ICEMA PROTOCOL TEST EXAM QUESTIONS AND ANSWERS
What size gauge/needle do you use for needle cricothyrotomy? - CORRECT ANSWER✅✅10-16
Needle cricothyrotomy procedure ? - CORRECT ANSWER✅✅- Absolute contraindication: Transection of
the distal trachea.
- Monitor EtCO2 and wave form capnography.
- Monitor pulse oximetry.
- Contact base hospital if unable to ventilate adequately and transport immediately to the closest
hospital for airway management.
If patient transfer of care and patient offloading from the ambulance gurney exceeds 25 mins what
happens to the hospital? - CORRECT ANSWER✅✅It is documented and tracked as APOD (ambulance
patient offload delay)
APOD unusual event procedures for immediate offloading criteria: - CORRECT ANSWER✅✅- Stable V/S
- Alert and Oriented
- No ALS interventions in place
- Is not on a Welfare and Institutions Code (WIC) 5150 hold
When is vascular access clinically indicated (8100) ? - CORRECT ANSWER✅✅- Administration of IV
medication(s), or
- Administration of IV fluid bolus or fluid resuscitation.
- In the judgement of the attending paramedic the patient's condition could worsen and either (a) or (b)
noted above may become necessary prior to arrival at the receiving hospital ED.
- Discontinue ECG monitoring before removing the patient from the ambulance if there are no clinical
indications for cardiac monitoring.
8010 IFT Guidelines "What not to do" - CORRECT ANSWER✅✅- Paramedics may not transport a patient
with IV drips that are not in the EMT-P scope of practice.
- EMT-Ps may not transport patients with blood or blood products.
, 8010 IFT Guidelines "What to do" - CORRECT ANSWER✅✅- Monitor peripheral lines delivering fluids in
any combination/concentration of NS, LRs or dextrose and water.
- Transport intravenous solution with added medication(s) as follows:
- Lidocaine
-Dopamine
-Magnesium sulfate
- Monitor and administer medications through a pre-existing vascular access.
- Monitor heparin lock or saline lock.
- Monitor IV solutions containing potassium < or = 40 mEq/L
- Monitor thoracostomy tubes to water or dry sealed drainage.
- Monitor nasogastric tubes.
-
Who receives (0.1 mg/ml), 0.005 mg/kg IV/IO every 10 minutes for persistent hypotension as a base
hospital order or in radio communication failure? - CORRECT ANSWER✅✅Newborns
Who receives epinephrine (0.1 mg/ml), 0.01 mg/kg IV/IO if heart rate is less than 60 after one (1) minute
after evaluating airway for hypoxia and assessing body temperature for hypothermia? - CORRECT
ANSWER✅✅Newborns
6010 Physician on Scene requirements in order to take over the call: - CORRECT ANSWER✅✅- The
physician must be informed that base hospital contact must be made, and the final decision regarding
the assumption of medical responsibility for patient care will be made by the base hospital physician.
- The physician must show proper identification and a current California physician's license.
- The physician must agree to sign the patient care report agreeing to take full responsibility for the care
and treatment of the patient(s) involved in the incident and accompanies the patient(s) in the
ambulance to the most appropriate receiving facility.
- Care of the patient must be transferred to a physician at receiving facility.
6010 EMT-P Responsibilities - CORRECT ANSWER✅✅- Notify BH that a physician has requested to take
over patient.
What size gauge/needle do you use for needle cricothyrotomy? - CORRECT ANSWER✅✅10-16
Needle cricothyrotomy procedure ? - CORRECT ANSWER✅✅- Absolute contraindication: Transection of
the distal trachea.
- Monitor EtCO2 and wave form capnography.
- Monitor pulse oximetry.
- Contact base hospital if unable to ventilate adequately and transport immediately to the closest
hospital for airway management.
If patient transfer of care and patient offloading from the ambulance gurney exceeds 25 mins what
happens to the hospital? - CORRECT ANSWER✅✅It is documented and tracked as APOD (ambulance
patient offload delay)
APOD unusual event procedures for immediate offloading criteria: - CORRECT ANSWER✅✅- Stable V/S
- Alert and Oriented
- No ALS interventions in place
- Is not on a Welfare and Institutions Code (WIC) 5150 hold
When is vascular access clinically indicated (8100) ? - CORRECT ANSWER✅✅- Administration of IV
medication(s), or
- Administration of IV fluid bolus or fluid resuscitation.
- In the judgement of the attending paramedic the patient's condition could worsen and either (a) or (b)
noted above may become necessary prior to arrival at the receiving hospital ED.
- Discontinue ECG monitoring before removing the patient from the ambulance if there are no clinical
indications for cardiac monitoring.
8010 IFT Guidelines "What not to do" - CORRECT ANSWER✅✅- Paramedics may not transport a patient
with IV drips that are not in the EMT-P scope of practice.
- EMT-Ps may not transport patients with blood or blood products.
, 8010 IFT Guidelines "What to do" - CORRECT ANSWER✅✅- Monitor peripheral lines delivering fluids in
any combination/concentration of NS, LRs or dextrose and water.
- Transport intravenous solution with added medication(s) as follows:
- Lidocaine
-Dopamine
-Magnesium sulfate
- Monitor and administer medications through a pre-existing vascular access.
- Monitor heparin lock or saline lock.
- Monitor IV solutions containing potassium < or = 40 mEq/L
- Monitor thoracostomy tubes to water or dry sealed drainage.
- Monitor nasogastric tubes.
-
Who receives (0.1 mg/ml), 0.005 mg/kg IV/IO every 10 minutes for persistent hypotension as a base
hospital order or in radio communication failure? - CORRECT ANSWER✅✅Newborns
Who receives epinephrine (0.1 mg/ml), 0.01 mg/kg IV/IO if heart rate is less than 60 after one (1) minute
after evaluating airway for hypoxia and assessing body temperature for hypothermia? - CORRECT
ANSWER✅✅Newborns
6010 Physician on Scene requirements in order to take over the call: - CORRECT ANSWER✅✅- The
physician must be informed that base hospital contact must be made, and the final decision regarding
the assumption of medical responsibility for patient care will be made by the base hospital physician.
- The physician must show proper identification and a current California physician's license.
- The physician must agree to sign the patient care report agreeing to take full responsibility for the care
and treatment of the patient(s) involved in the incident and accompanies the patient(s) in the
ambulance to the most appropriate receiving facility.
- Care of the patient must be transferred to a physician at receiving facility.
6010 EMT-P Responsibilities - CORRECT ANSWER✅✅- Notify BH that a physician has requested to take
over patient.
