SANTA CLARA COUNTY BADGE ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ In-Extremis Patient Destination: transport to the closest hospital
that is:
Answer: 1. The closest to the incident location as determined by
total emergency ambulance transport time.
2. That is not on internal disaster
◉ An In-Extremis patient is defined as:
Answer: 1. A breech presentation or protruding limb during a
delivery.
2. A visible external bleed that cannot be controlled use of direct
pressure and/or application of a tourniquet.
3. The inability to be ventilated adequately
◉ Ring down information:
Answer: Unit ID, ETA, age, gender, primary impression and C/C,
pertinent Hx, Rx, and allergies, V/S, and Tx
, ◉ Air transportation
Answer: Air transportation should be considered for MTVs who
meet physiologic and/or anatomic criteria and where ground
transport times are in excess of thirty (30) minutes and when the
use of an air resource will not extend the total prehospital time
◉ ET Tube/Intubation Documentation
Answer: Size of ET tube
Chest rise with ventilation
Number of attempts
Suction required
Ventilation compliance
Any complications with intubation
Capnography used + ETCO2/Capnography reading
Lung sounds
Method for securing ET tube
◉ 12-lead ECG
Answer: Essential to identify a patient experiencing an ST-elevation
MI (STEMI).
◉ When should you take baseline vitals?
EXAM PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ In-Extremis Patient Destination: transport to the closest hospital
that is:
Answer: 1. The closest to the incident location as determined by
total emergency ambulance transport time.
2. That is not on internal disaster
◉ An In-Extremis patient is defined as:
Answer: 1. A breech presentation or protruding limb during a
delivery.
2. A visible external bleed that cannot be controlled use of direct
pressure and/or application of a tourniquet.
3. The inability to be ventilated adequately
◉ Ring down information:
Answer: Unit ID, ETA, age, gender, primary impression and C/C,
pertinent Hx, Rx, and allergies, V/S, and Tx
, ◉ Air transportation
Answer: Air transportation should be considered for MTVs who
meet physiologic and/or anatomic criteria and where ground
transport times are in excess of thirty (30) minutes and when the
use of an air resource will not extend the total prehospital time
◉ ET Tube/Intubation Documentation
Answer: Size of ET tube
Chest rise with ventilation
Number of attempts
Suction required
Ventilation compliance
Any complications with intubation
Capnography used + ETCO2/Capnography reading
Lung sounds
Method for securing ET tube
◉ 12-lead ECG
Answer: Essential to identify a patient experiencing an ST-elevation
MI (STEMI).
◉ When should you take baseline vitals?
