ICEMA Protocol Study Guide 2025/2026 | Complete Questions & Verified A+ Answers

ICEMA Protocol Study Guide
2025/2026 | Complete Questions &
Verified A+ Answers

Prepared for Emergency Medical Services Professionals

Updated for 2025/2026




Comprehensive Review with 300 Questions and Detailed Answers




July 31, 2025

, Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2 General Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.1 Physician on Scene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.1.1 What are the roles and limitations of a physician on scene? . . . 4
2.1.2 What should EMS personnel do if a physician on scene requests
a procedure outside ICEMA protocols? . . . . . . . . . . . . . . . 4
2.1.3 When can a physician on scene assume full patient care respon-
sibility? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.1.4 What is the protocol for documenting physician-on-scene inter-
actions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.1.5 How should EMS handle conflicting orders from a physician on
scene? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3 Organ Donor Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1 Organ Donor Identification . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1.1 What should EMS do upon discovering organ donor information? 5
3.1.2 When should EMS personnel avoid searching for organ donor
information? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1.3 What documentation is required if organ donor information is
found? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1.4 Who should be notified if organ donor documentation is discov-
ered? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
3.1.5 What is the role of EMS in organ donor cases after patient trans-
port? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
4 Patient Restraints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
4.1 Restraint Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
4.1.1 When are patient restraints indicated? . . . . . . . . . . . . . . . 6
4.1.2 What are the requirements for applying restraints? . . . . . . . . 6
4.1.3 What conditions may necessitate the use of restraints? . . . . . . 6
4.1.4 Who is responsible for monitoring a restrained patient? . . . . . . 6
4.1.5 What should be documented when restraints are used? . . . . . 6
5 Patient Refusal of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
5.1 Refusal Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
5.1.1 What criteria must be met for a patient to refuse care? . . . . . . 7
5.1.2 What should EMS do if a patient refuses care but is not A/O x 4? 7
5.1.3 What documentation is required for a patient refusal? . . . . . . . 7
5.1.4 When should base hospital contact be made for refusals? . . . . 7
5.1.5 What should EMS explain to a patient refusing care? . . . . . . . 7
6 Emerging Infectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . 7
6.1 Treatment Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
6.1.1 What is the treatment for a confirmed or suspected infectious
disease case? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
6.1.2 What precautions should EMS take for infectious diseases? . . . 8
6.1.3 When should IV fluids be initiated for infectious disease patients? 8


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