SNHD PROTOCOLS PRACTICE PAPER 2026
COMPLETE SOLUTIONS
◉ What is the GOAL of the manual? Answer: to STANDARDIZE
prehospital patient care in Clark County. It is to be understood that
these protocols are guidelines. Nothing contained in these protocols
shall be construed to expand the scope of practice of any licensed
Attendant beyond that which is identified in the Clark County
Emergency Medical Services Regulations and these protocols
(Appendix C).
NOTHING contained within these protocols is meant to delay rapid
patient transport to a receiving facility. Patient care should be
rendered while en-route to a definitive treatment facility.
◉ In what position should a patient who has a suspected traumatic
brain injury be transported?
(General Adult Trauma Assessment Protocol) Answer: Head of the
bed elevated to 30°
◉ What should be utilized for an abdominal evisceration?
(General Adult Trauma Assessment) Answer: Wet trauma dressing
,◉ What Sp02 is acceptable when utilizing a BVM?
(General Adult Trauma Assessment) Answer: 90%
◉ How much fluid is to be administered to a patient who does not
have a palpable radial pulse?
(General Adult Trauma Assessment) Answer: 1 L of normal saline
◉ At what level should the waveform capnography be maintained?
(General Adult Trauma Assessment) Answer: 35 mm Hg
◉ What are the signs of a tension pneumothorax?
(General Adult Trauma Assessment) Answer: •Absent breath sounds
•Hypoxia, rapid respiratory rate
•Hypotension, tachycardia
•JVD
•Tracheal deviation
◉ What additional assessment should be considered when assessing
a person with abdominal/flank pain?
(Abdominal/Flank Pain, Nausea & Vomiting) Answer:
Retroperitoneal palpation for kidney pain
,◉ What should be a consideration for female patients of
childbearing age?
(Abdominal/Flank Pain, Nausea & Vomiting) Answer: Pregnant until
proven otherwise
◉ What is the fluid bolus amount for a patient with abdominal/flank
pain who has signs of hypovolemia?
(Abdominal/Flank Pain, Nausea & Vomiting) Answer: 500 mL bolus,
up to 2L
◉ At what age should abdominal/flank pain patients be placed on a
cardiac monitor and acquire a 12-Lead EKG? Answer: • 35-years-old
or older
• Anyone with a cardiac history
◉ What medications may be utilized for patients with nausea or
vomiting? Answer: • Ondansetron 4 mg ODT/IM/IV/IO
• Droperidol 1.25 mg IM/IV/IO
• Metoclopramide 10 mg slow IV bolus or
IM
• Prochloperazine max 10 mg IV/IM/lO
◉ How many body systems are involved with anaphylaxis? Answer:
Two or more systems
, ◉ What is urticaria? Answer: • A skin rash, with or without hives
◉ What is "angioedema"? Answer: • Swelling of the face that occurs
due to an allergic reaction, commonly to medications
◉ What is the first line medication with a patient who is
experiencing airway and breathing difficulties in the presence of
anaphylaxis? Answer: Epinephrine 1:1,000 0.5 mg via IM (max 1.5
mg)
- you may also administer the patients own auto injector
◉ What other assessment should be performed on a patient who is
experiencing an altered mental status/syncope? Answer: Neurologic
exam paying attention to the head for signs of injury
◉ When is it appropriate do administer oral glucose? Answer: If the
patient can maintain their airway
◉ You have a patient with an altered mental status who has a blood
sugar of ‹60 mg/dL and can not establish an IV. What is the next best
course of action? Answer: Administer Glucagon
◉ What is the dosage and route of Glucagon? Answer: • 1 mg via IM
COMPLETE SOLUTIONS
◉ What is the GOAL of the manual? Answer: to STANDARDIZE
prehospital patient care in Clark County. It is to be understood that
these protocols are guidelines. Nothing contained in these protocols
shall be construed to expand the scope of practice of any licensed
Attendant beyond that which is identified in the Clark County
Emergency Medical Services Regulations and these protocols
(Appendix C).
NOTHING contained within these protocols is meant to delay rapid
patient transport to a receiving facility. Patient care should be
rendered while en-route to a definitive treatment facility.
◉ In what position should a patient who has a suspected traumatic
brain injury be transported?
(General Adult Trauma Assessment Protocol) Answer: Head of the
bed elevated to 30°
◉ What should be utilized for an abdominal evisceration?
(General Adult Trauma Assessment) Answer: Wet trauma dressing
,◉ What Sp02 is acceptable when utilizing a BVM?
(General Adult Trauma Assessment) Answer: 90%
◉ How much fluid is to be administered to a patient who does not
have a palpable radial pulse?
(General Adult Trauma Assessment) Answer: 1 L of normal saline
◉ At what level should the waveform capnography be maintained?
(General Adult Trauma Assessment) Answer: 35 mm Hg
◉ What are the signs of a tension pneumothorax?
(General Adult Trauma Assessment) Answer: •Absent breath sounds
•Hypoxia, rapid respiratory rate
•Hypotension, tachycardia
•JVD
•Tracheal deviation
◉ What additional assessment should be considered when assessing
a person with abdominal/flank pain?
(Abdominal/Flank Pain, Nausea & Vomiting) Answer:
Retroperitoneal palpation for kidney pain
,◉ What should be a consideration for female patients of
childbearing age?
(Abdominal/Flank Pain, Nausea & Vomiting) Answer: Pregnant until
proven otherwise
◉ What is the fluid bolus amount for a patient with abdominal/flank
pain who has signs of hypovolemia?
(Abdominal/Flank Pain, Nausea & Vomiting) Answer: 500 mL bolus,
up to 2L
◉ At what age should abdominal/flank pain patients be placed on a
cardiac monitor and acquire a 12-Lead EKG? Answer: • 35-years-old
or older
• Anyone with a cardiac history
◉ What medications may be utilized for patients with nausea or
vomiting? Answer: • Ondansetron 4 mg ODT/IM/IV/IO
• Droperidol 1.25 mg IM/IV/IO
• Metoclopramide 10 mg slow IV bolus or
IM
• Prochloperazine max 10 mg IV/IM/lO
◉ How many body systems are involved with anaphylaxis? Answer:
Two or more systems
, ◉ What is urticaria? Answer: • A skin rash, with or without hives
◉ What is "angioedema"? Answer: • Swelling of the face that occurs
due to an allergic reaction, commonly to medications
◉ What is the first line medication with a patient who is
experiencing airway and breathing difficulties in the presence of
anaphylaxis? Answer: Epinephrine 1:1,000 0.5 mg via IM (max 1.5
mg)
- you may also administer the patients own auto injector
◉ What other assessment should be performed on a patient who is
experiencing an altered mental status/syncope? Answer: Neurologic
exam paying attention to the head for signs of injury
◉ When is it appropriate do administer oral glucose? Answer: If the
patient can maintain their airway
◉ You have a patient with an altered mental status who has a blood
sugar of ‹60 mg/dL and can not establish an IV. What is the next best
course of action? Answer: Administer Glucagon
◉ What is the dosage and route of Glucagon? Answer: • 1 mg via IM
