SNHD AEMT Protocol Exam Questions and
Correct Detailed Answers Latest Versions 2026
Top Rated
A patient is defined as
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
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
chest or underarm hair on males, and any breast development in
females.
General Adult Assessment
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
transported in accordance with the Trauma Field Triage Criteria
Protocol
Disposition for patients sustaining burn injuries
Transported in accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o)
Transported in accordance with the Pediatric Destination protocol
Disposition for patients with evidence of stroke
Transported in accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o
Transported to Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o
Transported to Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older
transported to UMC
Disposition for sexual assault victims outside a 50-mile
radius from the above facilities
Transported to the nearest appropriate facility
Disposition for stable patients
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
The licensee providing emergency medical care shall transport
the patient to the nearest appropriate facility
Waiting room criteria
,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
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
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
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for
abdominal evisceration
5. Transport and radio contact to appropriate trauma center based
on TFTC
General Adult Trauma History
Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms
Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening)
Tension pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
Correct Detailed Answers Latest Versions 2026
Top Rated
A patient is defined as
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
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
chest or underarm hair on males, and any breast development in
females.
General Adult Assessment
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
transported in accordance with the Trauma Field Triage Criteria
Protocol
Disposition for patients sustaining burn injuries
Transported in accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o)
Transported in accordance with the Pediatric Destination protocol
Disposition for patients with evidence of stroke
Transported in accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o
Transported to Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o
Transported to Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older
transported to UMC
Disposition for sexual assault victims outside a 50-mile
radius from the above facilities
Transported to the nearest appropriate facility
Disposition for stable patients
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
The licensee providing emergency medical care shall transport
the patient to the nearest appropriate facility
Waiting room criteria
,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
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
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
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for
abdominal evisceration
5. Transport and radio contact to appropriate trauma center based
on TFTC
General Adult Trauma History
Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms
Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening)
Tension pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
