SNHD PARAMEDIC PROTOCOL EXAM LATEST ACTUAL EXAM
The GOAL of the manual is to _________ prehospital patient care in clark county. -
ANSWER: Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - ANSWER: b. En route
The General assessment protocols must be followed how? - ANSWER: In specific
sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry
orders have been given? - ANSWER: Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following
criteria: - ANSWER: 1. A person who has a complaint or mechanism suggestive of
potential illness or injury
2. a person who has obvious evidence of illness or injury; or
3. A person identified by an informed 2nd or 3rd party caller as requiring evaluation
for potential illness or injury
Pediatric Treatment protocols are to be used on children who have not experienced
what? - ANSWER: puberty
For what age do you use the Pediatric Patient Destination protocol? - ANSWER: <18
years old
When is radio contact needed during adult general assessment ? - ANSWER: All
trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? - ANSWER: Only if
routed via a recorded phone patch through FAO at 702-382-9007
Sexual assault victims <13 years old shall be transported to? - ANSWER: Sunrise
hospital
Sexual assault victimes 13 y/o to 18 y/o shall be transported to? - ANSWER: Sunrise
Hospital or UMC
Sexual assault victims 18 y/o and older shall be transported to? - ANSWER: UMC
,Sexual assault victims outside a 50-mile radius from UMC or Sunrise shall be
transported where? - ANSWER: nearest appropriate facility
Where shall stable patients be transported? - ANSWER: hospital of choice, if no
preference then closest facility
When are patients allowed to be placed in the waiting room? - ANSWER: If transfer
of care has not occurred in accordance with NRS 450B.790
excludes patient placed on a legal psych hold
meets all following criteria
Waiting Room Criteria Vital Signs - ANSWER: Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
Waiting room criteria - ANSWER: Normal Vital Signs
did not receive any parental meds during transport except single dose of analgesia
and/or antiemetic
Does not require continuous cardiac monitoring, judgement of Paramedic
can maintain in sitting position
Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - ANSWER: if pulse oximetry can be
maintained at or above 90%
Abdominal/ Flank pain
When is 12-Lead required? - ANSWER: ≥35 years old
Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - ANSWER: 500 ml NS or LR bolus
IV/IO; may repeat up to 2000 ml
Abdominal/flank pain
What to give if there is N/V? - ANSWER: consider an antiemetic: Ondansetron 4mg
ODT/IM/IV/IO
Droperidol 1.25mg IM/IV/IO
Abdominal/ flank pain
, what should be considered in women of childbearing age? - ANSWER: Pregnancy
until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - ANSWER: Diphenhydramine 50mg
IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - ANSWER: Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - ANSWER: Albuterol 2.5mg SVN, repeat as needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - ANSWER: Albuterol 2.5mg in 3ml SVN, repeat as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - ANSWER: Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or
IO
Allergic Reaction
What is the next step if there is refractory anaphylaxis? - ANSWER: Contact medical
control
Allergic Reaction
There are no absolute contraindications to episodes, but when should it be used in
caution? - ANSWER: In elderly patients, patients with known cardiovascular disease,
or significant tachycardia or hypertension, and only should be administered when
the patients signs and symptoms are severe
Mild allergic reaction - ANSWER: Skin rashes
itchy sensation
hives with NO respiratory involvement
Moderate allergic reaction - ANSWER: skin disorders
May include some respiratory involvement like wheezing - still maintains good tidal
volume
Severe allergic reaction - ANSWER: skin disorders
The GOAL of the manual is to _________ prehospital patient care in clark county. -
ANSWER: Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - ANSWER: b. En route
The General assessment protocols must be followed how? - ANSWER: In specific
sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry
orders have been given? - ANSWER: Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following
criteria: - ANSWER: 1. A person who has a complaint or mechanism suggestive of
potential illness or injury
2. a person who has obvious evidence of illness or injury; or
3. A person identified by an informed 2nd or 3rd party caller as requiring evaluation
for potential illness or injury
Pediatric Treatment protocols are to be used on children who have not experienced
what? - ANSWER: puberty
For what age do you use the Pediatric Patient Destination protocol? - ANSWER: <18
years old
When is radio contact needed during adult general assessment ? - ANSWER: All
trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? - ANSWER: Only if
routed via a recorded phone patch through FAO at 702-382-9007
Sexual assault victims <13 years old shall be transported to? - ANSWER: Sunrise
hospital
Sexual assault victimes 13 y/o to 18 y/o shall be transported to? - ANSWER: Sunrise
Hospital or UMC
Sexual assault victims 18 y/o and older shall be transported to? - ANSWER: UMC
,Sexual assault victims outside a 50-mile radius from UMC or Sunrise shall be
transported where? - ANSWER: nearest appropriate facility
Where shall stable patients be transported? - ANSWER: hospital of choice, if no
preference then closest facility
When are patients allowed to be placed in the waiting room? - ANSWER: If transfer
of care has not occurred in accordance with NRS 450B.790
excludes patient placed on a legal psych hold
meets all following criteria
Waiting Room Criteria Vital Signs - ANSWER: Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
Waiting room criteria - ANSWER: Normal Vital Signs
did not receive any parental meds during transport except single dose of analgesia
and/or antiemetic
Does not require continuous cardiac monitoring, judgement of Paramedic
can maintain in sitting position
Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - ANSWER: if pulse oximetry can be
maintained at or above 90%
Abdominal/ Flank pain
When is 12-Lead required? - ANSWER: ≥35 years old
Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - ANSWER: 500 ml NS or LR bolus
IV/IO; may repeat up to 2000 ml
Abdominal/flank pain
What to give if there is N/V? - ANSWER: consider an antiemetic: Ondansetron 4mg
ODT/IM/IV/IO
Droperidol 1.25mg IM/IV/IO
Abdominal/ flank pain
, what should be considered in women of childbearing age? - ANSWER: Pregnancy
until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - ANSWER: Diphenhydramine 50mg
IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - ANSWER: Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - ANSWER: Albuterol 2.5mg SVN, repeat as needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - ANSWER: Albuterol 2.5mg in 3ml SVN, repeat as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - ANSWER: Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or
IO
Allergic Reaction
What is the next step if there is refractory anaphylaxis? - ANSWER: Contact medical
control
Allergic Reaction
There are no absolute contraindications to episodes, but when should it be used in
caution? - ANSWER: In elderly patients, patients with known cardiovascular disease,
or significant tachycardia or hypertension, and only should be administered when
the patients signs and symptoms are severe
Mild allergic reaction - ANSWER: Skin rashes
itchy sensation
hives with NO respiratory involvement
Moderate allergic reaction - ANSWER: skin disorders
May include some respiratory involvement like wheezing - still maintains good tidal
volume
Severe allergic reaction - ANSWER: skin disorders
