oxygen is used in these patients,
the goal is to relieve hypoxemia without causing hyperoxia (target SpO2 94%, not 100%).
Where do you transport a patient?
Transport to the closest appropriate hospital. By law, a physician must certify that the benefits
outweigh the risks of transport to a facility other than the closest appropriate hospital, unless
patient meets Level 1 Trauma criteria.
Outline for streamlined communication for BLS calls
1. Name and vehicle number of provider
2. Patient age and gender
3. Chief complaint/mechanism of injury
4. SMO being followed
5. Any deviation from SMO or unusual circumstances
6. ETA
, Drug Administration Guidelines for Pediatric Patients
When calculating drug dosages for pediatric patients, the maximum individual and total doses
should not exceed the respective adult doses. This does not apply to IV fluid boluses (where the
pediatric dose of 20 mL/kg may exceed the 200 mL adult dose) or individual doses of Versed
(midazolam) or Narcan (naloxone) due to weight-based dosing.
Can living wills be honored by EMS?
No
What makes up a valid DNR?
Name of patient
Resuscitation Order (the words "Do Not Resuscitate", "Withhold Treatment")
Three signatures
Effective date
Long-term indications of death
Decapitation • Rigor Mortis without hypothermia • Profound dependent lividity •
Decomposition • Mummification/putrefaction • Incineration • Frozen state (no resuscitative
efforts for these patients)
Triple Zero patients
