1|Page
ICEMA PROTOCOLS QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What is the purpose of the HERT team in San Bernardino
county? - .....ANSWER ...✔✔ To respond to trauma
scenes to provide advanced surgical care at the scene
Describe the principles (A,B, and C) of the HERT team in
San Bernardino county - .....ANSWER ...✔✔ Utilized
where life saving procedures is required to allow for
extrication of a trauma patient; the team is ready to
respond within 20 minutes with predetermined,
preassembled life saving equipment
HERT Team access to the emergency medical scene will
be at the discretion of whom? - .....ANSWER ...✔✔
Access to the emergency medical scene will be at the
discretion of the incident commander
What triage criteria constitutes trauma base contact? -
.....ANSWER ...✔✔ Patients meeting all trauma triage
criteria; trauma base station contact shall be made
,2|Page
What is the expected on scene time (under normal
circumstances) on trauma calls? - .....ANSWER ...✔✔
5-10 minutes
In the Glasgow coma scale Operational Definitions,
Compare the Child GCS with the infant GCS. What are
the differences? - .....ANSWER ...✔✔ All three areas
are similar with variances from the adult scale in verbal
and motor responses
What is the most important part of the GCS if the
patient is intubated? - .....ANSWER ...✔✔ If the
patient is intubated, unconscious, or preverbal, the most
important part of this scale is motor response
List the contraindications for utilization of airship
transportation: - .....ANSWER ...✔✔ The patient falls
in these three catagories: non decontaminated patients,
violent patients, drunk patients, stable patients, ground x
port is less than 30 minutes, traumatic full arrest
If the trauma patient does not meet the "Obvious Death
Criteria" what base hospital contact must be made for
determination of death? what must be recorded? -
,3|Page
.....ANSWER ...✔✔ Contact a trauma base for
determination of death; document asystole in at least
two contiguous leads, and no reported vital signs during
the EMS encounter
If an adequate airway cannot be maintained with a
BVM device and the paramedic is unable to indicate or
if indicated, perform a successful needle cricothyrotomy,
what shall happen? - .....ANSWER ...✔✔ Transport to
the closest receiving hospital. RSI should be performed in
a hospital setting and not on scene
If there is associated physiologic or anatomic trauma
criteria meeting one or more of the mechanisms of injury,
who determines the patients destination? - .....ANSWER
...✔✔ A base hospital physician, once consulted
What physiological and anatomical criteria must be
present for trauma base hospital contact to be made? -
.....ANSWER ...✔✔ GCS <13, need for ventilator
support, penetrating injuries to the torso, degloved
extremity
If a physiological or anatomical criterion was not met,
what parameters of mechanism of injury and evidence
of high-energy impact must be present for trauma base
, 4|Page
hospital contact to be made in the adult patient? -
.....ANSWER ...✔✔ Falls greater than 20' or high risk
auto crash with compartment intrusion, ejection, auto vs
ped
Per protocol, what special considerations exist if the
patient does not meet any of the physiological or
anatomical trauma criteria? - .....ANSWER ...✔✔
Adults older than 65, children, anti-coagulant meds and
bleeding disorders, burns, pregnancy >20 weeks, EMS
provider judgement
What does the acronym NSAID stand for? - .....ANSWER
...✔✔ Neuro deficits, spinal tenderness, altered,
intoxicated, distracting injuries
What are the steps of care for an amputated part in a
pediatric and adult patient? - .....ANSWER ...✔✔
Control bleeding, rinse in sterile saline, place in dry
sterile gauze in a plastic bag
What are the ALS interventions to care for an adult
trauma patient with blunt trauma? - .....ANSWER
...✔✔ For unstable patients, IV NS open until stable
or 2000 ml max is infused
ICEMA PROTOCOLS QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What is the purpose of the HERT team in San Bernardino
county? - .....ANSWER ...✔✔ To respond to trauma
scenes to provide advanced surgical care at the scene
Describe the principles (A,B, and C) of the HERT team in
San Bernardino county - .....ANSWER ...✔✔ Utilized
where life saving procedures is required to allow for
extrication of a trauma patient; the team is ready to
respond within 20 minutes with predetermined,
preassembled life saving equipment
HERT Team access to the emergency medical scene will
be at the discretion of whom? - .....ANSWER ...✔✔
Access to the emergency medical scene will be at the
discretion of the incident commander
What triage criteria constitutes trauma base contact? -
.....ANSWER ...✔✔ Patients meeting all trauma triage
criteria; trauma base station contact shall be made
,2|Page
What is the expected on scene time (under normal
circumstances) on trauma calls? - .....ANSWER ...✔✔
5-10 minutes
In the Glasgow coma scale Operational Definitions,
Compare the Child GCS with the infant GCS. What are
the differences? - .....ANSWER ...✔✔ All three areas
are similar with variances from the adult scale in verbal
and motor responses
What is the most important part of the GCS if the
patient is intubated? - .....ANSWER ...✔✔ If the
patient is intubated, unconscious, or preverbal, the most
important part of this scale is motor response
List the contraindications for utilization of airship
transportation: - .....ANSWER ...✔✔ The patient falls
in these three catagories: non decontaminated patients,
violent patients, drunk patients, stable patients, ground x
port is less than 30 minutes, traumatic full arrest
If the trauma patient does not meet the "Obvious Death
Criteria" what base hospital contact must be made for
determination of death? what must be recorded? -
,3|Page
.....ANSWER ...✔✔ Contact a trauma base for
determination of death; document asystole in at least
two contiguous leads, and no reported vital signs during
the EMS encounter
If an adequate airway cannot be maintained with a
BVM device and the paramedic is unable to indicate or
if indicated, perform a successful needle cricothyrotomy,
what shall happen? - .....ANSWER ...✔✔ Transport to
the closest receiving hospital. RSI should be performed in
a hospital setting and not on scene
If there is associated physiologic or anatomic trauma
criteria meeting one or more of the mechanisms of injury,
who determines the patients destination? - .....ANSWER
...✔✔ A base hospital physician, once consulted
What physiological and anatomical criteria must be
present for trauma base hospital contact to be made? -
.....ANSWER ...✔✔ GCS <13, need for ventilator
support, penetrating injuries to the torso, degloved
extremity
If a physiological or anatomical criterion was not met,
what parameters of mechanism of injury and evidence
of high-energy impact must be present for trauma base
, 4|Page
hospital contact to be made in the adult patient? -
.....ANSWER ...✔✔ Falls greater than 20' or high risk
auto crash with compartment intrusion, ejection, auto vs
ped
Per protocol, what special considerations exist if the
patient does not meet any of the physiological or
anatomical trauma criteria? - .....ANSWER ...✔✔
Adults older than 65, children, anti-coagulant meds and
bleeding disorders, burns, pregnancy >20 weeks, EMS
provider judgement
What does the acronym NSAID stand for? - .....ANSWER
...✔✔ Neuro deficits, spinal tenderness, altered,
intoxicated, distracting injuries
What are the steps of care for an amputated part in a
pediatric and adult patient? - .....ANSWER ...✔✔
Control bleeding, rinse in sterile saline, place in dry
sterile gauze in a plastic bag
What are the ALS interventions to care for an adult
trauma patient with blunt trauma? - .....ANSWER
...✔✔ For unstable patients, IV NS open until stable
or 2000 ml max is infused
