VOLUSIA COUNTY EMS PROTOCOLS BLS EXAM QUESTIONS AND
ANSWERS
What is your absolute first priority? - CORRECT ANSWER✅✅scene safety
Who is initially in charge of a scene? - CORRECT ANSWER✅✅the first provider until care is transferred
If a second provider on scene has a higher level of training, what will happen? - CORRECT
ANSWER✅✅care will be transferred
If a transport agency arrives on a scene managed by an ALS agency, what will happen? - CORRECT
ANSWER✅✅care will be transferred
How long should the assessment take? - CORRECT ANSWER✅✅10 mins
How long should providers be on scene before transport? - CORRECT ANSWER✅✅20 mins
Obvious Signs of Death - CORRECT ANSWER✅✅rigor mortis, decomposition, dependent lividity, injuries
incompatible with life
What does a DNR have to include? - CORRECT ANSWER✅✅DNR statement, date, full name of pt, pt and
dr signatures, must be verified w/ pic id of pt
What minors are competent to complete a refusal? - CORRECT ANSWER✅✅mother of child, married,
court ordered
Guardians of Minors - CORRECT ANSWER✅✅step/grand parents, adult sibling/aunt/uncle, granted
authority
What can happen if a guardian refuses care on behalf of a minor and the provider disagrees? - CORRECT
ANSWER✅✅law enforcement can be inlisted
, Incompetent to Refuse Care - CORRECT ANSWER✅✅court ordered, suicidal, psychiatric illness, under
influence of drugs/alcohol
Baker Act - CORRECT ANSWER✅✅pt refuses voluntary exam or can't determine if exam if necessary
AND neglect will pose substantial harm to wellbeing or pt will harm themselves/others
Who can Baker Act? - CORRECT ANSWER✅✅law enforcement, dr.'s, mental health professionals, NOT
EMTS
Cincinnati Prehospital Stroke Scale - CORRECT ANSWER✅✅facial droop, arm drift, speech abnormality
Cincinnati Stroke Triage Assessment Tool - CORRECT ANSWER✅✅gaze deviation, not AOx4, arms fall
w/in 10 secs
Code Cool - CORRECT ANSWER✅✅witnessed, nontraumatic cardiopulmonary arrest w/ rosc
Trauma Alert - CORRECT ANSWER✅✅by itself: airway assistance beyond O2 admin, no radial pulse &
sustained 120+ hr, systolic bp -90, motor GSC -4, overall GCS -12, paralysis, suspected spinal, 2/3 degree
burns +15%, amputation, nonsuperficial penetration, 2+ long bone fractures, personal judgement
2 of the following: 30+ rr, 120+ hr, GSC motor -5, degloving, 5+ in avulsion, extremity gunshot, mva, fall,
long bone fracture, age 55+, mva ejection, mva wheel deformity, personal judgement
high index of suspicion: electrocution, 20+ ft fall, lightning, pedestrian vs mva, personal judgement
Credentials Required for EMTs - CORRECT ANSWER✅✅EMT-B, CPR cert, 80%+ on EMS protocol test
Abdominal Pain - CORRECT ANSWER✅✅OPQRST, menstrual, surgery, abnormal ingestion
ANSWERS
What is your absolute first priority? - CORRECT ANSWER✅✅scene safety
Who is initially in charge of a scene? - CORRECT ANSWER✅✅the first provider until care is transferred
If a second provider on scene has a higher level of training, what will happen? - CORRECT
ANSWER✅✅care will be transferred
If a transport agency arrives on a scene managed by an ALS agency, what will happen? - CORRECT
ANSWER✅✅care will be transferred
How long should the assessment take? - CORRECT ANSWER✅✅10 mins
How long should providers be on scene before transport? - CORRECT ANSWER✅✅20 mins
Obvious Signs of Death - CORRECT ANSWER✅✅rigor mortis, decomposition, dependent lividity, injuries
incompatible with life
What does a DNR have to include? - CORRECT ANSWER✅✅DNR statement, date, full name of pt, pt and
dr signatures, must be verified w/ pic id of pt
What minors are competent to complete a refusal? - CORRECT ANSWER✅✅mother of child, married,
court ordered
Guardians of Minors - CORRECT ANSWER✅✅step/grand parents, adult sibling/aunt/uncle, granted
authority
What can happen if a guardian refuses care on behalf of a minor and the provider disagrees? - CORRECT
ANSWER✅✅law enforcement can be inlisted
, Incompetent to Refuse Care - CORRECT ANSWER✅✅court ordered, suicidal, psychiatric illness, under
influence of drugs/alcohol
Baker Act - CORRECT ANSWER✅✅pt refuses voluntary exam or can't determine if exam if necessary
AND neglect will pose substantial harm to wellbeing or pt will harm themselves/others
Who can Baker Act? - CORRECT ANSWER✅✅law enforcement, dr.'s, mental health professionals, NOT
EMTS
Cincinnati Prehospital Stroke Scale - CORRECT ANSWER✅✅facial droop, arm drift, speech abnormality
Cincinnati Stroke Triage Assessment Tool - CORRECT ANSWER✅✅gaze deviation, not AOx4, arms fall
w/in 10 secs
Code Cool - CORRECT ANSWER✅✅witnessed, nontraumatic cardiopulmonary arrest w/ rosc
Trauma Alert - CORRECT ANSWER✅✅by itself: airway assistance beyond O2 admin, no radial pulse &
sustained 120+ hr, systolic bp -90, motor GSC -4, overall GCS -12, paralysis, suspected spinal, 2/3 degree
burns +15%, amputation, nonsuperficial penetration, 2+ long bone fractures, personal judgement
2 of the following: 30+ rr, 120+ hr, GSC motor -5, degloving, 5+ in avulsion, extremity gunshot, mva, fall,
long bone fracture, age 55+, mva ejection, mva wheel deformity, personal judgement
high index of suspicion: electrocution, 20+ ft fall, lightning, pedestrian vs mva, personal judgement
Credentials Required for EMTs - CORRECT ANSWER✅✅EMT-B, CPR cert, 80%+ on EMS protocol test
Abdominal Pain - CORRECT ANSWER✅✅OPQRST, menstrual, surgery, abnormal ingestion
