GRADED 100% pass!!! VERIFIEDLATEST VERSION 2025\ 2026
The head-tilt is the only recognized method of airway control in the PAI dispatch
environment. -answers- a. True
In response to Key Question 1a on Protocol 12, the caller reports that the 14-year-old
patient was not alert between seizures. What should you do next? -answers-d. Initiate
a 12-D-2 response, provide all appropriate PDIs, and then return to questioning.
In response to Case Entry Question 3, the caller reports that her 16-year-old brother is
on fire. What should you do next? -answers-c. Initiate a 7-E-1 response, provide Case
Entry PDIs a and h, and return to questioning.
A second-party caller reports that his 8-year-old sister is currently having what appears
to be a GENERALIZED seizure. The patient is not awake and not breathing. What is the
best Chief Complaint Protocol? -answers-c. 12: Convulsions/Seizures
Pre-Arrival Instructions should always be given, regardless if there is a scene safety
concern. -answers-b. False
During Case Entry, the caller indicates the patient is awake, but having INEFFECTIVE
BREATHING. In Protocol 6, Key Question #1, the caller indicates the patient is not
completely alert. What should the EMD do next? -answers-c. Shunt to Key Questions
#4 and #5
Caller reports a patient has been bitten on their foot by a snake. The patient is awake
and breathing normally with no other symptoms. What is the appropriate determinant
code? -answers-b. 2-D-4
If an AED is a long way from the scene, the EMD should begin CPR instructions (BC-4)
and return to Protocol Z when the AED arrives. -answers-a. True Ineffective Breathing -
answers-The following, or reasonable equivalents, when volunteered at any point
during Case Entry (code as ECHO on 2,6, 9, 11, 15, 31):
• "Barely breathing"
• *Can't breathe at all"
• "Fighting for air"
• "Gasping for air* (AGONAL BREATHING)
• Just a little" (AGONAL BREATHING)
• "Making funny noises" (AGONAL
BREATHING
, • "Not breathing"
• "Turning blue" or "Turning purple"
OBVIOUS EXTREME RESPIRATORY
DISTRESS (1- Party) -answers-A 1ª party caller exhibiting signs including, but not
limited to, fighting for each breath, using single words or syllables to express
her/himself, expressing extreme desperation, complete respiratory exhaustion, or
thoughts of impending death
Breathing Verification Diagnostic -answers-(Read verbatim) Okay, we're going to check
her/his breathing together to make sure it's all right. When I say "go," watch her/him
closely and tel me each time her/ his chest rises. dre yourady? Go.
8 sec. interval
AGONAL
Use when the patient is unconscious and some breathing reported by the caller is
questionable to you (the EMDi, or when mandated by the protocol
3. A time
between breaths of 8 seconds or more is considered INEFFECTIVE BREATHING.
Check a maximum of four breaths (three
Intervals tested).
Agonal breathing -answers-An ineffective, deteriorating breathing pattern that lingers
after the heart has essentially stopped pumping blood to the brain.
Uncertain Breathing -answers-A situation where a 2 party caller is uncertain, unsure,
indefinite, or ambiguous when asked if an unconscious patient is breathing.
ECHO determinant practice -answers-The EcHo level allows early recogmition and
Closer response initiation basedon extreme conditions of breathing and other dire
circumstances as defined, such as a person on fire
Such coding is separated from DELTA to encourage local assignment of the absolute
closest response of any trained crew lie, police with AEDs, fire ladder or snorkel crews,
HAZMAT or other special ty teams).
Chief Complaint Rules -answers-A sudden, unexplained collapse resulting in
unconsciousness, even when reported as a ground-level fall, should be considered a
MEDICAL cardiac arrect until proven otherwise.
2. -answers-When cardiac arrest appears to be
TRAUMATIC in nature, choose the Chief Complaint Protocol that best fits scene safety
concerns and the mechanism of injury
3. -answers-If the complaint description ibcludes scene safety issues, choose the Chief
Complaint Protocol that best addresses those issues.