SNHD Paramedic Protocol Exam Study Guide
EXAM 2025-2026
Identify the Parkland Burn Formula for Fluid Replacement. - ANSWER>>4ml x (body weight in
kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder
over next 16 hours
Pg. 28
For children, a fall greater than requires transport to a Level 1 or 2 trauma center. -
ANSWER>>10 feet or two times the height of the child
Pg. 127
What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - ANSWER>>2.0
mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
For a traumatic cardiac arrest, what interventions must be performed prior to considering
terminating resuscitation efforts? - ANSWER>>Provide effective ventilation with 100%
oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure
greater than 100 mmHg, what is the dose of Nitroglycerin? - ANSWER>>1.6 mg SL
Pg. 49
Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
ANSWER>>A patient in which an airway cannot be established
,A patient in cardiac arrest
Pg. 12
A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma
center only. - ANSWER>>False (Level 1, 2 or 3)
Pg. 127
When should radio contact be established to a receiving facility? - ANSWER>>All trauma
patients
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
How often can additional Diazepam (Valium) doses be administered to a pregnant patient who
is refractory to Magnesium Sulfate? - ANSWER>>Every 5 minutes
Pg. 43
For non-trauma patients, telemetry reports should include at a minimum which of the
following? - ANSWER>>Attendant/vehicle identification, Nature of call: INFORMATION ONLY or
REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition
(i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival
including any special circumstances that may cause a delay in transport
Pg. 115
A patient is defined as any individual that meets which of the following? - ANSWER>>All of the
above (A person who has obvious evidence of illness or injury, A person who has a complaint or
mechanism suggestive of potential illness or injury, A person identified by an informed 2nd or
3rd party caller as requiring evaluation for potential illness or injury)
, Pg. 6
Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - ANSWER>>True.
Pg. 47
What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? -
ANSWER>>1.0 mg/kg
Pg. 96
What is the western border for Sunrise Hospital and Trauma Center's trauma catchment area? -
ANSWER>>Paradise
Pg. 128
Pulse oximetry in a pediatric patient should be maintained at: - ANSWER>>> 94%
Pg. 70
For patients on home oxygen or with chronic conditions, supplemental oxygen should be used
to maintain an oxygen saturation of: - ANSWER>>> 90%
Pg. 67
When termination of resuscitation occurs in the field, what should happen to all medical
interventions? - ANSWER>>All medical interventions should be left in place
Pg. 125
For adults, a fall greater than requires transport to a Level 1,2, or 3 trauma center. -
ANSWER>>20 feet
Pg. 127
Arterial lines can be used during an interfacility transport. - ANSWER>>False
EXAM 2025-2026
Identify the Parkland Burn Formula for Fluid Replacement. - ANSWER>>4ml x (body weight in
kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder
over next 16 hours
Pg. 28
For children, a fall greater than requires transport to a Level 1 or 2 trauma center. -
ANSWER>>10 feet or two times the height of the child
Pg. 127
What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - ANSWER>>2.0
mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
For a traumatic cardiac arrest, what interventions must be performed prior to considering
terminating resuscitation efforts? - ANSWER>>Provide effective ventilation with 100%
oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure
greater than 100 mmHg, what is the dose of Nitroglycerin? - ANSWER>>1.6 mg SL
Pg. 49
Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
ANSWER>>A patient in which an airway cannot be established
,A patient in cardiac arrest
Pg. 12
A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma
center only. - ANSWER>>False (Level 1, 2 or 3)
Pg. 127
When should radio contact be established to a receiving facility? - ANSWER>>All trauma
patients
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
How often can additional Diazepam (Valium) doses be administered to a pregnant patient who
is refractory to Magnesium Sulfate? - ANSWER>>Every 5 minutes
Pg. 43
For non-trauma patients, telemetry reports should include at a minimum which of the
following? - ANSWER>>Attendant/vehicle identification, Nature of call: INFORMATION ONLY or
REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition
(i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival
including any special circumstances that may cause a delay in transport
Pg. 115
A patient is defined as any individual that meets which of the following? - ANSWER>>All of the
above (A person who has obvious evidence of illness or injury, A person who has a complaint or
mechanism suggestive of potential illness or injury, A person identified by an informed 2nd or
3rd party caller as requiring evaluation for potential illness or injury)
, Pg. 6
Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - ANSWER>>True.
Pg. 47
What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? -
ANSWER>>1.0 mg/kg
Pg. 96
What is the western border for Sunrise Hospital and Trauma Center's trauma catchment area? -
ANSWER>>Paradise
Pg. 128
Pulse oximetry in a pediatric patient should be maintained at: - ANSWER>>> 94%
Pg. 70
For patients on home oxygen or with chronic conditions, supplemental oxygen should be used
to maintain an oxygen saturation of: - ANSWER>>> 90%
Pg. 67
When termination of resuscitation occurs in the field, what should happen to all medical
interventions? - ANSWER>>All medical interventions should be left in place
Pg. 125
For adults, a fall greater than requires transport to a Level 1,2, or 3 trauma center. -
ANSWER>>20 feet
Pg. 127
Arterial lines can be used during an interfacility transport. - ANSWER>>False
