SNHD AEMT exam 2023 with complete solution
If the ability to adequately ventilate a patient cannot be established the patient
should be transported to...
the nearest emergency department
Sexual assault victims <13 y/o should be transported to...
sunrise
Sexual assault victims between 13 and 18 y/o should be transported to...
sunrise or UMC
Sexual assault victims 18 and older should be transported to...
UMC
For sexual assault victims outside a 50 mile radius from UMC or Sunrise
transport should be...
to the nearest appropriate facility
A patient not on a legal psychiatric hold meeting all of the following criteria may
be placed in the hospital waiting room or other appropriate location:
HR 60-100
RR 10-20
Systolic 100-180
Diastolic 60-100
Room air >94
AOx4
no parenteral medication except 1 dose morphine sulfate and/or ondansetron
no ECG monitoring
no IV
maintains sitting position
If a hospital declares internal disaster that facility is to be bypassed for all
patients except...
patients in cardiac arrest or in whom the ability to ventilate has not been established
For trauma pt, c-spine stabilized, GCS <8 and NO palpable radial pulse you
should...
E: BVM if sat 94 and under
A: vascular access and give 1L NS bolus
For trauma patients try to keep the SpO2 over...
94, BVM if equal to or less than
If a trauma patient has a radial pulse you should...
still obtain vascular access
BVM is an acceptable method of ventilating and managing an airway if pulse ox
can be maintained...
90 or greater
For patients w/ abdominal/flank pain/nausea/vomiting, if the pt shows signs of
hypovolemia you should..
obtain vascular access and give a 500 ml NS bolus (repeat up to 2000 ml)
Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal
pain may indicate...
an aneurysm
, After each fluid bolus you should...
repeat vital signs
Abdominal pain in women of childbearing age should be considered...
pregnancy until proven otherwise
For patients with suspected acute coronary syndrome you should....
obtain vascular access, keep spo2 >94, give 324 mg ASA PO, and assist pt with own
NTG as prescribed may repeat 3x
Nitro is contraindicated in any patient with...
-hypotension
-bradycardia
-tachycardia in absence of heart failure
-evidence of R ventricular infarction
- use of ED meds
For a patient seeming to have an allergic reaction without evidence of airway
involvement/difficulties you should...
- obtain vascular access
- give 50 mg Dipenhydramine IM/IV
For a patient having an allergic reaction with evidence of airway involvement you
should...
E: assist with pts own auto injector
A: give epi 0.5 mg 1:1000 IM (may repeat in 15 min w/ may of 1.5 mg)
If a patient having a severe allergic reaction is not in shock you can...
E: assist with albuterol MDI
A: give albuterol 2.5 mg SVN, provide ventilation management, gain IV access and give
500 cc MS bolus up to 2 L, then 50 mg diphenhydramine IM/IV
If a pt having a severe allergic reaction is in shock you should...
provide ventilation management, give albuterol 2.5 mg SVN repeated as needed, IV
access and give 500 cc NS bolus up to 2L, give 50 mg diphenhydramine IM/IV
_________________ should be administered in priority before or during attempts
at IV or IO access for anaphylactic reactions.
IM epi (1:1000)
For refractory anaphylaxis...
contact medical control
_______________ involve skin rashes, itchy sensation, or hives with no
respiratory involvement.
Mild reactions
__________________ involve skin disorders and may include some respiratory
involvement like wheezing, yet the patient still maintains good tidal volume air
exchange.
Moderate reactions
_________________ involve skin disorders, respiratory difficulty, and may include
hypotension.
Severe reactions
For AMS/syncope you should first...
assess BG and obtain vascular access
If BG is <60...
If the ability to adequately ventilate a patient cannot be established the patient
should be transported to...
the nearest emergency department
Sexual assault victims <13 y/o should be transported to...
sunrise
Sexual assault victims between 13 and 18 y/o should be transported to...
sunrise or UMC
Sexual assault victims 18 and older should be transported to...
UMC
For sexual assault victims outside a 50 mile radius from UMC or Sunrise
transport should be...
to the nearest appropriate facility
A patient not on a legal psychiatric hold meeting all of the following criteria may
be placed in the hospital waiting room or other appropriate location:
HR 60-100
RR 10-20
Systolic 100-180
Diastolic 60-100
Room air >94
AOx4
no parenteral medication except 1 dose morphine sulfate and/or ondansetron
no ECG monitoring
no IV
maintains sitting position
If a hospital declares internal disaster that facility is to be bypassed for all
patients except...
patients in cardiac arrest or in whom the ability to ventilate has not been established
For trauma pt, c-spine stabilized, GCS <8 and NO palpable radial pulse you
should...
E: BVM if sat 94 and under
A: vascular access and give 1L NS bolus
For trauma patients try to keep the SpO2 over...
94, BVM if equal to or less than
If a trauma patient has a radial pulse you should...
still obtain vascular access
BVM is an acceptable method of ventilating and managing an airway if pulse ox
can be maintained...
90 or greater
For patients w/ abdominal/flank pain/nausea/vomiting, if the pt shows signs of
hypovolemia you should..
obtain vascular access and give a 500 ml NS bolus (repeat up to 2000 ml)
Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal
pain may indicate...
an aneurysm
, After each fluid bolus you should...
repeat vital signs
Abdominal pain in women of childbearing age should be considered...
pregnancy until proven otherwise
For patients with suspected acute coronary syndrome you should....
obtain vascular access, keep spo2 >94, give 324 mg ASA PO, and assist pt with own
NTG as prescribed may repeat 3x
Nitro is contraindicated in any patient with...
-hypotension
-bradycardia
-tachycardia in absence of heart failure
-evidence of R ventricular infarction
- use of ED meds
For a patient seeming to have an allergic reaction without evidence of airway
involvement/difficulties you should...
- obtain vascular access
- give 50 mg Dipenhydramine IM/IV
For a patient having an allergic reaction with evidence of airway involvement you
should...
E: assist with pts own auto injector
A: give epi 0.5 mg 1:1000 IM (may repeat in 15 min w/ may of 1.5 mg)
If a patient having a severe allergic reaction is not in shock you can...
E: assist with albuterol MDI
A: give albuterol 2.5 mg SVN, provide ventilation management, gain IV access and give
500 cc MS bolus up to 2 L, then 50 mg diphenhydramine IM/IV
If a pt having a severe allergic reaction is in shock you should...
provide ventilation management, give albuterol 2.5 mg SVN repeated as needed, IV
access and give 500 cc NS bolus up to 2L, give 50 mg diphenhydramine IM/IV
_________________ should be administered in priority before or during attempts
at IV or IO access for anaphylactic reactions.
IM epi (1:1000)
For refractory anaphylaxis...
contact medical control
_______________ involve skin rashes, itchy sensation, or hives with no
respiratory involvement.
Mild reactions
__________________ involve skin disorders and may include some respiratory
involvement like wheezing, yet the patient still maintains good tidal volume air
exchange.
Moderate reactions
_________________ involve skin disorders, respiratory difficulty, and may include
hypotension.
Severe reactions
For AMS/syncope you should first...
assess BG and obtain vascular access
If BG is <60...
