ICEMA PROTOCOL TEST QUESTIONS & ANSWERS
What triage criteria constitutes trauma base contact? - Answer --Patients meeting all
trauma triage criteria; trauma base station contact shall be made
What is the expected on scene time (under normal circumstances) on trauma calls? -
Answer -- 5 to 10 Mins
In the Glasgow coma scale Operational Definitions, Compare the Child GCS with the
infant GCS. What are the differences? - Answer --All three areas are similar with
variances from the adult scale in verbal and motor responses
What is the most important part of the GCS if the patient is intubated? - Answer --If the
patient is intubated, unconscious, or preverbal, the most important part of this scale is
motor response
List the contraindications for utilization of airship transportation - Answer -- Non
decontaminated patients
- Violent Patients
- Drunk Patients
- Trauma center less than 30 min
- Traumatic Full Arrest
If the trauma patient does not meet the "Obvious Death Criteria" what base hospital
contact must be made for determination of death? what must be recorded? - Answer --
Contact a trauma base for determination of death; document asystole in at least two
contiguous leads, and no reported vital signs during the EMS encounter
If an adequate airway cannot be maintained with a BVM device and the paramedic is
unable to indicate or if indicated, perform a successful needle cricothyrotomy, what shall
happen? - Answer -Transport to the closest receiving hospital. RSI should be
performed in a hospital setting and not on scene
If there is associated physiologic or anatomic trauma criteria meeting one or more of the
mechanisms of injury, who determines the patients destination? - Answer -A base
hospital physician, once consulted
What physiological and anatomical criteria must be present for trauma base hospital
contact to be made? - Answer -- GCS <13
- Need for ventilator support,
- Penetrating injuries to the torso,
- De gloved extremity
What triage criteria constitutes trauma base contact? - Answer --Patients meeting all
trauma triage criteria; trauma base station contact shall be made
What is the expected on scene time (under normal circumstances) on trauma calls? -
Answer -- 5 to 10 Mins
In the Glasgow coma scale Operational Definitions, Compare the Child GCS with the
infant GCS. What are the differences? - Answer --All three areas are similar with
variances from the adult scale in verbal and motor responses
What is the most important part of the GCS if the patient is intubated? - Answer --If the
patient is intubated, unconscious, or preverbal, the most important part of this scale is
motor response
List the contraindications for utilization of airship transportation - Answer -- Non
decontaminated patients
- Violent Patients
- Drunk Patients
- Trauma center less than 30 min
- Traumatic Full Arrest
If the trauma patient does not meet the "Obvious Death Criteria" what base hospital
contact must be made for determination of death? what must be recorded? - Answer --
Contact a trauma base for determination of death; document asystole in at least two
contiguous leads, and no reported vital signs during the EMS encounter
If an adequate airway cannot be maintained with a BVM device and the paramedic is
unable to indicate or if indicated, perform a successful needle cricothyrotomy, what shall
happen? - Answer -Transport to the closest receiving hospital. RSI should be
performed in a hospital setting and not on scene
If there is associated physiologic or anatomic trauma criteria meeting one or more of the
mechanisms of injury, who determines the patients destination? - Answer -A base
hospital physician, once consulted
What physiological and anatomical criteria must be present for trauma base hospital
contact to be made? - Answer -- GCS <13
- Need for ventilator support,
- Penetrating injuries to the torso,
- De gloved extremity
