KERN COUNTY EMT PROTOCOLS EXAM
WITH CORRECT ANSWERS
Airway Obstruction (101) - Answers -Primary survey/ABC's and pulse ox
O2 if SpO2 <94% or respiratory distress
If able to talk, do not examine or dislodge obstruction
Suction as needed
Ask patient to cough
If unable, perform heimlich
If UNCONSCIOUS, open airway and ventilate
Finger sweep ONLY IF obstruction visible
If unable to ventilate, begin CPR
AHA Guidelines for Heimlich maneuver - Answers -
Altered Level of Consciousness (102) - Answers -Primary survey/ABC's
O2 if SpO2 <94% or respiratory distress
Check for hypoglycemia
Monitor airway and suction
Rapid transport/ALS rendezvous
If susp. overdose go to (118)
If head injury go to (113)
If postictal go to (121)
If stroke symptoms go to (122)
Allergic reaction/Anaphylaxis (103) - Answers -Pulse oximetry
O2 if SpO2 <94% or respiratory distress
If mild reaction, monitor for deterioration
If moderate/severe reaction, administer epinephrine auto-injector or 0.3mg IM of 1:1000
Rapid transport/ALS rendezvous
Asystole/Pulseless Electrical Activity (104) - Answers -Begin HP CPR
Attach AED and follow prompts
Pulse check every 2 minutes for 10 seconds or less
Rapid transport/ALS rendezvous if ROSC
After 30 minutes consider death determination
Bites/Stings/Envenomation (105) - Answers -Remove patient from area of animal or
insect
O2 if SpO2 <94% or respiratory distress
, If allergic reaction/anaphylaxis, go to (103)
Remove jewelry/clothing from site
Immobilize affected area at or slightly below level of heart
Outline swelling with pen and timestamp
If insect bite/sting, keep extremity at heart level, apply splint and ice
If bee sting, remove stinger by scraping
Bradycardia (106) - Answers -Assess/support ABC's
O2 if SpO2 <94% or respiratory distress
Rapid transport/ALS rendezvous
Signs and symptoms associated with bradycardia - Answers -Chest pain
Shortness of breath
Decreased LOC
Fatigue
Weak, dizzy, lightheadedness
Syncope
Hypotension
CHF
Ventricular escape rhythms
Brief Resolved Unexplained Event (BRUE) (107) - Answers -ABC's, Pulse oximetry,
Vitals
Primary & secondary assessments
Obtain event history from caretaker
Identifiable cause? Enter proper protocol
If no identifiable cause, observe/transport; enter appropriate protocol if condition
changes
Epistaxis (127) - Answers -Primary assessment/ABC's
O2 if SpO2 <94% or respiratory distress
Transport to closest facility or ALS rendezvous
Prepare to suction as needed
Severe agitation (128) - Answers -Request ALS
Ensure law enforcement on-scene or enroute
Limit contact with patient until ALS is on scene and ready to manage patient
4 officers recommended for subdual while paramedic personnel prepare agitation
control
Crush injury/Syndrome (129) - Answers -Assess ABC's
O2 as needed
Spinal motion restriction as needed
Apply blanket to keep patient warm
For multi system trauma, treat in conjunction with Trauma Policies and Procedures
Consider trauma activation
WITH CORRECT ANSWERS
Airway Obstruction (101) - Answers -Primary survey/ABC's and pulse ox
O2 if SpO2 <94% or respiratory distress
If able to talk, do not examine or dislodge obstruction
Suction as needed
Ask patient to cough
If unable, perform heimlich
If UNCONSCIOUS, open airway and ventilate
Finger sweep ONLY IF obstruction visible
If unable to ventilate, begin CPR
AHA Guidelines for Heimlich maneuver - Answers -
Altered Level of Consciousness (102) - Answers -Primary survey/ABC's
O2 if SpO2 <94% or respiratory distress
Check for hypoglycemia
Monitor airway and suction
Rapid transport/ALS rendezvous
If susp. overdose go to (118)
If head injury go to (113)
If postictal go to (121)
If stroke symptoms go to (122)
Allergic reaction/Anaphylaxis (103) - Answers -Pulse oximetry
O2 if SpO2 <94% or respiratory distress
If mild reaction, monitor for deterioration
If moderate/severe reaction, administer epinephrine auto-injector or 0.3mg IM of 1:1000
Rapid transport/ALS rendezvous
Asystole/Pulseless Electrical Activity (104) - Answers -Begin HP CPR
Attach AED and follow prompts
Pulse check every 2 minutes for 10 seconds or less
Rapid transport/ALS rendezvous if ROSC
After 30 minutes consider death determination
Bites/Stings/Envenomation (105) - Answers -Remove patient from area of animal or
insect
O2 if SpO2 <94% or respiratory distress
, If allergic reaction/anaphylaxis, go to (103)
Remove jewelry/clothing from site
Immobilize affected area at or slightly below level of heart
Outline swelling with pen and timestamp
If insect bite/sting, keep extremity at heart level, apply splint and ice
If bee sting, remove stinger by scraping
Bradycardia (106) - Answers -Assess/support ABC's
O2 if SpO2 <94% or respiratory distress
Rapid transport/ALS rendezvous
Signs and symptoms associated with bradycardia - Answers -Chest pain
Shortness of breath
Decreased LOC
Fatigue
Weak, dizzy, lightheadedness
Syncope
Hypotension
CHF
Ventricular escape rhythms
Brief Resolved Unexplained Event (BRUE) (107) - Answers -ABC's, Pulse oximetry,
Vitals
Primary & secondary assessments
Obtain event history from caretaker
Identifiable cause? Enter proper protocol
If no identifiable cause, observe/transport; enter appropriate protocol if condition
changes
Epistaxis (127) - Answers -Primary assessment/ABC's
O2 if SpO2 <94% or respiratory distress
Transport to closest facility or ALS rendezvous
Prepare to suction as needed
Severe agitation (128) - Answers -Request ALS
Ensure law enforcement on-scene or enroute
Limit contact with patient until ALS is on scene and ready to manage patient
4 officers recommended for subdual while paramedic personnel prepare agitation
control
Crush injury/Syndrome (129) - Answers -Assess ABC's
O2 as needed
Spinal motion restriction as needed
Apply blanket to keep patient warm
For multi system trauma, treat in conjunction with Trauma Policies and Procedures
Consider trauma activation
