SNHD EMT EMS PROTOCOLS
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!!
Question: What is the specific clinical threshold to administer oral glucose to a
pediatric patient?
✔✔ Answer: A documented blood glucose level (BGL) of less than 60 mg/dL,
provided the child is conscious and has an intact gag reflex.
Question: What is the blood glucose threshold indicating the need for oral glucose
or carbohydrate intervention in a newborn?
✔✔ Answer: A documented blood glucose level of less than 40 mg/dL.
Question: At what pulse rate threshold must a healthcare provider initiate chest
compressions (cardiac arrest protocol) for a pediatric patient with poor perfusion?
✔✔ Answer: A heart rate less than 60 beats per minute (bpm) despite receiving
adequate oxygenation and ventilation support.
Question: What is the standard medication dosage and administration route for
Naloxone (Narcan) when treating a pediatric patient with a suspected opioid
overdose?
✔✔ Answer: A dose of 2 to 4 mg delivered entirely via the intranasal (IN) route
using a mucosal atomization device.
Question: What age threshold officially classifies a sexual assault victim as a
pediatric patient under forensic and medical protocol?
✔✔ Answer: Any individual under 18 years of age.
Question: What is the routing protocol for EMS when a destination hospital has
declared an active "Internal Disaster"?
✔✔ Answer: The crew must completely bypass that specific facility and divert to
the next closest appropriate emergency department, unless the patient is in active
cardiac arrest or an
,Mild, Moderate, and Sever signs of allergic reactions (Peds & Adults) -ANSWER
✔✔Mild- Skin reaction
Moderate- skin reaction w/ some respiratory involvement but the patient can still
maintain good tidal volume and air exchange
Severe- Respiratory difficulty
Who should you never use Narcan on? -ANSWER ✔✔Newborns
Pediatric Patients with altered mental status- it is important to not excuse____
causes -ANSWER ✔✔Drugs, alcohol, or diabetes
Should narcan be administered before or after advanced airway procedures? -
ANSWER ✔✔Before
A pediatric patients HR is less than 60bpm, what now? -ANSWER
✔✔Immediately begin CPR
Pediatric Rule of 9's - Head -ANSWER ✔✔18% BSA
Pediatric Rule of 9's - Arms -ANSWER ✔✔9% BSA Each
Pediatric Rule of 9's - Legs -ANSWER ✔✔14% BSA Each
Pediatric Rule of 9's - Anterior Trunk -ANSWER ✔✔18% BSA
Pediatric Rule of 9's - Posterior Trunk -ANSWER ✔✔18% BSA
, Pediatric Rule of 9's - Groin -ANSWER ✔✔1% BSA
Life resuscitating treatment includes -ANSWER ✔✔Chest compressions
Defibrillation
Assisted ventilations
Prior to transfer who is responsible for notifying the reciveiving staff of reason,
patient condition, and ETA? -ANSWER ✔✔The physician to the receiving
physician
Criteria a patient must meet in order to be transported to a drug and alcohol rehab
facility (vs an emergency room) -ANSWER ✔✔BP: 90-180/60-100
Pulse: 60-120
Respiratory Rate: 12-22
Blood Glucose: 60-250
GCS: >14
Spo2: >94% or >90% for a smoker
No Medical Complications
No signs of trauma
No suspected head trauma
Approval of physican or mediacal staff prior to transport
When resuscitation efforts are terminated what should you do with medical
interventions? -ANSWER ✔✔leave them in place
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!!
Question: What is the specific clinical threshold to administer oral glucose to a
pediatric patient?
✔✔ Answer: A documented blood glucose level (BGL) of less than 60 mg/dL,
provided the child is conscious and has an intact gag reflex.
Question: What is the blood glucose threshold indicating the need for oral glucose
or carbohydrate intervention in a newborn?
✔✔ Answer: A documented blood glucose level of less than 40 mg/dL.
Question: At what pulse rate threshold must a healthcare provider initiate chest
compressions (cardiac arrest protocol) for a pediatric patient with poor perfusion?
✔✔ Answer: A heart rate less than 60 beats per minute (bpm) despite receiving
adequate oxygenation and ventilation support.
Question: What is the standard medication dosage and administration route for
Naloxone (Narcan) when treating a pediatric patient with a suspected opioid
overdose?
✔✔ Answer: A dose of 2 to 4 mg delivered entirely via the intranasal (IN) route
using a mucosal atomization device.
Question: What age threshold officially classifies a sexual assault victim as a
pediatric patient under forensic and medical protocol?
✔✔ Answer: Any individual under 18 years of age.
Question: What is the routing protocol for EMS when a destination hospital has
declared an active "Internal Disaster"?
✔✔ Answer: The crew must completely bypass that specific facility and divert to
the next closest appropriate emergency department, unless the patient is in active
cardiac arrest or an
,Mild, Moderate, and Sever signs of allergic reactions (Peds & Adults) -ANSWER
✔✔Mild- Skin reaction
Moderate- skin reaction w/ some respiratory involvement but the patient can still
maintain good tidal volume and air exchange
Severe- Respiratory difficulty
Who should you never use Narcan on? -ANSWER ✔✔Newborns
Pediatric Patients with altered mental status- it is important to not excuse____
causes -ANSWER ✔✔Drugs, alcohol, or diabetes
Should narcan be administered before or after advanced airway procedures? -
ANSWER ✔✔Before
A pediatric patients HR is less than 60bpm, what now? -ANSWER
✔✔Immediately begin CPR
Pediatric Rule of 9's - Head -ANSWER ✔✔18% BSA
Pediatric Rule of 9's - Arms -ANSWER ✔✔9% BSA Each
Pediatric Rule of 9's - Legs -ANSWER ✔✔14% BSA Each
Pediatric Rule of 9's - Anterior Trunk -ANSWER ✔✔18% BSA
Pediatric Rule of 9's - Posterior Trunk -ANSWER ✔✔18% BSA
, Pediatric Rule of 9's - Groin -ANSWER ✔✔1% BSA
Life resuscitating treatment includes -ANSWER ✔✔Chest compressions
Defibrillation
Assisted ventilations
Prior to transfer who is responsible for notifying the reciveiving staff of reason,
patient condition, and ETA? -ANSWER ✔✔The physician to the receiving
physician
Criteria a patient must meet in order to be transported to a drug and alcohol rehab
facility (vs an emergency room) -ANSWER ✔✔BP: 90-180/60-100
Pulse: 60-120
Respiratory Rate: 12-22
Blood Glucose: 60-250
GCS: >14
Spo2: >94% or >90% for a smoker
No Medical Complications
No signs of trauma
No suspected head trauma
Approval of physican or mediacal staff prior to transport
When resuscitation efforts are terminated what should you do with medical
interventions? -ANSWER ✔✔leave them in place
