SNHD EMT EMS PROTOCOLS II
COMPREHENSIVE STUDY GUIDE
◉ A patient on a legal psychiatric hold may be placed in the ER
waiting room.
Answer: False
◉ What is the goal of the protocol manual?.
Answer: standardize prehospital care in Clark County
◉ Describe a partial thickness (2nd degree burn).
Answer: blistering
◉ Oxygen therapy should be established to keep SpO2 above what
level?.
Answer: 94%
◉ When should defibrillation be attempted during a witnessed
cardiac arrest?.
Answer: Immediately
,◉ What must exist for an emergency care physician to direct a
prehospital provider in rendering care that is not explicitly listed
within the protocols?.
Answer: The provider must feel capable,based on the instructions
given by the telemetry physician, of correctly performing the
directed care.
Both the telemetry physician and the provider must acknowledge
and agree that the patient's condition and extraordinary care are not
addressed elsewhere within these medical protocols
The telemetry physician and the provider must immediately notify
the Office of EMS & Trauma System (OEMSTS) of the extraordinary
care situation.
◉ What is recommended if hypoxia is the cause of the cardiac
arrest?.
Answer: Early ventilation
◉ When transporting a patient to a remote outpatient emergency
department, telemetry contact does not have to be made..
Answer: False
◉ What is the ideal scene time for a a patient having a stroke?.
Answer: Less than 10 minutes
,◉ Localized cold injuries should be rubbed to warm the skin.
Answer: False
◉ For a patient to be transported to an approved alcohol and drug
abuse facility, the pulse rate must be between what range?.
Answer: 60-120
◉ Which of the following should be performed for a patient with
hyperthermia?.
Answer: Remove from environment
Temperature measurement
Remove tight clothing
Passive cooling measures
◉ What type of patients should ambulance attendants transfer?.
Answer: only those whose therapy required during transfer lies
within the attendant's capabilities
◉ Describe a dystonic reaction.
Answer: Involuntary muscle movements or spasms of the face, neck,
and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
, ◉ Patients placed on backboard for extrication or movement should
not be moved to a soft matress.
Answer: False
◉ If cardiac arrest is witnessed by EMS or CPR in progress and
patient is unresponsive with no pulse, begin CPR at 30 compressions
and two ventilations.
Answer: False (need to do CCC)
◉ Deep suctioning is recommended during neonatal resuscitation.
Answer: False
◉ For a patient to be transported to an approved alcohol and drug
abuse facility, the GCS score must be above what level?.
Answer: 14
◉ What level trauma center is UMC?.
Answer: 1
◉ What does optimal prehospital care result from?.
Answer: (1) Careful patient assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
COMPREHENSIVE STUDY GUIDE
◉ A patient on a legal psychiatric hold may be placed in the ER
waiting room.
Answer: False
◉ What is the goal of the protocol manual?.
Answer: standardize prehospital care in Clark County
◉ Describe a partial thickness (2nd degree burn).
Answer: blistering
◉ Oxygen therapy should be established to keep SpO2 above what
level?.
Answer: 94%
◉ When should defibrillation be attempted during a witnessed
cardiac arrest?.
Answer: Immediately
,◉ What must exist for an emergency care physician to direct a
prehospital provider in rendering care that is not explicitly listed
within the protocols?.
Answer: The provider must feel capable,based on the instructions
given by the telemetry physician, of correctly performing the
directed care.
Both the telemetry physician and the provider must acknowledge
and agree that the patient's condition and extraordinary care are not
addressed elsewhere within these medical protocols
The telemetry physician and the provider must immediately notify
the Office of EMS & Trauma System (OEMSTS) of the extraordinary
care situation.
◉ What is recommended if hypoxia is the cause of the cardiac
arrest?.
Answer: Early ventilation
◉ When transporting a patient to a remote outpatient emergency
department, telemetry contact does not have to be made..
Answer: False
◉ What is the ideal scene time for a a patient having a stroke?.
Answer: Less than 10 minutes
,◉ Localized cold injuries should be rubbed to warm the skin.
Answer: False
◉ For a patient to be transported to an approved alcohol and drug
abuse facility, the pulse rate must be between what range?.
Answer: 60-120
◉ Which of the following should be performed for a patient with
hyperthermia?.
Answer: Remove from environment
Temperature measurement
Remove tight clothing
Passive cooling measures
◉ What type of patients should ambulance attendants transfer?.
Answer: only those whose therapy required during transfer lies
within the attendant's capabilities
◉ Describe a dystonic reaction.
Answer: Involuntary muscle movements or spasms of the face, neck,
and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
, ◉ Patients placed on backboard for extrication or movement should
not be moved to a soft matress.
Answer: False
◉ If cardiac arrest is witnessed by EMS or CPR in progress and
patient is unresponsive with no pulse, begin CPR at 30 compressions
and two ventilations.
Answer: False (need to do CCC)
◉ Deep suctioning is recommended during neonatal resuscitation.
Answer: False
◉ For a patient to be transported to an approved alcohol and drug
abuse facility, the GCS score must be above what level?.
Answer: 14
◉ What level trauma center is UMC?.
Answer: 1
◉ What does optimal prehospital care result from?.
Answer: (1) Careful patient assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
