SNHD EMT PROTOCOLS EXAMS SET
BUNDLED QUESTIONS AND CORRECT
ANSWERS SUCCESS PACKAGE
●● General Adult Assessment - Airway compromise?
Answer: If yes, go to Ventilation Management
●● General Adult Assessment - Breathing inadequate or respiratory
distress?
Answer: If yes, go to Respiratory Distress
●● General Adult Assessment - Circulation: Bleeding?
Answer: If yes, go to General Trauma
●● General Adult Assessment - Disability: Altered or confused?
Answer: If yes, go to Altered Mental Status/Syncope
●● General Adult Assessment - LABCD negative?
Answer: HPI & AMPLE
Vital signs and physical exam
Blood glucose as indicated
Specific treatment protocol as indicated
,C-spine?
Splint?
Vascular access
Oxygen as needed
Radio contact
●● Pearls: If ability to adequately ventilate cannot be established?
Answer: Transport to nearest ED
●● Pearls: Should oxygen ever by withheld from respiratory distress?
Answer: No
●● Sexual assault victims < 13 y/o transported where?
Answer: Sunrise Hospital
●● Sexual assault victims > 13-18 transported to where? (2 places)
Answer: Sunrise Hospital or UMC
●● Sexual assault victims > 18 transported to where?
Answer: UMC
●● Sexual assault victims outside 50 mile radius?
,Answer: Nearest ED
●● Stable patients should be transported where?
Answer: To hospital of their choice, if no preference then closest facility
●● Waiting Room criteria?
Answer: HR 60-100
RR 10-20
SBP 100-180
DBP 60-110
SPO2 >94%
A&Ox4
No parenteral medications EXCEPT 1 dose of analgesia or antiemetic
No need for cardiac monitoring
Able to sit
●● If a hospital declares internal disaster, can you bypass them for
cardiac arrest patients?
Answer: Nope
, ●● General Adult Trauma Assessment - first 3 steps
Answer: General Adult Assessment
Cervical Stabilization
GCS?
●● General Adult Trauma Assessment - GCS < 8?
Answer: Ventilation Management
BVM if SPOT < 95%
Palpate for radial pulse
●● General Adult Trauma Assessment - GCS > 8?
Answer: Use oxygen to keep SPO2 > 94%
Palpate for radial pulse
●● General Adult Trauma Assessment - Palpable radial pulse NO?
Answer: Vascular access
1L NS or LR Bolus IV/IO
Secondary survey
●● General Adult Trauma Assessment - Palpable radial pulse YES?
Answer: Vascular Access
BUNDLED QUESTIONS AND CORRECT
ANSWERS SUCCESS PACKAGE
●● General Adult Assessment - Airway compromise?
Answer: If yes, go to Ventilation Management
●● General Adult Assessment - Breathing inadequate or respiratory
distress?
Answer: If yes, go to Respiratory Distress
●● General Adult Assessment - Circulation: Bleeding?
Answer: If yes, go to General Trauma
●● General Adult Assessment - Disability: Altered or confused?
Answer: If yes, go to Altered Mental Status/Syncope
●● General Adult Assessment - LABCD negative?
Answer: HPI & AMPLE
Vital signs and physical exam
Blood glucose as indicated
Specific treatment protocol as indicated
,C-spine?
Splint?
Vascular access
Oxygen as needed
Radio contact
●● Pearls: If ability to adequately ventilate cannot be established?
Answer: Transport to nearest ED
●● Pearls: Should oxygen ever by withheld from respiratory distress?
Answer: No
●● Sexual assault victims < 13 y/o transported where?
Answer: Sunrise Hospital
●● Sexual assault victims > 13-18 transported to where? (2 places)
Answer: Sunrise Hospital or UMC
●● Sexual assault victims > 18 transported to where?
Answer: UMC
●● Sexual assault victims outside 50 mile radius?
,Answer: Nearest ED
●● Stable patients should be transported where?
Answer: To hospital of their choice, if no preference then closest facility
●● Waiting Room criteria?
Answer: HR 60-100
RR 10-20
SBP 100-180
DBP 60-110
SPO2 >94%
A&Ox4
No parenteral medications EXCEPT 1 dose of analgesia or antiemetic
No need for cardiac monitoring
Able to sit
●● If a hospital declares internal disaster, can you bypass them for
cardiac arrest patients?
Answer: Nope
, ●● General Adult Trauma Assessment - first 3 steps
Answer: General Adult Assessment
Cervical Stabilization
GCS?
●● General Adult Trauma Assessment - GCS < 8?
Answer: Ventilation Management
BVM if SPOT < 95%
Palpate for radial pulse
●● General Adult Trauma Assessment - GCS > 8?
Answer: Use oxygen to keep SPO2 > 94%
Palpate for radial pulse
●● General Adult Trauma Assessment - Palpable radial pulse NO?
Answer: Vascular access
1L NS or LR Bolus IV/IO
Secondary survey
●● General Adult Trauma Assessment - Palpable radial pulse YES?
Answer: Vascular Access
