Update ) Questions & Answers
| Grade A | 100% Correct
Section 1: General Protocols and Definitions
1. What is the purpose of the SNHD EMS protocol manual?
Answer: To provide guidance for prehospital care providers and emergency department
physicians
Rationale: The manual standardizes care in Clark County.
2. What is the goal of the SNHD EMS protocols?
Answer: To standardize prehospital patient care in Clark County
Rationale: Ensures consistent, high-quality care across providers.
3. How is a patient defined in SNHD protocols?
Answer: Anyone with a complaint suggesting illness/injury, obvious illness/injury, or
requesting evaluation
Rationale: Broad definition ensures proper assessment.
4. What medications can EMTs administer per SNHD protocols?
Answer: Aspirin, Activated Charcoal, Bronchodilator MDI, Epinephrine Auto-injector,
Oral Glucose
Rationale: These are within EMT scope of practice.
5. What is the initial step if EMS personnel wish to have an incident reviewed?
Answer: Contact a representative
Rationale: Initiates the quality improvement review process.
, 6. What should be done if either party is unsatisfied with an incident outcome?
Answer: Complete an SNHD EMS incident report and forward to OEMSTS
Rationale: Ensures proper documentation and follow-up.
7. What is the general adult assessment protocol?
Answer: Scene safety, check LOC, airway, breathing, circulation, disability, history,
vitals, blood glucose, follow protocols, maintain O2 >94%, transport
Rationale: Comprehensive assessment ensures thorough care.
8. What is the role of the Health District in a Quality Improvement Review (QIR)?
Answer: To review and provide feedback on EMS incidents
Rationale: Ensures protocol adherence and quality care.
9. What are the criteria for Code Sepsis activation?
Answer: Suspected infection plus two of: SBP <90 mmHg, HR >90/min, RR >20/min,
altered mental status
Rationale: Identifies severe sepsis for rapid treatment.
10. What forms of DNR identification are valid per SNHD protocols?
Answer: Wallet card, medallion, DNR form, living will, or POLST signed by a Nevada
physician
Rationale: Ensures legal compliance with patient wishes.
Section 2: Cardiac and Medical Emergencies
11. What should an EMT do for a suspected STEMI patient?
Answer: Administer aspirin and nitroglycerin
Rationale: Reduces clot formation and improves blood flow.
12. What is the dose of D10 for adults in hypoglycemic emergencies?
Answer: 25 gm IV (250 mL of 10% solution)
Rationale: Restores blood glucose levels.