SNHD EMT EMS PROTOCOLS FINAL PAPER 2025/2026
QUESTIONS WITH ANSWERS GRADED A+
✔✔A BVM is acceptable when pulse oximetry is kept above - ✔✔90%
✔✔In a suspected brain injury, position the bed___ - ✔✔at a 30 degree angle
✔✔How many waiting room criteria must be present? - ✔✔All
✔✔Step 1 of Trauma Field Triage - ✔✔Measure vial signs and level of consciousness
✔✔Step 2 of Trauma Field Triage - ✔✔Assess anatomy of injury
✔✔Step 3 of Trauma Field Triage - ✔✔Assess MOI and evidence of high energy impact
✔✔Step 4 Trauma Field Triage - ✔✔Assess special patients
✔✔Step 1 of Trauma Field Triage Criteria - ✔✔A. GCS is 13 or less
B. Systolic BP <90mmHg
C. Respiratory Rate less than 10 or more than 29
D. Is in need of ventilatory Support
✔✔Step 2 of Trauma Field Triage Criteria - ✔✔A. Penetrating injuries to head, neck,
torso, or extremities proximal to elbow or knee
B. Chest wall instability or deformity
C. Two or more proximal long bone fractures
D. Crushed, devolved, mangled, or pulseless extremity
E. Amputation proximal to wrist or ankle
F. Pelvic Fractures
G. Open or depressed skull fractures
H. Paralysis
✔✔Step 3 of Trauma Field Triage Criteria - ✔✔A. Falls
B. High Risk Auto-crash
C. Motor Cycle Crash greater than 20 mph
C. Auto vs pedestrian
✔✔Step 4 Trauma Field Triage Criteria - ✔✔A. Older Adults
B. Children
C. Anticoagulants and bleeding disorders
D. Burns
E. Pregnancy >20 weeks
F. Provider Judgement
, ✔✔Fall Trauma Criteria - ✔✔Adults- greater than 20 feet
Children- greater than 10 ft of the height of child
✔✔Auto Crash Trauma Criteria - ✔✔1. Crash speed over 40mph
2. Intrusion greater than 12 inches
3. Any ejection
4. Roll over
5. Death in the same passenger compartment
✔✔Older Adult Trauma Special Assessments - ✔✔-Risk of injury
-Systolic BP less than 110 mmHg
- Low impact mechanisms
✔✔Children should always - ✔✔be transported to a trauma center
✔✔Burn Special Trauma Assessments - ✔✔- If no other trauma relevant, transport to
Burn Center
- Trauma patients w/ burns falling into St Rose Siena catchment area will be transported
to Sunrise Hospital
✔✔If a physician giving on-line medical consultation directs you to provide care not
explicitly stated in the protocols, what do you do? - ✔✔Notify office of OEMSTS
✔✔In a behavior emergency if patient is a risk to yourself of themselves - ✔✔Use a 2 or
4 point restraint as need, and call law enforcement
✔✔Scene time for stroke patients - ✔✔Less than 10 min
✔✔Telemetry shall be established for - ✔✔-Time sensitive calls
- Medical emergency where physician consultation is necessary
- for all trauma en route to trauma
-When telemetry is indicated per protocol
✔✔Telemetry should be established by - ✔✔radio
✔✔POLST stands for - ✔✔Physician Orders for Life-Sustaining Treatment
✔✔Valid forms of DNRs - ✔✔form, wallet card, or medallion issued by the SNHD, or
any identification issued by another state
✔✔Does verbal instruction from family or friends validate a DNR or POLST? - ✔✔No
✔✔Faxed, copied or electronic versions of DNRs and POLSTs are - ✔✔VALID
QUESTIONS WITH ANSWERS GRADED A+
✔✔A BVM is acceptable when pulse oximetry is kept above - ✔✔90%
✔✔In a suspected brain injury, position the bed___ - ✔✔at a 30 degree angle
✔✔How many waiting room criteria must be present? - ✔✔All
✔✔Step 1 of Trauma Field Triage - ✔✔Measure vial signs and level of consciousness
✔✔Step 2 of Trauma Field Triage - ✔✔Assess anatomy of injury
✔✔Step 3 of Trauma Field Triage - ✔✔Assess MOI and evidence of high energy impact
✔✔Step 4 Trauma Field Triage - ✔✔Assess special patients
✔✔Step 1 of Trauma Field Triage Criteria - ✔✔A. GCS is 13 or less
B. Systolic BP <90mmHg
C. Respiratory Rate less than 10 or more than 29
D. Is in need of ventilatory Support
✔✔Step 2 of Trauma Field Triage Criteria - ✔✔A. Penetrating injuries to head, neck,
torso, or extremities proximal to elbow or knee
B. Chest wall instability or deformity
C. Two or more proximal long bone fractures
D. Crushed, devolved, mangled, or pulseless extremity
E. Amputation proximal to wrist or ankle
F. Pelvic Fractures
G. Open or depressed skull fractures
H. Paralysis
✔✔Step 3 of Trauma Field Triage Criteria - ✔✔A. Falls
B. High Risk Auto-crash
C. Motor Cycle Crash greater than 20 mph
C. Auto vs pedestrian
✔✔Step 4 Trauma Field Triage Criteria - ✔✔A. Older Adults
B. Children
C. Anticoagulants and bleeding disorders
D. Burns
E. Pregnancy >20 weeks
F. Provider Judgement
, ✔✔Fall Trauma Criteria - ✔✔Adults- greater than 20 feet
Children- greater than 10 ft of the height of child
✔✔Auto Crash Trauma Criteria - ✔✔1. Crash speed over 40mph
2. Intrusion greater than 12 inches
3. Any ejection
4. Roll over
5. Death in the same passenger compartment
✔✔Older Adult Trauma Special Assessments - ✔✔-Risk of injury
-Systolic BP less than 110 mmHg
- Low impact mechanisms
✔✔Children should always - ✔✔be transported to a trauma center
✔✔Burn Special Trauma Assessments - ✔✔- If no other trauma relevant, transport to
Burn Center
- Trauma patients w/ burns falling into St Rose Siena catchment area will be transported
to Sunrise Hospital
✔✔If a physician giving on-line medical consultation directs you to provide care not
explicitly stated in the protocols, what do you do? - ✔✔Notify office of OEMSTS
✔✔In a behavior emergency if patient is a risk to yourself of themselves - ✔✔Use a 2 or
4 point restraint as need, and call law enforcement
✔✔Scene time for stroke patients - ✔✔Less than 10 min
✔✔Telemetry shall be established for - ✔✔-Time sensitive calls
- Medical emergency where physician consultation is necessary
- for all trauma en route to trauma
-When telemetry is indicated per protocol
✔✔Telemetry should be established by - ✔✔radio
✔✔POLST stands for - ✔✔Physician Orders for Life-Sustaining Treatment
✔✔Valid forms of DNRs - ✔✔form, wallet card, or medallion issued by the SNHD, or
any identification issued by another state
✔✔Does verbal instruction from family or friends validate a DNR or POLST? - ✔✔No
✔✔Faxed, copied or electronic versions of DNRs and POLSTs are - ✔✔VALID
