Thurston County Protocol Questions With
Complete Solutions
Graded A+
QUESTIONS AND ANSWERS
Name the two ways of Airway Positioning. ANSWER - Head tilt chin lift(not for trauma
Jaw thrust
What is the Airway Maintenance Order?. ANSWER - Positioning
Insert OPA
Insert NPA
Name the two types of Breathing Equipment/Techniques. ANSWER - Nasal Canula 2-4
lpm
Non-Rebreather Mask 8-15 lpm
Name the two types of Ventilation Equipment. ANSWER - Pocket Mask
BVM 15-25 lpm
Name the three types of Ventilation Techniques. ANSWER - 1. Used for assistance of a
conscious seated patient
2. Used to assist or breathe for an unconscious patient with OPA/NPA
3. Use with endotracheal tube
What are the two basic Circulation Methods?. ANSWER - Bleeding control
Assist circulation
What are the steps of Bleeding Control?. ANSWER - 1. Direct Pressure
2.Elevate and use pressure points
3. Last resort use BP cuff as a tourniquet
4. Tourniquet only in tactical situations
,Who do we Assist Circulation for?. ANSWER - All cardiac arrest patients who do not meet
the DIF criteria will have resuscitation attempted
What are the steps of Assisting Circulation?. ANSWER - 1. Apply AED
2. CPR performed in accordance with AHA and MPD approved guidelines
What Counts as a Disability Call?. ANSWER - Patients who request assistance after a fall
or whose situation suggests a change in their health status
Critical Steps in a Disability Call. ANSWER - 1. Initial trauma assessment
2. Use spinal immobilization to determine whether or not to immobilize patient
What are some considerations of Spinal Immobilization?. ANSWER - 1. Patients who have
traumatic MOI that is suggestive of spinal injury shall have full immobilization applied
2. Consider elevating the knees of patients secured to a backboard, to reduce lower back or
abdominal discomfort
3. Pregnant patients should have the backboard elevated by placing a pillow or blanket roll
under the right side of the backboard
What are the steps of Long Bone Immobilization?. ANSWER - 1. All patients with
suspected long bone or joint injuries should be immobilized
2. Joint above and below
3. Splint in gross anatomical position
4. Apply tension and limb stabilized during realignment and splinting
5. Splinting should not be delayed for administration of pain meds
What are the steps of Joint Immobilization?. ANSWER - 1. Long bone above and below
2. Splint in position found
3. If no pulse attempt to realign one time
4. Splinting should not be delayed for administration of pain meds
What is the EMT process for Pain Management?. ANSWER - 1. All non-pharmacologic
measures for relief of pain should be attempted
, 2. Reassess patient for physiologic signs of pain
3. If patient presents with any signs ask them to rate pain
What are all of the Non-Pharmacologic Measures?. ANSWER - 1. Placing patient in
position of comfort
2. Placing ice or cold packs
3. Immobilizing and splinting painful areas
What are the Physical/Physiologic Signs of Severe Pain?. ANSWER - 1. Diaphoresis
2. Tachycardia
3. Hypertension
4. Tachypnea
5. Pallor
6. Significant Grimacing
What are the guidelines for communication per protocol?. ANSWER - 1. ALS upgrades will
be requested via TCOMM
2. Short verbal reports will be given to responding Medic units even if those units are
cancelled
3. An EMR who is the provider on scene cannot cancel an EMT or higher level response to
the scene
What are the steps for Ground Transport?. ANSWER - 1. Should be transported to the
hospital of their choice
2. Patients in need of specialty care require consult with the base station physician
Which types of patient meet the Specialty Care (Needed) criteria?. ANSWER - 1. Stroke
2. Cardiac
3. Pediatric
4. Trauma
What are the guidelines for Air Transport?. ANSWER - 1. Any field provider may request
air transport via TCOMM
Complete Solutions
Graded A+
QUESTIONS AND ANSWERS
Name the two ways of Airway Positioning. ANSWER - Head tilt chin lift(not for trauma
Jaw thrust
What is the Airway Maintenance Order?. ANSWER - Positioning
Insert OPA
Insert NPA
Name the two types of Breathing Equipment/Techniques. ANSWER - Nasal Canula 2-4
lpm
Non-Rebreather Mask 8-15 lpm
Name the two types of Ventilation Equipment. ANSWER - Pocket Mask
BVM 15-25 lpm
Name the three types of Ventilation Techniques. ANSWER - 1. Used for assistance of a
conscious seated patient
2. Used to assist or breathe for an unconscious patient with OPA/NPA
3. Use with endotracheal tube
What are the two basic Circulation Methods?. ANSWER - Bleeding control
Assist circulation
What are the steps of Bleeding Control?. ANSWER - 1. Direct Pressure
2.Elevate and use pressure points
3. Last resort use BP cuff as a tourniquet
4. Tourniquet only in tactical situations
,Who do we Assist Circulation for?. ANSWER - All cardiac arrest patients who do not meet
the DIF criteria will have resuscitation attempted
What are the steps of Assisting Circulation?. ANSWER - 1. Apply AED
2. CPR performed in accordance with AHA and MPD approved guidelines
What Counts as a Disability Call?. ANSWER - Patients who request assistance after a fall
or whose situation suggests a change in their health status
Critical Steps in a Disability Call. ANSWER - 1. Initial trauma assessment
2. Use spinal immobilization to determine whether or not to immobilize patient
What are some considerations of Spinal Immobilization?. ANSWER - 1. Patients who have
traumatic MOI that is suggestive of spinal injury shall have full immobilization applied
2. Consider elevating the knees of patients secured to a backboard, to reduce lower back or
abdominal discomfort
3. Pregnant patients should have the backboard elevated by placing a pillow or blanket roll
under the right side of the backboard
What are the steps of Long Bone Immobilization?. ANSWER - 1. All patients with
suspected long bone or joint injuries should be immobilized
2. Joint above and below
3. Splint in gross anatomical position
4. Apply tension and limb stabilized during realignment and splinting
5. Splinting should not be delayed for administration of pain meds
What are the steps of Joint Immobilization?. ANSWER - 1. Long bone above and below
2. Splint in position found
3. If no pulse attempt to realign one time
4. Splinting should not be delayed for administration of pain meds
What is the EMT process for Pain Management?. ANSWER - 1. All non-pharmacologic
measures for relief of pain should be attempted
, 2. Reassess patient for physiologic signs of pain
3. If patient presents with any signs ask them to rate pain
What are all of the Non-Pharmacologic Measures?. ANSWER - 1. Placing patient in
position of comfort
2. Placing ice or cold packs
3. Immobilizing and splinting painful areas
What are the Physical/Physiologic Signs of Severe Pain?. ANSWER - 1. Diaphoresis
2. Tachycardia
3. Hypertension
4. Tachypnea
5. Pallor
6. Significant Grimacing
What are the guidelines for communication per protocol?. ANSWER - 1. ALS upgrades will
be requested via TCOMM
2. Short verbal reports will be given to responding Medic units even if those units are
cancelled
3. An EMR who is the provider on scene cannot cancel an EMT or higher level response to
the scene
What are the steps for Ground Transport?. ANSWER - 1. Should be transported to the
hospital of their choice
2. Patients in need of specialty care require consult with the base station physician
Which types of patient meet the Specialty Care (Needed) criteria?. ANSWER - 1. Stroke
2. Cardiac
3. Pediatric
4. Trauma
What are the guidelines for Air Transport?. ANSWER - 1. Any field provider may request
air transport via TCOMM
