1|Page
EMT SYSTEM ENTRY REVIEW QUESTIONS AND
ANSWERS 2025
In some circumstances, early contact with Medical
Control can be beneficial to minimizing the time to
definitive care, and these SMOs are designated as Time
Sensitive by what graphic? - .....ANSWER .....
✔✔Clock
Name of medical director - .....ANSWER ..... ✔✔Steve
Graham (might have changed since 2020 idk)
Patients can only be pronounced dead by who? -
.....ANSWER ..... ✔✔ED Physician
Spinal immobilization is a part of what? A, B, C, or D -
.....ANSWER ..... ✔✔A (airway)
Who is the best source of information on medications,
baseline vitals, functional level/normal mentation, likely
medical complication, equipment operation and
troubleshooting, and emergency procedures in patients
,2|Page
with special healthcare needs - .....ANSWER .....
✔✔Parents, caregivers, or home health nurses
What is the target SpO2 for patients? - .....ANSWER .....
✔✔94-98% (92% with COPD)
In what cases are hyperoxia contraindicated? -
.....ANSWER ..... ✔✔uncomplicated myocardial
infarction / STEMI, post-cardiac arrest, acute
exacerbations of COPD, stroke, newly born / neonatal
resuscitation. If supplemental oxygen is used in these
patients, the goal is to relieve hypoxemia without
causing hyperoxia (target SpO2 94%, not 100%).
Where do you transport a patient? - .....ANSWER .....
✔✔Transport to the closest appropriate hospital. By
law, a physician must certify that the benefits outweigh
the risks of transport to a facility other than the closest
appropriate hospital, unless patient meets Level 1
Trauma criteria.
Outline for streamlined communication for BLS calls -
.....ANSWER ..... ✔✔1. Name and vehicle number of
provider
2. Patient age and gender
,3|Page
3. Chief complaint/mechanism of injury
4. SMO being followed
5. Any deviation from SMO or unusual circumstances
6. ETA
Drug Administration Guidelines for Pediatric Patients -
.....ANSWER ..... ✔✔When calculating drug dosages
for pediatric patients, the maximum individual and total
doses should not exceed the respective adult doses. This
does not apply to IV fluid boluses (where the pediatric
dose of 20 mL/kg may exceed the 200 mL adult dose)
or individual doses of Versed (midazolam) or Narcan
(naloxone) due to weight-based dosing.
Can living wills be honored by EMS? - .....ANSWER .....
✔✔No
What makes up a valid DNR? - .....ANSWER .....
✔✔Name of patient
Resuscitation Order (the words "Do Not Resuscitate",
"Withhold Treatment")
Three signatures
Effective date
, 4|Page
Long-term indications of death - .....ANSWER .....
✔✔Decapitation • Rigor Mortis without hypothermia
• Profound dependent lividity • Decomposition •
Mummification/putrefaction • Incineration • Frozen state
(no resuscitative efforts for these patients)
Triple Zero patients - .....ANSWER ..... ✔✔non-
breathing, pulseless, asystolic, and have one or more
long-term indications of death. (cannot be confirmed if
hypothermia is a factor)
If any of the following have been taken in the past 48
hours withhold NITROGLYCERIN (NTG). - .....ANSWER
..... ✔✔sildenafil (Viagra)
vardenafil (Levitra, Staxyn)
tadalafil (Cialis, Adcirca)
sildenafil citrate (Revatio)
riociguat (Adempas)
Dosage for nitroglycerin - .....ANSWER ..... ✔✔0.4
mg
EMT SYSTEM ENTRY REVIEW QUESTIONS AND
ANSWERS 2025
In some circumstances, early contact with Medical
Control can be beneficial to minimizing the time to
definitive care, and these SMOs are designated as Time
Sensitive by what graphic? - .....ANSWER .....
✔✔Clock
Name of medical director - .....ANSWER ..... ✔✔Steve
Graham (might have changed since 2020 idk)
Patients can only be pronounced dead by who? -
.....ANSWER ..... ✔✔ED Physician
Spinal immobilization is a part of what? A, B, C, or D -
.....ANSWER ..... ✔✔A (airway)
Who is the best source of information on medications,
baseline vitals, functional level/normal mentation, likely
medical complication, equipment operation and
troubleshooting, and emergency procedures in patients
,2|Page
with special healthcare needs - .....ANSWER .....
✔✔Parents, caregivers, or home health nurses
What is the target SpO2 for patients? - .....ANSWER .....
✔✔94-98% (92% with COPD)
In what cases are hyperoxia contraindicated? -
.....ANSWER ..... ✔✔uncomplicated myocardial
infarction / STEMI, post-cardiac arrest, acute
exacerbations of COPD, stroke, newly born / neonatal
resuscitation. If supplemental oxygen is used in these
patients, the goal is to relieve hypoxemia without
causing hyperoxia (target SpO2 94%, not 100%).
Where do you transport a patient? - .....ANSWER .....
✔✔Transport to the closest appropriate hospital. By
law, a physician must certify that the benefits outweigh
the risks of transport to a facility other than the closest
appropriate hospital, unless patient meets Level 1
Trauma criteria.
Outline for streamlined communication for BLS calls -
.....ANSWER ..... ✔✔1. Name and vehicle number of
provider
2. Patient age and gender
,3|Page
3. Chief complaint/mechanism of injury
4. SMO being followed
5. Any deviation from SMO or unusual circumstances
6. ETA
Drug Administration Guidelines for Pediatric Patients -
.....ANSWER ..... ✔✔When calculating drug dosages
for pediatric patients, the maximum individual and total
doses should not exceed the respective adult doses. This
does not apply to IV fluid boluses (where the pediatric
dose of 20 mL/kg may exceed the 200 mL adult dose)
or individual doses of Versed (midazolam) or Narcan
(naloxone) due to weight-based dosing.
Can living wills be honored by EMS? - .....ANSWER .....
✔✔No
What makes up a valid DNR? - .....ANSWER .....
✔✔Name of patient
Resuscitation Order (the words "Do Not Resuscitate",
"Withhold Treatment")
Three signatures
Effective date
, 4|Page
Long-term indications of death - .....ANSWER .....
✔✔Decapitation • Rigor Mortis without hypothermia
• Profound dependent lividity • Decomposition •
Mummification/putrefaction • Incineration • Frozen state
(no resuscitative efforts for these patients)
Triple Zero patients - .....ANSWER ..... ✔✔non-
breathing, pulseless, asystolic, and have one or more
long-term indications of death. (cannot be confirmed if
hypothermia is a factor)
If any of the following have been taken in the past 48
hours withhold NITROGLYCERIN (NTG). - .....ANSWER
..... ✔✔sildenafil (Viagra)
vardenafil (Levitra, Staxyn)
tadalafil (Cialis, Adcirca)
sildenafil citrate (Revatio)
riociguat (Adempas)
Dosage for nitroglycerin - .....ANSWER ..... ✔✔0.4
mg
