MCLEAN COUNTY EMS SYSTEM BLS PROTOCOLS TEST EXAM
QUESTIONS AND ANSWERS
All intranasal medications may not exceed how many mL per nare? - CORRECT ANSWER✅✅1mL
GCS Eyes - CORRECT ANSWER✅✅Eyes open spontaneously - 4
Eyes open to verbal command, speech, or shout - 3
Eyes open to pain (not applied to face) - 2
No eye opening - 1
GCS Verbal - CORRECT ANSWER✅✅Oriented - 5
Confused conversation, but able to answer questions - 4
Inappropriate responses, words discernible - 3
Incomprehensible sounds or speech - 2
No verbal response - 1
GCS Motor - CORRECT ANSWER✅✅Obeys command for movement - 6
Purposeful movement to painful stimulus - 5
Withdraws from pain - 4
Abnormal (spastic) flexion, decorticate posture - 3
Extensor (rigid) response, decerebrate posture - 2
No motor response - 1
Routine cardiac care - CORRECT ANSWER✅✅1. Determine patient LOC
2. Establish/confirm airway patency
3. Assess breathing and circulation
4. Obtain pulse ox reading
5. Administer supplemental oxygen per Oxygen Admin procedures.
6. Obtain vital signs
, 7. Apply and obtain 12-lead ECG and transmit. Repeat should be obtained every 10 minutes or during
change in patient condition.
8. Loosen patient restrictive clothing
9. Place patient in position of comfort.
10. Initiate advanced level intercept
11. Obtain patient history (including DNR/POLST status).
12. Reassess patient every 5 minutes.
Chest pain - CORRECT ANSWER✅✅1. Routine Cardiac Care protocols
2. Administer ASA (aspirin) (total dose 324 mg) chewable tablets.
3. Obtain 12-lead EKG (if possible) prior to administration of Nitro
4. If systolic BP >90mmHg and patient continues to have chest pain, administer Nitro sublingual. May
repeat every 5 minutes up too 3 times as long as systolic BP remains above 90mmHg
5. Provide an early notification to receiving hospital of patient condition.
Cardiopulmonary arrest - CORRECT ANSWER✅✅1. Initiate CPR. Follow AHA guidelines.
2. Utilize BVM for ventilatory support.
3. Check for pulse after 2 minutes. If no pulse, resume CP.
4. As soon as available, apply defibrillator/AED. Follow prompts on AED.
5. Insert system approved blind insertion airway device (BIAD). Once in place, ventilate with BVM with
15 l supplemental oxygen at a rate of 8-10 breaths per minute.
6. Request advanced intercept early.
7. Prepare patient for rapid transport, remain on scene if ALS intercept is within 15 minutes.
Cardiopulmonary arrest - Ventricular fibrillation / tachycardia - CORRECT ANSWER✅✅Cardiopulmonary
Arrest protocols
Cardiopulmonary arrest - pulseless electrical activity - CORRECT ANSWER✅✅Cardiopulmonary arrest
protocols
QUESTIONS AND ANSWERS
All intranasal medications may not exceed how many mL per nare? - CORRECT ANSWER✅✅1mL
GCS Eyes - CORRECT ANSWER✅✅Eyes open spontaneously - 4
Eyes open to verbal command, speech, or shout - 3
Eyes open to pain (not applied to face) - 2
No eye opening - 1
GCS Verbal - CORRECT ANSWER✅✅Oriented - 5
Confused conversation, but able to answer questions - 4
Inappropriate responses, words discernible - 3
Incomprehensible sounds or speech - 2
No verbal response - 1
GCS Motor - CORRECT ANSWER✅✅Obeys command for movement - 6
Purposeful movement to painful stimulus - 5
Withdraws from pain - 4
Abnormal (spastic) flexion, decorticate posture - 3
Extensor (rigid) response, decerebrate posture - 2
No motor response - 1
Routine cardiac care - CORRECT ANSWER✅✅1. Determine patient LOC
2. Establish/confirm airway patency
3. Assess breathing and circulation
4. Obtain pulse ox reading
5. Administer supplemental oxygen per Oxygen Admin procedures.
6. Obtain vital signs
, 7. Apply and obtain 12-lead ECG and transmit. Repeat should be obtained every 10 minutes or during
change in patient condition.
8. Loosen patient restrictive clothing
9. Place patient in position of comfort.
10. Initiate advanced level intercept
11. Obtain patient history (including DNR/POLST status).
12. Reassess patient every 5 minutes.
Chest pain - CORRECT ANSWER✅✅1. Routine Cardiac Care protocols
2. Administer ASA (aspirin) (total dose 324 mg) chewable tablets.
3. Obtain 12-lead EKG (if possible) prior to administration of Nitro
4. If systolic BP >90mmHg and patient continues to have chest pain, administer Nitro sublingual. May
repeat every 5 minutes up too 3 times as long as systolic BP remains above 90mmHg
5. Provide an early notification to receiving hospital of patient condition.
Cardiopulmonary arrest - CORRECT ANSWER✅✅1. Initiate CPR. Follow AHA guidelines.
2. Utilize BVM for ventilatory support.
3. Check for pulse after 2 minutes. If no pulse, resume CP.
4. As soon as available, apply defibrillator/AED. Follow prompts on AED.
5. Insert system approved blind insertion airway device (BIAD). Once in place, ventilate with BVM with
15 l supplemental oxygen at a rate of 8-10 breaths per minute.
6. Request advanced intercept early.
7. Prepare patient for rapid transport, remain on scene if ALS intercept is within 15 minutes.
Cardiopulmonary arrest - Ventricular fibrillation / tachycardia - CORRECT ANSWER✅✅Cardiopulmonary
Arrest protocols
Cardiopulmonary arrest - pulseless electrical activity - CORRECT ANSWER✅✅Cardiopulmonary arrest
protocols
