ABC's
Patient Assessment
Bleeding & Shock
Standard Operating Procedure
Medical
100

The maximum flow rate for a nasal cannula?

What is 6 LPM?

100

The first step of scene size-up...

What is scene safety?

100

What’s the first method used to control external bleeding?

What is direct pressure

100

You respond to an emergent patient call and complete a full ePCR. Before the shift ends, this other document must contain that patient's information.

What is the Patient Record Form? Every patient requires both, and after completing an emergent/BLS/ALS ePCR, the information must be transferred to the Patient Record Form.

100

These should be the EMT’s first step after determining the patients chief complaint is chest pain.

What is apply oxygen and obtain vital signs after ensuring scene safety

200

At what oxygen saturation should an EMT consider providing supplemental oxygen?

What is <94%

200

Used during an EMTs assessment: AVPU, an acronym, stands for what?

What is Alert, Verbal, Pain, Unresponsive?

200

What position should you place a patient in if they show signs of shock?

What is Supine

200

You complete a modified first-aid ePCR. _____ disposition should be selected, and the finished ePCR myst be posted under ____ status.

What is "STANDBY ONLY – No Services or Support Provided,” and it must be posted as “Requires QA Review.”

200

What is the only medication an EMT can assist with for a suspected heart attack under CA scope? What is required before administering it?

What is a patient’s prescribed nitroglycerin approved by medical control. 

300

What airway adjunct can an EMT use in an unconscious patient with no gag reflex?

What is an Oropharyngeal airway (OPA)?

300

What acronym helps guide a trauma patient secondary assessment?

What is DCAP-BTLS?

300

When should a tourniquet be applied?

What is when direct pressure fails?

300

A competent adult walks up to your table with an elbow abrasion and asks you to clean it and apply a dressing. You offer a medical assessment, but they decline and only want the wound cleaned. This patient is classified as...

What is a Modified first aid patient? They requested assistance but specifically declined medical assessment.

300

A 58-year-old diabetic is confused, pale, and sweaty. His blood sugar reads 52 mg/dL, and he’s able to follow commands. What should you do?

Administer oral glucose if the patient can swallow safely and monitor airway and mental status.

400

What airway adjunct can be used in a conscious patient with an intact gag reflex?

What is an Nasopharyngeal airway (NPA)?

400

What’s the normal range for an adult respiratory rate?

What is 12-20 respirations/minute

400

These are the three most common signs of shock.

What is Hypotension, Tachycardia, and Tachypnea.

400

Before obtaining an AMA signature, name FOUR assessment/documentation requirements that must already have been completed.

Any 4 of:

  • Full primary and secondary assessment

  • At least two sets of vitals

  • Explanation of risks of refusing treatment/transport

  • Transport to an ED offered

  • Patient demonstrates capacity

  • Document how the patient followed commands

  • Patient knows their plan after leaving

  • Patient is told to call 911 if the condition worsens

400

A 22-year-old with a history of asthma is having difficulty speaking, with audible wheezing and an SpO₂ of 88%. She has her prescribed inhaler. What should the EMT do?

Assist the patient with her prescribed bronchodilator (MDI), provide high-flow oxygen, and prepare for transport.

500

These are the two methods of opening the airway of a patient in distress. 

What is the head tilt chin lift and jaw-thrust maneuver?

500

What does SAMPLE stand for in patient history?

What is Signs/Symptoms, Allergies, Medications, Past history, Last oral intake, Events leading up

500

This type of soft tissue injury involves the separation of various layers of tissue, creating a loose flap or complete detachment, and is often associated with heavy bleeding and contamination risk.


What is an avulsion?

500

A 25-year-old walks into the first-aid room because they twisted their ankle. They initially ask only for an ice pack. You offer to medically assess the ankle, and this time they say yes. You obtain vitals, notice swelling and pain with movement, and they then refuse transport. What type of documentation/disposition is now required, and why is this no longer a simple first-aid encounter?

It must be treated as a full patient contact/full ePCR, and refusal of transport requires AMA. Once the patient agrees to medical assessment, the SOP requires the normal BLS patient process: assessment, vitals, transport offer, appropriate signatures, and AMA if transport is refused.

500

A 45-year-old male is found unresponsive with slow, shallow breathing and pinpoint pupils. Bystanders report he was recently released from the hospital. What should the EMT do first?

Support ventilations with a BVM and administer naloxone (Narcan) per California EMT protocol, then reassess respirations and mental status.