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Washoe County EMS Regional Protocols – Operational
Questions and Answers with Complete Solutions
1. If person does not meet definition of a patient, release to
self.
2. If person does meet definition of a patient and is not A&O,
transport.
3. If person does meet definition of a patient and is A&O and
suicidal, transport.
4. If person does meet definition of a patient and is A&O, not
suicidal, and is under 18 w/o legal guardian, treat under minors
protocol (if emancipated can AMA/RMA here; if not, transport
under implied consentif unable to reach parent/guardian).
5. If person does meet definition of a patient and is A&O, not
suicidal, and is over 18, do not transport.
6. If person does meet definition of a patient and is A&O, not
suicidal, is over 18, and does not meet trauma criteria or is in
not in life threatening situation, release patient.
7. If person does meet definition of a patient and is A&O, not
suicidal, is over 18, and meets trauma criteria or is in life
threatening situation, consider contacting - ANSWER AMA
Decision Tree
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RRMC: non-stemi, stemi, possible stroke, pediatric airway,
obstetric emergency, neonate, state trauma criteria, and sexual
assault
SMRMC: non-stemi, stemi, possible stroke, obstetric
emergency, neonate, and sexual assault
NNMC: non-stemi, stemi, possible stroke, and sexual assault
RSMMC: non-stemi and sexual assualt
TFH: non-stemi, obstetric emergency, and sexual assault
CTH: non-stemi, stemi, obstetric emergency, and sexual assault
IVCH: Sexual assault
BMH: obstetric emergency, sexual assault - ANSWER
Destination - Hospitals/Restrictions
Minors who are emancipated do not need parental consent to
refuse treatment/transport. Should be treated as over 18.
"Minors" here refers to non-emancipated minors.
- if in life threatening situation, transport.
- if not in life threatening situation, attempt to contact
parent/guardian of patient to advise of situation and obtain
consent to treat. If not possible then EMS should
treat/transport under "implied consent". Pt may also have
Washoe County EMS Regional Protocols – Operational
Questions and Answers with Complete Solutions
1. If person does not meet definition of a patient, release to
self.
2. If person does meet definition of a patient and is not A&O,
transport.
3. If person does meet definition of a patient and is A&O and
suicidal, transport.
4. If person does meet definition of a patient and is A&O, not
suicidal, and is under 18 w/o legal guardian, treat under minors
protocol (if emancipated can AMA/RMA here; if not, transport
under implied consentif unable to reach parent/guardian).
5. If person does meet definition of a patient and is A&O, not
suicidal, and is over 18, do not transport.
6. If person does meet definition of a patient and is A&O, not
suicidal, is over 18, and does not meet trauma criteria or is in
not in life threatening situation, release patient.
7. If person does meet definition of a patient and is A&O, not
suicidal, is over 18, and meets trauma criteria or is in life
threatening situation, consider contacting - ANSWER AMA
Decision Tree
, 2|Page
RRMC: non-stemi, stemi, possible stroke, pediatric airway,
obstetric emergency, neonate, state trauma criteria, and sexual
assault
SMRMC: non-stemi, stemi, possible stroke, obstetric
emergency, neonate, and sexual assault
NNMC: non-stemi, stemi, possible stroke, and sexual assault
RSMMC: non-stemi and sexual assualt
TFH: non-stemi, obstetric emergency, and sexual assault
CTH: non-stemi, stemi, obstetric emergency, and sexual assault
IVCH: Sexual assault
BMH: obstetric emergency, sexual assault - ANSWER
Destination - Hospitals/Restrictions
Minors who are emancipated do not need parental consent to
refuse treatment/transport. Should be treated as over 18.
"Minors" here refers to non-emancipated minors.
- if in life threatening situation, transport.
- if not in life threatening situation, attempt to contact
parent/guardian of patient to advise of situation and obtain
consent to treat. If not possible then EMS should
treat/transport under "implied consent". Pt may also have
