CCEMSA Protocols 2026–2027 – Complete MICN Study Guide, EMS Protocol Review, Practice Questions & Exam Prep

CCEMSA Protocols 2026–2027 – Complete MICN Study
Guide, EMS Protocol Review & Exam Preparation


1. WhatdoesitmeanifanorderisCAPITALIZEDlikeso?:TheALSorderCANNOTbe performed
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withcommunicationfailureinettect.
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2. What does an asterisk (*) next to an order mean?: Procedureswithanasterisk(*)may only be
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implemented by order of a Base Hospital Physician.
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3. Are all blood pressure references systolic or diastolic?: Systolic
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4. Whatdoesitmeanifthereisnoasterisknexttoanorder?:Procedureswithoutan asterisk
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may be implemented by order of a MICN without consulting a Base Hospital Physician
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5. Whenisitokaytoswitchprotocols?:Paramedicsarenotallowedtoswitchprotocolsunlessthe patient
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needs treatment under an ACLS protocol (i.e., cardiac arrest protocols, PSVT, V-Tach, and Bradydysrhythmias). Protocols where
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a monitor is suggested allows for the paramedic to treat rhythm if appropriate. Switching protocols due tochangesinpatient
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conditionshould only occurafterdevelopmentofa newpatientcomplaintthatchanges therapyasdesignatedinthe
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specificprotocolorafterBaseHospitalconsultation.
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6. IfaprocedurehasSTANDINGORDERSinboldaboveit,whatdoesthat
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mean?: ThoseareproceduresthatcanbedonewithoutcontactingaBaseHospital.
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7. The"BigFour"forETAcallinsdoesnotinclude,what?:Cardiacmonitor
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8. During an ETA call in, if trauma is involved, what needs to be a part of the call in?: l l l l l l l l l l l l l l l l l l




GCS, Mechanism of Injury, and vital signs.
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9. If a hospital is on diversion and a pt requests it, what kind of call in is
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required?:Standardcallin
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10. Which hospitals require a call in for every pt?: VAandVCH l l l l l l l l l l l




11. What hospital should we take a pt with a suspected stroke to?: LessthanGFAST 3?Nearest
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strokecenter.GFAST4?Closestcomprehensivestrokecenter
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12. Surgical crics are allowed locally in the CCEMSA, true or false?: False l l l l l l l l l l l




13. Whataresignsandsymptomsoftensionpneumo?:Hemodynamicc less ompromise (BP l l l l l l l l l l l




than90)
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, 14. Indications for an ET Intubation include: A.Ptsolderthan14incardiacorrespiratoryarrest
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15. Whiletubing apt,donot interruptventilationsfor morethan::20seconds
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16. Howmanytubescanyouattemptbeforeyoumustuseani-gel:Twoattempts
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17. Reassessment of ET Tube placement should be done after
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time you move
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2/5
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