MIAMI VALLEY EMS COUNCIL (GMVEMSC) PROTOCOL Questions with Verified Correct Detailed Answers Latest Update 2025

MIAMI VALLEY EMS COUNCIL
(GMVEMSC) PROTOCOL Questions with
Verified Correct Detailed Answers Latest
Update 2025


what does SAMPLE stand for? --- correct answers ---Symptoms-
Allergies- Medications- Past med hx- Last oral intake- Events and
Environmental factors (leading up to present illness)




Oral glucose is indicated for any ________ ____ __________ patient
with BS ___. --- correct answers ---Oral glucose is indicated for any
conscious but disoriented patient with BS <60.




Where is oral glucose administered? --- correct answers ---Under the
tongue or between the gum and cheek of an unresponsive patient who
must be placed in the lateral recumbent position to promote drainage
of secretions away from the airway




How do you treat patients with cerebral herniation? --- correct
answers ---Ventilate the patient at 20 times per minute to obtain an
end tidal value of 30 mmHg.

,PAT Triangle stand for --- correct answers ---Pediatric Assessment
Triangle

-establishes a level of severity, assists in determining urgency for life
support measures, and identifies key physiological problems using
observational and listening skills




What are the three sections of the PAT Triangle? --- correct answers --
-1. Appearance

-tone, interactiveness, gaze, cry, consolability

2. Work of

Breathing

-breath sounds, positioning, retractions, nasal flaring

3. Circulation

-pallor, mottling, cyanosis




TICLS mnemonic --- correct answers ---tone (sits or stands),
interactiveness, consolability, look/gaze, speech/cry




SMR for Blunt Trauma (falls, MVC) --- correct answers ---1. all
patients with clinical indications of a spinal injury/altered levels of

,consciousness must be immobilized with both a C-collar AND a spinal
restriction device (KED, backboards, vacuum splint)

2. PEDIATRIC trauma patients less than 3 years of age with a GCS of
<15 must be immobilized with both a C-collar and spinal restriction
device




What is the list for when you should c-collar and move in-line to the
cot (NO Backboard)? --- correct answers ----neck pain

-midline neck or spinal tenderness

-pain on motion of the neck

-high risk mechanism (MVC, fall > 10 ft, and axial loading injury)




Do you immobilize patients with penetrating trauma? --- correct
answers ---Do not need to be immobilized with either a c-collar or BB




Can you remove the collar for patients who are immobilized and
require airway and/or ventilatory intervention? --- correct answers --
-Yes, after collar should then be reapplied.




Patients toleration of restriction --- correct answers ---If they can not
tolerate it then adjust it to the point of removal if necessary. (ex. if a

, patient may not tolerate a backboard but may tolerate sitting up with
a c-collar)




How should I determine the level of Spinal Motion Restriction for
potential spinal injury? --- correct answers ---Potential spinal injury
may come from: high risk MOI including high speed MVC, falls > 10
ft., axial load injuries and blunt force above the shoulders




Full Spinal Motion Restriction --- correct answers ----patients with
<15 (confusion and intox)

-altered LOC

-neurologic deficits (paralysis or clinical indications of a spinal
injury)

-patients <3 y/o with GCS <15




C-Collar and move in-line to cot --- correct answers ----patients with
neck pain, midline neck tenderness, pain on motion of the neck that
have a GCS of 15 (difference here is the GCS 15)




Patients Not Requiring SMR --- correct answers ----penetrating
trauma (too much of a risk)