SNHD AEMT CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
• Newborn shock dex before giving D10.
Answer: <40
• Pain management before vascular access.
Answer: Comfort measures, i.e. patient positioning, splinting, ice, etc
• Heat stroke.
Answer: Consists of dehydration, tachycardia, hypotension, temperature
>104° F (40° C), and AMS.
• Class of D10?.
Answer: Carbohydrate
• Notify/meet with the receiving facility prior to transfer of care with
suspected need for contact isolation preparation.
Answer: State the general type of agent involved state the type of agent if
known if unknown state the general type with patient symptoms
• Partial thickness - 2nd° burn.
Answer: Blistering
• Do not let vascular access delay transport of patient.
Answer: vascular access attempts should not unnecessarily delay transport
• At what HR do you start cpr on an infant.
Answer: 60bpm
• Peds shock.
Answer: NS or LR 20ml/kg may repeat twice with no rales on lung exam
• D10.
Answer: 25g IV/IO (250ml of 10% solution) repeat 5min x1 5ml/kg IV,IO
max single 25g, repeat 5min x1 peds
• Signs of puberty include.
, Answer: chest or underarm hair on males, and any breast development in
females.
• Adult cardiac arrest differential.
Answer: Medical vs trauma; VF vs pulseless VT; asystole; PEA; primary
cardiac event vs respiratory or drug overdose
• Allergic reaction QI metricts.
Answer: epinephrine given appropriately airway assessment documented
• What is the fluid administration rate for a heat related illness?.
Answer: 500ml up to 2000, to keep systolic above 90.
• Which hospital do sexual assault victims get transported to?.
Answer: <13 sunrise 13-18 either <18 UMC
• For a pediatric pt in non traumatic shock and w/ a BG >250 you should...
Answer: give NS bolus 10 ml/kg for hypotension, may repeat 2x
• Prior to transfer, the transferring physician is responsible for notifying the
receiving physician of the following:.
Answer: 1) Reason for transfer 2) Patient condition 3) Estimated time of
arrival
• General Adult Trauma Assessment.
Answer: 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
• What does The S in DCAP-BTLS stand for?.
, Answer: Swelling
• A ____________________ is a form, wallet card or medallion issued by the
SNHD, Nevada Division of Public and Behavioral Health, or an ID issued
by another state indicating a persons desire and qualification to have life
resuscitating treatment withheld..
Answer: valid DNR Identification
• How do you deliver a baby?.
Answer: Deliver head Suction mouth and once Deliver upper shoulder then
lower Then rest of body Clamp and cut umbilical cord
• Childbirth/Labor Limb presentation.
Answer: 1. General adult assessment 2. Pregnant patient with signs of
impending delivery 3. Place patient in left lateral recumbent position 4.
Attempt vascular access 5. Patient hypoperfusing? No: continue general
patient care. Yes: administer 500 mL NS or LR; repeat as needed not to
exceed 2,000 mL 6. Transport to appropriate facility
• GLucagon class.
Answer: insulin antagonist
• in trauma, all procedures should be.
Answer: done en route
• Infant rule of nines.
Answer: Head 18%, each arm 9% (total 18%), each leg 14 trunk each side
18% (total 36%), genitalia (1%)
• Glucagon dose.
Answer: AMS/OD/Seizure: 1mg Peds: .05mg
• What is dextrocardia?.
Answer: When the heart is positioned on the right side of the chest
• In the setting of pregnancy, hypertension is defined as?.
Answer: Greater than 140 systolic or greater than 90 diastolic. or a relative
increase of 30 systolic and 20 diastolic from the patient's normal
QUESTIONS WITH SOLUTIONS GRADED A+
• Newborn shock dex before giving D10.
Answer: <40
• Pain management before vascular access.
Answer: Comfort measures, i.e. patient positioning, splinting, ice, etc
• Heat stroke.
Answer: Consists of dehydration, tachycardia, hypotension, temperature
>104° F (40° C), and AMS.
• Class of D10?.
Answer: Carbohydrate
• Notify/meet with the receiving facility prior to transfer of care with
suspected need for contact isolation preparation.
Answer: State the general type of agent involved state the type of agent if
known if unknown state the general type with patient symptoms
• Partial thickness - 2nd° burn.
Answer: Blistering
• Do not let vascular access delay transport of patient.
Answer: vascular access attempts should not unnecessarily delay transport
• At what HR do you start cpr on an infant.
Answer: 60bpm
• Peds shock.
Answer: NS or LR 20ml/kg may repeat twice with no rales on lung exam
• D10.
Answer: 25g IV/IO (250ml of 10% solution) repeat 5min x1 5ml/kg IV,IO
max single 25g, repeat 5min x1 peds
• Signs of puberty include.
, Answer: chest or underarm hair on males, and any breast development in
females.
• Adult cardiac arrest differential.
Answer: Medical vs trauma; VF vs pulseless VT; asystole; PEA; primary
cardiac event vs respiratory or drug overdose
• Allergic reaction QI metricts.
Answer: epinephrine given appropriately airway assessment documented
• What is the fluid administration rate for a heat related illness?.
Answer: 500ml up to 2000, to keep systolic above 90.
• Which hospital do sexual assault victims get transported to?.
Answer: <13 sunrise 13-18 either <18 UMC
• For a pediatric pt in non traumatic shock and w/ a BG >250 you should...
Answer: give NS bolus 10 ml/kg for hypotension, may repeat 2x
• Prior to transfer, the transferring physician is responsible for notifying the
receiving physician of the following:.
Answer: 1) Reason for transfer 2) Patient condition 3) Estimated time of
arrival
• General Adult Trauma Assessment.
Answer: 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
• What does The S in DCAP-BTLS stand for?.
, Answer: Swelling
• A ____________________ is a form, wallet card or medallion issued by the
SNHD, Nevada Division of Public and Behavioral Health, or an ID issued
by another state indicating a persons desire and qualification to have life
resuscitating treatment withheld..
Answer: valid DNR Identification
• How do you deliver a baby?.
Answer: Deliver head Suction mouth and once Deliver upper shoulder then
lower Then rest of body Clamp and cut umbilical cord
• Childbirth/Labor Limb presentation.
Answer: 1. General adult assessment 2. Pregnant patient with signs of
impending delivery 3. Place patient in left lateral recumbent position 4.
Attempt vascular access 5. Patient hypoperfusing? No: continue general
patient care. Yes: administer 500 mL NS or LR; repeat as needed not to
exceed 2,000 mL 6. Transport to appropriate facility
• GLucagon class.
Answer: insulin antagonist
• in trauma, all procedures should be.
Answer: done en route
• Infant rule of nines.
Answer: Head 18%, each arm 9% (total 18%), each leg 14 trunk each side
18% (total 36%), genitalia (1%)
• Glucagon dose.
Answer: AMS/OD/Seizure: 1mg Peds: .05mg
• What is dextrocardia?.
Answer: When the heart is positioned on the right side of the chest
• In the setting of pregnancy, hypertension is defined as?.
Answer: Greater than 140 systolic or greater than 90 diastolic. or a relative
increase of 30 systolic and 20 diastolic from the patient's normal
