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SNHD EMS Protocols Questions with Answers (100%
Correct Answers)
General Adult Assessment - Unresponsive? —ANS: Check pulse; if none go to Cardiac
Arrest
General Adult Assessment - Airway compromise? —ANS: If yes, go to Ventilation
Management
General Adult Assessment - Breathing inadequate or respiratory distress? —ANS: If
yes, go to Respiratory Distress
General Adult Assessment - Circulation: Bleeding? —ANS: If yes, go to General
Trauma
General Adult Assessment - Disability: Altered or confused? —ANS: If yes, go to
Altered Mental Status/Syncope
General Adult Assessment - LABCD negative? —ANS: HPI & AMPLE
Vital signs and physical exam
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Blood glucose as indicated
Specific treatment protocol as indicated
C-spine?
Splint?
Vascular access
Oxygen as needed
Radio contact
Pearls: If ability to adequately ventilate cannot be established? —ANS: Transport to
nearest ED
Pearls: Should oxygen ever by withheld from respiratory distress? —ANS: No
Sexual assault victims < 13 y/o transported where? —ANS: Sunrise Hospital
Sexual assault victims > 13-18 transported to where? (2 places) —ANS: Sunrise
Hospital or UMC
Sexual assault victims > 18 transported to where? —ANS: UMC
Sexual assault victims outside 50 mile radius? —ANS: Nearest ED
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,3
Stable patients should be transported where? —ANS: To hospital of their choice, if no
preference then closest facility
Waiting Room criteria? —ANS: HR 60-100
RR 10-20
SBP 100-180
DBP 60-110
SPO2 >94%
A&Ox4
No parenteral medications EXCEPT 1 dose of analgesia or antiemetic
No need for cardiac monitoring
Able to sit
If a hospital declares internal disaster, can you bypass them for cardiac arrest patients?
—ANS: Nope
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, 4
General Adult Trauma Assessment - first 3 steps —ANS: General Adult Assessment
Cervical Stabilization
GCS?
General Adult Trauma Assessment - GCS < 8? —ANS: Ventilation Management
BVM if SPOT < 95%
Palpate for radial pulse
General Adult Trauma Assessment - GCS > 8? —ANS: Use oxygen to keep SPO2 > 94%
Palpate for radial pulse
General Adult Trauma Assessment - Palpable radial pulse NO? —ANS: Vascular
access
1L NS or LR Bolus IV/IO
Secondary survey
General Adult Trauma Assessment - Palpable radial pulse YES? —ANS: Vascular
Access
Secondary survey
© 2025 All rights reserved
SNHD EMS Protocols Questions with Answers (100%
Correct Answers)
General Adult Assessment - Unresponsive? —ANS: Check pulse; if none go to Cardiac
Arrest
General Adult Assessment - Airway compromise? —ANS: If yes, go to Ventilation
Management
General Adult Assessment - Breathing inadequate or respiratory distress? —ANS: If
yes, go to Respiratory Distress
General Adult Assessment - Circulation: Bleeding? —ANS: If yes, go to General
Trauma
General Adult Assessment - Disability: Altered or confused? —ANS: If yes, go to
Altered Mental Status/Syncope
General Adult Assessment - LABCD negative? —ANS: HPI & AMPLE
Vital signs and physical exam
© 2025 All rights reserved
,2
Blood glucose as indicated
Specific treatment protocol as indicated
C-spine?
Splint?
Vascular access
Oxygen as needed
Radio contact
Pearls: If ability to adequately ventilate cannot be established? —ANS: Transport to
nearest ED
Pearls: Should oxygen ever by withheld from respiratory distress? —ANS: No
Sexual assault victims < 13 y/o transported where? —ANS: Sunrise Hospital
Sexual assault victims > 13-18 transported to where? (2 places) —ANS: Sunrise
Hospital or UMC
Sexual assault victims > 18 transported to where? —ANS: UMC
Sexual assault victims outside 50 mile radius? —ANS: Nearest ED
© 2025 All rights reserved
,3
Stable patients should be transported where? —ANS: To hospital of their choice, if no
preference then closest facility
Waiting Room criteria? —ANS: HR 60-100
RR 10-20
SBP 100-180
DBP 60-110
SPO2 >94%
A&Ox4
No parenteral medications EXCEPT 1 dose of analgesia or antiemetic
No need for cardiac monitoring
Able to sit
If a hospital declares internal disaster, can you bypass them for cardiac arrest patients?
—ANS: Nope
© 2025 All rights reserved
, 4
General Adult Trauma Assessment - first 3 steps —ANS: General Adult Assessment
Cervical Stabilization
GCS?
General Adult Trauma Assessment - GCS < 8? —ANS: Ventilation Management
BVM if SPOT < 95%
Palpate for radial pulse
General Adult Trauma Assessment - GCS > 8? —ANS: Use oxygen to keep SPO2 > 94%
Palpate for radial pulse
General Adult Trauma Assessment - Palpable radial pulse NO? —ANS: Vascular
access
1L NS or LR Bolus IV/IO
Secondary survey
General Adult Trauma Assessment - Palpable radial pulse YES? —ANS: Vascular
Access
Secondary survey
© 2025 All rights reserved
