CCEMSA MICN Protocols 2026–2027 – Complete Study
Guide, Protocol Review, Practice Questions & Exam Prep
A Kern County paramedic may initiate the following forms of emergency treatment prior to attempting
voice/telemetry contact with a base hospital physician or mobile intensive care nurse (MICN) EXCEPT: -
correct answers -Perform thoracic decompression
Activated charcoal is a Level ___ drug. - correct answers -2
All of the following drugs are Class 2 drugs EXCEPT: - correct answers -Lidocaine
The most common and easily reversible causes of PEA are: - correct answers -Hypovolemia and hypoxia
An Apparent Life Threatening Event (ALTE) is an event that is frightening to the observer (may think
infant has died) and involved one or more of the following: - correct answers -All of the above
Kern County EMS Designated Neonatal facilities are: - correct answers -All of the above
You may transport your patient to any hospital during a Med Alert: - correct answers -False
Your burn patient who exhibits no traumatic mechanism of injury must be transported to: - correct
answers -Bakersfield Memorial Hospital
Hospitals closed during disaster protocols are allowed to accept patients who have already received a
base hospital report: - correct answers -False
1
, The number of trauma hospitals in Kern County are: - correct answers -2
If acute MI is suspected with signs of hypoperfusion, what should be administered first and repeated
one time if patient remains hypotensive? - correct answers -Administer 250 mL fluid challenge. May
repeat one time if patient remains hypotensive.
If reliable IV access cannot be established quickly and a patient is in emergent need of fluids or
medication, establish an IO. - correct answers -True
Cardiopulmonary compromise is characterized by: - correct answers -All of the above
When administering fluid challenges, the paramedic should frequently assess lung sounds for
development of pulmonary edema or peripheral edema. - correct answers -True
Heimlich maneuver is the current accepted practice for airway obstruction for foreign objects in adult
patients. - correct answers -True
All of the following medications are approved in Kern County protocol EXCEPT: - correct answers -Insulin
All of the following interventions may be performed by the paramedic EXCEPT: - correct answers -
Pericardiocentesis
The minimum age a patient must be in order for the paramedic to use CPAP is: - correct answers -8
All of the following are obvious death criteria EXCEPT: - correct answers -Limb amputation
2
Guide, Protocol Review, Practice Questions & Exam Prep
A Kern County paramedic may initiate the following forms of emergency treatment prior to attempting
voice/telemetry contact with a base hospital physician or mobile intensive care nurse (MICN) EXCEPT: -
correct answers -Perform thoracic decompression
Activated charcoal is a Level ___ drug. - correct answers -2
All of the following drugs are Class 2 drugs EXCEPT: - correct answers -Lidocaine
The most common and easily reversible causes of PEA are: - correct answers -Hypovolemia and hypoxia
An Apparent Life Threatening Event (ALTE) is an event that is frightening to the observer (may think
infant has died) and involved one or more of the following: - correct answers -All of the above
Kern County EMS Designated Neonatal facilities are: - correct answers -All of the above
You may transport your patient to any hospital during a Med Alert: - correct answers -False
Your burn patient who exhibits no traumatic mechanism of injury must be transported to: - correct
answers -Bakersfield Memorial Hospital
Hospitals closed during disaster protocols are allowed to accept patients who have already received a
base hospital report: - correct answers -False
1
, The number of trauma hospitals in Kern County are: - correct answers -2
If acute MI is suspected with signs of hypoperfusion, what should be administered first and repeated
one time if patient remains hypotensive? - correct answers -Administer 250 mL fluid challenge. May
repeat one time if patient remains hypotensive.
If reliable IV access cannot be established quickly and a patient is in emergent need of fluids or
medication, establish an IO. - correct answers -True
Cardiopulmonary compromise is characterized by: - correct answers -All of the above
When administering fluid challenges, the paramedic should frequently assess lung sounds for
development of pulmonary edema or peripheral edema. - correct answers -True
Heimlich maneuver is the current accepted practice for airway obstruction for foreign objects in adult
patients. - correct answers -True
All of the following medications are approved in Kern County protocol EXCEPT: - correct answers -Insulin
All of the following interventions may be performed by the paramedic EXCEPT: - correct answers -
Pericardiocentesis
The minimum age a patient must be in order for the paramedic to use CPAP is: - correct answers -8
All of the following are obvious death criteria EXCEPT: - correct answers -Limb amputation
2
