SNHD AEMT Protocol Test Questions and Answers 100%
Solved
Disposition for patients sustaining burn injuries - ✔✔Transported in accordance with the
Burns Protocol
Disposition for pediatric patients (<18 y/o) - ✔✔Transported in accordance with the Pediatric
Destination protocol
Disposition for patients with evidence of stroke - ✔✔Transported in accordance with the
Stroke (CVA)
protocol
Disposition for sexual assault victims < 13 y/o - ✔✔Transported to Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o - ✔✔Transported to Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - ✔✔transported to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
✔✔Transported
to the nearest appropriate facility
Disposition for stable patients - ✔✔Transported to the hospital of their choice, if the patient
has no
preference the patient should be transported to the nearest appropriate facility
,Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations -
✔✔The licensee providing emergency medical care shall transport the patient to the nearest
appropriate facility
Waiting room criteria - ✔✔Upon arrival in the ED, if transfer of care has not occurred in
accordance with
NRS 450B.790, any patient, excluding patients on a legal psychiatric hold, meeting ALL criteria
may be
placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport except a single dose of
analgesia
,and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
Internal disaster - ✔✔If a hospital declares internal disaster, that facility is to be bypassed for
all patients
except patients in cardiac arrest or in whom the ability to adequately ventilate has not been
established
Operational exceptions may be initiated in regard to transport to hospitals on internal
disaster.
General Adult Trauma Assessment - ✔✔1. General Adult assessment; cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
4. Secondary survey:
, Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - ✔✔Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms - ✔✔Pain, swelling
Deformity, lesions, bleeding
Solved
Disposition for patients sustaining burn injuries - ✔✔Transported in accordance with the
Burns Protocol
Disposition for pediatric patients (<18 y/o) - ✔✔Transported in accordance with the Pediatric
Destination protocol
Disposition for patients with evidence of stroke - ✔✔Transported in accordance with the
Stroke (CVA)
protocol
Disposition for sexual assault victims < 13 y/o - ✔✔Transported to Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o - ✔✔Transported to Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - ✔✔transported to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
✔✔Transported
to the nearest appropriate facility
Disposition for stable patients - ✔✔Transported to the hospital of their choice, if the patient
has no
preference the patient should be transported to the nearest appropriate facility
,Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations -
✔✔The licensee providing emergency medical care shall transport the patient to the nearest
appropriate facility
Waiting room criteria - ✔✔Upon arrival in the ED, if transfer of care has not occurred in
accordance with
NRS 450B.790, any patient, excluding patients on a legal psychiatric hold, meeting ALL criteria
may be
placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport except a single dose of
analgesia
,and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
Internal disaster - ✔✔If a hospital declares internal disaster, that facility is to be bypassed for
all patients
except patients in cardiac arrest or in whom the ability to adequately ventilate has not been
established
Operational exceptions may be initiated in regard to transport to hospitals on internal
disaster.
General Adult Trauma Assessment - ✔✔1. General Adult assessment; cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
4. Secondary survey:
, Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - ✔✔Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms - ✔✔Pain, swelling
Deformity, lesions, bleeding
