MIAMI VALLEY EMS COUNCIL (GMVEMSC) PROTOCOL EXAM
UPDATED QUESTIONS AND ANSWERS
Procedures with a (black diamond) indicates what? - CORRECT ANSWER✅✅Are never to be performed
without a Medical Control Physician (MCP) order.
-you have to call Medical Control for authorization
Items enclosed in braces ({ }) means what - CORRECT ANSWER✅✅are at the option of the department
and its Medical Director
-we can dictate the directive
What does a pink color indicate? - CORRECT ANSWER✅✅Pediatric
A section with an "A" indicate what - CORRECT ANSWER✅✅Adult section
A section with a bold "G" - CORRECT ANSWER✅✅Geriatric section
What are the four reasons to call the contact the hospital? - CORRECT ANSWER✅✅1. to set up for a
patient (ex. trauma, cardiac arrest, hazardous materials)
2. for serious patients ( stroke, MI, respiratory distress, shock and major traumas)
3. to obtain orders (with a diamond)
4. to obtain advice (for medication, or unfamiliar condition)
What do you include for a trauma patient when calling ahead? - CORRECT ANSWER✅✅1. MIVT
(Mechanism of Injury, Injuries, Vital Signs, Treatment)
2. Components of GCS (make sure you say what category the points are in)
3. Patient Assessment Findings (why you are transferring if it is not apparent)
When calling an alert for a Trauma or Stroke how do you state that? - CORRECT ANSWER✅✅"We
recommend a ___________ alert?
,What are the circumstances for non-initiation of care? - CORRECT ANSWER✅✅-deep, penetrating,
cranial injuries
-massive truncal wounds (blow up)
-DNR Order-present and valid
-Frozen Body
-Rigor mortis, tissue decomposition, or severe dependent lividity
-triage demands
-arresting from BLUNT OR PENETRATING TRAUMA
-prolonged arrest (greater 10 minutes)
What are the Exclusionary Conditions that you have to initiate care? - CORRECT ANSWER✅✅-traumatic
arrest in female patient with known pregnancy >24 weeks or palpable pulse== rapid transport
-possible medical etiology
-arrest is witnessed by EMS
-lightning
-hypothermia
-commotio corids (baseball to chest)
Do Not Resuscitate-Comfort Care (DNR-CC) - CORRECT ANSWER✅✅any treatment to diminish pain or
discomfort that is NOT used to postpone the patient's death
Do Not Resuscitate- Comfort Care Arrest (DNR-CCA) - CORRECT ANSWER✅✅any and all protocol-based
treatment until the patient goes into cardiac or respiratory arrest
what does SAMPLE stand for? - CORRECT ANSWER✅✅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
ANSWER✅✅Oral glucose is indicated for any conscious but disoriented patient with BS <60.
,Where is oral glucose administered? - CORRECT ANSWER✅✅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 ANSWER✅✅Ventilate the patient at 20
times per minute to obtain an end tidal value of 30 mmHg.
PAT Triangle stand for - CORRECT ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅tone (sits or stands), interactiveness, consolability, look/gaze,
speech/cry
SMR for Blunt Trauma (falls, MVC) - CORRECT ANSWER✅✅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
ANSWER✅✅-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 ANSWER✅✅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 ANSWER✅✅Yes, after collar should then be reapplied.
Patients toleration of restriction - CORRECT ANSWER✅✅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
ANSWER✅✅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 ANSWER✅✅-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 ANSWER✅✅-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 ANSWER✅✅-penetrating trauma (too much of a risk)
-pts not falling into the other two condition so basically GCS 15 no pain
What is the rate of oxygen for a nasal cannula (NC) for COPD pts? - CORRECT ANSWER✅✅2 LPM
UPDATED QUESTIONS AND ANSWERS
Procedures with a (black diamond) indicates what? - CORRECT ANSWER✅✅Are never to be performed
without a Medical Control Physician (MCP) order.
-you have to call Medical Control for authorization
Items enclosed in braces ({ }) means what - CORRECT ANSWER✅✅are at the option of the department
and its Medical Director
-we can dictate the directive
What does a pink color indicate? - CORRECT ANSWER✅✅Pediatric
A section with an "A" indicate what - CORRECT ANSWER✅✅Adult section
A section with a bold "G" - CORRECT ANSWER✅✅Geriatric section
What are the four reasons to call the contact the hospital? - CORRECT ANSWER✅✅1. to set up for a
patient (ex. trauma, cardiac arrest, hazardous materials)
2. for serious patients ( stroke, MI, respiratory distress, shock and major traumas)
3. to obtain orders (with a diamond)
4. to obtain advice (for medication, or unfamiliar condition)
What do you include for a trauma patient when calling ahead? - CORRECT ANSWER✅✅1. MIVT
(Mechanism of Injury, Injuries, Vital Signs, Treatment)
2. Components of GCS (make sure you say what category the points are in)
3. Patient Assessment Findings (why you are transferring if it is not apparent)
When calling an alert for a Trauma or Stroke how do you state that? - CORRECT ANSWER✅✅"We
recommend a ___________ alert?
,What are the circumstances for non-initiation of care? - CORRECT ANSWER✅✅-deep, penetrating,
cranial injuries
-massive truncal wounds (blow up)
-DNR Order-present and valid
-Frozen Body
-Rigor mortis, tissue decomposition, or severe dependent lividity
-triage demands
-arresting from BLUNT OR PENETRATING TRAUMA
-prolonged arrest (greater 10 minutes)
What are the Exclusionary Conditions that you have to initiate care? - CORRECT ANSWER✅✅-traumatic
arrest in female patient with known pregnancy >24 weeks or palpable pulse== rapid transport
-possible medical etiology
-arrest is witnessed by EMS
-lightning
-hypothermia
-commotio corids (baseball to chest)
Do Not Resuscitate-Comfort Care (DNR-CC) - CORRECT ANSWER✅✅any treatment to diminish pain or
discomfort that is NOT used to postpone the patient's death
Do Not Resuscitate- Comfort Care Arrest (DNR-CCA) - CORRECT ANSWER✅✅any and all protocol-based
treatment until the patient goes into cardiac or respiratory arrest
what does SAMPLE stand for? - CORRECT ANSWER✅✅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
ANSWER✅✅Oral glucose is indicated for any conscious but disoriented patient with BS <60.
,Where is oral glucose administered? - CORRECT ANSWER✅✅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 ANSWER✅✅Ventilate the patient at 20
times per minute to obtain an end tidal value of 30 mmHg.
PAT Triangle stand for - CORRECT ANSWER✅✅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 ANSWER✅✅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 ANSWER✅✅tone (sits or stands), interactiveness, consolability, look/gaze,
speech/cry
SMR for Blunt Trauma (falls, MVC) - CORRECT ANSWER✅✅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
ANSWER✅✅-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 ANSWER✅✅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 ANSWER✅✅Yes, after collar should then be reapplied.
Patients toleration of restriction - CORRECT ANSWER✅✅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
ANSWER✅✅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 ANSWER✅✅-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 ANSWER✅✅-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 ANSWER✅✅-penetrating trauma (too much of a risk)
-pts not falling into the other two condition so basically GCS 15 no pain
What is the rate of oxygen for a nasal cannula (NC) for COPD pts? - CORRECT ANSWER✅✅2 LPM
