SNHD PROTOCOLS 2026 QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS (GRADED A+)
Overview and Authority
Question: What is the primary objective and scope of this medical protocol
manual? Answer: ✔✔ To establish uniform and standardized prehospital medical
care across the Clark County EMS system. It functions as a set of clinical
guidelines that strictly operate within the legal boundaries defined by the Clark
County Emergency Medical Services Regulations.
Transport and Treatment Priorities
Question: How should patient care interventions balance against the need for swift
transit to a hospital? Answer: ✔✔ EMS interventions must never stall or delay the
immediate transport of a patient. Necessary clinical treatments should be actively
performed while moving en route to the definitive care facility.
Protocol Reference Legend
Question: What do the numerical markers in the protocol manual represent for an
attending provider? Answer: ✔✔ They serve as a quick-reference key to identify
safety alerts, age-specific modifications, communication requirements, and scope-
of-practice limitations:
1. Crucial Alerts: Critical warnings, safety hazards, or clinical cautions.
2. Pediatric Focus: Special treatment modifications designated for children
under 12 years old.
3. Physician Consultation: Mandatory requirement to establish telemetry
contact.
4. Targeted Guidance: Reference to a separate, highly specific clinical
protocol.
5. Basic Scope: Interventions permitted for EMT-level attendants and higher.
6. Intermediate Scope: Interventions permitted for AEMT-level attendants
and higher.
, 7. Advanced Scope: Interventions restricted exclusively to Paramedic-level
attendants.
Who is the current District Health Officer?
Fermin Leguen, MD, MPH
In what position should a patient who has a suspected traumatic brain injury be
transported?
(General Adult Trauma Assessment Protocol)
Head of the bed elevated to 30°
What should be utilized for an abdominal evisceration?
(General Adult Trauma Assessment)
Wet trauma dressing
What Sp02 is acceptable when utilizing a BVM?
(General Adult Trauma Assessment)
90%
How much fluid is to be administered to a patient who does not have a palpable
radial pulse?
,(General Adult Trauma Assessment)
1 L of normal saline
At what level should the waveform capnography be maintained?
(General Adult Trauma Assessment)
35 mm Hg
What are the signs of a tension pneumothorax?
(General Adult Trauma Assessment)
•Absent breath sounds
•Hypoxia, rapid respiratory rate
•Hypotension, tachycardia
•JVD
•Tracheal deviation
What additional assessment should be considered when assessing a person with
abdominal/flank pain?
(Abdominal/Flank Pain, Nausea & Vomiting)
Retroperitoneal palpation for kidney pain
What should be a consideration for female patients of childbearing age?
(Abdominal/Flank Pain, Nausea & Vomiting)
, Pregnant until proven otherwise
What is the fluid bolus amount for a patient with abdominal/flank pain who has
signs of hypovolemia?
(Abdominal/Flank Pain, Nausea & Vomiting)
500 mL bolus, up to 2L
At what age should abdominal/flank pain patients be placed on a cardiac monitor
and acquire a 12-Lead EKG?
• 35-years-old or older
• Anyone with a cardiac history
What medications may be utilized for patients with nausea or vomiting?
• Ondansetron 4 mg ODT/IM/IV/IO
• Droperidol 1.25 mg IM/IV/IO
• Metoclopramide 10 mg slow IV bolus or
IM
• Prochloperazine max 10 mg IV/IM/lO
How many body systems are involved with anaphylaxis?
Two or more systems
AND ANSWERS WITH COMPLETE
SOLUTIONS (GRADED A+)
Overview and Authority
Question: What is the primary objective and scope of this medical protocol
manual? Answer: ✔✔ To establish uniform and standardized prehospital medical
care across the Clark County EMS system. It functions as a set of clinical
guidelines that strictly operate within the legal boundaries defined by the Clark
County Emergency Medical Services Regulations.
Transport and Treatment Priorities
Question: How should patient care interventions balance against the need for swift
transit to a hospital? Answer: ✔✔ EMS interventions must never stall or delay the
immediate transport of a patient. Necessary clinical treatments should be actively
performed while moving en route to the definitive care facility.
Protocol Reference Legend
Question: What do the numerical markers in the protocol manual represent for an
attending provider? Answer: ✔✔ They serve as a quick-reference key to identify
safety alerts, age-specific modifications, communication requirements, and scope-
of-practice limitations:
1. Crucial Alerts: Critical warnings, safety hazards, or clinical cautions.
2. Pediatric Focus: Special treatment modifications designated for children
under 12 years old.
3. Physician Consultation: Mandatory requirement to establish telemetry
contact.
4. Targeted Guidance: Reference to a separate, highly specific clinical
protocol.
5. Basic Scope: Interventions permitted for EMT-level attendants and higher.
6. Intermediate Scope: Interventions permitted for AEMT-level attendants
and higher.
, 7. Advanced Scope: Interventions restricted exclusively to Paramedic-level
attendants.
Who is the current District Health Officer?
Fermin Leguen, MD, MPH
In what position should a patient who has a suspected traumatic brain injury be
transported?
(General Adult Trauma Assessment Protocol)
Head of the bed elevated to 30°
What should be utilized for an abdominal evisceration?
(General Adult Trauma Assessment)
Wet trauma dressing
What Sp02 is acceptable when utilizing a BVM?
(General Adult Trauma Assessment)
90%
How much fluid is to be administered to a patient who does not have a palpable
radial pulse?
,(General Adult Trauma Assessment)
1 L of normal saline
At what level should the waveform capnography be maintained?
(General Adult Trauma Assessment)
35 mm Hg
What are the signs of a tension pneumothorax?
(General Adult Trauma Assessment)
•Absent breath sounds
•Hypoxia, rapid respiratory rate
•Hypotension, tachycardia
•JVD
•Tracheal deviation
What additional assessment should be considered when assessing a person with
abdominal/flank pain?
(Abdominal/Flank Pain, Nausea & Vomiting)
Retroperitoneal palpation for kidney pain
What should be a consideration for female patients of childbearing age?
(Abdominal/Flank Pain, Nausea & Vomiting)
, Pregnant until proven otherwise
What is the fluid bolus amount for a patient with abdominal/flank pain who has
signs of hypovolemia?
(Abdominal/Flank Pain, Nausea & Vomiting)
500 mL bolus, up to 2L
At what age should abdominal/flank pain patients be placed on a cardiac monitor
and acquire a 12-Lead EKG?
• 35-years-old or older
• Anyone with a cardiac history
What medications may be utilized for patients with nausea or vomiting?
• Ondansetron 4 mg ODT/IM/IV/IO
• Droperidol 1.25 mg IM/IV/IO
• Metoclopramide 10 mg slow IV bolus or
IM
• Prochloperazine max 10 mg IV/IM/lO
How many body systems are involved with anaphylaxis?
Two or more systems
