NEW 2025 ICEMA PROTOCOLS
TEST QUESTIONS WITH VERIFIED
ANSWERS
What is the HERT team's mission for San Bernardino county? - ANSWER To
respond to calls of trauma scenes in an effort to provide advanced surgical care
on the scene
Describe the principles (A,B, and C) of the HERT team San Bernardino county
- ANSWER Applied where life saving maneuvers is required to allow
extrication of a trauma patient; the team is trained and equipped to respond
within a period of 20 minutes with predetermined, preassembled life saving
equipment
HERT Team access to the emergency medical scene will be at the discretion of
whom? - ANSWER Access to the emergency medical scene will be at the
discretion of the incident commander
What triage criteria defines trauma base contact? - ANSWER Patients meeting
all trauma triage criteria; trauma base station contact shall be made
What is the expected on scene time (in routine conditions) on trauma calls? -
ANSWER 5-10 minutes
Compare the Glasgow Coma Scale Operational Definitions, Compare the Child
GCS with infant GCS. What are the differences? - ANSWER All three sections
are similar with variations from the adult scale in verbal and motor responses
, What is the most important component of the GCS when the patient is
intubated? - ANSWER When the patient is preverbal, unconscious, or
intubated, the most important component of this scale is motor response
List the contraindications for airship transport use:
- ANSWER The patient falls under these three catagories: non decontaminated
patients, violent patients, intoxicated patients, stable patients, ground x port is
less than 30 minutes, traumatic full arrest
If the trauma patient does not meet the "Obvious Death Criteria" what base
hospital contact should be made for determination of death? what should be
recorded? - ANSWER Call a trauma base for determination of death; record
asystole in at least two adjacent leads, and no reported vital signs during the
EMS course
If the airway is not sufficient with a BVM device and the paramedic is unable to
indicate or, if indicated, unable to perform a successful needle cricothyrotomy,
what will be done? - ANSWER Transport to the closest receiving hospital. RSI
has to be performed in a hospital and not on scene
If there are associated physiologic or anatomic trauma criteria present fulfilling
one or more of the mechanisms of injury, who determines the destination of the
patients? - ANSWER A base hospital physician, following consultation
What physiological and anatomical criteria must be present for trauma base
hospital contact? - ANSWER GCS <13, need for ventilator support, penetrating
chest or torso trauma, degloved extremity
If a physiologic or anatomic need is not met, what mechanism of injury
parameters and high-energy impact findings are required to justify trauma base
hospital activation in the adult patient? - ANSWER More than 20' falls or high-
risk motor vehicle crash with compartment intrusion, ejection, motor vehicle vs
ped
TEST QUESTIONS WITH VERIFIED
ANSWERS
What is the HERT team's mission for San Bernardino county? - ANSWER To
respond to calls of trauma scenes in an effort to provide advanced surgical care
on the scene
Describe the principles (A,B, and C) of the HERT team San Bernardino county
- ANSWER Applied where life saving maneuvers is required to allow
extrication of a trauma patient; the team is trained and equipped to respond
within a period of 20 minutes with predetermined, preassembled life saving
equipment
HERT Team access to the emergency medical scene will be at the discretion of
whom? - ANSWER Access to the emergency medical scene will be at the
discretion of the incident commander
What triage criteria defines trauma base contact? - ANSWER Patients meeting
all trauma triage criteria; trauma base station contact shall be made
What is the expected on scene time (in routine conditions) on trauma calls? -
ANSWER 5-10 minutes
Compare the Glasgow Coma Scale Operational Definitions, Compare the Child
GCS with infant GCS. What are the differences? - ANSWER All three sections
are similar with variations from the adult scale in verbal and motor responses
, What is the most important component of the GCS when the patient is
intubated? - ANSWER When the patient is preverbal, unconscious, or
intubated, the most important component of this scale is motor response
List the contraindications for airship transport use:
- ANSWER The patient falls under these three catagories: non decontaminated
patients, violent patients, intoxicated patients, stable patients, ground x port is
less than 30 minutes, traumatic full arrest
If the trauma patient does not meet the "Obvious Death Criteria" what base
hospital contact should be made for determination of death? what should be
recorded? - ANSWER Call a trauma base for determination of death; record
asystole in at least two adjacent leads, and no reported vital signs during the
EMS course
If the airway is not sufficient with a BVM device and the paramedic is unable to
indicate or, if indicated, unable to perform a successful needle cricothyrotomy,
what will be done? - ANSWER Transport to the closest receiving hospital. RSI
has to be performed in a hospital and not on scene
If there are associated physiologic or anatomic trauma criteria present fulfilling
one or more of the mechanisms of injury, who determines the destination of the
patients? - ANSWER A base hospital physician, following consultation
What physiological and anatomical criteria must be present for trauma base
hospital contact? - ANSWER GCS <13, need for ventilator support, penetrating
chest or torso trauma, degloved extremity
If a physiologic or anatomic need is not met, what mechanism of injury
parameters and high-energy impact findings are required to justify trauma base
hospital activation in the adult patient? - ANSWER More than 20' falls or high-
risk motor vehicle crash with compartment intrusion, ejection, motor vehicle vs
ped
