SNHD AEMT PROTOCOL TEST 2025/2026ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
NEWEST VERSION | A+ GRADED | NEW AND REVISED .
A pediatric patient may be transported to a non-designated
facility in the following cases - ANSWER-at the request of the
parent or legal guardian, and the child is deemed stable by the
EMS provider
The incident is greater than 50 miles from the closest pediatric
facility
the receiving facility and physician are contacted and agree to
accept the patient
Patients meeting the following criteria shall be transported to the
closest appropriate burn care center - ANSWER-1. Second
degree burns > 10% BSA
2. Any third degree burns
3. Burns that involve the face, hands, feet, genitalia, perineum, or
major joints.
4. electrical burns including lightning injury
5. chemical burns
6. circumferential burns
7. inhalation burns
,8. burn injury with concomitant trauma
Adult burns fluid resuscitation - ANSWER-Adults 13 years and
above 500 mL NS or LR bolus
Contact burn center medical direction for additional boluses or
drip rates or if it is a prolonged transport
Patients who appear to have expired will not be resuscitated or
transported by Clark County EMS personnel if any of the
following obvious signs of death are present - ANSWER-body
decomposition, decapitation, transection of thorax, incineration,
functional separation from the body of the heart, brain, or lungs
Patient will also not be resuscitated or transported i they have all
5 presumptive signs and at least one conclusive sign -
ANSWER-Presumptive signs: unresponsiveness, apnea,
pulselessness, fixed, dilated pupils, for non traumatic
arrests asystole in at least 2 leads or no shock advised
Conclusive signs: dependent lividity, rigor mortis
A person who is suspected to be intoxicated an has no other
emergent need should be transported to an approved alcohol
and drug facility if the patient meets all of the criteria: -
ANSWER-Patient is able to stand with minimal assistance of on
or two people
,SBP: 90-180
DBP: 60-100
RR: 12-22
BG: 60-250
GCS > 14
SPO2> 94 or 90 if smoker No acute medical complaint no signs
of trauma no suspected head injury approval of the physician
or medical staff upon assessment prior to transport to an
alternative facility. Contact with the facility needs to be routed
via recorded phone patch through FAO
For termination of resuscitation in a medical arrest, contact
closest hospital for telemetry physician order: - ANSWER-pt
must remain in persistent asystole or agonal rhythm after 20 min
of appropriate resuscitation to include: CPR, effective ventilation
with 100% oxygen, administration of appropriate ACLS meds
For traumatic arrest, contact trauma center based on catchment
if the patient has the following - ANSWER-open airway with
basic life support measures provide CPR and effective
ventilation with 100% oxygenation for 2 min Perform bilateral
needle toracentesis if tension pneumothorax suspected confirm
no organized rhythm or PEA < 40
, Vital signs for a patient being transported to remote outpatient
ED alternate destination - ANSWER-hr: 60-100
RR: 10-20
SBP: 100-180
DBP: 60-110
Room air pulse ox > 94%
A&Ox4
Trauma field triage criteria Step 1 - ANSWER-Measure vital signs
and level of consciousness. If the patients
GCS is 13 or less; systolic bp is less than 90; or respiratory rate
is less than 10 or greater than 29 or is in need of ventilatory
support
the adult patient must be transported to a level 1 or 2 center
Trauma field triage criteria step 2 - ANSWER-assess anatomy of
injury. if the patient has: penetrating injuries to the head, neck,
torso, or extremities proximal to elbow or knee; chest wall
instability or deformity; two or more proximal bone fractures;
crushed, degloved, mangled, or pulseless extremity; amputation
proximal to wrist or ankle; pelvis fractures; open or depressed
skull fractures; or paralysis adult pt must be transported to level
1 or 2 center
REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS
NEWEST VERSION | A+ GRADED | NEW AND REVISED .
A pediatric patient may be transported to a non-designated
facility in the following cases - ANSWER-at the request of the
parent or legal guardian, and the child is deemed stable by the
EMS provider
The incident is greater than 50 miles from the closest pediatric
facility
the receiving facility and physician are contacted and agree to
accept the patient
Patients meeting the following criteria shall be transported to the
closest appropriate burn care center - ANSWER-1. Second
degree burns > 10% BSA
2. Any third degree burns
3. Burns that involve the face, hands, feet, genitalia, perineum, or
major joints.
4. electrical burns including lightning injury
5. chemical burns
6. circumferential burns
7. inhalation burns
,8. burn injury with concomitant trauma
Adult burns fluid resuscitation - ANSWER-Adults 13 years and
above 500 mL NS or LR bolus
Contact burn center medical direction for additional boluses or
drip rates or if it is a prolonged transport
Patients who appear to have expired will not be resuscitated or
transported by Clark County EMS personnel if any of the
following obvious signs of death are present - ANSWER-body
decomposition, decapitation, transection of thorax, incineration,
functional separation from the body of the heart, brain, or lungs
Patient will also not be resuscitated or transported i they have all
5 presumptive signs and at least one conclusive sign -
ANSWER-Presumptive signs: unresponsiveness, apnea,
pulselessness, fixed, dilated pupils, for non traumatic
arrests asystole in at least 2 leads or no shock advised
Conclusive signs: dependent lividity, rigor mortis
A person who is suspected to be intoxicated an has no other
emergent need should be transported to an approved alcohol
and drug facility if the patient meets all of the criteria: -
ANSWER-Patient is able to stand with minimal assistance of on
or two people
,SBP: 90-180
DBP: 60-100
RR: 12-22
BG: 60-250
GCS > 14
SPO2> 94 or 90 if smoker No acute medical complaint no signs
of trauma no suspected head injury approval of the physician
or medical staff upon assessment prior to transport to an
alternative facility. Contact with the facility needs to be routed
via recorded phone patch through FAO
For termination of resuscitation in a medical arrest, contact
closest hospital for telemetry physician order: - ANSWER-pt
must remain in persistent asystole or agonal rhythm after 20 min
of appropriate resuscitation to include: CPR, effective ventilation
with 100% oxygen, administration of appropriate ACLS meds
For traumatic arrest, contact trauma center based on catchment
if the patient has the following - ANSWER-open airway with
basic life support measures provide CPR and effective
ventilation with 100% oxygenation for 2 min Perform bilateral
needle toracentesis if tension pneumothorax suspected confirm
no organized rhythm or PEA < 40
, Vital signs for a patient being transported to remote outpatient
ED alternate destination - ANSWER-hr: 60-100
RR: 10-20
SBP: 100-180
DBP: 60-110
Room air pulse ox > 94%
A&Ox4
Trauma field triage criteria Step 1 - ANSWER-Measure vital signs
and level of consciousness. If the patients
GCS is 13 or less; systolic bp is less than 90; or respiratory rate
is less than 10 or greater than 29 or is in need of ventilatory
support
the adult patient must be transported to a level 1 or 2 center
Trauma field triage criteria step 2 - ANSWER-assess anatomy of
injury. if the patient has: penetrating injuries to the head, neck,
torso, or extremities proximal to elbow or knee; chest wall
instability or deformity; two or more proximal bone fractures;
crushed, degloved, mangled, or pulseless extremity; amputation
proximal to wrist or ankle; pelvis fractures; open or depressed
skull fractures; or paralysis adult pt must be transported to level
1 or 2 center
