SNHD EMT EMS PROTOCOLS
COMPREHENSIVE TEST 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ What does OEMSTS stand for?
(Forward 5, 6). Answer: Office of EMS & Trauma System
◉ When should you fill out a Protocol Deviation form?
(Forward 5, 6). Answer: When the provider feels the administration
of an ordered medication would endanger the patient, a medication
is not available, or a physician's orders is outside the protocol.
◉ What is the definition of a patient?
(Forward 5, 6). Answer: A patient is any individual that meets at
least one of the following criteria:
- a person who has a complaint or mechanism suggestive of
potential illness or injury
- a person who has obvious evidence of illness or injury
,- a person identified by any informed 2nd or 3rd party caller as
requiring evaluation for potential illness or injury
◉ Who is considered a pediatric patient?
(Forward 5, 6). Answer: Patients under 18 yo and for patients who
do not show signs of puberty (including chest hair or underarm hair
on males & any breast development in females).
◉ Where should you take sexual assault victims?
(General Adult Assessment Protocol 11, 12). Answer: - Victims
under 13 yo should be transported to Sunrise Hospital
- Victims 13 yo to 18 yo should be transported to Sunrise Hospital or
UMC
- Victims 18 yo and older should be transported to UMC
* Victims outside a 50 mile radius from Sunrise Hospital and UMC
should be transported to the nearest appropriate facility
◉ What is the Waiting Room Criteria?
(General Adult Assessment Protocol 11, 12). Answer: 1. Normal vital
signs
,2. Did not receive any parenteral medication during EMS transport
except for a single dose of analgesia &/or antiemetic
3. 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
*patients cannot be on a L2K
◉ What are you immediate treatments for:
- suspected tension pneumothorax
- sucking chest wound
- control active hemorrhaging
- obvious fractures
- suspected traumatic brain injury
- open wounds
(General Adult Trauma Assessment Protocol 13, 14). Answer: -
suspected tension pneumothorax → needle decompression
- sucking chest wound → apply 3 sided occlusive dressing
- control active hemorrhaging → hemorrhage control
- obvious fractures → immobilize fracture and assess distal pulses
, - suspected traumatic brain injury → capnography (ETCO2
35mmHg)
- open wounds → cover with gauze; wet trauma dressing for
abdominal evisceration
◉ When should you do a 12 Lead ECG?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16),
(Chest Pain (Non-Traumatic) and Suspected Acute Coronary
Syndrome Protocol 29, 30). Answer: Over the age of 35 yo
experiencing jaw/chest/abdominal discomfort
◉ What are the medications to be given in for nausea and vomiting
for an adult patient?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16).
Answer: - ONDANSETRON (Zofran) 4mg ODT/IM/IV/IO
- DROPERIDOL 1.25mg IM/IV/IO
- METOCLOPRAMIDE 10mg slow IVP over 1-2 mins or IM
- PROCHLORPERAZINE up to 10mg IV/IM/IO
◉ How much fluids should be given for a patient with signs of
hypovolemia?
COMPREHENSIVE TEST 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ What does OEMSTS stand for?
(Forward 5, 6). Answer: Office of EMS & Trauma System
◉ When should you fill out a Protocol Deviation form?
(Forward 5, 6). Answer: When the provider feels the administration
of an ordered medication would endanger the patient, a medication
is not available, or a physician's orders is outside the protocol.
◉ What is the definition of a patient?
(Forward 5, 6). Answer: A patient is any individual that meets at
least one of the following criteria:
- a person who has a complaint or mechanism suggestive of
potential illness or injury
- a person who has obvious evidence of illness or injury
,- a person identified by any informed 2nd or 3rd party caller as
requiring evaluation for potential illness or injury
◉ Who is considered a pediatric patient?
(Forward 5, 6). Answer: Patients under 18 yo and for patients who
do not show signs of puberty (including chest hair or underarm hair
on males & any breast development in females).
◉ Where should you take sexual assault victims?
(General Adult Assessment Protocol 11, 12). Answer: - Victims
under 13 yo should be transported to Sunrise Hospital
- Victims 13 yo to 18 yo should be transported to Sunrise Hospital or
UMC
- Victims 18 yo and older should be transported to UMC
* Victims outside a 50 mile radius from Sunrise Hospital and UMC
should be transported to the nearest appropriate facility
◉ What is the Waiting Room Criteria?
(General Adult Assessment Protocol 11, 12). Answer: 1. Normal vital
signs
,2. Did not receive any parenteral medication during EMS transport
except for a single dose of analgesia &/or antiemetic
3. 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
*patients cannot be on a L2K
◉ What are you immediate treatments for:
- suspected tension pneumothorax
- sucking chest wound
- control active hemorrhaging
- obvious fractures
- suspected traumatic brain injury
- open wounds
(General Adult Trauma Assessment Protocol 13, 14). Answer: -
suspected tension pneumothorax → needle decompression
- sucking chest wound → apply 3 sided occlusive dressing
- control active hemorrhaging → hemorrhage control
- obvious fractures → immobilize fracture and assess distal pulses
, - suspected traumatic brain injury → capnography (ETCO2
35mmHg)
- open wounds → cover with gauze; wet trauma dressing for
abdominal evisceration
◉ When should you do a 12 Lead ECG?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16),
(Chest Pain (Non-Traumatic) and Suspected Acute Coronary
Syndrome Protocol 29, 30). Answer: Over the age of 35 yo
experiencing jaw/chest/abdominal discomfort
◉ What are the medications to be given in for nausea and vomiting
for an adult patient?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16).
Answer: - ONDANSETRON (Zofran) 4mg ODT/IM/IV/IO
- DROPERIDOL 1.25mg IM/IV/IO
- METOCLOPRAMIDE 10mg slow IVP over 1-2 mins or IM
- PROCHLORPERAZINE up to 10mg IV/IM/IO
◉ How much fluids should be given for a patient with signs of
hypovolemia?
