SNHD Protocols Exam With 100% Correct
Answers 2024, 181 Questions and Correct
Answers, With Complete Solution.
SNHD Manual
The goal of the manual is to standardize prehospital care in Clark County
If a physician giving on-line medical consultation directs you to provide care not
explicitly stated in the protocol manual you must...?
You and the telemetry physician must immediately notify OEMSTS. In addition, after
finishing the call, you as the provider must make all prehospital care
documentation/records of your deviation and telemetry physician's name available to
OEMSTS. This will then be used for Quality Improvement Review.
If a physicians orders are against protocol, could possibly endanger patient, or
there is a lack of resources. What must you do...?
You must notify telemetry physician why you are not able to carry out the order. Then,
indicate the following on prehospital records: the order given, time it was given, and
reason the order could not be carried out. Then all documentation/records must be
available immediately after the call to OEMSTS and then will be used for Quality
Improvement Review.
What is a PATIENT
1) A person who has a complaint or mechanism suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury; or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric Patient Destination Age
<18
ASA
Acetylsalicylic Acid
CCC CPR
Continuous Chest Compression CPR:
Compressions - Push hard (≥2 Inches) Push fast (≥100/min)
BVM - at 8 BPM
DCAP-BTLS
Deformities; Contusions; Abrasions; Punctures/Penetrations;
Burns; Tenderness; Lacerations; Swelling
M.A.D.
Mucosal Atomizer Device
Drugs that can be administered through a M.A.D.
Nalaxone
START triage
RED (Immediate/Life Threatening): Dyspnea, severe bleeding, severe medical problem,
signs of shock, severe burns, open chest or abdominal injuries
,Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway
obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries.
Green (Walking Wounded): Minor fractures/soft tissue injuries
Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma,
respiratory arrest (if resources limited), cardiac arrest.
Trauma Patients shall be transported...
According to Trauma Field Triage Protocol
Burn patients shall be transported....
According to Burn Protocol
Pediatric patients shall be transported...
(<18 y/o) According to the Pediatric Destination Protocol
Patients with evidence of a stroke shall be transported...
According to Stroke (CVA) protocol
Sexual assault victims <13 y/o shall be transported to
Sunrise Hospital
Sexual assault victims ≥18 y/o shall be transported to
UMC
Sexual assault victims between ages 13 and 18 y/o shall be transported to
Either UMC or Sunrise Hospital
Sexual assault victims outside the 50 mile radius of appropriate facility shall be
transported to
Nearest appropriate facility
Where should stable patients be transported to
Their hospital of choice or nearest facility
For patients outside of the 50 mile radius of protocol designated transport
destination shall be transported to
Nearest appropriate facility
Waiting Room Placement requisites
Patient cannot be on a legal psychiatric hold and must meet the following requirements:
+ HR: 60-100
+ RR: 10-20
+ Systolic: 100-180
+ Diastolic: 60-100
+ Room air SPO2: >94%
+ A/O x 4
+ No medication was given except for a single dose of Morphine/Ondansetron
+ Paramedic opinion states pt. does not need ECG monitoring
+ No IV fluids are necessary
If a hospital declares an internal disaster that hospital shall be bypassed with the
exceptions of
Cardiac arrest patients or whom adequate ventilation has not been established
In a General Adult Trauma Assessment how do you manage breathing
, Maintain SPO2 >94%:
+ If patients GCS <8 BVM
+ If patients GCS ≥8 titrate O2
For an adult trauma patient with no palpable pulse what is the fluid bolus
1L of Normal Saline
In the General Adult Trauma Trauma Triage, what is the following step if patient
does (YES) has a palpable pulse
Obtain vascular access
Trauma: Sucking Chest Wound
Apply an occlusive dressing and tape down three sides
Trauma: How do you control an active hemorrhage
Hemorrhage control tourniquet
Trauma: Suspected Traumatic Brain Injury
Raise head 30 degrees
Trauma: Abdominal Evisceration
Wet trauma dressing
What should you do with a patient showing signs hypovolemia complaining of
abdominal/flank pain, nausea & vomiting
Obtain vascular access and bolus 500 mL (may repeat up to 2000 mL)
Suspected Acute Coronary Syndrome treatment
+ Obtain vascular access
+ Maintain SPO2 >94%
+ Administer 324 mg of ASA
+ Assist pt with own NTG as
prescribed; may repeat x 3 (if not contraindicated)
+ Telemetry is required for STEMI's
Nitroglycerine Contraindications
+ BP < 100 systolic
+ HR < 60-100 > HR
+ RHF
+ Inferior Wall STEMI
+ Any ED medications have been taken (Viagra/Levitra within the last 24 hours and
Tadalifil/Cialis within the last 48 hours)
ADULT Allergic Reaction: What is the treatment if no airway obstruction or
breathing difficulties are present
+ Obtain vascular access
+ Administer 50 mg IM/IV of Diphenhydramine
+ Reassess in 5 min.
ADULT Allergic Reaction: What is the treatment if airway obstruction or breathing
difficulties are present
+ Administer 0.5 mg of 1:1000 IM Epinephrine (may repeat up to 1.5 mg with 15 min in
between)
+ 2.5 mg in 3 cc SVN Albuterol (repeat as necessary)
+ IV access
+ 500 cc NS bolus (may repeat until 2L)
Answers 2024, 181 Questions and Correct
Answers, With Complete Solution.
SNHD Manual
The goal of the manual is to standardize prehospital care in Clark County
If a physician giving on-line medical consultation directs you to provide care not
explicitly stated in the protocol manual you must...?
You and the telemetry physician must immediately notify OEMSTS. In addition, after
finishing the call, you as the provider must make all prehospital care
documentation/records of your deviation and telemetry physician's name available to
OEMSTS. This will then be used for Quality Improvement Review.
If a physicians orders are against protocol, could possibly endanger patient, or
there is a lack of resources. What must you do...?
You must notify telemetry physician why you are not able to carry out the order. Then,
indicate the following on prehospital records: the order given, time it was given, and
reason the order could not be carried out. Then all documentation/records must be
available immediately after the call to OEMSTS and then will be used for Quality
Improvement Review.
What is a PATIENT
1) A person who has a complaint or mechanism suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury; or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric Patient Destination Age
<18
ASA
Acetylsalicylic Acid
CCC CPR
Continuous Chest Compression CPR:
Compressions - Push hard (≥2 Inches) Push fast (≥100/min)
BVM - at 8 BPM
DCAP-BTLS
Deformities; Contusions; Abrasions; Punctures/Penetrations;
Burns; Tenderness; Lacerations; Swelling
M.A.D.
Mucosal Atomizer Device
Drugs that can be administered through a M.A.D.
Nalaxone
START triage
RED (Immediate/Life Threatening): Dyspnea, severe bleeding, severe medical problem,
signs of shock, severe burns, open chest or abdominal injuries
,Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway
obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries.
Green (Walking Wounded): Minor fractures/soft tissue injuries
Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma,
respiratory arrest (if resources limited), cardiac arrest.
Trauma Patients shall be transported...
According to Trauma Field Triage Protocol
Burn patients shall be transported....
According to Burn Protocol
Pediatric patients shall be transported...
(<18 y/o) According to the Pediatric Destination Protocol
Patients with evidence of a stroke shall be transported...
According to Stroke (CVA) protocol
Sexual assault victims <13 y/o shall be transported to
Sunrise Hospital
Sexual assault victims ≥18 y/o shall be transported to
UMC
Sexual assault victims between ages 13 and 18 y/o shall be transported to
Either UMC or Sunrise Hospital
Sexual assault victims outside the 50 mile radius of appropriate facility shall be
transported to
Nearest appropriate facility
Where should stable patients be transported to
Their hospital of choice or nearest facility
For patients outside of the 50 mile radius of protocol designated transport
destination shall be transported to
Nearest appropriate facility
Waiting Room Placement requisites
Patient cannot be on a legal psychiatric hold and must meet the following requirements:
+ HR: 60-100
+ RR: 10-20
+ Systolic: 100-180
+ Diastolic: 60-100
+ Room air SPO2: >94%
+ A/O x 4
+ No medication was given except for a single dose of Morphine/Ondansetron
+ Paramedic opinion states pt. does not need ECG monitoring
+ No IV fluids are necessary
If a hospital declares an internal disaster that hospital shall be bypassed with the
exceptions of
Cardiac arrest patients or whom adequate ventilation has not been established
In a General Adult Trauma Assessment how do you manage breathing
, Maintain SPO2 >94%:
+ If patients GCS <8 BVM
+ If patients GCS ≥8 titrate O2
For an adult trauma patient with no palpable pulse what is the fluid bolus
1L of Normal Saline
In the General Adult Trauma Trauma Triage, what is the following step if patient
does (YES) has a palpable pulse
Obtain vascular access
Trauma: Sucking Chest Wound
Apply an occlusive dressing and tape down three sides
Trauma: How do you control an active hemorrhage
Hemorrhage control tourniquet
Trauma: Suspected Traumatic Brain Injury
Raise head 30 degrees
Trauma: Abdominal Evisceration
Wet trauma dressing
What should you do with a patient showing signs hypovolemia complaining of
abdominal/flank pain, nausea & vomiting
Obtain vascular access and bolus 500 mL (may repeat up to 2000 mL)
Suspected Acute Coronary Syndrome treatment
+ Obtain vascular access
+ Maintain SPO2 >94%
+ Administer 324 mg of ASA
+ Assist pt with own NTG as
prescribed; may repeat x 3 (if not contraindicated)
+ Telemetry is required for STEMI's
Nitroglycerine Contraindications
+ BP < 100 systolic
+ HR < 60-100 > HR
+ RHF
+ Inferior Wall STEMI
+ Any ED medications have been taken (Viagra/Levitra within the last 24 hours and
Tadalifil/Cialis within the last 48 hours)
ADULT Allergic Reaction: What is the treatment if no airway obstruction or
breathing difficulties are present
+ Obtain vascular access
+ Administer 50 mg IM/IV of Diphenhydramine
+ Reassess in 5 min.
ADULT Allergic Reaction: What is the treatment if airway obstruction or breathing
difficulties are present
+ Administer 0.5 mg of 1:1000 IM Epinephrine (may repeat up to 1.5 mg with 15 min in
between)
+ 2.5 mg in 3 cc SVN Albuterol (repeat as necessary)
+ IV access
+ 500 cc NS bolus (may repeat until 2L)
