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Exam (elaborations)

ProQA Protocol Reference – Advanced Verified Q&A on Emergency Dispatch Scenarios and Clinical Guidelines

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This extensive document contains a complete reference of verified ProQA protocol questions and answers covering complex dispatch scenarios, clinical decision rules, protocol-specific axioms, and emergency condition management. It details responses for seizure types, trauma codes, maternal and neonatal emergencies, hazardous exposures, priority symptoms, medication administration (e.g., Narcan, ASA), and code suffix usage. Tailored for EMS dispatchers, medical call takers, and clinical QA reviewers preparing for advanced certification or protocol auditing.

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Institution
Proqa
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Uploaded on
June 10, 2025
Number of pages
25
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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ProQa questions with verified answers
Absence seizure Ans✓✓✓ A brief "staring spell" in a conscious patient
caused by electrical activity on the brain. Usually lasts 10 seconds and
may include abnormal muscle activity such as fluttering eyelids, lip
smacking or chewing


Agonal breathing Ans✓✓✓ Reflex mechanism as the brain stem
responds to a decrease in oxygen. These are dying breaths. These
occasional irregular attempts to breathe after the heart has stopped
may range from gasping to near normal but irregular deep breaths and
may include vocal sounds.


Allergies code changes Ans✓✓✓ Do not send a alpha code for patients
who offer worsening symptoms change to 2C0


Allergy do not get off the phone if Ans✓✓✓ - Code C
- history of severe allergic reaction with same trigger (insect/substance)
- Patients condition who seems unstable or worsening


Amputations Ans✓✓✓ Minor (finger/toe) and major amputations will
be handled on protocol 30.


Aspirin rules Ans✓✓✓ 1. Never should be given to people who are not
alert, under age 16, pregnant or have reported stroke symptoms

,2. 1st party should not be asked to locate any aspirin outside their
home
3. 2nd party callers can be asked to have someone else check for aspirin
with neighbours or others
4. If patient has just taken aspirin or routinely takes aspirin they can
have another dose
5. If they ask for water tell them they can only have a mouthful
6 if the medicine is not listed in the approved aspirin list do not take it
7 expired aspirin can be taken
8 higher than 300 mg doses can be taken


Atypical seizure Ans✓✓✓ A fit that is mentioned as different from or
not normal as compared to the patients previous firs.


Baby not breathing Ans✓✓✓ 1. Continue through PAIs F7 and F7a
(check baby - obvious problems) F14 and F14a (check baby's
breathing/airway - back rub and green fluid check)
2. At panel N4 (start mouth to mouth) if the baby is still not breathing
initiate the sudden arrest icon
3. Answer the KQ in relation to defib as no (cannot use defib under 1)
4. Send reconfigured 9D1 code
5. Type in remarks BABY NOT BREATHING
6. CAS to fire if in EMR area
7. Notify the clinician via the clin button

, 8. Go to case entry and change the age to <1 and 0 in year
9. Navigate to DLA link suspected workable arrest
10. Commence neonate PAIs


Black button Ans✓✓✓ 1, 5, 6, 10, 12, 13, 16, 18, 19, 20, 24, 26, 28, 31,
32


Blue ring octopus/cone shell instructions Ans✓✓✓ 1. Keep them from
moving around
2. Keep the bitten limb down
3. Bandage the limb from the area of the bite to hand/foot, then back
up to the body, snugly enough to allow one finger to slip between the
bandage and the skin)
4. Immobilise the limb by splinting if possible
5. You need to watch his breathing very closely. We may need to give
him mouth to mouth if he stops breathing


Breathing verification diagnostic Ans✓✓✓ Used in unconscious
patients when they say they are breathing
Used to confirm effective breathing
Question mark on icon will turn red if mandatory to use

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