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SNHD Protocols Questions and Answers
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Sexual assault victims less than 13 years of age shall be transported to what hospital? ✔✔Sunrise Hospital
Which of the following describes heat exhaustion? ✔✔Elevated Body Temperature
Cool, moist skin
Weakness
Anxious tachypnea
Nothing contained in these protocols shall be construed to expand the scope of practice of any licensed Attendant beyond that which is identified in the Clark County EMS Regulations and the protocols. ✔✔True
When is cervical stabilization not performed? ✔✔* Penetrating trauma to the head and/or neck with no evidence of spinal injury
- Injuries where placement of the collar might compromise patient assessment, airway management, ventilation and/or hemorrhage control
*Patients in cardiac arrest
What protocols must be followed in the specific sequence noted? ✔✔General assessment
How much does the head represent in a child patient in the rule of 9s ✔✔18%
During childbirth, if a limb presents, how should the mother be placed? ✔✔Left lateral recumbent position
How deep are compressions in the infant victim? ✔✔1.5 inches
Sexual assaults victims between the ages of 13 and 18 can be transported to what hospital? ✔✔Sunrise Hospital
UMC Hospital
Patients with a possible spinal injury found in motor vehicles should not be asked if they are able to exit the motor vehicle on their own ✔✔False
How fast does a motorcycle need to be traveling when it crashed to be considered for the Trauma Field Triage Criteria? ✔✔20mph
What level trauma center is St. Rose Siena? ✔✔ 3
Step 1 of the Trauma Field Triage Criteria assess or measures what? ✔✔Vital Signs
For cardiac arrest patients who are pregnant, manual CPR is recommended ✔✔True
If a pediatric patient has a heart rate of less than 60bpm then CPR should be initiated ✔✔True
For a suspected narcotic overdose, how much Naloxone can be administered intranasally? ✔✔ 2 - 4mg
Orthopedic devices cannot be left in place during interfacility transfer. ✔✔False
What level trauma center is UMC? ✔✔ 1
If cardiac arrest is witnessed by EMS or CPR in progress and patient is unresponsive with no pulse, begin Continuous Cardiac Compressions (CCC). ✔✔True
Sexual assault victims that are more than a 50 mile radius from UMC or Sunrise hospital must be transported to UMC or Sunrise Hospital ✔✔False
Transport the patient to the nearest appropriate facility
How many proximal long bone fractures places a patient in Step 2 of the Trauma Field Triage Criteria? ✔✔ 2
How much does one arm represent in an adult patient in the Rule of 9s? ✔✔9%
A patient with burns that involve the face, hands, feet, genitalia, perineum, or major joints meets criteria to be transported to a burn center. ✔✔True
At what temperature does sweating generally disappear? ✔✔104 F
How much does a leg represent in a pediatric patient in the rule of 9s? ✔✔ 14
What are appropriate triage methodologies that can be used when patients exceed available resources? ✔✔START
SMART
What is the ideal scene time for a patient having a stroke? ✔✔Less than 10 minutes
Verbal instructions from friends or family members constitute a valid DNR/POLST. ✔✔False
Describe a dystonic reaction ✔✔*Involuntary muscle movements or spasms of the face, neck, and upper extremitites
*Typically an adverse reaction to drugs such as Haloperidol
In patients in which the ability to ventilate cannot be established, where shall the patient be transported to? ✔✔The nearest emergency department
Step 3 of the Trauma Field Triage Criteria assess or measures what? ✔✔Mechanism of injury
A patient who meets step 1 of the Trauma Triage Field Criteria, must be transported to what level trauma center? ✔✔Level 1
Level 2
Which of the following describes heat exhaustion? ✔✔*Elevated body temperature
*Cool, moist skin
*Weakness
*Anxious tachypnea
A patient may be placed in an Emergency Room waiting if which of the following criteria are met? ✔✔*Did not receive any parenteral medications during EMS transport except a single dose of a narcotic and/or an anti-emetic.
*In the judgment of the Paramedic/EMT-P, does not require continuous cardiac monitoring.
*Is left with a verbal report to hospital personnel.
*Can maintain a sitting position without adverse impact on their medical condition.
*Normal vital signs.
*Obvious evidence of illness or injury
*An individual or informed 2nd/3rd party caller requests evaluation for potential illness or injury
Which of the following are associated with a grand mal seizure? ✔✔*Loss of consciousness
*Incontinence
*Oral trauma
What is status epilepticus? ✔✔*Two or more seizures successively without an intervening lucid period
*Seizure lasting over 5 minutes
How much does the groin represent in an adult patient in the Rule of 9s? ✔✔1%
During cardiac arrest, how often are pulse checks performed? ✔✔Every 2 minutes
If a patient requires manual ventilatory assistance, then how many attendants should attend to the patient? ✔✔ 2
What needs to be submitted to the Southern Nevada Health District after a drowning incident? ✔✔Submersion Incident Report Form
Stuck clothing should be removed from a burned patient. ✔✔False
All patients in cardiac arrest or in whom the ability to adequately ventilate cannot be established should be transported to the closest facility. ✔✔True
What does the Parkland Burn Formula define ✔✔How much fluid is given over 24 hours for a burned patient
What are the approved Hypothermia Centers? ✔✔*Centennial Hills
*Desert Springs
*Henderson Hospital
*Mountain View Hospital
*St. Rose Siena
*Southern Hills
*Spring Valley
Who should be present for patients requiring mechanical ventilation? ✔✔Trained personnel authorized to operate the equipment
Patients sustaining burn injuries shall be transported in accordance with what protocol ✔✔Burn protocol
How much does the posterior torso represent in an adult patient in the Rule of 9s? ✔✔18%
In order to quantify vaginal bleeding, a patient should be assessed for what? ✔✔Number of pads used per hour
At what intervals is an APGAR score recorded? ✔✔*1 minute after birth
*5 minutes after birth
All patients with absent vital signs who do not have conclusive signs of death shall be treated with life-resuscitating measures unless EMS personnel are presented with a valid Do-Not- Resuscitate (DNR)/Physician Order for Life-Sustaining Treatment (POLST) Identification/Order. ✔✔True
A remote outpatient emergency department can treat obstetric patients under how many weeks gestation? ✔✔20 weeks
How much does an arm represent in a pediatric patient in the rule of 9s? ✔✔ 9
A patient may be placed in the ER waiting room if their heart rate is between what range? ✔✔ 60
Hospitals that have declared internal disaster should be bypassed, except for patients presenting with what condition(s)? ✔✔* Inability to ventilate
How should an EMT initiate Target Temperature Management after ROSC? ✔✔Ice packs to the axilla and groin
Faxed, copied, or electronic versions of the DNR identification/POLST are not legal and valid ✔✔False
Radio contact should be established for what patients? ✔✔*All Trauma center patients
*Code 3 returns
*Need for telemetry physician
*As indicated per protocol
Which of the following describes heat cramps? ✔✔*Normal to elevated body temperature
*Weakness
*Muscle cramping
A patient who meets step 2 of the Trauma Triage Field Criteria, must be transported to what level trauma center ✔✔*Level 1
*Level 2
A patient with a diastolic blood pressure between what range may be placed in an ER waiting room ✔✔60-
The administration of nitroglycerin is contraindicated for any patient who has used erectile dysfunction medications within the last 24 hours ✔✔false
How much does the front represent in a pediatric patient in the rule of 9s ✔✔ 18
A psychiatric patient without a potentially life threatening illness may be transported to a Remote Outpatient Emergency Department. ✔✔false
When are pediatric protocols to be used? ✔✔On children who have not yet experienced puberty
A DNR or POLST order shall be validated by confirming the patient's ✔✔*Age
*Condition of identification form
*Name
How much does an arm represent in a pediatric patient in the rule of 9s? ✔✔ 9
For a suspected traumatic brain injury, how far should the head be elevated? ✔✔30 degrees
Which of the following should be performed for a patient with hyperthermia? ✔✔*Passive cooling measures
Describe a full thickness (3rd degree) burn ✔✔*Charred skin
*Leathery skin
*Painless
A patient on a legal psychiatric hold may be placed in the ER waiting room. ✔✔False
Cervical stabilization is the placement of an approved, properly-sized cervical collar and securing the patient to a long spinal board ✔✔False
EMS providers are mandatory reporters in regards to suspected abuse of any vulnerable person ✔✔True
When should defibrillation be attempted during an unwitnessed cardiac arrest? ✔✔After 2 minutes of CPR
A patient may be placed in the ER waiting room if their respiratory rate is in what range ✔✔10 - 20
A body can be moved without the coroners permission ✔✔False
What should burns be covered with? ✔✔Dry sterile dressings
What is often associated with submersion incidents? ✔✔Hypothermia
Electrical burns, including lightning injuries meets criteria to be transported to a burn center ✔✔True
Telephone contact may only be used if the call is recorded via a phone patch through the FAO at 702-382-9000 ✔✔False
What is the goal of the protocol manual? ✔✔Standardize prehospital care in Clark County.
What should SPO2 be maintained at for patients on home oxygen or with chronic conditions? ✔✔> 90%
