Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-agency name, unit number/call sign, desired destination
(if ditterent than hospital being contacted), level of care
being provided
-patient age, sex, approx. weight
-LOC and orientation (GCS)
-Chief complaint/primary impression, symptoms,
MOI/NOI, pertinent scene info, pertinent negatives/asso-
ciated complaints
Radio Report Order -vital signs: BP, HR, RR, SpO2, temperature, pain score
0-10 (Wong Baker)
-Cincinnati Stroke Scale/NIH Stroke Scale findings
-Last known well
-Blood glucose level
-Pupils, lung sounds, skin parameters, history, medica-
tions, allergies
-Interventions, medications given, disposition
-Destination, ETA
Initial Assessment:
-Scene safety/PPE
-ABCs/C-spine: airway (establish and maintain), breath-
ing (assess, assist or provide ventilations, assess lung
sounds), circulation (check pulse, control hemorrhage)
-AVPU
-expose/examine
General Patient Assessment
-priority transport
Focused history and physical exam
-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS;
allergies; medications; pertinent medical history; last oral
intake/menstrual period; events leading to)
-initial vital signs
,Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-pain 0-10 scale
Detailed physical exam
Ongoing assessment - reassess ABCDs
-AIMC or PIMC
-AITC or PITC
-don't do anything if contraindicated
Most adult SMOs include
-Refer to other SMOs as needed
-transport, support ABCs, keep warm
-when in doubt contact MD
Be aware of situation and equipment and utilize resources
Considerations for patients with special healthcare needs
such as caregivers/family
-Name and vehicle number of provider
-Patient age and gender
-Chief complain/MOI
Streamlined BLS communication
-SMO being followed
-Any deviation from SMO or unusual circumstance
-ETA
-When needing hospital care for patient stability
-May need to omit/adapt SMO based on own medical
judgment
Load-and-go situation
-Document deviations thoroughly
-not implying speed of transport increases but emphasize
rapid patient packaging and limited on-scene time
-uncertainty = begin treating and contact MD
Withholding or withdrawing resuscitative ettorts
-emotional support to significant others
ED physician
Who can pronounce a patient dead?
-document time in PCR
-honor only if written POLST/DNR order signed by pa-
tient's attending practitioner is presented
,Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-other healthcare decisions may be made by POA if docu-
Power of attorney ment allows
-bring all documents to hospital
-may not be honored; treat and contact MD
Living Will/surrogates -no situation where surrogate can give direct instructions
to EMS provider; treat, contact MD, explain
-confirm validity of POLST/DNR order, call MD if item is
missing
-Must be a written document that hasn't been revoked
-Must include all needed components
-If valid: resuscitative ettorts withheld and follow anything
on order
POLST/DNR orders/withholding treatment -if valid and patient is not in cardiac or respiratory arrest
with a decompensating condition: begin AIMC
-If resuscitative ettorts were begun prior to order being
present, may withdraw ettort once validity confirmed, con-
tact MD
-Illinois POLST form preferred, but accept those of other
states/entities as long as minimum requirements met
NEEDS:
-name of patient
-resuscitation orders
-2 signatures
Components validating a POLST/DNR order -evidence of consent (signature of patient, legal guardian,
durable POA for health care agent, OR surrogate decision
maker under Illinois Health Care Surrogate Act)
-signature of attending pracitioner
-ettective date
Obviously dead patients/"triple zero"
, Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-no resuscitative ettorts initiated
-Non-breathing, pulseless, asystolic, and one or more of
the following: decapitation, rigor mortis w/o hypothermia,
profound dependent lividity, decomposition, mummifica-
tion/putrefaction, incineration, frozen state
-Contact MD if obviously dead but not listed above (indi-
cate you have a "triple zero"
-Document pronouncement time and physician name
-Initiate BLS care and contact MD for orders
Hospice patients not in arrest -Check for written treatment orders/valid POLST/DNR or-
ders
-blunt trauma patient w/o vital signs upon arrival - can
Blunt traumatic arrest consider withholding resuscitative ettorts with MD ap-
proval
Emerging infectious disease guidance
Eye opening
-Spontaneous 4
-To voice 3
-To pain 2
-None 1
Verbal response
-Oriented 5
Adult Glasgow Coma Scale (GCS)
-Confused speech 4
-Inappropriate words 3
-Incomprehensible sounds 2
-None 1
Motor response
-Obeys commands 6
-Localizes pain 5
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-agency name, unit number/call sign, desired destination
(if ditterent than hospital being contacted), level of care
being provided
-patient age, sex, approx. weight
-LOC and orientation (GCS)
-Chief complaint/primary impression, symptoms,
MOI/NOI, pertinent scene info, pertinent negatives/asso-
ciated complaints
Radio Report Order -vital signs: BP, HR, RR, SpO2, temperature, pain score
0-10 (Wong Baker)
-Cincinnati Stroke Scale/NIH Stroke Scale findings
-Last known well
-Blood glucose level
-Pupils, lung sounds, skin parameters, history, medica-
tions, allergies
-Interventions, medications given, disposition
-Destination, ETA
Initial Assessment:
-Scene safety/PPE
-ABCs/C-spine: airway (establish and maintain), breath-
ing (assess, assist or provide ventilations, assess lung
sounds), circulation (check pulse, control hemorrhage)
-AVPU
-expose/examine
General Patient Assessment
-priority transport
Focused history and physical exam
-SAMPLE (Signs/symptoms, systematic head-to-toe, GCS;
allergies; medications; pertinent medical history; last oral
intake/menstrual period; events leading to)
-initial vital signs
,Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-pain 0-10 scale
Detailed physical exam
Ongoing assessment - reassess ABCDs
-AIMC or PIMC
-AITC or PITC
-don't do anything if contraindicated
Most adult SMOs include
-Refer to other SMOs as needed
-transport, support ABCs, keep warm
-when in doubt contact MD
Be aware of situation and equipment and utilize resources
Considerations for patients with special healthcare needs
such as caregivers/family
-Name and vehicle number of provider
-Patient age and gender
-Chief complain/MOI
Streamlined BLS communication
-SMO being followed
-Any deviation from SMO or unusual circumstance
-ETA
-When needing hospital care for patient stability
-May need to omit/adapt SMO based on own medical
judgment
Load-and-go situation
-Document deviations thoroughly
-not implying speed of transport increases but emphasize
rapid patient packaging and limited on-scene time
-uncertainty = begin treating and contact MD
Withholding or withdrawing resuscitative ettorts
-emotional support to significant others
ED physician
Who can pronounce a patient dead?
-document time in PCR
-honor only if written POLST/DNR order signed by pa-
tient's attending practitioner is presented
,Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-other healthcare decisions may be made by POA if docu-
Power of attorney ment allows
-bring all documents to hospital
-may not be honored; treat and contact MD
Living Will/surrogates -no situation where surrogate can give direct instructions
to EMS provider; treat, contact MD, explain
-confirm validity of POLST/DNR order, call MD if item is
missing
-Must be a written document that hasn't been revoked
-Must include all needed components
-If valid: resuscitative ettorts withheld and follow anything
on order
POLST/DNR orders/withholding treatment -if valid and patient is not in cardiac or respiratory arrest
with a decompensating condition: begin AIMC
-If resuscitative ettorts were begun prior to order being
present, may withdraw ettort once validity confirmed, con-
tact MD
-Illinois POLST form preferred, but accept those of other
states/entities as long as minimum requirements met
NEEDS:
-name of patient
-resuscitation orders
-2 signatures
Components validating a POLST/DNR order -evidence of consent (signature of patient, legal guardian,
durable POA for health care agent, OR surrogate decision
maker under Illinois Health Care Surrogate Act)
-signature of attending pracitioner
-ettective date
Obviously dead patients/"triple zero"
, Loyola System Entry Exam (Region VIII) - BLS Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
-no resuscitative ettorts initiated
-Non-breathing, pulseless, asystolic, and one or more of
the following: decapitation, rigor mortis w/o hypothermia,
profound dependent lividity, decomposition, mummifica-
tion/putrefaction, incineration, frozen state
-Contact MD if obviously dead but not listed above (indi-
cate you have a "triple zero"
-Document pronouncement time and physician name
-Initiate BLS care and contact MD for orders
Hospice patients not in arrest -Check for written treatment orders/valid POLST/DNR or-
ders
-blunt trauma patient w/o vital signs upon arrival - can
Blunt traumatic arrest consider withholding resuscitative ettorts with MD ap-
proval
Emerging infectious disease guidance
Eye opening
-Spontaneous 4
-To voice 3
-To pain 2
-None 1
Verbal response
-Oriented 5
Adult Glasgow Coma Scale (GCS)
-Confused speech 4
-Inappropriate words 3
-Incomprehensible sounds 2
-None 1
Motor response
-Obeys commands 6
-Localizes pain 5
