SNHD AEMT Protocol questions and
answers with solutions 2025
A patient is defined as - ANSWER A person who has a complaint or mechanism suggestive of
potential illness or injury; A person who has obvious evidence of illness or injury; or A person
identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or
injury
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
Internal disaster - ANSWER If a hospital declares internal disaster, that facility is to be bypassed
for all patients except patients in cardiac arrest or in whom the ability to adequately ventilate
has not been established
Operational exceptions may be initiated in regard to transport to hospitals on internal disaster.
, General Adult Trauma Assessment - ANSWER 1. General Adult assessment; cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
4. Secondary survey:
Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - ANSWER Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
answers with solutions 2025
A patient is defined as - ANSWER A person who has a complaint or mechanism suggestive of
potential illness or injury; A person who has obvious evidence of illness or injury; or A person
identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or
injury
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
Internal disaster - ANSWER If a hospital declares internal disaster, that facility is to be bypassed
for all patients except patients in cardiac arrest or in whom the ability to adequately ventilate
has not been established
Operational exceptions may be initiated in regard to transport to hospitals on internal disaster.
, General Adult Trauma Assessment - ANSWER 1. General Adult assessment; cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
4. Secondary survey:
Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - ANSWER Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
