SNHD AEMT PROTOCOL TEST
NEWEST ACTUAL EXAM
COMPLETE 180 QUESTIONS AND
CORRECT ANSWERS 100%
VERIFIED BY EXPERTS 2024
BRAND NEW!!! ALREADY
GRADED A+
Definition of a patient: A patient is any individual that meet sat least one of the following
criteria: - CORRECT ANSWER>>>>1) A person who has a complaint or mechanism
suggestive of potential illness or injury
2) A person who has obvious evidence of illness or injury
3) A person identified by an informed 2nd or 3rd party caller as requiring
evaluation for potential illness or injury
Pediatric patient considerations: - CORRECT ANSWER>>>>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.
Sexual assault victims protocol - CORRECT ANSWER>>>>-Sexual assault victims
less than 13 y/o shall be transported to sunrise hospital
-Sexual assault victims 13-18 y/o shall be transported to Sunrise Hospital or UMC
-Sexual assault victims 18 y/o and older shall be transported to UMC
-Sexual assault victims outside a 50-mile radius from the above facilities, the
patient shall be transported to the nearest facility
Waiting Room Criteria - CORRECT ANSWER>>>>-Cant be on legal psychiatric hold
-Normal vital signs
-Did not receive any parental medication during EMS transport except single dose
of analgesia and/or an antiemetic
-Can maintain a sitting position without adverse impact on their medical
condition
-is left with a verbal report to hospital personnel
Internal Disaster - CORRECT ANSWER>>>>-If a hospital declares an 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
Excited Delirium Syndrome - CORRECT ANSWER>>>>-Medical emergency-
combination of delirium, psychomotor agitation, anxiety, hallucination, speech
disturbances, disorientation, violent behavior, insensitivity to pain, hyperthermia,
and increased strength
-Potentially life threatening, and associated with the use of physicals control
measures including restraints, TASER, or similar device.
-Most common in male subjects with history of serious mental illness and/or
acute chronic drug abuse, particularly stimulants
Dystonic Reaction - CORRECT ANSWER>>>>-condition causing involuntary
muscle movements or spasms typically of the face, neck and upper extremities
-typically an adverse reaction to drugs such as haloperidol
-When recognized, administer diphenhydramine 50mg IM/IV/IO
S.A.F.E.R - CORRECT ANSWER>>>>-Stabilize the situation by containing and
lowering the stimuli
-Assess and acknowledge the crisis
-Facilitate the identification and activation of resources (Chaplain, family, friends
or police)
-Encourage patient to use resources and take actions in his/her best interest
-Recovery or referral. Leave patient in care of responsible person or professional,
or transport to appropriate facility
Thermal Burn Exposure Protocol - CORRECT ANSWER>>>>-Stop the burning
process with water or saline
-Remove smoldering clothing and jewelry
-Do not remove stuck clothing
Cover burned area with dry sterile dressing
Chemical/Electrical Exposure Protocol - CORRECT ANSWER>>>>Eye involvement?
-Continuous saline flush in affected eyes
-flush with water or NS for 10-15min
-Remove jewelry, constricting items, and expose burned area
-identify and exit sites, apply sterile dressings
Burn Care Centers - CORRECT ANSWER>>>>UMC OR Sunrise
Differential of Burns - CORRECT ANSWER>>>>-Superficial (1st degree)-red and
painful
-Partial Thickness (2nd degree)-blistering
-Full thickness(3rd degree)-painless/charred or leathery skin
,Types of burns - CORRECT ANSWER>>>>-Thermal
-Chemical
-Electrical
-Radiation
-Lightning
Burn Pearl - CORRECT ANSWER>>>>-Circumferential burns to extremities are
dangerous due to potential vascular compromise secondary to soft tissue
swelling. Elevate extremity!
-Burn patients are prone to hypothermia-never apply ice or cool burns; must
maintain normal body temperature
Burn Care Center Criteria - CORRECT ANSWER>>>>1. Second degree burns >10%
body surface area
2. Any third degree burns
3. Burns that involve the face, hands, feet, genitalia, perineum, or major points
4. Electrical burns including lightning injury
5. Chemical burns
6. Circumferential burns
7. Inhalation burns
8. Burn injury with concomitant trauma
Electrical Burn Pearls - CORRECT ANSWER>>>>-Do not contact the patient until
you are certain the source of the electric shock has been disconnected
-Attempt to locate contact points, (entry wound where the AC source contacted
the patient; an exit at the ground point); both sites will generally be full thickness.
-Cardiac monitor; anticipate ventricular or atrial irregularity to include V-Tach, V-
Fib, heart blocks, etc.
-Attempt to identify the nature of electrical source (AC vs DC), the amount of
voltage and the amperage the patient may have been exposed to during the
electrical shock
Chemical Burn Pearl - CORRECT ANSWER>>>>Certainly 0.9% NaCI Sol'n or sterile
water is preferred; however if it is not readily available, do not delay; use tap
water for flushing the affected area or other immediate water sources. Flush the
area as soon as possible with the cleanest, readily available water or saline
solution using copious amounts of fluids
Cardiac Arrest Pregnant - CORRECT ANSWER>>>>-For cardiac arrest patients who
are pregnant, manual CPR is recommended
-For cardiac arrest patients who are pregnant, manual displacement of the uterus
to the left side is recommended
H's & T's (reversible causes) - CORRECT ANSWER>>>>-Hypovolemia- Volume
infusion
, -Hypoxia- Oxygenation & ventilation, CPR
-Hydrogen ion (acidosis)-Ventilation, CPR
-Hypokalemia
-Hyperkalemia- Calcium chloride, sodium bicarbonate, albuterol
-Hypothermia- Warming
-Tension pneumothorax- Needle decompression
Tamponade, cardiac- Volume infusion
-Toxins- Agent specific antidote
-Thrombosis, pulmonary- Volume infusion
-Thrombosis, coronary- Emergent PCI
Nitroglycerin Contraindications - CORRECT ANSWER>>>>in any patient with
hypotension, bradycardia, tachycardia (HR>100bpm) in the absence of heart
failure, evidence of right ventricular infarction, and use of erectile dysfunction
medications within the last 48 hours. Caution is advised in patients with inferior
Wall STEMI and right sided ECG should be performed to evaluate RV Infarction
Childbirth/ Labor normal presntation - CORRECT ANSWER>>>>-Puncture amniotic
sac if not already broke
- Deliver and support head
-Suction mouth; then nose; if meconium present, repeat several times
-Deliver upper shoulder than lower shoulder
-Deliver remainder of baby
- Clamp and cut the umbilical cord
-If multiple births, repeat steps
-Deliver placenta
-Attempt Vascular access
Childbirth/ Labor limb presentation - CORRECT ANSWER>>>>-Place patient in left
lateral recumbent position
-Attempt vascular access
Childbirth/ Labor Breech presentation - CORRECT ANSWER>>>>-Support body of
baby during delivery of head
- Attempt vascular access
Childbirth/ Labor Cord presentation - CORRECT ANSWER>>>>-Position patient in
Trendelenburg and slightly on left side
-Wrap cord and keep it moist
-Insert gloved hand to lift baby off cord; obtain and document cord pulse
-Attempt Vascular access
Childbirth/ Labor Pearl and APGAR - CORRECT ANSWER>>>>-Record APGAR at 1
and 5 minutes after birth
-APGAR of 7-10 is normal, while 4-7 requires resuscitative measures
