SNHD AEMT PROTOCOL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS(DETAILED
ANSWERS)ALREADY GRADED A+/NEW VERSION! 100%
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General Adult Assessment - ANSWER-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 - ANSWER-transported in
accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries - ANSWER-Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) - ANSWER-Transported in
accordance with the Pediatric Destination protocol
Disposition for patients with evidence of stroke - ANSWER-Transported in
accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o - ANSWER-Transported to Sunrise
Hospital
Disposition for sexual assault victims 13-18 y/o - ANSWER-Transported to
Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - ANSWER-transported
to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above
facilities - ANSWER-Transported to the nearest appropriate facility
,A patient is defined as - ANSWER-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 - ANSWER-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 - ANSWER-chest or underarm hair on males, and any
breast development in females.
Disposition for stable patients - ANSWER-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 - ANSWER-The licensee providing emergency medical
care shall transport the patient to the nearest appropriate facility
Waiting room criteria - ANSWER-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 - ANSWER-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 - ANSWER-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
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