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SNHD EMT PROTOCOL EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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SNHD EMT PROTOCOL EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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SNHD EMT PROTOCOL EXAMQUESTIONS WITH COMPLETE
SOLUTIONS
Definition of a patient - answer-a patient is any individual that meets at least one of the
following criteria:
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; or
3) a person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric patients are? - answer-anyone under 18 yrs old
Waiting room criteria - answer-1. Normal vital signs a. Heart rate 60 - 100 b. Respiratory
rate 10 - 20 c. Systolic bp 100 - 180 d. Diastolic bp 60 - 110 e. Room air pulse oximetry
>94% f. Alert and oriented x 4 2. Did not receive any parenteral medications during ems
transport except a single dose of analgesia and/or an antiemetic. 3. In the judgment of
the paramedic, does not require continuous cardiac monitoring. Note: any ecg
monitoring initiated by a transferring facility may not be discontinued by ems personnel.
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 criteria - answer-emt can transport if cardiac arrest and/or inability to
maintain airway and has informed er of delivery of patient
Allergic reaction protocol - answer-emt can assist with own epi and mdi
Altered mental status (ams) - answer-emt can administer oral glucose if patient can
maintain their own airway. Bg below 60 only
Safer model - answer-s.a.f.e.r. · s.tabilize the situation by containing and lowering the
stimuli. ·
A.ssess and acknowledge the crisis. · f.acilitate the identification and activation of
resources (chaplain, family, friends or police). ·
E.ncourage patient to use resources and take actions in his/her best interest. · r.ecovery
or referral
Burns (burn centers) - answer-umc & sunrise
Cardiac arrest - answer-adults: 2 in depth, 100 compression per minute, 30:2 ratio.
Unwitnessed: 2 min of cpr before aed
, Witnessed: aed immediately
Chest pain - answer-324mg chewable aspirin, assistance with patient's nitroglycerin up
to 3 doses if no ed meds and sys. Above 100hmg
Childbirth - answer-limb presentation transported on left side, breech support body of
baby, cord lift
Apgar score - answer-1 min - 5 min after delivery
Cold related illness - answer-passive warming: blanket and heated room or ambulance
Active warming: hot packs in groin and armpits
Hypothermia ranges: 90* - 95* mild, 82* - 90* moderate, below 82* severe
Drowning - answer-ventilation is key, even through foam in the airway
Epistaxis (nosebleed) - answer-have patient blow nose; suction active bleeding
Oxymetazoline or phenylephrine 2 sprays to each nostril. Followed by direct pressure
Heat related illness - answer-passive cooling: move patient from heat, and remove
excess clothing
Active: cold packs, ice, fanning, air conditioning
Heat cramps: muscle cramps caused by dehydration, no elevated temp
Heat exhaustion: dehydration, salt depletion, dizziness, fever, altered mental status, etc.
Vitals are tachycardia, hypotension, and elevated temp
Heat stroke: temp above 104* and altered mental status
Overdose - answer-2mg to 4mg of naxolone (narcan) through nasal
Respiratory distress: - answer-emt can assist with patient's own mdi
Seizure - answer-emt will help keep patient from self harm and check blood glucose,
maintain airway
Smoke inhalation - answer-100% o2 and watch for airway issues, umc or sunrise
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