ICEMA FINAL STUDY GUIDE EXAM
WITH VERIFIED SOLUTIONS
Physician lon lScene
What lthey lcan land lcannot ldo, lwhat lyou lcan land lcannot ldo l- lcorrect lanswers l-
Organ lDonor lInformation
What ldo lyou ldo lwith lthis linformation? l- lcorrect lanswers l--adult lpatient lfor lwhom lit
lappears ldeath lis limminent; la lreasonable lsearch lof lthe
patient's lbelonging lshould lbe lmade lto ldetermine lif lthe lindividual lcarries linformation
indicating lstatus las lan lorgan ldonor
- lEMS lfield lpersonnel lshall lnotify lthe lreceiving lhospital lif lorgan ldonor linformation lis
discovered
- lAny lorgan ldonor ldocument ldiscovered lshould lbe ltransported lto lthe lreceiving
lhospital
with lthe lpatient lunless lthe linvestigating llaw lenforcement lofficer lrequests lthe
,document
- lEMS lfield lpersonnel lshould lbriefly lnote lthe lresults lof lthe lsearch, lnotification lof
lhospital
and lwitness lname(s) lon lthe lpatient lcare lreport
- lNo lsearch lis lto lbe lmade lby lEMS lfield lpersonnel lafter lthe lpatient lhas lexpired
Patient lRestraints
Requirements lfor lapplying lrestraints? l- lcorrect lanswers l-only, lwhen lnecessary, lin
lsituations lwhere lthe lpatient lis lpotentially lviolent land lis
exhibiting lbehavior lthat lis ldangerous lto lself lor lothers
aggressive lor lviolent lbehavior lmay lbe la lsymptom lof lmedical lconditions lsuch las
lhead
trauma, lalcohol, ldrug-related lproblems, lmetabolic ldisorders, lstress land lpsychiatric
disorders
method lof lrestraint lused lshall lallow lfor ladequate lmonitoring lof lvital lsigns land lshall
lnot
restrict lthe lability lto lprotect lthe lpatient's lairway, lbreathing, lor lcompromise
neurological lor lvascular lstatus
Restraints lshould lbe lapplied lby llaw lenforcement lwhenever lpossible. lIf lapplied, lan
officer lis lrequired lto lremain lavailable lat lthe lscene lor lduring ltransport lto lremove lor
adjust lthe lrestraints lfor lpatient lsafety
This lpolicy lis lnot lintended lto lnegate lthe lneed lfor llaw lenforcement lpersonnel lto luse
appropriate lrestraint lequipment lthat lis lapproved lby lits lrespective lagency lto lestablish
scene-management lcontrol
Patient lRefusal lof lCare- lAdult
What lis lneeded lfor la lrefusal? l- lcorrect lanswers l-- lA/O lx l4
- lNotified lup lto ldeath
- lFully linformed lof lsituation
- lBase lhospital lcontact
- lSignature
Treatment land lTransportation lRecommendations lfor lpatients lwith lEmerging
Infectious lDiseases
Treatment lfor lthe lpatient? l- lcorrect lanswers l-- lTreatment lfor la lsymptomatic
lindividual lwho lis la lconfirmed lcase, lor la lsuspected lcase lof
infectious ldisease lis lsupportive lbased lupon lassessment lfindings
,- lIV lfluids land lappropriate lmedications lare lto lbe linitiated lper lestablished lprotocols
Interfacility lTransfer lGuidelines
ALS lDo's land lDon'ts l- lcorrect lanswers l-EMT-Ps lmay lnot ltransport la lpatient lwith lIV
ldrips lthat lare lnot lin lthe lEMT-P lscope lof
practice
- lEMT-Ps lmay lnot ltransport lpatients lwith lblood lor lblood lproducts.
EMT-Ps lmay linitiate lprior lto lcontact lprotocols lif lthe lpatient's lcondition ldeteriorates,
then lmust lcontact lthe lbase lhospital
Hospital lEmergency lResponse lTeam l(HERT)
Definition land lpurpose l- lcorrect lanswers l-Definition l
rapid ladvanced lsurgical lcare lat lthe lscene, lin lwhich la lhigher llevel lof lon lscene
lsurgical lexpertise,
physician lfield lresponse
Purpose l
utilized lin la lsituation lwhere la llife-saving lprocedure, lsuch las lan lamputation, lis
lrequired ldue lto
the linability lto lextricate la lpatient. lLife lbefore llimb lconcept lis lutilized las la llife-saving
lmeasure,
not las la ltime lsaving lmeasure
- lshould lbe lassembled land lready lto lrespond lwithin l20 lminutes lof la lrequest
Medical lResponse lto la lMulti-Casualty lIncident
START lTriage
Definition lof lMCI
Care lpriorities
Airship ltransportation lguidelines l- lcorrect lanswers l-StART lTriage
Simple lTriage land lRapid lTreatment. l* lSTART lincludes lrapidly lassessing l(in lless
lthan l1 lminute) levery lpatient, ldetermining lwhich lof l4 lclinical lcategories lthe lpatient
lbelongs, land lvisibly lidentifying lthe lcategory lfor lrescuers lwho lwill ltreat lthe lpatient.
Definition lof lMCI
An lMCI lis lany lincident lwhere lpersonnel lon lscene lhave lrequested ladditional
lresponses lto lcare
, for lall lvictims:
▫ lIncident lrequires lfive l(5) lor lmore lambulances; land/or
▫ lIncident linvolves lten l(10) lor lmore lpatients; land/or
▫ lRequires lutilization lof ltriage ltags; land/or
▫ lMay lrequire lpatient ldistribution lto lmore lthan lone l(1) lhospital
Care lpriorities
Adults lshall lbe ltriaged laccording lto lSTART las loutlined lin lFirescope. lPediatric
lpatients lshall lbe
triaged laccording lto lJumpSTART
Airship ltransportation lguidelines
The lCCC l(County lCommunications lCenter) lshall ldispatch lall lair lresources lfor lthe
lMCI
Trauma lTriage lCriteria l- lcorrect lanswers l-Special lconsiderations lnot lrelated lto lthe
linjury
A lpatient lshall lbe ltransported lto lthe lclosest lTrauma lCenter lif lany lone l(1) lphysiologic
lcriteria lis
present lfollowing la ltraumatic levent. lTrauma lbase lhospital lcontact lshall lbe lmade:
▫ lGCS lless lthan l14
▫ lRR lless lthan l10 lor lmore lthan l29
▫ l(RR lless lthan l20 lfor linfant lless lthan l1 lyear lold) lor lneed lfor lventilatory lsupport
▫ lADULT: lBP lless lthan l90 lmm lHg lor ltachycardia
▫ lPEDS: lexhibits linadequate ltissue lperfusion lor labnormal lvital lsigns l(according lto
lage)
90+(2xage), l70+(2xage) lhypotension, l220-age lfor lheart lrate
BHO lwhen land lwhy lfor ltrauma lcriteria l- lcorrect lanswers l-If lany lPhysiologic lcriteria lis
lmet
- lIf lany lAnatomic lcriteria lis lmet
lPenetrating linjuries lto lhead, lneck, ltorso land lextremities lproximal lto lthe lknee lor
lelbow
lBlunt lchest ltrauma lresulting lin lchest lwall linstability lor ldeformity l(e.g., lflail lchest lor
lecchymosis)
lTwo l(2) lor lmore lproximal llong lbone lfractures l(femur, lhumerus)
lCrushed, ldegloved, lmangled lor lpulseless lextremity
lAmputation lproximal lto lthe lwrist lor lankle
lPelvic lfracture
lOpen lor ldepressed lskull lfracture
lParalysis
- lIf lit lmeets lMOI lcriteria lbut lnot lmatched lwith lany lphysiological lor lanatomic lcriteria
- lIf lthe lpatient ldoes lnot lmeet lany lof lthe labove lcriteria, lmake lTrauma lbase lhospital
lcontact lto
determine lif la lTrauma lCenter lshould lbe lthe ldestination lfor lthe lfollowing lpatients:
WITH VERIFIED SOLUTIONS
Physician lon lScene
What lthey lcan land lcannot ldo, lwhat lyou lcan land lcannot ldo l- lcorrect lanswers l-
Organ lDonor lInformation
What ldo lyou ldo lwith lthis linformation? l- lcorrect lanswers l--adult lpatient lfor lwhom lit
lappears ldeath lis limminent; la lreasonable lsearch lof lthe
patient's lbelonging lshould lbe lmade lto ldetermine lif lthe lindividual lcarries linformation
indicating lstatus las lan lorgan ldonor
- lEMS lfield lpersonnel lshall lnotify lthe lreceiving lhospital lif lorgan ldonor linformation lis
discovered
- lAny lorgan ldonor ldocument ldiscovered lshould lbe ltransported lto lthe lreceiving
lhospital
with lthe lpatient lunless lthe linvestigating llaw lenforcement lofficer lrequests lthe
,document
- lEMS lfield lpersonnel lshould lbriefly lnote lthe lresults lof lthe lsearch, lnotification lof
lhospital
and lwitness lname(s) lon lthe lpatient lcare lreport
- lNo lsearch lis lto lbe lmade lby lEMS lfield lpersonnel lafter lthe lpatient lhas lexpired
Patient lRestraints
Requirements lfor lapplying lrestraints? l- lcorrect lanswers l-only, lwhen lnecessary, lin
lsituations lwhere lthe lpatient lis lpotentially lviolent land lis
exhibiting lbehavior lthat lis ldangerous lto lself lor lothers
aggressive lor lviolent lbehavior lmay lbe la lsymptom lof lmedical lconditions lsuch las
lhead
trauma, lalcohol, ldrug-related lproblems, lmetabolic ldisorders, lstress land lpsychiatric
disorders
method lof lrestraint lused lshall lallow lfor ladequate lmonitoring lof lvital lsigns land lshall
lnot
restrict lthe lability lto lprotect lthe lpatient's lairway, lbreathing, lor lcompromise
neurological lor lvascular lstatus
Restraints lshould lbe lapplied lby llaw lenforcement lwhenever lpossible. lIf lapplied, lan
officer lis lrequired lto lremain lavailable lat lthe lscene lor lduring ltransport lto lremove lor
adjust lthe lrestraints lfor lpatient lsafety
This lpolicy lis lnot lintended lto lnegate lthe lneed lfor llaw lenforcement lpersonnel lto luse
appropriate lrestraint lequipment lthat lis lapproved lby lits lrespective lagency lto lestablish
scene-management lcontrol
Patient lRefusal lof lCare- lAdult
What lis lneeded lfor la lrefusal? l- lcorrect lanswers l-- lA/O lx l4
- lNotified lup lto ldeath
- lFully linformed lof lsituation
- lBase lhospital lcontact
- lSignature
Treatment land lTransportation lRecommendations lfor lpatients lwith lEmerging
Infectious lDiseases
Treatment lfor lthe lpatient? l- lcorrect lanswers l-- lTreatment lfor la lsymptomatic
lindividual lwho lis la lconfirmed lcase, lor la lsuspected lcase lof
infectious ldisease lis lsupportive lbased lupon lassessment lfindings
,- lIV lfluids land lappropriate lmedications lare lto lbe linitiated lper lestablished lprotocols
Interfacility lTransfer lGuidelines
ALS lDo's land lDon'ts l- lcorrect lanswers l-EMT-Ps lmay lnot ltransport la lpatient lwith lIV
ldrips lthat lare lnot lin lthe lEMT-P lscope lof
practice
- lEMT-Ps lmay lnot ltransport lpatients lwith lblood lor lblood lproducts.
EMT-Ps lmay linitiate lprior lto lcontact lprotocols lif lthe lpatient's lcondition ldeteriorates,
then lmust lcontact lthe lbase lhospital
Hospital lEmergency lResponse lTeam l(HERT)
Definition land lpurpose l- lcorrect lanswers l-Definition l
rapid ladvanced lsurgical lcare lat lthe lscene, lin lwhich la lhigher llevel lof lon lscene
lsurgical lexpertise,
physician lfield lresponse
Purpose l
utilized lin la lsituation lwhere la llife-saving lprocedure, lsuch las lan lamputation, lis
lrequired ldue lto
the linability lto lextricate la lpatient. lLife lbefore llimb lconcept lis lutilized las la llife-saving
lmeasure,
not las la ltime lsaving lmeasure
- lshould lbe lassembled land lready lto lrespond lwithin l20 lminutes lof la lrequest
Medical lResponse lto la lMulti-Casualty lIncident
START lTriage
Definition lof lMCI
Care lpriorities
Airship ltransportation lguidelines l- lcorrect lanswers l-StART lTriage
Simple lTriage land lRapid lTreatment. l* lSTART lincludes lrapidly lassessing l(in lless
lthan l1 lminute) levery lpatient, ldetermining lwhich lof l4 lclinical lcategories lthe lpatient
lbelongs, land lvisibly lidentifying lthe lcategory lfor lrescuers lwho lwill ltreat lthe lpatient.
Definition lof lMCI
An lMCI lis lany lincident lwhere lpersonnel lon lscene lhave lrequested ladditional
lresponses lto lcare
, for lall lvictims:
▫ lIncident lrequires lfive l(5) lor lmore lambulances; land/or
▫ lIncident linvolves lten l(10) lor lmore lpatients; land/or
▫ lRequires lutilization lof ltriage ltags; land/or
▫ lMay lrequire lpatient ldistribution lto lmore lthan lone l(1) lhospital
Care lpriorities
Adults lshall lbe ltriaged laccording lto lSTART las loutlined lin lFirescope. lPediatric
lpatients lshall lbe
triaged laccording lto lJumpSTART
Airship ltransportation lguidelines
The lCCC l(County lCommunications lCenter) lshall ldispatch lall lair lresources lfor lthe
lMCI
Trauma lTriage lCriteria l- lcorrect lanswers l-Special lconsiderations lnot lrelated lto lthe
linjury
A lpatient lshall lbe ltransported lto lthe lclosest lTrauma lCenter lif lany lone l(1) lphysiologic
lcriteria lis
present lfollowing la ltraumatic levent. lTrauma lbase lhospital lcontact lshall lbe lmade:
▫ lGCS lless lthan l14
▫ lRR lless lthan l10 lor lmore lthan l29
▫ l(RR lless lthan l20 lfor linfant lless lthan l1 lyear lold) lor lneed lfor lventilatory lsupport
▫ lADULT: lBP lless lthan l90 lmm lHg lor ltachycardia
▫ lPEDS: lexhibits linadequate ltissue lperfusion lor labnormal lvital lsigns l(according lto
lage)
90+(2xage), l70+(2xage) lhypotension, l220-age lfor lheart lrate
BHO lwhen land lwhy lfor ltrauma lcriteria l- lcorrect lanswers l-If lany lPhysiologic lcriteria lis
lmet
- lIf lany lAnatomic lcriteria lis lmet
lPenetrating linjuries lto lhead, lneck, ltorso land lextremities lproximal lto lthe lknee lor
lelbow
lBlunt lchest ltrauma lresulting lin lchest lwall linstability lor ldeformity l(e.g., lflail lchest lor
lecchymosis)
lTwo l(2) lor lmore lproximal llong lbone lfractures l(femur, lhumerus)
lCrushed, ldegloved, lmangled lor lpulseless lextremity
lAmputation lproximal lto lthe lwrist lor lankle
lPelvic lfracture
lOpen lor ldepressed lskull lfracture
lParalysis
- lIf lit lmeets lMOI lcriteria lbut lnot lmatched lwith lany lphysiological lor lanatomic lcriteria
- lIf lthe lpatient ldoes lnot lmeet lany lof lthe labove lcriteria, lmake lTrauma lbase lhospital
lcontact lto
determine lif la lTrauma lCenter lshould lbe lthe ldestination lfor lthe lfollowing lpatients:
