ICEMA PROTOCOLS EXAM WITH
VERIFIED ANSWERS
What lis lthe lpurpose lof lthe lHERT lteam lin lSan lBernardino lcounty? l- lcorrect lanswers
l-To lrespond lto ltrauma lscenes lto lprovide ladvanced lsurgical lcare lat lthe lscene
Describe lthe lprinciples l(A,B, land lC) lof lthe lHERT lteam lin lSan lBernardino lcounty l-
lcorrect lanswers l-Utilized lwhere llife lsaving lprocedures lis lrequired lto lallow lfor
lextrication lof la ltrauma lpatient; lthe lteam lis lready lto lrespond lwithin l20 lminutes lwith
lpredetermined, lpreassembled llife lsaving lequipment
HERT lTeam laccess lto lthe lemergency lmedical lscene lwill lbe lat lthe ldiscretion lof
lwhom? l- lcorrect lanswers l-Access lto lthe lemergency lmedical lscene lwill lbe lat lthe
ldiscretion lof lthe lincident lcommander
What ltriage lcriteria lconstitutes ltrauma lbase lcontact? l- lcorrect lanswers l-Patients
lmeeting lall ltrauma ltriage lcriteria; ltrauma lbase lstation lcontact lshall lbe lmade
What lis lthe lexpected lon lscene ltime l(under lnormal lcircumstances) lon ltrauma lcalls? l-
lcorrect lanswers l-5-10 lminutes
, In lthe lGlasgow lcoma lscale lOperational lDefinitions, lCompare lthe lChild lGCS lwith lthe
linfant lGCS. lWhat lare lthe ldifferences? l- lcorrect lanswers l-All lthree lareas lare lsimilar
lwith lvariances lfrom lthe ladult lscale lin lverbal land lmotor lresponses
What lis lthe lmost limportant lpart lof lthe lGCS lif lthe lpatient lis lintubated? l- lcorrect
lanswers l-If lthe lpatient lis lintubated, lunconscious, lor lpreverbal, lthe lmost limportant
lpart lof lthis lscale lis lmotor lresponse
List lthe lcontraindications lfor lutilization lof lairship ltransportation: l- lcorrect lanswers l-
The lpatient lfalls lin lthese lthree lcatagories: lnon ldecontaminated lpatients, lviolent
lpatients, ldrunk lpatients, lstable lpatients, lground lx lport lis lless lthan l30 lminutes,
ltraumatic lfull larrest
If lthe ltrauma lpatient ldoes lnot lmeet lthe l"Obvious lDeath lCriteria" lwhat lbase lhospital
lcontact lmust lbe lmade lfor ldetermination lof ldeath? lwhat lmust lbe lrecorded? l- lcorrect
lanswers l-Contact la ltrauma lbase lfor ldetermination lof ldeath; ldocument lasystole lin lat
lleast ltwo lcontiguous lleads, land lno lreported lvital lsigns lduring lthe lEMS lencounter
If lan ladequate lairway lcannot lbe lmaintained lwith la lBVM ldevice land lthe lparamedic lis
lunable lto lindicate lor lif lindicated, lperform la lsuccessful lneedle lcricothyrotomy, lwhat
lshall lhappen? l- lcorrect lanswers l-Transport lto lthe lclosest lreceiving lhospital. lRSI
lshould lbe lperformed lin la lhospital lsetting land lnot lon lscene
If lthere lis lassociated lphysiologic lor lanatomic ltrauma lcriteria lmeeting lone lor lmore lof
lthe lmechanisms lof linjury, lwho ldetermines lthe lpatients ldestination? l- lcorrect lanswers
l-A lbase lhospital lphysician, lonce lconsulted
What lphysiological land lanatomical lcriteria lmust lbe lpresent lfor ltrauma lbase lhospital
lcontact lto lbe lmade? l- lcorrect lanswers l-GCS l<13, lneed lfor lventilator lsupport,
lpenetrating linjuries lto lthe ltorso, ldegloved lextremity
If la lphysiological lor lanatomical lcriterion lwas lnot lmet, lwhat lparameters lof lmechanism
lof linjury land levidence lof lhigh-energy limpact lmust lbe lpresent lfor ltrauma lbase
lhospital lcontact lto lbe lmade lin lthe ladult lpatient? l- lcorrect lanswers l-Falls lgreater
lthan l20' lor lhigh lrisk lauto lcrash lwith lcompartment lintrusion, lejection, lauto lvs lped
Per lprotocol, lwhat lspecial lconsiderations lexist lif lthe lpatient ldoes lnot lmeet lany lof lthe
lphysiological lor lanatomical ltrauma lcriteria? l- lcorrect lanswers l-Adults lolder lthan l65,
lchildren, lanti-coagulant lmeds land lbleeding ldisorders, lburns, lpregnancy l>20 lweeks,
lEMS lprovider ljudgement
What ldoes lthe lacronym lNSAID lstand lfor? l- lcorrect lanswers l-Neuro ldeficits, lspinal
ltenderness, laltered, lintoxicated, ldistracting linjuries
VERIFIED ANSWERS
What lis lthe lpurpose lof lthe lHERT lteam lin lSan lBernardino lcounty? l- lcorrect lanswers
l-To lrespond lto ltrauma lscenes lto lprovide ladvanced lsurgical lcare lat lthe lscene
Describe lthe lprinciples l(A,B, land lC) lof lthe lHERT lteam lin lSan lBernardino lcounty l-
lcorrect lanswers l-Utilized lwhere llife lsaving lprocedures lis lrequired lto lallow lfor
lextrication lof la ltrauma lpatient; lthe lteam lis lready lto lrespond lwithin l20 lminutes lwith
lpredetermined, lpreassembled llife lsaving lequipment
HERT lTeam laccess lto lthe lemergency lmedical lscene lwill lbe lat lthe ldiscretion lof
lwhom? l- lcorrect lanswers l-Access lto lthe lemergency lmedical lscene lwill lbe lat lthe
ldiscretion lof lthe lincident lcommander
What ltriage lcriteria lconstitutes ltrauma lbase lcontact? l- lcorrect lanswers l-Patients
lmeeting lall ltrauma ltriage lcriteria; ltrauma lbase lstation lcontact lshall lbe lmade
What lis lthe lexpected lon lscene ltime l(under lnormal lcircumstances) lon ltrauma lcalls? l-
lcorrect lanswers l-5-10 lminutes
, In lthe lGlasgow lcoma lscale lOperational lDefinitions, lCompare lthe lChild lGCS lwith lthe
linfant lGCS. lWhat lare lthe ldifferences? l- lcorrect lanswers l-All lthree lareas lare lsimilar
lwith lvariances lfrom lthe ladult lscale lin lverbal land lmotor lresponses
What lis lthe lmost limportant lpart lof lthe lGCS lif lthe lpatient lis lintubated? l- lcorrect
lanswers l-If lthe lpatient lis lintubated, lunconscious, lor lpreverbal, lthe lmost limportant
lpart lof lthis lscale lis lmotor lresponse
List lthe lcontraindications lfor lutilization lof lairship ltransportation: l- lcorrect lanswers l-
The lpatient lfalls lin lthese lthree lcatagories: lnon ldecontaminated lpatients, lviolent
lpatients, ldrunk lpatients, lstable lpatients, lground lx lport lis lless lthan l30 lminutes,
ltraumatic lfull larrest
If lthe ltrauma lpatient ldoes lnot lmeet lthe l"Obvious lDeath lCriteria" lwhat lbase lhospital
lcontact lmust lbe lmade lfor ldetermination lof ldeath? lwhat lmust lbe lrecorded? l- lcorrect
lanswers l-Contact la ltrauma lbase lfor ldetermination lof ldeath; ldocument lasystole lin lat
lleast ltwo lcontiguous lleads, land lno lreported lvital lsigns lduring lthe lEMS lencounter
If lan ladequate lairway lcannot lbe lmaintained lwith la lBVM ldevice land lthe lparamedic lis
lunable lto lindicate lor lif lindicated, lperform la lsuccessful lneedle lcricothyrotomy, lwhat
lshall lhappen? l- lcorrect lanswers l-Transport lto lthe lclosest lreceiving lhospital. lRSI
lshould lbe lperformed lin la lhospital lsetting land lnot lon lscene
If lthere lis lassociated lphysiologic lor lanatomic ltrauma lcriteria lmeeting lone lor lmore lof
lthe lmechanisms lof linjury, lwho ldetermines lthe lpatients ldestination? l- lcorrect lanswers
l-A lbase lhospital lphysician, lonce lconsulted
What lphysiological land lanatomical lcriteria lmust lbe lpresent lfor ltrauma lbase lhospital
lcontact lto lbe lmade? l- lcorrect lanswers l-GCS l<13, lneed lfor lventilator lsupport,
lpenetrating linjuries lto lthe ltorso, ldegloved lextremity
If la lphysiological lor lanatomical lcriterion lwas lnot lmet, lwhat lparameters lof lmechanism
lof linjury land levidence lof lhigh-energy limpact lmust lbe lpresent lfor ltrauma lbase
lhospital lcontact lto lbe lmade lin lthe ladult lpatient? l- lcorrect lanswers l-Falls lgreater
lthan l20' lor lhigh lrisk lauto lcrash lwith lcompartment lintrusion, lejection, lauto lvs lped
Per lprotocol, lwhat lspecial lconsiderations lexist lif lthe lpatient ldoes lnot lmeet lany lof lthe
lphysiological lor lanatomical ltrauma lcriteria? l- lcorrect lanswers l-Adults lolder lthan l65,
lchildren, lanti-coagulant lmeds land lbleeding ldisorders, lburns, lpregnancy l>20 lweeks,
lEMS lprovider ljudgement
What ldoes lthe lacronym lNSAID lstand lfor? l- lcorrect lanswers l-Neuro ldeficits, lspinal
ltenderness, laltered, lintoxicated, ldistracting linjuries
