PBCFR PROTOCOLS ALS MEDICAL
EMERGENCIES EXAM 2 CERTIFICATION
ASSESSMENT 2026 VERIFIED ANSWERS
GRADED A+
◉ When can an intoxicated patient be left on scene?
Answer: If they do not want transport and are not showing acute
symptoms.
◉ When should air transport be considered for critical trauma?
Answer: If ground time threatens survival or road factors cause
major delay.
◉ What does ADVANCED LIFE SUPPORT PROVIDERS (AEMT) do for
Acute Coronary Syndrome?
Answer: Administer Aspirin and establish an IV with Normal Saline.
◉ What does ADVANCED LIFE SUPPORT PROVIDERS (PARAMEDIC)
do for Acute Coronary Syndrome?
Answer: Transport STEMI patients as soon as possible and
administer Normal Saline Boluses.
,◉ What does ALL PROVIDER LEVELS (First Responders) do for
Acute Coronary Syndrome?
Answer: Initiate General Patient Care and administer supplemental
Oxygen.
◉ What does BASIC LIFE SUPPORT PROVIDER (EMT &
INTERMEDIATE) do for Acute Coronary Syndrome?
Answer: Obtain an EKG and administer Oxygen to maintain SpO2
>96%.
◉ What is the protocol for Acute Coronary Syndrome?
Answer: Applies to adult patients with non-traumatic chest pain
suspected to be cardiac in etiology.
◉ What does ADVANCED LIFE SUPPORT PROVIDERS (AEMT) do for
Asystole / Agonal Cardiac Arrest?
Answer: Confirm asystole in two or more leads and establish an IV.
◉ What should all provider levels do in case of Asystole / Agonal
Cardiac Arrest?
Answer: Initiate General Patient Care, perform immediate CPR with
an oral airway, BVM, and 100% oxygen, and perform CPR for at least
2 minutes at a rate of 100-120 compressions per minute.
,◉ What should Advanced Life Support Providers (Paramedic) do in
case of Asystole / Agonal Cardiac Arrest?
Answer: Administer Epinephrine every 3-5 minutes, utilize
advanced airway management, and identify and treat contributing
factors.
◉ What should Basic Life Support Providers (EMT & Intermediate)
do in case of Asystole / Agonal Cardiac Arrest?
Answer: Apply the LUCAS device appropriately to the patient and
continue with mechanical CPR.
◉ What is the protocol for Asystole / Agonal Cardiac Arrest?
Answer: This protocol applies to patients experiencing a non-
traumatic cardiac arrest.
◉ What should Advanced Life Support Providers (AEMT) do in case
of Pulseless Electrical Activity (PEA)?
Answer: Utilize the cardiac monitor, initiate advanced airway
management, and establish an IV of Normal Saline at KVO rate.
◉ What should Advanced Life Support Providers (Paramedic) do in
case of Pulseless Electrical Activity (PEA)?
Answer: Administer Epinephrine every 3-5 minutes, consider
Sodium Bicarbonate if the patient is a dialysis patient, and utilize
advanced airway management.
, ◉ What should all provider levels do in case of Pulseless Electrical
Activity (PEA)?
Answer: Initiate General Patient Care, perform immediate CPR, and
ensure chest compressions are at least 2 inches in depth.
◉ What is the protocol for Pulseless Electrical Activity (PEA)?
Answer: This protocol applies to patients experiencing a non-
traumatic cardiac arrest.
◉ What should Advanced Life Support Providers (Paramedic) do in
case of VFib / Pulseless VTach?
Answer: Administer Epinephrine every 3-5 minutes, continue CPR
post-defibrillation, and utilize advanced airway management.
◉ What should all provider levels do in case of VFib / Pulseless
VTach?
Answer: Initiate General Patient Care, perform immediate CPR, and
ensure chest compressions are at least 2 inches in depth.
◉ What is the protocol for VFib / Pulseless VTach?
Answer: This protocol applies to patients that are pulseless and
exhibiting a wide complex tachycardia or ventricular fibrillation.
EMERGENCIES EXAM 2 CERTIFICATION
ASSESSMENT 2026 VERIFIED ANSWERS
GRADED A+
◉ When can an intoxicated patient be left on scene?
Answer: If they do not want transport and are not showing acute
symptoms.
◉ When should air transport be considered for critical trauma?
Answer: If ground time threatens survival or road factors cause
major delay.
◉ What does ADVANCED LIFE SUPPORT PROVIDERS (AEMT) do for
Acute Coronary Syndrome?
Answer: Administer Aspirin and establish an IV with Normal Saline.
◉ What does ADVANCED LIFE SUPPORT PROVIDERS (PARAMEDIC)
do for Acute Coronary Syndrome?
Answer: Transport STEMI patients as soon as possible and
administer Normal Saline Boluses.
,◉ What does ALL PROVIDER LEVELS (First Responders) do for
Acute Coronary Syndrome?
Answer: Initiate General Patient Care and administer supplemental
Oxygen.
◉ What does BASIC LIFE SUPPORT PROVIDER (EMT &
INTERMEDIATE) do for Acute Coronary Syndrome?
Answer: Obtain an EKG and administer Oxygen to maintain SpO2
>96%.
◉ What is the protocol for Acute Coronary Syndrome?
Answer: Applies to adult patients with non-traumatic chest pain
suspected to be cardiac in etiology.
◉ What does ADVANCED LIFE SUPPORT PROVIDERS (AEMT) do for
Asystole / Agonal Cardiac Arrest?
Answer: Confirm asystole in two or more leads and establish an IV.
◉ What should all provider levels do in case of Asystole / Agonal
Cardiac Arrest?
Answer: Initiate General Patient Care, perform immediate CPR with
an oral airway, BVM, and 100% oxygen, and perform CPR for at least
2 minutes at a rate of 100-120 compressions per minute.
,◉ What should Advanced Life Support Providers (Paramedic) do in
case of Asystole / Agonal Cardiac Arrest?
Answer: Administer Epinephrine every 3-5 minutes, utilize
advanced airway management, and identify and treat contributing
factors.
◉ What should Basic Life Support Providers (EMT & Intermediate)
do in case of Asystole / Agonal Cardiac Arrest?
Answer: Apply the LUCAS device appropriately to the patient and
continue with mechanical CPR.
◉ What is the protocol for Asystole / Agonal Cardiac Arrest?
Answer: This protocol applies to patients experiencing a non-
traumatic cardiac arrest.
◉ What should Advanced Life Support Providers (AEMT) do in case
of Pulseless Electrical Activity (PEA)?
Answer: Utilize the cardiac monitor, initiate advanced airway
management, and establish an IV of Normal Saline at KVO rate.
◉ What should Advanced Life Support Providers (Paramedic) do in
case of Pulseless Electrical Activity (PEA)?
Answer: Administer Epinephrine every 3-5 minutes, consider
Sodium Bicarbonate if the patient is a dialysis patient, and utilize
advanced airway management.
, ◉ What should all provider levels do in case of Pulseless Electrical
Activity (PEA)?
Answer: Initiate General Patient Care, perform immediate CPR, and
ensure chest compressions are at least 2 inches in depth.
◉ What is the protocol for Pulseless Electrical Activity (PEA)?
Answer: This protocol applies to patients experiencing a non-
traumatic cardiac arrest.
◉ What should Advanced Life Support Providers (Paramedic) do in
case of VFib / Pulseless VTach?
Answer: Administer Epinephrine every 3-5 minutes, continue CPR
post-defibrillation, and utilize advanced airway management.
◉ What should all provider levels do in case of VFib / Pulseless
VTach?
Answer: Initiate General Patient Care, perform immediate CPR, and
ensure chest compressions are at least 2 inches in depth.
◉ What is the protocol for VFib / Pulseless VTach?
Answer: This protocol applies to patients that are pulseless and
exhibiting a wide complex tachycardia or ventricular fibrillation.
