EMD Study Guide
- ANS-
1-C-4 - ANS-25 YOF compaining of abdominal pain. She is completely alert, is breathing
effectively, nearly fainted trying to get out of bed. What is the most appropriate determinant
code?
10-A-1 - ANS-34 YOM states his chest hurts. He is alert, breathing normally but it hurts to
breathe, not clammy, no history of heart attack or angina, and has taken no drugs or
medications in the last 12 hours. What is the most appropriate determinant code?
10-D-4 - ANS-42 YOM having chest pain. He is alert, slight difficulty breathing, no difficulty
speaking between breaths, clammy, no history of heart attack or angina, has taken no drugs or
medications in the past 12 hours. What is the most appropriate determinant code?
10: Chest Pain/Chest Discomfort (Non-Traumatic) - ANS-When the caller indicates the patient is
having heart attack symptoms, which is the protocol the EMD should use?
12-A-1E - ANS-12 YOM having a generalized seizure who has not had more than one in a row,
not diabetic, is epileptic, no history of stroke or brain tumor, jerking has stopped, and breathing
has been verified with the agonal breathing detector. What is the determinant?
12: Convulsions/Seizures - ANS-22 YOM currently having a seizure. During case entry, the
caller reports that he is not awake and not breathing but still seizing. What is the most
appropriate chief complaint?
12: Convulsions/Seizures - ANS-A second party caller reports that his 8 YO sister is currently
having a seizure. She is not awake and not breathing. What is the best chief complaint
protocol?
16-A-1 - ANS-A caller reports her son accidentally got some liquid white-out in his right eye. The
patient is completely alert with no other symptoms. What is the appropriate determinant code?
17-D-1 - ANS-A construction worker fell off the roof of a commercial building. The caller
estimates the patient fell approximately 35 feet. The patient is awake and breathing, with
multiple fractures and SERIOUS bleeding. What is the correct determinant code?
17-D-6 - ANS-9 Mos Old Female fell 12 feet and hit her head. She is completely alert, breathing
normally, with no bleeding. What is the determinant?
17: Falls - ANS-An alert male states he slipped on some ice and fell about an hour ago and that
he hurt his back. What is the most appropirate chief complaint?
18-A-1 - ANS-Alert 1st party caller is reporting a severe headache. She is breathing normally,
able to talk normally, it was a gradual onset of pain, no numbness or paralysis, and no recent
change in behavior. What is the most appropriate determinant code?
19: Heart Problems/AICD - ANS-A caller reports that they are having heart palpitations. What is
the appropriate Protocol to use after Case Entry?
2-A-1 - ANS-An alert 15 YOM is having an allergic reaction to a single bee sting. The patient
has no difficulty breathing or swallowing, has never had a severe allergic reaction before. What
is the most appropriate determinant code?
, 2-D-4 - ANS-A caller reports a patient has been bitten on their foot by a snake. The patient is
awake and breathing normally with no other symptoms. What is the appropriate determinant
code?
2: Allergies (reactions)/Envenomations (stings/bites) - ANS-An alert 1st party caller reports that
he has just been bitten by a rattlesnake. What is the appropriate chief complaint protocol?
21-B-2 - ANS-12 YOM is experiencing a terrible nosebleed with no obvious cause. He is
completely alert, breathing normally, bleeding is SERIOUS, no bleeding disorder and does not
take blood thinners. What is the most appropriate determinant code?
23-O-1a - ANS-The caller reports his father forgot that he took his blood pressure medication
this morning and took a second dose a few minutes ago. He is now feeling light-headed.
Otherwise he is completely alert, breathing normal but a little pale. What is the appropriate
determinant code?
25-D-2 - ANS-A caller reports that their loved one is acting suicidal, has cut himself in several
places, but is asking for help. In Protocol 25 when asked key question 4c the caller indicates
there is spurting blood coming from his armpit that they can't control. The caller does not see
any weapons at this time. What is the appropriate determinant code?
27-B-2G - ANS-45 YOM shot in the foot by his son while hunting. Completely alert and
breathing normally, no serious bleeding, 1 wound to the foot, happened approx 10 minutes ago.
What is the determinant?
27-D-4g - ANS-A caller is reporting a shooting. The suspect has left the scene and the caller is
caring for the single victim who was shot once in the chest. The patient is completely alert but
having difficulty breathing. The caller also reports that there is serious bleeding. What is the
appropriate determinant code?
29-D-2m - ANS-Pedestrian was just hit by a car. During key questioning, the caller reports no
one is pinned. The caller has no other information. What is the most appropriate determinant
code?
30-A-1 - ANS-10 YOF dislocated her elbow doing back handsprings. There is no bleeding, she
is completely alert, her elbow is obviously bent out of shape, and it happened 15 minutes ago.
What is the most appropriate determinant code?
31: Unconscious/Fainting (near) - ANS-48 YOM nearly fainted causing him to fall. He is
currently awake and breathing. What is the most appropriate chief complaint?
4-B-1A - ANS-Assault of a 26 YOM who is completely alert, no difficulty breathing, no serious
bleeding, injuries to head and chest, happened 30 minutes ago. What is the determinant code?
4: Assault/Sexual Assault/Stun Gun - ANS-Male was beaten up by a group of teenagers. He is
unconscious but breathing effectively. What is the most appropriate chief complaint?
6 hours or more - ANS-In MPDS terms, NON-RECENT is defined as a situation in which this
many hours or more have passed since the incident or injury occurred.
a, b, d, and e - ANS-9 YOM fell down and accidentally poked a pencil into his eye. It is still stuck
in his eye. After key questions and initiating dispatch from protocol 16, which Post Dispatch
Instruction from Protocol 16 should be given?
Abnormal breathing, chest pain/discomfort of any kind, decreased level of consciousness, and
SERIOUS hemmorhage. - ANS-The four priority symptoms are:
Agonal Respirations or airway compromise - ANS-64 YOF is unconscious and making funny
noises when she breathes. What are the funny noises most likely caused by?
- ANS-
1-C-4 - ANS-25 YOF compaining of abdominal pain. She is completely alert, is breathing
effectively, nearly fainted trying to get out of bed. What is the most appropriate determinant
code?
10-A-1 - ANS-34 YOM states his chest hurts. He is alert, breathing normally but it hurts to
breathe, not clammy, no history of heart attack or angina, and has taken no drugs or
medications in the last 12 hours. What is the most appropriate determinant code?
10-D-4 - ANS-42 YOM having chest pain. He is alert, slight difficulty breathing, no difficulty
speaking between breaths, clammy, no history of heart attack or angina, has taken no drugs or
medications in the past 12 hours. What is the most appropriate determinant code?
10: Chest Pain/Chest Discomfort (Non-Traumatic) - ANS-When the caller indicates the patient is
having heart attack symptoms, which is the protocol the EMD should use?
12-A-1E - ANS-12 YOM having a generalized seizure who has not had more than one in a row,
not diabetic, is epileptic, no history of stroke or brain tumor, jerking has stopped, and breathing
has been verified with the agonal breathing detector. What is the determinant?
12: Convulsions/Seizures - ANS-22 YOM currently having a seizure. During case entry, the
caller reports that he is not awake and not breathing but still seizing. What is the most
appropriate chief complaint?
12: Convulsions/Seizures - ANS-A second party caller reports that his 8 YO sister is currently
having a seizure. She is not awake and not breathing. What is the best chief complaint
protocol?
16-A-1 - ANS-A caller reports her son accidentally got some liquid white-out in his right eye. The
patient is completely alert with no other symptoms. What is the appropriate determinant code?
17-D-1 - ANS-A construction worker fell off the roof of a commercial building. The caller
estimates the patient fell approximately 35 feet. The patient is awake and breathing, with
multiple fractures and SERIOUS bleeding. What is the correct determinant code?
17-D-6 - ANS-9 Mos Old Female fell 12 feet and hit her head. She is completely alert, breathing
normally, with no bleeding. What is the determinant?
17: Falls - ANS-An alert male states he slipped on some ice and fell about an hour ago and that
he hurt his back. What is the most appropirate chief complaint?
18-A-1 - ANS-Alert 1st party caller is reporting a severe headache. She is breathing normally,
able to talk normally, it was a gradual onset of pain, no numbness or paralysis, and no recent
change in behavior. What is the most appropriate determinant code?
19: Heart Problems/AICD - ANS-A caller reports that they are having heart palpitations. What is
the appropriate Protocol to use after Case Entry?
2-A-1 - ANS-An alert 15 YOM is having an allergic reaction to a single bee sting. The patient
has no difficulty breathing or swallowing, has never had a severe allergic reaction before. What
is the most appropriate determinant code?
, 2-D-4 - ANS-A caller reports a patient has been bitten on their foot by a snake. The patient is
awake and breathing normally with no other symptoms. What is the appropriate determinant
code?
2: Allergies (reactions)/Envenomations (stings/bites) - ANS-An alert 1st party caller reports that
he has just been bitten by a rattlesnake. What is the appropriate chief complaint protocol?
21-B-2 - ANS-12 YOM is experiencing a terrible nosebleed with no obvious cause. He is
completely alert, breathing normally, bleeding is SERIOUS, no bleeding disorder and does not
take blood thinners. What is the most appropriate determinant code?
23-O-1a - ANS-The caller reports his father forgot that he took his blood pressure medication
this morning and took a second dose a few minutes ago. He is now feeling light-headed.
Otherwise he is completely alert, breathing normal but a little pale. What is the appropriate
determinant code?
25-D-2 - ANS-A caller reports that their loved one is acting suicidal, has cut himself in several
places, but is asking for help. In Protocol 25 when asked key question 4c the caller indicates
there is spurting blood coming from his armpit that they can't control. The caller does not see
any weapons at this time. What is the appropriate determinant code?
27-B-2G - ANS-45 YOM shot in the foot by his son while hunting. Completely alert and
breathing normally, no serious bleeding, 1 wound to the foot, happened approx 10 minutes ago.
What is the determinant?
27-D-4g - ANS-A caller is reporting a shooting. The suspect has left the scene and the caller is
caring for the single victim who was shot once in the chest. The patient is completely alert but
having difficulty breathing. The caller also reports that there is serious bleeding. What is the
appropriate determinant code?
29-D-2m - ANS-Pedestrian was just hit by a car. During key questioning, the caller reports no
one is pinned. The caller has no other information. What is the most appropriate determinant
code?
30-A-1 - ANS-10 YOF dislocated her elbow doing back handsprings. There is no bleeding, she
is completely alert, her elbow is obviously bent out of shape, and it happened 15 minutes ago.
What is the most appropriate determinant code?
31: Unconscious/Fainting (near) - ANS-48 YOM nearly fainted causing him to fall. He is
currently awake and breathing. What is the most appropriate chief complaint?
4-B-1A - ANS-Assault of a 26 YOM who is completely alert, no difficulty breathing, no serious
bleeding, injuries to head and chest, happened 30 minutes ago. What is the determinant code?
4: Assault/Sexual Assault/Stun Gun - ANS-Male was beaten up by a group of teenagers. He is
unconscious but breathing effectively. What is the most appropriate chief complaint?
6 hours or more - ANS-In MPDS terms, NON-RECENT is defined as a situation in which this
many hours or more have passed since the incident or injury occurred.
a, b, d, and e - ANS-9 YOM fell down and accidentally poked a pencil into his eye. It is still stuck
in his eye. After key questions and initiating dispatch from protocol 16, which Post Dispatch
Instruction from Protocol 16 should be given?
Abnormal breathing, chest pain/discomfort of any kind, decreased level of consciousness, and
SERIOUS hemmorhage. - ANS-The four priority symptoms are:
Agonal Respirations or airway compromise - ANS-64 YOF is unconscious and making funny
noises when she breathes. What are the funny noises most likely caused by?
