SNHD Protocol Test Review
Patient Transport and Emergencies
1. Ventilation Issues:
If a patient cannot be adequately ventilated, they must be:
✔️ transported to the nearest emergency department.
2. Sexual Assault Victim Transport:
- Under 13 years:
✔️ transport to Sunrise.
- Ages 13 to 18:
✔️ transport to Sunrise or UMC.
- Over 18 years:
✔️ transport to UMC.
3. BVM Ventilation:
Bag-Valve-Mask (BVM) is an acceptable ventilation method if pulse oximetry is maintained at:
✔️ greater than or equal to 90%.
4. Signs Indicating Aneurysm:
Neuro disorders or signs of hypo perfusion/shock in patients with abdominal pain may indicate:
✔️ an aneurysm.
5. Post-Fluid Bolus Care:
After each fluid bolus, it's essential to:
✔️ repeat vital signs.
, 6. Abdominal/Flank Pain in Older Patients:
In patients over 35 presenting with abdominal or flank pain along with nausea and vomiting, consider:
✔️ a cardiac origin and perform a 12-lead ECG.
7. Nitroglycerin Contraindications:
Nitroglycerin is not advised in patients with:
✔️ hypotension, bradycardia, tachycardia in the absence of heart failure, or signs of right ventricular
infarction.
8. 12-Lead ECG Indications:
Always perform a 12-lead on patients aged 35 and older experiencing:
✔️ vague jaw, chest, or abdominal discomfort (suspected acute coronary syndrome).
9. Epinephrine Admin Monitoring:
Always conduct:
✔️ ECG monitoring when administering Epinephrine.
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Glucose and Neurological Assessments
10. Oral Glucose Administration:
For patients with altered mentation or syncope, provide oral glucose if blood sugar is:
✔️ less than 60 mg/dL.
11. Dystonic Reaction:
Defined as:
✔️ involuntary muscle movements or spasms, typically affecting the face, neck, and upper
extremities, often due to drugs like haloperidol.
Patient Transport and Emergencies
1. Ventilation Issues:
If a patient cannot be adequately ventilated, they must be:
✔️ transported to the nearest emergency department.
2. Sexual Assault Victim Transport:
- Under 13 years:
✔️ transport to Sunrise.
- Ages 13 to 18:
✔️ transport to Sunrise or UMC.
- Over 18 years:
✔️ transport to UMC.
3. BVM Ventilation:
Bag-Valve-Mask (BVM) is an acceptable ventilation method if pulse oximetry is maintained at:
✔️ greater than or equal to 90%.
4. Signs Indicating Aneurysm:
Neuro disorders or signs of hypo perfusion/shock in patients with abdominal pain may indicate:
✔️ an aneurysm.
5. Post-Fluid Bolus Care:
After each fluid bolus, it's essential to:
✔️ repeat vital signs.
, 6. Abdominal/Flank Pain in Older Patients:
In patients over 35 presenting with abdominal or flank pain along with nausea and vomiting, consider:
✔️ a cardiac origin and perform a 12-lead ECG.
7. Nitroglycerin Contraindications:
Nitroglycerin is not advised in patients with:
✔️ hypotension, bradycardia, tachycardia in the absence of heart failure, or signs of right ventricular
infarction.
8. 12-Lead ECG Indications:
Always perform a 12-lead on patients aged 35 and older experiencing:
✔️ vague jaw, chest, or abdominal discomfort (suspected acute coronary syndrome).
9. Epinephrine Admin Monitoring:
Always conduct:
✔️ ECG monitoring when administering Epinephrine.
---
Glucose and Neurological Assessments
10. Oral Glucose Administration:
For patients with altered mentation or syncope, provide oral glucose if blood sugar is:
✔️ less than 60 mg/dL.
11. Dystonic Reaction:
Defined as:
✔️ involuntary muscle movements or spasms, typically affecting the face, neck, and upper
extremities, often due to drugs like haloperidol.
