SNHD AEMT PROTOCOLS COMPREHENSIVE
STUDY GUIDE
◉ Pediatric patient considerations.
Answer: For patients < 18 yo, use the Pediatric Patient Destination
protocol; Pediatric treatment protocols are to be used on children
who have not yet experienced puberty.
◉ Signs of puberty include.
Answer: chest or underarm hair on males, and any breast
development in females.
◉ General Adult Assessment.
Answer: 1. Scene safety / scene size up; NOI/MOI; PPE/BSI; Bring all
equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none ->
Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation
management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
,Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need
for telemetry physician & as per protocol
Transport per Disposition Criteria if applicable
*Transport to closest facility for Airway emergencies (inability to
adequately ventilate)
◉ Disposition for patients sustaining traumatic injuries.
Answer: transported in accordance with the Trauma Field Triage
Criteria Protocol
◉ Disposition for patients sustaining burn injuries.
Answer: Transported in accordance with the Burns Protocol
◉ Disposition for pediatric patients (<18 y/o).
Answer: Transported in accordance with the Pediatric Destination
protocol
,◉ Disposition for patients with evidence of stroke.
Answer: Transported in accordance with the Stroke (CVA) protocol
◉ Disposition for sexual assault victims < 13 y/o.
Answer: Transported to Sunrise Hospital
◉ Disposition for sexual assault victims 13-18 y/o.
Answer: Transported to Sunrise Hospital or UMC
◉ Disposition for sexual assault victims 18 y/o and older.
Answer: transported to UMC
◉ Disposition for sexual assault victims outside a 50-mile radius
from the above facilities.
Answer: Transported to the nearest appropriate facility
◉ Disposition for stable patients.
Answer: Transported to the hospital of their choice, if the patient
has no preference the patient should be transported to the nearest
appropriate facility
, ◉ Disposition for patients outside a 50 mile radius from the protocol
designated transport destinations.
Answer: The licensee providing emergency medical care shall
transport the patient to the nearest appropriate facility
◉ Waiting room criteria.
Answer: Upon arrival in the ED, if transfer of care has not occurred
in accordance with NRS 450B.790, any patient, excluding patients on
a legal psychiatric hold, meeting ALL criteria may be placed in a
waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport
except a single dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous
cardiac monitoring
4. Can maintain a sitting position without adverse impact on their
medical condition
5. Is left with a verbal report to hospital personnel
STUDY GUIDE
◉ Pediatric patient considerations.
Answer: For patients < 18 yo, use the Pediatric Patient Destination
protocol; Pediatric treatment protocols are to be used on children
who have not yet experienced puberty.
◉ Signs of puberty include.
Answer: chest or underarm hair on males, and any breast
development in females.
◉ General Adult Assessment.
Answer: 1. Scene safety / scene size up; NOI/MOI; PPE/BSI; Bring all
equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none ->
Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation
management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
,Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need
for telemetry physician & as per protocol
Transport per Disposition Criteria if applicable
*Transport to closest facility for Airway emergencies (inability to
adequately ventilate)
◉ Disposition for patients sustaining traumatic injuries.
Answer: transported in accordance with the Trauma Field Triage
Criteria Protocol
◉ Disposition for patients sustaining burn injuries.
Answer: Transported in accordance with the Burns Protocol
◉ Disposition for pediatric patients (<18 y/o).
Answer: Transported in accordance with the Pediatric Destination
protocol
,◉ Disposition for patients with evidence of stroke.
Answer: Transported in accordance with the Stroke (CVA) protocol
◉ Disposition for sexual assault victims < 13 y/o.
Answer: Transported to Sunrise Hospital
◉ Disposition for sexual assault victims 13-18 y/o.
Answer: Transported to Sunrise Hospital or UMC
◉ Disposition for sexual assault victims 18 y/o and older.
Answer: transported to UMC
◉ Disposition for sexual assault victims outside a 50-mile radius
from the above facilities.
Answer: Transported to the nearest appropriate facility
◉ Disposition for stable patients.
Answer: Transported to the hospital of their choice, if the patient
has no preference the patient should be transported to the nearest
appropriate facility
, ◉ Disposition for patients outside a 50 mile radius from the protocol
designated transport destinations.
Answer: The licensee providing emergency medical care shall
transport the patient to the nearest appropriate facility
◉ Waiting room criteria.
Answer: Upon arrival in the ED, if transfer of care has not occurred
in accordance with NRS 450B.790, any patient, excluding patients on
a legal psychiatric hold, meeting ALL criteria may be placed in a
waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport
except a single dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous
cardiac monitoring
4. Can maintain a sitting position without adverse impact on their
medical condition
5. Is left with a verbal report to hospital personnel
