ICEMA PROTOCOLS EXAM EXAM QUESTIONS AND CORRECT ANSWERS
(updated ) (A+ Guarantee)
1. What is the purpose of the HERT team in San Bernardino county? - ✔ANSWER To
respond to trauma scenes to provide advanced surgical care at the scene
2. Describe the principles (A,B, and C) of the HERT team in San Bernardino county -
✔ANSWER Utilized where life saving procedures is required to allow for extrication
of a trauma patient; the team is ready to respond within 20 minutes with
predetermined, preassembled life saving equipment
3. 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
4. What are the ALS interventions to care for an adult trauma patient with blunt trauma? -
✔ANSWER For unstable patients, IV NS open until stable or 2000 ml max is infused
5. What are the ALS interventions to care for an unstable adult trauma patient with
penetrating trauma? - ✔ANSWER IV NS 500ml bolus, may repeat one time
6. What are the ALS interventions for unstable isolated closed head injuries? - ✔ANSWER
IV NS 250 ml bolus, may repeat to a max of 500 ml, xport to appropriate hospital,
NG/OG PRN
7. What medications can be administered prior to contact for isolated extremity trauma? -
✔ANSWER Fentanyl, Zofran, IV NS 250 ml bolus one time, O2
8. When can ALS providers remove axial spinal immobilization devices from patients placed
in full axial spinal immobilization precautions by first responders and BLS personnel? -
✔ANSWER If the patient does not meet any of the indicators of NSAID
, 9. You are considering nasotracheal intubation on your adult (>15 years of age) patient
who has significant facial trauma, what must be done prior to performing this skill? -
✔ANSWER Contact trauma base hospital for physician consult/order
10. What medication should be administered immediately prior to intubation? include
dose(S) - ✔ANSWER Prophylactic lidocaine 1.5mg/kg IV/IO
11. When should an advanced airway be considered In a newborn? - ✔ANSWER When
BVM is ineffective or tracheal suctioning is required
12. Obtain blood glucose by heel stick, if blood glucose <35 mg/dl, how will this be
corrected? - ✔ANSWER Administer dextrose 10%/250 ml 0.5 gm/kg 5ml/kg, IV/IO
13. Which of the following must be submitted for EMT-P certification BEFORE being
scheduled for the ICEMA exam? - ✔ANSWER All of the above
14. What is the definition of the scope of an MCI? (how does ICEMA define an MCI) -
✔ANSWER Incident requires 5 or more units, involves 10 or more patients, require
the use of triage tags, pts may be distributed to more than one hospital.
15. When using the START system, patients are triaged based on which three physical
assessments? - ✔ANSWER Respirations, perfusion, mental status
16. What triage criteria constitutes trauma base contact? - ✔ANSWER Patients meeting
all trauma triage criteria; trauma base station contact shall be made
17. What is the expected on scene time (under normal circumstances) on trauma calls? -
✔ANSWER 5-10 minutes
(updated ) (A+ Guarantee)
1. What is the purpose of the HERT team in San Bernardino county? - ✔ANSWER To
respond to trauma scenes to provide advanced surgical care at the scene
2. Describe the principles (A,B, and C) of the HERT team in San Bernardino county -
✔ANSWER Utilized where life saving procedures is required to allow for extrication
of a trauma patient; the team is ready to respond within 20 minutes with
predetermined, preassembled life saving equipment
3. 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
4. What are the ALS interventions to care for an adult trauma patient with blunt trauma? -
✔ANSWER For unstable patients, IV NS open until stable or 2000 ml max is infused
5. What are the ALS interventions to care for an unstable adult trauma patient with
penetrating trauma? - ✔ANSWER IV NS 500ml bolus, may repeat one time
6. What are the ALS interventions for unstable isolated closed head injuries? - ✔ANSWER
IV NS 250 ml bolus, may repeat to a max of 500 ml, xport to appropriate hospital,
NG/OG PRN
7. What medications can be administered prior to contact for isolated extremity trauma? -
✔ANSWER Fentanyl, Zofran, IV NS 250 ml bolus one time, O2
8. When can ALS providers remove axial spinal immobilization devices from patients placed
in full axial spinal immobilization precautions by first responders and BLS personnel? -
✔ANSWER If the patient does not meet any of the indicators of NSAID
, 9. You are considering nasotracheal intubation on your adult (>15 years of age) patient
who has significant facial trauma, what must be done prior to performing this skill? -
✔ANSWER Contact trauma base hospital for physician consult/order
10. What medication should be administered immediately prior to intubation? include
dose(S) - ✔ANSWER Prophylactic lidocaine 1.5mg/kg IV/IO
11. When should an advanced airway be considered In a newborn? - ✔ANSWER When
BVM is ineffective or tracheal suctioning is required
12. Obtain blood glucose by heel stick, if blood glucose <35 mg/dl, how will this be
corrected? - ✔ANSWER Administer dextrose 10%/250 ml 0.5 gm/kg 5ml/kg, IV/IO
13. Which of the following must be submitted for EMT-P certification BEFORE being
scheduled for the ICEMA exam? - ✔ANSWER All of the above
14. What is the definition of the scope of an MCI? (how does ICEMA define an MCI) -
✔ANSWER Incident requires 5 or more units, involves 10 or more patients, require
the use of triage tags, pts may be distributed to more than one hospital.
15. When using the START system, patients are triaged based on which three physical
assessments? - ✔ANSWER Respirations, perfusion, mental status
16. What triage criteria constitutes trauma base contact? - ✔ANSWER Patients meeting
all trauma triage criteria; trauma base station contact shall be made
17. What is the expected on scene time (under normal circumstances) on trauma calls? -
✔ANSWER 5-10 minutes
