PACK KEY EMS PROTOCOLS AND SAMPLE
QUESTIONS WITH EXPLANATIONS
◉ You are treating a man who was assaulted and has a closed-head
injury. The patient, who has slurred speech, becomes verbally
abusive and tells you to leave him alone. You should:
A. have the police arrest the patient so that you can legally begin
treatment
B. ask a police officer to transport the patient to the hospital
C proceed with treatment and utilize law enforcement for assistance
if necessary
D. allow the patient to refuse treatment because the injury was not
his fault. Answer: C proceed with treatment and utilize law
enforcement for assistance if necessary
◉ In which of the following situations does a legal duty to act clearly
exist?
A. The EMT witnesses a vehicle crash while off duty
B. a bystander encounters a victim who is not breathing
C. a call is received 15 minutes prior to shift change
D. The EMT hears of a cardiac arrest after his or her shift ends.
Answer: C. a call is received 15 minutes prior to shift change
,◉ When faced with a situation in which a patient is in cardiac arrest,
and a valid living will or DNR order cannot be located you should:
A. begin resuscitation at once
B. contact medical control first
C. notify the coroner immediately
D. determine the patients illness. Answer: A. begin resuscitation at
once
◉ you are dispatched to a middle school for a 16 YO female
experiencing an asthma attack. She is conscious and alert but in
severe respiratory distress. The school nurse informs you that she
has tried several times to contact the patients parents but has not
been successful. You should:
A. recognize that you cannot begin treatment without expressed
parental consent
B. transport the child to the closest hospital and let the staff there
provide any treatment
C. administer oxygen only until you receive parental consent for
further treatment
D. provide treatment up to your level of training and transport the
child at once. Answer: D. provide treatment up to your level of
training and transport the child at once
,◉ In which of the following circumstances can the EMT legally
release confidential patient information?
A. a media representative inquires about the patient
B. the patient is competent and signs a release form
C. a police officer request a copy to place on file
D. the family request a copy for insurance purposes. Answer: B. the
patient is competent and signs a release form
◉ When a forcible restraint permitted?
A. anytime that the EMT feels Threatened
B. only if law enforcement personnel have witnessed threatening
behavior
C. only if consent to restrain is given by a family member
D. when the patient poses a significant threat to self or others.
Answer: D. when the patient poses a significant threat to self or
others
◉ Shortly after you load your patient, a 50-year-old man with
abdominal pain, into the ambulance, he tells you that he changed his
mind and does not want to go to the hospital. The patient is
conscious and alert and has no signs of mental incapacitation. You
are suspicious that the man has a significant underlying condition
and feel strongly that he should go to the hospital. Which of the
following statements regarding this situation is correct?
, A. once the patient is in the ambulance, he cannot legally refuse EMS
treatment
B. because of your suspicions, the best approach is to transport him
to hospital
C. any patient who refuses EMS treatment must legally sign a patient
refusal form
D. a mentally competent adult can withdraw his or hers consent to
treat at anytime. Answer: D. a mentally competent adult can
withdraw his or hers consent to treat at anytime
◉ The patient care report (PCR) ensures:Select one:
A. continuity of care.
B. availability of research data.
C. quality assurance.
D. legal protection.. Answer: A. continuity of care.
◉ Two-way communication that requires the EMT to "push to talk"
and "release to listen" describes which mode of
communication?Select one:
A. Simplex
B. Duplex
C. Complex
D. Multiplex. Answer: A. Simplex