SNHD EMS PROTOCOL EXAM EMT BASIC
LEVEL 2026 PRACTICE QUESTIONS AND
ANSWERS GUARANTEED SUCCESS
◉ General Adult Assessment - Airway compromise? Answer: If yes,
go to Ventilation Management
◉ General Adult Assessment - Breathing inadequate or respiratory
distress? Answer: If yes, go to Respiratory Distress
◉ General Adult Assessment - Circulation: Bleeding? Answer: If yes,
go to General Trauma
◉ General Adult Assessment - Disability: Altered or confused?
Answer: If yes, go to Altered Mental Status/Syncope
◉ General Adult Assessment - LABCD negative? Answer: HPI &
AMPLE
Vital signs and physical exam
Blood glucose as indicated
Specific treatment protocol as indicated
C-spine?
,Splint?
Vascular access
Oxygen as needed
Radio contact
◉ Pearls: If ability to adequately ventilate cannot be established?
Answer: Transport to nearest ED
◉ Pearls: Should oxygen ever by withheld from respiratory distress?
Answer: No
◉ Sexual assault victims < 13 y/o transported where? Answer:
Sunrise Hospital
◉ Sexual assault victims > 13-18 transported to where? (2 places)
Answer: Sunrise Hospital or UMC
◉ Sexual assault victims > 18 transported to where? Answer: UMC
◉ Sexual assault victims outside 50 mile radius? Answer: Nearest ED
◉ Stable patients should be transported where? Answer: To hospital
of their choice, if no preference then closest facility
,◉ Waiting Room criteria? Answer: HR 60-100
RR 10-20
SBP 100-180
DBP 60-110
SPO2 >94%
A&Ox4
No parenteral medications EXCEPT 1 dose of analgesia or antiemetic
No need for cardiac monitoring
Able to sit
◉ If a hospital declares internal disaster, can you bypass them for
cardiac arrest patients? Answer: Nope
◉ General Adult Trauma Assessment - first 3 steps Answer: General
Adult Assessment
Cervical Stabilization
GCS?
, ◉ General Adult Trauma Assessment - GCS < 8? Answer: Ventilation
Management
BVM if SPOT < 95%
Palpate for radial pulse
◉ General Adult Trauma Assessment - GCS > 8? Answer: Use oxygen
to keep SPO2 > 94%
Palpate for radial pulse
◉ General Adult Trauma Assessment - Palpable radial pulse NO?
Answer: Vascular access
1L NS or LR Bolus IV/IO
Secondary survey
◉ General Adult Trauma Assessment - Palpable radial pulse YES?
Answer: Vascular Access
Secondary survey
◉ General Adult Trauma Assessment - Secondary Survey: Sucking
chest wound? Answer: Apply 3-sided occlusive dressing
◉ General Adult Trauma Assessment - Secondary Survey: Active
hemorrhage? Answer: Go to Hemorrhage Control
LEVEL 2026 PRACTICE QUESTIONS AND
ANSWERS GUARANTEED SUCCESS
◉ General Adult Assessment - Airway compromise? Answer: If yes,
go to Ventilation Management
◉ General Adult Assessment - Breathing inadequate or respiratory
distress? Answer: If yes, go to Respiratory Distress
◉ General Adult Assessment - Circulation: Bleeding? Answer: If yes,
go to General Trauma
◉ General Adult Assessment - Disability: Altered or confused?
Answer: If yes, go to Altered Mental Status/Syncope
◉ General Adult Assessment - LABCD negative? Answer: HPI &
AMPLE
Vital signs and physical exam
Blood glucose as indicated
Specific treatment protocol as indicated
C-spine?
,Splint?
Vascular access
Oxygen as needed
Radio contact
◉ Pearls: If ability to adequately ventilate cannot be established?
Answer: Transport to nearest ED
◉ Pearls: Should oxygen ever by withheld from respiratory distress?
Answer: No
◉ Sexual assault victims < 13 y/o transported where? Answer:
Sunrise Hospital
◉ Sexual assault victims > 13-18 transported to where? (2 places)
Answer: Sunrise Hospital or UMC
◉ Sexual assault victims > 18 transported to where? Answer: UMC
◉ Sexual assault victims outside 50 mile radius? Answer: Nearest ED
◉ Stable patients should be transported where? Answer: To hospital
of their choice, if no preference then closest facility
,◉ Waiting Room criteria? Answer: HR 60-100
RR 10-20
SBP 100-180
DBP 60-110
SPO2 >94%
A&Ox4
No parenteral medications EXCEPT 1 dose of analgesia or antiemetic
No need for cardiac monitoring
Able to sit
◉ If a hospital declares internal disaster, can you bypass them for
cardiac arrest patients? Answer: Nope
◉ General Adult Trauma Assessment - first 3 steps Answer: General
Adult Assessment
Cervical Stabilization
GCS?
, ◉ General Adult Trauma Assessment - GCS < 8? Answer: Ventilation
Management
BVM if SPOT < 95%
Palpate for radial pulse
◉ General Adult Trauma Assessment - GCS > 8? Answer: Use oxygen
to keep SPO2 > 94%
Palpate for radial pulse
◉ General Adult Trauma Assessment - Palpable radial pulse NO?
Answer: Vascular access
1L NS or LR Bolus IV/IO
Secondary survey
◉ General Adult Trauma Assessment - Palpable radial pulse YES?
Answer: Vascular Access
Secondary survey
◉ General Adult Trauma Assessment - Secondary Survey: Sucking
chest wound? Answer: Apply 3-sided occlusive dressing
◉ General Adult Trauma Assessment - Secondary Survey: Active
hemorrhage? Answer: Go to Hemorrhage Control
