SNHD EMT PROTOCOLS QUESTIONS AND
CORRECT ANSWERS 2024
For a patient in shock, what should the oxygen saturation be kept above? - Correct Answer 94% A patient on a legal psychiatric hold may be placed in the ER waiting room - Correct Answer False What is the goal of the protocol manual? - Correct Answer standardize prehospital care in Clark County Describe a partial thickness (2nd degree burn) - Correct Answer blistering Oxygen therapy should be established to keep SpO2 above what level? - Correct Answer 94% When should defibrillation be attempted during a witnessed cardiac arrest? - Correct Answer Immediately What must exist for an emergency care physician to direct a prehospital provider in rendering care that is not explicitly listed within the protocols? - Correct Answer The provider must feel capable,based on the instructions given by the telemetry physician, of correctly performing the directed care.Both the telemetry physician and the provider must acknowledge and agree that the patient's condition and extraordinary care are not addressed elsewhere within these medical protocols The telemetry physician and the provider must immediately notify the Office of EMS & Trauma System (OEMSTS) of the extraordinary care situation.What is recommended if hypoxia is the cause of the cardiac arrest? - Correct Answer Early ventilation When transporting a patient to a remote outpatient emergency department, telemetry contact does not have to be made. - Correct Answer False What is the ideal scene time for a a patient having a stroke? - Correct Answer Less than 10 minutes Localized cold injuries should be rubbed to warm the skin - Correct Answer False 1 / 3
For a patient to be transported to an approved alcohol and drug abuse facility, the pulse rate must be between what range? - Correct Answer 60-120 Which of the following should be performed for a patient with hyperthermia? - Correct Answer Remove from environment Temperature measurement Remove tight clothing Passive cooling measures What type of patients should ambulance attendants transfer? - Correct Answer only those whose therapy required during transfer lies within the attendant's capabilities Describe a dystonic reaction - Correct Answer Involuntary muscle movements or spasms of the face, neck, and upper extremities Typically an adverse reaction to drugs such as Haloperidol Patients placed on backboard for extrication or movement should not be moved to a soft matress - Correct Answer False If cardiac arrest is witnessed by EMS or CPR in progress and patient is unresponsive with no pulse, begin CPR at 30 compressions and two ventilations - Correct Answer False (need to do CCC) Deep suctioning is recommended during neonatal resuscitation - Correct Answer False For a patient to be transported to an approved alcohol and drug abuse facility, the GCS score must be above what level? - Correct Answer 14 What level trauma center is UMC? - Correct Answer 1 What does optimal prehospital care result from? - Correct Answer (1) Careful patient assessment (2) Appropriate medical consultation (3) essential prehospital emergency medical services 2 / 3
What protocols must be followed in the specific sequence noted? - Correct Answer General assessment What is the most common cause of bradycardia in a child? - Correct Answer Hypoxemia For a drowning victim in cardiac arrest, what should emphasis be placed on? - Correct Answer oxygenation/ventilation How much does a leg represent in a pediatric patient in the rule of 9's? - Correct Answer 14 Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria Protocol and occur within the St. Rose Dominican Hospital - Siena Campus Catchment Area, City of Henderson, or the geographical area bordered by Paradise Road to the west continuing along that portion where it becomes Maryland Parkway, Sunset Road to the north, and the county line to the east, are to be transported to Sunrise Hospital & Medical Center and the medical directions for the treatment of the patient must be transported to Sunrise Trauma Center - Correct Answer True When are backboard indicated? - Correct Answer extrication/patient movement Even if a patient indicates they wish to receive life-rescusitating treatment, the DNR/POLST Order or Identification shall be honored - Correct Answer False The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and occur within the City of Henderson or the geographical area bordered by Interstate 15 to the west and Sunset road to the north, and the county line to the east, are to be transported to St. Rose Dominican Hospital - Siena Campus and the medical directions for the treatment of the patient must originate at that center - Correct Answer True How should oxygen be delivered to patients with smoke inhalation? - Correct Answer 100% NRB Patients with a possible spinal injury found in motor vehicles should not be asked if they are able to exist the motor vehicle on their own - Correct Answer False In patients in which the ability to ventilate cannot be established, where shall the patient be transported to? - Correct Answer the nearest emergency department
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