SNHD Protocols 2023 Questions and Answers
Sexual assault victims less than 13 years of age shall be transported to what
hospital?
Sunrise Hospital
Which of the following describes heat exhaustion?
Elevated Body Temperature
Cool, moist skin
Weakness
Anxious tachypnea
Nothing contained in these protocols shall be construed to expand the scope of
practice of any licensed Attendant beyond that which is identified in the Clark
County EMS Regulations and the protocols.
True
When is cervical stabilization not performed?
* Penetrating trauma to the head and/or neck with no evidence of spinal injury
* Injuries where placement of the collar might compromise patient assessment, airway
management, ventilation and/or hemorrhage control
*Patients in cardiac arrest
What protocols must be followed in the specific sequence noted?
General assessment
How much does the head represent in a child patient in the rule of 9s
18%
During childbirth, if a limb presents, how should the mother be placed?
Left lateral recumbent position
How deep are compressions in the infant victim?
1.5 inches
Sexual assaults victims between the ages of 13 and 18 can be transported to what
hospital?
Sunrise Hospital
UMC Hospital
Patients with a possible spinal injury found in motor vehicles should not be
asked if they are able to exit the motor vehicle on their own
False
Which of the following are contraindications for a traction splint?
*Pelvic fracture or instability
*Knee, lower leg, or ankle instability
Which of the following are considered obvious signs of death?
*Body decomposition
*Decapitation
*Incineration
*Transaction of thorax
Which of the following constitute an approved SNHD DNR?
,*Form
*Wallet Card
*Medallion
Should oxygen be withheld from a patient in respiratory distress?
No
The Pediatric Patient Destination protocol is used for:
Patients less than 18 years of age
Circumferential burns meets criteria to be transported to a burn center.
True
How fast does a motorcycle need to be traveling when it crashed to be
considered for the Trauma Field Triage Criteria?
20mph
What level trauma center is St. Rose Siena?
3
Step 1 of the Trauma Field Triage Criteria assess or measures what?
Vital Signs
For cardiac arrest patients who are pregnant, manual CPR is recommended
True
If a pediatric patient has a heart rate of less than 60bpm then CPR should be
initiated
True
For a suspected narcotic overdose, how much Naloxone can be administered
intranasally?
2-4mg
Orthopedic devices cannot be left in place during interfacility transfer.
False
What level trauma center is UMC?
1
If cardiac arrest is witnessed by EMS or CPR in progress and patient is
unresponsive with no pulse, begin Continuous Cardiac Compressions (CCC).
True
Sexual assault victims that are more than a 50 mile radius from UMC or Sunrise
hospital must be transported to UMC or Sunrise Hospital
False
Transport the patient to the nearest appropriate facility
How many proximal long bone fractures places a patient in Step 2 of the Trauma
Field Triage Criteria?
2
How much does one arm represent in an adult patient in the Rule of 9s?
9%
A patient with burns that involve the face, hands, feet, genitalia, perineum, or
major joints meets criteria to be transported to a burn center.
True
At what temperature does sweating generally disappear?
104 F
, When notifying the staff of an approved alcohol or drug abuse facility, contact
should be made via a recorded phone patch through the FAO at 702-382-9007
True
How far away should defibrillation pads be placed from a pacemaker or pulse
generator?
1 inch
What is the purpose of the protocol manual?
Provide guidance to all prehospital care providers and emergency department
physicians within the Clark County EMS System.
How long can Postpartum Eclampsia/Pre-Eclampsia present after childbirth?
up to 6 weeks
What level trauma center is UMC?
1
Sexual assaults victims between the ages of 13 and 18 can be transported to what
hospital?
Sunrise
UMC
When transporting a patient to a remote outpatient emergency department,
telemetry contact does not have to be made
False
How much does a leg represent in a pediatric patient in the rule of 9s?
14
What are appropriate triage methodologies that can be used when patients
exceed available resources?
START
SMART
What is the ideal scene time for a patient having a stroke?
Less than 10 minutes
Verbal instructions from friends or family members constitute a valid
DNR/POLST.
False
Describe a dystonic reaction
*Involuntary muscle movements or spasms of the face, neck, and upper extremitites
*Typically an adverse reaction to drugs such as Haloperidol
In patients in which the ability to ventilate cannot be established, where shall the
patient be transported to?
The nearest emergency department
Step 3 of the Trauma Field Triage Criteria assess or measures what?
Mechanism of injury
A patient who meets step 1 of the Trauma Triage Field Criteria, must be
transported to what level trauma center?
Level 1
Level 2
Which of the following describes heat exhaustion?
*Elevated body temperature
*Cool, moist skin
Sexual assault victims less than 13 years of age shall be transported to what
hospital?
Sunrise Hospital
Which of the following describes heat exhaustion?
Elevated Body Temperature
Cool, moist skin
Weakness
Anxious tachypnea
Nothing contained in these protocols shall be construed to expand the scope of
practice of any licensed Attendant beyond that which is identified in the Clark
County EMS Regulations and the protocols.
True
When is cervical stabilization not performed?
* Penetrating trauma to the head and/or neck with no evidence of spinal injury
* Injuries where placement of the collar might compromise patient assessment, airway
management, ventilation and/or hemorrhage control
*Patients in cardiac arrest
What protocols must be followed in the specific sequence noted?
General assessment
How much does the head represent in a child patient in the rule of 9s
18%
During childbirth, if a limb presents, how should the mother be placed?
Left lateral recumbent position
How deep are compressions in the infant victim?
1.5 inches
Sexual assaults victims between the ages of 13 and 18 can be transported to what
hospital?
Sunrise Hospital
UMC Hospital
Patients with a possible spinal injury found in motor vehicles should not be
asked if they are able to exit the motor vehicle on their own
False
Which of the following are contraindications for a traction splint?
*Pelvic fracture or instability
*Knee, lower leg, or ankle instability
Which of the following are considered obvious signs of death?
*Body decomposition
*Decapitation
*Incineration
*Transaction of thorax
Which of the following constitute an approved SNHD DNR?
,*Form
*Wallet Card
*Medallion
Should oxygen be withheld from a patient in respiratory distress?
No
The Pediatric Patient Destination protocol is used for:
Patients less than 18 years of age
Circumferential burns meets criteria to be transported to a burn center.
True
How fast does a motorcycle need to be traveling when it crashed to be
considered for the Trauma Field Triage Criteria?
20mph
What level trauma center is St. Rose Siena?
3
Step 1 of the Trauma Field Triage Criteria assess or measures what?
Vital Signs
For cardiac arrest patients who are pregnant, manual CPR is recommended
True
If a pediatric patient has a heart rate of less than 60bpm then CPR should be
initiated
True
For a suspected narcotic overdose, how much Naloxone can be administered
intranasally?
2-4mg
Orthopedic devices cannot be left in place during interfacility transfer.
False
What level trauma center is UMC?
1
If cardiac arrest is witnessed by EMS or CPR in progress and patient is
unresponsive with no pulse, begin Continuous Cardiac Compressions (CCC).
True
Sexual assault victims that are more than a 50 mile radius from UMC or Sunrise
hospital must be transported to UMC or Sunrise Hospital
False
Transport the patient to the nearest appropriate facility
How many proximal long bone fractures places a patient in Step 2 of the Trauma
Field Triage Criteria?
2
How much does one arm represent in an adult patient in the Rule of 9s?
9%
A patient with burns that involve the face, hands, feet, genitalia, perineum, or
major joints meets criteria to be transported to a burn center.
True
At what temperature does sweating generally disappear?
104 F
, When notifying the staff of an approved alcohol or drug abuse facility, contact
should be made via a recorded phone patch through the FAO at 702-382-9007
True
How far away should defibrillation pads be placed from a pacemaker or pulse
generator?
1 inch
What is the purpose of the protocol manual?
Provide guidance to all prehospital care providers and emergency department
physicians within the Clark County EMS System.
How long can Postpartum Eclampsia/Pre-Eclampsia present after childbirth?
up to 6 weeks
What level trauma center is UMC?
1
Sexual assaults victims between the ages of 13 and 18 can be transported to what
hospital?
Sunrise
UMC
When transporting a patient to a remote outpatient emergency department,
telemetry contact does not have to be made
False
How much does a leg represent in a pediatric patient in the rule of 9s?
14
What are appropriate triage methodologies that can be used when patients
exceed available resources?
START
SMART
What is the ideal scene time for a patient having a stroke?
Less than 10 minutes
Verbal instructions from friends or family members constitute a valid
DNR/POLST.
False
Describe a dystonic reaction
*Involuntary muscle movements or spasms of the face, neck, and upper extremitites
*Typically an adverse reaction to drugs such as Haloperidol
In patients in which the ability to ventilate cannot be established, where shall the
patient be transported to?
The nearest emergency department
Step 3 of the Trauma Field Triage Criteria assess or measures what?
Mechanism of injury
A patient who meets step 1 of the Trauma Triage Field Criteria, must be
transported to what level trauma center?
Level 1
Level 2
Which of the following describes heat exhaustion?
*Elevated body temperature
*Cool, moist skin
