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Exam (elaborations)

SNHD AEMT Protocol Test Questions with Solutions

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SNHD AEMT Protocol Test Questions with Solutions

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  • September 17, 2024
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SNHD AEMT Protocol Test Questions with Solutions
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

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