SNHD AEMT PROTOCOLS EXAM 2024 WITH 400
ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS/ SNHD AEMT EXAM LATEST 2024/2025
TEST BANK (BRAND NEW!)
A patient is defined as - ANSWER A person who has a complaint or mechanism
suggestive of potential illness or injury; A person who has obvious evidence of illness
or injury; or A person identified by an informed 2nd or 3rd party caller as requiring
evaluation for potential illness or injury
Pediatric patient considerations - ANSWER For patients < 18 yo, use the
Pediatric Patient Destination protocol; Pediatric treatment protocols are to be used
on children who have not yet experienced puberty.
Signs of puberty include - ANSWER chest or underarm hair on males, and any
breast development in females.
General Adult Assessment - ANSWER 1. Scene safety / scene size up; NOI/MOI;
PPE/BSI; Bring all equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none -> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need for telemetry
physician & as per protocol
Transport per Disposition Criteria if applicable
*Transport to closest facility for Airway emergencies (inability to adequately ventilate)
,Disposition for patients sustaining traumatic injuries - ANSWER transported in
accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries - ANSWER Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) - ANSWER Transported in accordance
with the Pediatric Destination protocol
Disposition for patients with evidence of stroke - ANSWER Transported in
accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o - ANSWER Transported to Sunrise
Hospital
Disposition for sexual assault victims 13-18 y/o - ANSWER Transported to
Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - ANSWER transported to
UMC
Disposition for sexual assault victims outside a 50-mile radius from the above
facilities - ANSWER Transported to the nearest appropriate facility
Disposition for stable patients - ANSWER Transported to the hospital of their
choice, if the patient has no preference the patient should be transported to the
nearest appropriate facility
Disposition for patients outside a 50 mile radius from the protocol designated
transport destinations - ANSWER The licensee providing emergency medical
care shall transport the patient to the nearest appropriate facility
Waiting room criteria - ANSWER Upon arrival in the ED, if transfer of care has not
occurred in accordance with NRS 450B.790, any patient, excluding patients on a
legal psychiatric hold, meeting ALL criteria may be placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport except a single
dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
, Internal disaster - ANSWER 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 adequately ventilate has not been established
Operational exceptions may be initiated in regard to transport to hospitals on internal
disaster.
General Adult Trauma Assessment - ANSWER 1. General Adult assessment;
cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
4. Secondary survey:
Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - ANSWER Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms - ANSWER Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening) - ANSWER Tension
pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS/ SNHD AEMT EXAM LATEST 2024/2025
TEST BANK (BRAND NEW!)
A patient is defined as - ANSWER A person who has a complaint or mechanism
suggestive of potential illness or injury; A person who has obvious evidence of illness
or injury; or A person identified by an informed 2nd or 3rd party caller as requiring
evaluation for potential illness or injury
Pediatric patient considerations - ANSWER For patients < 18 yo, use the
Pediatric Patient Destination protocol; Pediatric treatment protocols are to be used
on children who have not yet experienced puberty.
Signs of puberty include - ANSWER chest or underarm hair on males, and any
breast development in females.
General Adult Assessment - ANSWER 1. Scene safety / scene size up; NOI/MOI;
PPE/BSI; Bring all equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none -> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation management
Breathing -> inadequate or resp. distress -> Resp. Distress
Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need for telemetry
physician & as per protocol
Transport per Disposition Criteria if applicable
*Transport to closest facility for Airway emergencies (inability to adequately ventilate)
,Disposition for patients sustaining traumatic injuries - ANSWER transported in
accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries - ANSWER Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) - ANSWER Transported in accordance
with the Pediatric Destination protocol
Disposition for patients with evidence of stroke - ANSWER Transported in
accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o - ANSWER Transported to Sunrise
Hospital
Disposition for sexual assault victims 13-18 y/o - ANSWER Transported to
Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older - ANSWER transported to
UMC
Disposition for sexual assault victims outside a 50-mile radius from the above
facilities - ANSWER Transported to the nearest appropriate facility
Disposition for stable patients - ANSWER Transported to the hospital of their
choice, if the patient has no preference the patient should be transported to the
nearest appropriate facility
Disposition for patients outside a 50 mile radius from the protocol designated
transport destinations - ANSWER The licensee providing emergency medical
care shall transport the patient to the nearest appropriate facility
Waiting room criteria - ANSWER Upon arrival in the ED, if transfer of care has not
occurred in accordance with NRS 450B.790, any patient, excluding patients on a
legal psychiatric hold, meeting ALL criteria may be placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport except a single
dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
, Internal disaster - ANSWER 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 adequately ventilate has not been established
Operational exceptions may be initiated in regard to transport to hospitals on internal
disaster.
General Adult Trauma Assessment - ANSWER 1. General Adult assessment;
cervical stabilization
2 GCS
<8 Ventilation management BVM if O2 sat < 94%
>8 Oxygen Keep SPO2 > 94%
3. Palpable radial pulse>
No -> vascular access, 1 L NS or LR bolus
Yes -> Vascular access
4. Secondary survey:
Suspected tension pneumothorax -> Paramedic
Sucking chest wound -> apply 3-sided occlusive dressing
Control active hemorrhage -> Hemorrhage control
Obvious fractures -> Immobilize fractures; assess distal pulse
Suspected traumatic brain injury -> Raise head of bed 30 degrees
Open wounds -> cover with gauze; wet trauma dressing for abdominal evisceration
5. Transport and radio contact to appropriate trauma center based on TFTC
General Adult Trauma History - ANSWER Time and mechanism of injury
damage to structure or vehicle
location in structure or vehicle
other injured or dead
speed and details of MVC
restraints/protective equipment
past medical history
medications
General adult trauma signs and symptoms - ANSWER Pain, swelling
Deformity, lesions, bleeding
AMS or unconscious
Hypotension or shock
Arrest
General Adult Trauma Differential (life threatening) - ANSWER Tension
pneumothorax
Flail chest
Pericardial tamponade
Open chest wound
Hemothorax
Intra-abdominal bleeding
Pelvis/femur fracture
Spine fracture/cord injury
Head injury
Extremity fracture
HEENT (airway obstruction)
