EMS/EMT PROTOCOLS TESTS COMPILATION BUNDLE

EMS Delaware Protocols 2023| 343 QUESTIONS| WITH COMPLETE SOLUTIONS

Non-traumatic cardiac arrest Adult Dose of Epi [dose in mg, concentration, & time for repeat] correct answer: 1 mg IV (10ml of 1:10,00 concentration) repeat every 3-5 mins Non-traumatic cardiac arrest Adult Dose of Amiodarone correct answer: 300mg IV Push Non-traumatic cardiac arrest Adult D...

For a patient in shock, what should the oxygen saturation be kept above? correct answer: 94% A patient on a legal psychiatric hold may be placed in the ER waiting room correct answer: False What is the goal of the protocol manual? correct answer: standardize prehospital care in Clark County...

How many doses of albuterol can be given on standing order before contacting medical control. correct answer: 2 3 <--- 4 6 The poisoning protocol addresses other poisonings like opioid overdose and CO poisoning. correct answer: False What is the time frame since "last known well time...

How many doses of albuterol can be given on standing order before contacting medical control. correct answer: 2 3 <--- 4 6 The poisoning protocol addresses other poisonings like opioid overdose and CO poisoning. correct answer: False What is the time frame since "last known well time...

A 56 year old male is apneic and pulseless at the dialysis clinic. You suspect him to be hyperkalemic. Which 2 medications should be considered for this case? correct answer: Sodium Bicarbonate & Calcium Choloride You have administered amiodarone to a 65 year old male in ventricular fibrillation...

You are treating an 8-year-old child [60lbs] suffering from stridor, tachycardia, and edema to lips, following apparent peanut exposure. What medication intervention would be MOST appropriate? a)Epinephrine 1:1000 0.3mg SC b)Diphenhydramine 25mg IV/IO/IN c)Epinephrine 0.3mg via auto-injector d)E...

San Diego BLS Protocols Questions With Complete Solutions ABDOMINAL DISCOMFORT/GI/GU (NON-TRAUMATIC) correct answer: • Ensure patent airway • O2 Saturation prn • O2 and/or ventilate prn • NPO • Transport suspected symptomatic aortic aneurysm to facility with surgical resources immedi...

What are protocols? correct answer: Protocols serve as guidelines for out-of-hospital care. Protocols are approved by the Medical Director and identify treatment EMS personnel are authorized to perform while in the out-of-hospital setting. ALS correct answer: Advanced Life Support ( This set re...

Pain Management correct answer: 1. Initial therapy: 2. Consider possible causes; below may be used for all types of pain (including abdominal pain) 3. Treatment Options (May use a combination of two of the below Medications a. Ketamine- 0.1mg/kg IV/IO/IM/IN (typical adult dose 5-15mg) May repeat...

What are the age parameters for an adult patient? correct answer: > 15 years What are the age parameters for a pediatric patient? correct answer: <15 years What are the age parameters for an infant? correct answer: <= 12 months What is the age to be able to refuse treatment and ...

Pediatric Oral Glucose Indication correct answer: Glucose <60mg/dL Newborn Oral Glucose Indication correct answer: Glucose <40mg/dL Pediatric pulse rate for cardiac arrest correct answer: <60bpm Pediatric Narcan Dose and Route correct answer: 2-4mg intranasal What age is con...

What is the most common cause of pediatric cardiac arrest? correct answer: Hypoxia When treating life threatening postpartum bleeding, administer correct answer: TXA 2g IV/IO slow IV push When ventilating a 2-12 y/o with BVM, ventilate at rate of... correct answer: 20-30 breaths/min What...

Altered Mental Status and Coma correct answer: ... coma Arousal absent Awareness absent No response to noxious stimuli other than reflexic such as extensor or flexor posturing - Altered Mental Status (AMS): A condition, not a diagnosis. Some medical issue is causing the patient's altered men...

What is at an extreme of a variety of clinical conditions causing altered mental status correct answer: coma what is the earliest sign of severe pathological disease correct answer: change in mental status what change is always greater and always precedes structural change in the brain corre...

Consciousness correct answer: - A state of being awake and perceptive of one's internal and external environments •Consists of content and arousal -Content: relies on communication of the cerebral hemispheres to integrate and organize information and neural processes -Arousal: governed by the...

What do protocols serve as? correct answer: Guidlines for out-of-hospital(pre-hospital and inter-hospital) care. Protocols are approved by who? correct answer: Medical direction. Whose able to perforem while in the out-of-hospital setting? correct answer: EMS Personnel. What does ALS mea...

What should be done for pt in anaphylactic/allergic reaction for pt showing signs of hypoperfusion correct answer: 20ml/kg isotonic fluid rapidly over 15 minutes What should you do if pt with abdominal pain SBP <90 and has signs of hypovolemic shock correct answer: request ALS Pt is havin...

1. If person does not meet definition of a patient, release to self. 2. If person does meet definition of a patient and is not A&O, transport. 3. If person does meet definition of a patient and is A&O and suicidal, transport. 4. If person does meet definition of a patient and is A&O, not suicida...

For a Medical patient, initial assessment and therapy should be completed within how many minutes? correct answer: 10 Minutes When caring for a pediatric patient, how would you determine Medical dosages and equipment size? correct answer: Length and weight For a trauma situation, a pediatric...

Pediatric protocols should be used... correct answer: Until the pt is >45kg or displaying signs of puberty; there after adult protocols should be used. General Pt care/ Monitoring and Vascular access correct answer: -Perform hx and physical exam -Obtain Vitals: BP, HR, RR, SpO2, Pain Tem...

Patient Assessment correct answer: -Scene size up/ Global Assessment -General Impression (AVPU) -Airway-Ensure open, Look and listen -Breathing-Assess and intervention if necessary -Circulation-Check for pulse if none begin CPR Patient Assessment (Secondary Survey) correct answer: -Set of ...

Level 1 Trauma correct answer: -Glasgow Coma Scale <14 -Systolic blood pressure <90 mmHg -Respiratory rate <10 or > 29 breaths/minute (<20 in infant < one year) Level 2 Trauma correct answer: -All penetrating injuries to head, neck, torso, and extremities proximal to elbow a...

Using start guide how would you categorize a pt who flat lines and then spontaneously breathes correct answer: Immediate 4 y.0 with temp of 101 who has had two seizures. What medication does she need? correct answer: 15 mL tylenol per KG T or F 02 should be titrated to maintain a 94% or high...

ems standing orders correct answer: address specific situations and serve as reinforcement to basic emt education Patient correct answer: an individual who is sick, injured, wounded or incapacitated or helpless and seeks medical attention Duty to report correct answer: notify proper authori...

4 things provider must do if protocol variation correct answer: 1. notify consulting physician as soon as error discovered 2. monitor patient closely for any changes 3. notify the receiving physician upon arrival 4. Notify local EMS jurisdiction or licensed commercial service and medical directo...

Describe how EMS personnel should deal with an on -scene physician correct answer: Do not accept any orders from an on scene physician, only exception is when patient is being retrieved from physician office. Have on scene physician contact on-line medical control Vital signs should be obtained ...

NTG dose and how many times can be repeated for CP/ACS correct answer: -.4mg SL every 5 mins x 3 -NTG paste 1 inch When to use Fentynal/MS for CP/ACS correct answer: -NTG contraindicated -After NTG SL x 3 and NTG paste does not relieve pain when to transfer stable CP/ACS to closest ER corr...

What were protocols in pre-hospital setting established to do? correct answer: Ensure safe, efficient, and effective interventions during the pre-hospital phase of patient care. What are goals of EMS professionals? correct answer: Establish standards for appropriate patient care, relieve pain a...

A patient is considered what? correct answer: Any person who is requesting and/or in need of medical attention or medical assistance of any kind All patients in care of EMS shall be offered what? correct answer: Transport by ambulance to the nearest appropriate hospital or other protocol based ...

Chest Pain correct answer: 1. Treatment per Airway/ventilation/oxygen protocol. 2. Transport ASAP 3. Monitor VS, Make pt comfortable, loosen constricting garments, administer asa 4 pediatric chewable . iIV NS TKO. Obtain Medical History. Congestive Heart Failure Pulmonary Edema: Acute corre...

ETCO2 ventilation recommendations correct answer: End tidal CO2 concentration (ETCO2) The highest concentration of expired CO2measured in the expired breath, normally at the end of the breath (see figure one). clinically indicated field diagnostic testing : blood glucose correct answer: Signs o...

Name the two ways of Airway Positioning correct answer: Head tilt chin lift(not for trauma Jaw thrust What is the Airway Maintenance Order? correct answer: Positioning Insert OPA Insert NPA Name the two types of Breathing Equipment/Techniques correct answer: Nasal Canula 2-4 lpm Non-Reb...

How much does a patient have to weigh to be treated as an adult? correct answer: 37 kg GENERAL INSTRUCTIONS 2 page 11 Pediatric "Trauma" patients are those who are less than ______ years of age correct answer: 14 page 11 Regarding General guidelines for transport of patients receiving bl...

PREHOSPITAL PREDETERMINATION OF DEATH When that patient is obviously dead, no ___/___shall be initiated or continued. The obviously dead who, in addition to the absence of respiration and cardiac activity, have suffered one of more: 1) 2) 3) 4) 5) correct answer: PREHOSPITAL PREDE...

1. Respond to the Scene in a Safe Manner correct answer: -Review dispatch information. -Use lights and sirens and/or pre-emptive devices when responding as appropriate per emergency medical dispatch information and local guidelines. 2. Scene Arrival and Size-Up correct answer: -Utilize Body S...

On-Line Medical Control Physician a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory Committee (REMAC) to provide advice and direction when such physician is present at the scene of an out-of-hospital medical emergency b. a physician authorized by the Med...

IPAP stands for: correct answer: Initial Protocol for All Patients. Scene Size-Up: As you approach the scene, assure safety for (Blank) and (Blank). correct answer: yourself; the patient. Resources should not be disregarded until: correct answer: a patient assessment has been completed and ...

Sexual assault victims less than 13 years of age shall be transported to what hospital? correct answer: Sunrise Hospital Which of the following describes heat exhaustion? correct answer: Elevated Body Temperature Cool, moist skin Weakness Anxious tachypnea Nothing contained in these proto...

Determination of Death (EMT only) correct answer: 1. Decapitation: visual examination of remains. 2. Incineration: visual examination of remains. 3. Decomposition: visual examination of remains. 4. Separation of brain and/or heart from the body: visual examination of remains. 5. Rigor Mortis: p...

SNHD Manual correct answer: The goal of the manual is to standardize prehospital care in Clark County If a physician giving on-line medical consultation directs you to provide care not explicitly stated in the protocol manual you must...? correct answer: You and the telemetry physician must imm...

Which of the following is an indication for the use of a CAT Tourniquet? A. Proximal extremity hemorrhage where the use of a tourniquet is impractical B. Over a bullet wound C. Pediatric pt with an uncontrollable extremity hemorrhage D. None of the above correct answer: Pediatric pt with an u...

Procedures with a (black diamond) indicates what? correct answer: Are never to be performed without a Medical Control Physician (MCP) order. -you have to call Medical Control for authorization Items enclosed in braces ({ }) means what correct answer: are at the option of the department and its...

Ref. 304 Purpose of base hospital Base hospital is ? correct answer: responsible for providing medical direction and destination to pre-hospital care personnel within LA County EMS system according to standard procedures consistent with statewide guidelines Ref. 304 Purpose of base hospital ...

The BLS use of a glucometer will become a statewide standard protocol with the 2021 protocols and will be phased in by EMS operational programs no later than July 2022. correct answer: True A patient that is agitated but cooperative and making rational decisions, posing no immediate concern for ...