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SNHD AEMT PROTOCOLS Questions and Answers with
Compete Solutions UPDATED!!!
Definition of a patient: A patient is any individual that meet sat
least one of the following criteria: - ANSWER 1) A person who
has a complaint or mechanism suggestive of potential illness or
injury
2) A person who has obvious evidence of illness or injury
3) A person identified by an informed 2nd or 3rd party caller as
requiring evaluation for potential illness or injury
Pediatric patient considerations: - ANSWER Pediatric treatment
protocols are to be used on children who have not yet
experienced puberty. Signs of puberty include chest or
underarm hair on males, and any breast development in
females.
Sexual assault victims protocol - ANSWER -Sexual assault victims
less than 13 y/o shall be transported to sunrise hospital
-Sexual assault victims 13-18 y/o shall be transported to Sunrise
Hospital or UMC
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-Sexual assault victims 18 y/o and older shall be transported to
UMC
-Sexual assault victims outside a 50-mile radius from the above
facilities, the patient shall be transported to the nearest facility
Waiting Room Criteria - ANSWER -Cant be on legal psychiatric
hold
-Normal vital signs
-Did not receive any parental medication during EMS transport
except single dose of analgesia and/or an antiemetic
-Can maintain a sitting position without adverse impact on their
medical condition
-is left with a verbal report to hospital personnel
Internal Disaster - ANSWER -If a hospital declares an internal
disaster, that facility is to be bypassed for all patients except
patients in cardiac arrest or in whom the ability to adequately
ventilate has not been established
-Operational exceptions may be initiated in regard to transport
to hospitals on internal disaster
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Excited Delirium Syndrome - ANSWER -Medical emergency-
combination of delirium, psychomotor agitation, anxiety,
hallucination, speech disturbances, disorientation, violent
behavior, insensitivity to pain, hyperthermia, and increased
strength
-Potentially life threatening, and associated with the use of
physicals control measures including restraints, TASER, or
similar device.
-Most common in male subjects with history of serious mental
illness and/or acute chronic drug abuse, particularly stimulants
Dystonic Reaction - ANSWER -condition causing involuntary
muscle movements or spasms typically of the face, neck and
upper extremities
-typically an adverse reaction to drugs such as haloperidol
-When recognized, administer diphenhydramine 50mg IM/IV/IO
S.A.F.E.R - ANSWER -Stabilize the situation by containing and
lowering the stimuli
-Assess and acknowledge the crisis
-Facilitate the identification and activation of resources
(Chaplain, family, friends or police)
SNHD AEMT PROTOCOLS Questions and Answers with
Compete Solutions UPDATED!!!
Definition of a patient: A patient is any individual that meet sat
least one of the following criteria: - ANSWER 1) A person who
has a complaint or mechanism suggestive of potential illness or
injury
2) A person who has obvious evidence of illness or injury
3) A person identified by an informed 2nd or 3rd party caller as
requiring evaluation for potential illness or injury
Pediatric patient considerations: - ANSWER Pediatric treatment
protocols are to be used on children who have not yet
experienced puberty. Signs of puberty include chest or
underarm hair on males, and any breast development in
females.
Sexual assault victims protocol - ANSWER -Sexual assault victims
less than 13 y/o shall be transported to sunrise hospital
-Sexual assault victims 13-18 y/o shall be transported to Sunrise
Hospital or UMC
,2|Page
-Sexual assault victims 18 y/o and older shall be transported to
UMC
-Sexual assault victims outside a 50-mile radius from the above
facilities, the patient shall be transported to the nearest facility
Waiting Room Criteria - ANSWER -Cant be on legal psychiatric
hold
-Normal vital signs
-Did not receive any parental medication during EMS transport
except single dose of analgesia and/or an antiemetic
-Can maintain a sitting position without adverse impact on their
medical condition
-is left with a verbal report to hospital personnel
Internal Disaster - ANSWER -If a hospital declares an internal
disaster, that facility is to be bypassed for all patients except
patients in cardiac arrest or in whom the ability to adequately
ventilate has not been established
-Operational exceptions may be initiated in regard to transport
to hospitals on internal disaster
, 3|Page
Excited Delirium Syndrome - ANSWER -Medical emergency-
combination of delirium, psychomotor agitation, anxiety,
hallucination, speech disturbances, disorientation, violent
behavior, insensitivity to pain, hyperthermia, and increased
strength
-Potentially life threatening, and associated with the use of
physicals control measures including restraints, TASER, or
similar device.
-Most common in male subjects with history of serious mental
illness and/or acute chronic drug abuse, particularly stimulants
Dystonic Reaction - ANSWER -condition causing involuntary
muscle movements or spasms typically of the face, neck and
upper extremities
-typically an adverse reaction to drugs such as haloperidol
-When recognized, administer diphenhydramine 50mg IM/IV/IO
S.A.F.E.R - ANSWER -Stabilize the situation by containing and
lowering the stimuli
-Assess and acknowledge the crisis
-Facilitate the identification and activation of resources
(Chaplain, family, friends or police)
