SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
SNHD Paramedic Protocol Exam Study Guide
Questions & Answers
1. Identify the Parkland Burn Formula for Fluid Replacement.
Answer 4ml x (bodyweight in kg) x (% BSA burned) = total fluids for 24 hours,
Give 1/2 in the first 8hours; give remainder over next 16 hours
Pg. 28
2. For children, a fall greater than requires transport to a Level 1 or 2
trauma center.
Answer 10 feet or two times the height of the child
Pg. 127
3. What is the dose of Naloxone (Narcan) in the setting of a suspected over-
dose?
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,SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
Answer 2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
4. For a traumatic cardiac arrest, what interventions must be performed prior
to considering terminating resuscitation efforts?
Answer Provide effective ventilation with 100% oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
5. For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic
blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin?
Answer 1.6mg SL
Pg. 49
6. Which patient(s) can be taken to a hospital that has been placed on internal
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,SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
disaster?
Answer A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
7. A patient who was ejected from a motor vehicle requires transport to a Level1
and 2 trauma center only.
Answer False (Level 1, 2 or 3)
Pg. 127
8. When should radio contact be established to a receiving facility?
Answer All traumapatients
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,SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
9. How often can additional Diazepam (Valium) doses be administered to a
pregnant patient who is refractory to Magnesium Sulfate?
Answer Every 5 minutes
Pg. 43
10. For non-trauma patients, telemetry reports should include at a minimum
which of the following?
Answer Attendant/vehicle identification, Nature of call INFOR- MATION ONLY or
REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e.number, age, sex),
Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment,
Estimated time of arrival including any special circumstancesthat may cause a delay
in transport
4 of 39 11/8/2024, 7:31
SNHD Paramedic Protocol Exam Study Guide
Questions & Answers
1. Identify the Parkland Burn Formula for Fluid Replacement.
Answer 4ml x (bodyweight in kg) x (% BSA burned) = total fluids for 24 hours,
Give 1/2 in the first 8hours; give remainder over next 16 hours
Pg. 28
2. For children, a fall greater than requires transport to a Level 1 or 2
trauma center.
Answer 10 feet or two times the height of the child
Pg. 127
3. What is the dose of Naloxone (Narcan) in the setting of a suspected over-
dose?
1 of 39 11/8/2024, 7:31
,SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
Answer 2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
4. For a traumatic cardiac arrest, what interventions must be performed prior
to considering terminating resuscitation efforts?
Answer Provide effective ventilation with 100% oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
5. For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic
blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin?
Answer 1.6mg SL
Pg. 49
6. Which patient(s) can be taken to a hospital that has been placed on internal
2 of 39 11/8/2024, 7:31
,SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
disaster?
Answer A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
7. A patient who was ejected from a motor vehicle requires transport to a Level1
and 2 trauma center only.
Answer False (Level 1, 2 or 3)
Pg. 127
8. When should radio contact be established to a receiving facility?
Answer All traumapatients
3 of 39 11/8/2024, 7:31
,SNHD Paramedic Protocol Exam Study Guide.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/SNHD%20Param
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
9. How often can additional Diazepam (Valium) doses be administered to a
pregnant patient who is refractory to Magnesium Sulfate?
Answer Every 5 minutes
Pg. 43
10. For non-trauma patients, telemetry reports should include at a minimum
which of the following?
Answer Attendant/vehicle identification, Nature of call INFOR- MATION ONLY or
REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e.number, age, sex),
Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment,
Estimated time of arrival including any special circumstancesthat may cause a delay
in transport
4 of 39 11/8/2024, 7:31
