SNHD AEMT Protocol UPDATED ACTUAL Exam Questions and CORRECT Answers

SNHD AEMT Protocol UPDATED
ACTUAL Exam Questions and CORRECT
Answers
A patient is defined as - CORRECT 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 - CORRECT 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 - CORRECT ANSWER - chest or underarm hair on males, and
any breast development in females.


General Adult Assessment - CORRECT 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 - CORRECT ANSWER - transported
in accordance with the Trauma Field Triage Criteria Protocol


Disposition for patients sustaining burn injuries - CORRECT ANSWER - Transported in
accordance with the Burns Protocol


Disposition for pediatric patients (<18 y/o) - CORRECT ANSWER - Transported in
accordance with the Pediatric Destination protocol


Disposition for patients with evidence of stroke - CORRECT ANSWER - Transported in
accordance with the Stroke (CVA) protocol


Disposition for sexual assault victims < 13 y/o - CORRECT ANSWER - Transported to
Sunrise Hospital


Disposition for sexual assault victims 13-18 y/o - CORRECT ANSWER - Transported to
Sunrise Hospital or UMC


Disposition for sexual assault victims 18 y/o and older - CORRECT ANSWER -
transported to UMC


Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
CORRECT ANSWER - Transported to the nearest appropriate facility

,Disposition for stable patients - CORRECT 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 - CORRECT ANSWER - The licensee providing emergency medical care
shall transport the patient to the nearest appropriate facility


Waiting room criteria - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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


General adult trauma signs and symptoms - CORRECT ANSWER - Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock