SNHD AEMT Protocol Exam Questions and
Correct Detailed Answers Latest Versions 2026
Top Rated A+
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
, HEENT (airway obstruction)
Hypothermia
General Adult trauma Pearls
Recommended exam: mental status, skin, HEENT, heart, lung,
abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally
procedures should be performed enroute when possible
Geriatric patients should be evaluated with a high index of
suspicion; occult injuries may be present and geriatric patients
can decompensate quickly
BVM is an acceptable method of ventilating and managing an
airway if pulse ox can be maintained >90%
Abdominal/Flank Pain, Nausea & Vomiting
1. General adult assessment
2. Signs of hypovolemia
Yes: Vascular access, 500 mL NS or LR bolus; may repeat up to
2000 mL
No
3. Nausea or vomiting
Yes: Paramedic
No
4. Consider Chest Pain (Non Traumatic) and Suspected Acute
Coronary Syndrome protocol
5. Continue General Adult Assessment
Abdominal/Flank Pain, Nausea and Vomiting Histor
Age, Medical/surgical history, onset, quality, severity, fever,
menstrual history
Abdominal/Flank pain, nausea and vomiting signs and
symptoms
Pain location, tenderness, nausea, vomiting, diarrhea, dysuria,
constipation, vaginal bleeding/discharge, pregnancy
Abdominal/Flank Pain, Nausea and vomiting Differential
Liver (Hepatits); gastritis; gallbladder; MI; pancreatitis; kidney
stone; abdominal aneurysm; appendicitis; bladder/prostate
Correct Detailed Answers Latest Versions 2026
Top Rated A+
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
, HEENT (airway obstruction)
Hypothermia
General Adult trauma Pearls
Recommended exam: mental status, skin, HEENT, heart, lung,
abdomen, extremities, back, neuro
Transport should not be delayed for procedures; ideally
procedures should be performed enroute when possible
Geriatric patients should be evaluated with a high index of
suspicion; occult injuries may be present and geriatric patients
can decompensate quickly
BVM is an acceptable method of ventilating and managing an
airway if pulse ox can be maintained >90%
Abdominal/Flank Pain, Nausea & Vomiting
1. General adult assessment
2. Signs of hypovolemia
Yes: Vascular access, 500 mL NS or LR bolus; may repeat up to
2000 mL
No
3. Nausea or vomiting
Yes: Paramedic
No
4. Consider Chest Pain (Non Traumatic) and Suspected Acute
Coronary Syndrome protocol
5. Continue General Adult Assessment
Abdominal/Flank Pain, Nausea and Vomiting Histor
Age, Medical/surgical history, onset, quality, severity, fever,
menstrual history
Abdominal/Flank pain, nausea and vomiting signs and
symptoms
Pain location, tenderness, nausea, vomiting, diarrhea, dysuria,
constipation, vaginal bleeding/discharge, pregnancy
Abdominal/Flank Pain, Nausea and vomiting Differential
Liver (Hepatits); gastritis; gallbladder; MI; pancreatitis; kidney
stone; abdominal aneurysm; appendicitis; bladder/prostate
