Snhd Aemt Protocol Test Newest
Actual Exam Complete 80 Questions And
Correct AnswersSnhd Aemt Protocol Test Newest
Actual Exam Complete 80 Questions And
Correct AnswersSnhd Aemt Protocol Test Newest
Actual Exam Complete 80 Questions And
Correct AnswersSnhd Aemt Protocol Test Newest
A...
Snhd Aemt Protocol Test Newest 2024-2025
Actual Exam Complete 80 Questions And
Correct Answers
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
, Page 2 of 51
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
Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening)
Tension pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
Hypothermia
, Page 3 of 51
General Adult trauma Pearls
Recommended exam: mental status, skin, HEENT, heart, lung,
abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally
procedures should be performed enroute when possible
Geriatric patients should be evaluated with a high index of
suspicion; occult injuries may be present and geriatric patients
can decompensate quickly
BVM is an acceptable method of ventilating and managing an
airway if pulse ox can be maintained >90%
A patient is defined as
A person who has a complaint or mechanism suggestive of
potential illness or injury; A person who has obvious evidence
of illness or injury; or A person identified by an informed 2nd or
3rd party caller as requiring evaluation for potential illness or
injury
Pediatric patient considerations
For patients < 18 yo, use the Pediatric Patient Destination
protocol; Pediatric treatment protocols are to be used on
children who have not yet experienced puberty.
Signs of puberty include
chest or underarm hair on males, and any breast development
in females.
General Adult Assessment
, Page 4 of 51
1. Scene safety / scene size up; NOI/MOI; PPE/BSI; Bring all
equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none
-> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation
management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental
status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns,
need for telemetry physician & as per protocol
Transport per Disposition Criteria if applicable
.Transport to closest facility for Airway emergencies (inability to
adequately ventilate)
Disposition for patients sustaining traumatic injuries
transported in accordance with the Trauma Field Triage Criteria
Protocol
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