SAN DIEGO PROTOCOL BOOK QUESTIONS WITH COMPLETE SOLUTIONS

SAN DIEGO PROTOCOL BOOK QUESTIONS WITH
COMPLETE SOLUTIONS

(S-120) Abdominal Discomfort Correct Answers Ensure
patient airway, O2 saturation PRN, O2 and/or ventilate PRN,
NPO, Transport suspected symptomatic AAA to facility with
surgical resources immediately available

(S-121) Airway Obstruction Correct Answers ...

(S-122) Allergic reaction/ anaphylaxis Correct Answers
Ensure patent airway, O2 saturation PRN, O2 and/or ventilate
PRN, attempt to identify allergen & route (injected, ingested,
absorbed, or inhaled), safely remove allergen (e.g., stinger,
injection, mechanism) if possible, Epinephrine auto-injector 0.3
mg IM x1, may assist patient to self medicate own prescribed
epinephrine auto-injector or albuterol MDI once only. BH
contact required for additional dose(s)

(S-123) Altered Neurologic Function (Non-Traumatic) Correct
Answers Ensure patent airway, O2 saturation, O2 and/or
ventilate PRN, spinal motion restriction PRN, position on
affected side if difficulty managing secretions, do not allow
patient to walk, restrain PRN

(S-124) Burns Correct Answers Move patient to safe
environment, break contact with causative agent, ensure patient
airway, O2, and/or ventilate PRN, O2 saturation PRN, treat
other life threatening injuries, carboxyhemoglobin monitor PRN,
if available

,(S-126) Discomfort/ pain of suspected cardiac origin Correct
Answers Ensure patent airway, O2 saturation PRN, use
supplemental O2 to maintain saturation at 94%-98%, O2 and/or
ventilate PRN, do not allow patient to walk

(S-127) Adult CPR/ Arrhythmias Correct Answers Continuous
compressions of 100-120/min with ventilation rate of 10-12/min,
use metronome or other real time audiovisual feedback device,
rotate compressor at least every 2 mins

(S-129) Envenomation Injuries Correct Answers O2 and/or
ventilate PRN, if antivenin available on site, transport with
patient to hospital

(S-130) Environmental Exposure Correct Answers Ensure
patent airway O2 saturation PRN, O2 and/or ventilate PRN,
obtain baseline temperature

(S-131) Hemodialysis Patient Correct Answers Ensure patient
airway, O2 saturation, give O2 to maintain SpO2 at 94% to
98%, ventilate PRN

(S-132) Decompression Illness / Diving / Altitude-Related
Incidents Correct Answers 100% oxygen via mask, ventilate
PRN, O2 saturation, spinal stabilization PRN, warming PRN,
remove wetsuit if able

(S-133) Obstetrical Emergencies Correct Answers ...

(S-134) Poisoning/Overdose Correct Answers Ensure patient
airway, O2 saturation PRN, O2 and/or ventilate PRN if available

,(S-135) Pre-existing medical interventions Correct Answers If
patient or accompanying person able to manage existing device
proceed with transport, bring backup equipment/batteries as
appropriate

(S-136) Respiratory Distress Correct Answers Ensure patent
airway, reassurance, dislodge any airway obstruction, treat pet
airway obstruction protocol (S-121), O2 saturation, O2 and or
ventilate PRN, transport in position of comfort,
carboxyhemoglobin monitor PRN if available, may assist patient
to self medicate own prescribed MDI once only, BH contact
required for additional doses

(S-139) Trauma Correct Answers Ensure patient Airway,
protect C-spine, control obvious bleeding, spinal motion
restriction per skills list (S-104) except in penetrating trauma
without neurological deficits, O2 saturation and maintain SpO2
at 94%-98%, O2 and/or ventilate at a rate of 10/min PRN, keep
warm, hemostatic gauze

(S-141) Pain Management Correct Answers -Assess level of
pain
-Ice, immobilize, and splint PRN
-Elevation of extremity PRN

(S-142) Psychiatric/Behavioral Emergencies Correct Answers
-Ensure patent airway, O2 and/or ventilate prn
-O2 saturation prn

-Treat life threatening injuries

, -Ask patient "do you have any weapons"

-Attempt to determine if behavior is related to injury, illness, or
drug use

-Restrain only if necessary to prevent injury.

-Document distal neuromuscular status q15 mins if restrained

-Avoid unnecessary sirens.

-Consider law enforcement support and/or evaluation of patient.

-Law enforcement or EMS may remove Taser barbs

(S-143) Sepsis Correct Answers -O2 saturation prn
-O2 and/or ventilate prn
-NPO, anticipate vomiting
-Remove any transdermal patch SO, if present
-Obtain baseline temperature

(S-144) Stroke and Transient Ischemic Attack Correct Answers
...

(S-145) OPIOID WITHDRAWAL / OPIOID USE DISORDER
Correct Answers Ensure patent airway, O2 saturation PRN, O2
and/or ventilate PRN

(S-160) Airway obstruction Correct Answers ...