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It outlines the essential procedural steps required for successful evaluation, including the application of personal protective equipment (PPE), direct pressure techniques, tourniquet application, patient positioning, oxygen administration, and thermal management. The form details the specific point values for each action, alongside a comprehensive list of critical failure criteria that would result in an automatic exam failure. It provides a standardized framework for examiners to document performance, ensuring that EMT candidates demonstrate competent, timely, and life-saving intervention skills during emergency simulations. This educational resource is intended to guide instructors and students through the clinical expectations and mandatory safety protocols necessary for certification, emphasizing the importance of rapid transport and adherence to standardized life support procedures.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/national-registry-of-emergency-medical-technicians-bleeding-control-and-shock-management-examination/366833/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/national-registry-of-emergency-medical-technicians-bleeding-control-and-shock-management-examination/366833.png","ImageObject",300,407,{"name":92,"@type":93},"Miles","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the primary steps for managing hemorrhage and hypoperfusion?","Question",{"text":112,"@type":113},"Candidates must apply direct pressure, utilize a tourniquet if bleeding persists, correctly position the patient, administer high-concentration oxygen, and implement measures to prevent heat loss.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What defines a critical failure during this psychomotor examination?",{"text":117,"@type":113},"Critical failures include failing to use PPE, neglecting oxygen administration, inability to control hemorrhage in a timely manner, failing to call for immediate transport, or performing dangerous/inappropriate medical interventions.",{"name":119,"@type":110,"acceptedAnswer":120},"Who publishes this examination skill sheet?",{"text":121,"@type":113},"This document is published by the National Registry of Emergency Medical Technicians, Inc. (NREMT) and is intended for educational purposes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},366833,1790167813,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":81,"preview_page_count":4},13056703019404,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination  \nBLEEDING CONTROL/SHOCK MANAGEMENT  \nCandidate:   Examiner:   Date:   Signature:    \nPossible Points  \nActual Time Started:  Points Awarded  \n\n| Takes or verbalizes appropriate PPE precautions | 1 |  |\n| --- | --- | --- |\n| Applies direct pressure to the wound | 1 |  |\n| NOTE: The examiner must now inform the candidate that the wound continues to | bleed. |  |\n| Applies tourniquet | 1 |  |\n| NOTE: The examiner must now inform the candidate that the patient is exhibiting symptoms of hypoperfusion. | signs an | d |\n| Properly positions the patient | 1 |  |\n| Administers high concentration oxygen | 1 |  |\n| Initiates steps to prevent heat loss from the patient | 1 |  |\n| Indicates the need for immediate transportation | 1 |  |\n| Actual Time Ended:   TOTAL 7 |  |  |\n\nCRITICAL CRITERIA  \n  Did not take or verbalize appropriate PPE precautions   Did not apply high concentration of oxygen  \n  Did not control hemorrhage using correct procedures in a timely manner   Did not indicate the need for immediate transportation  \n   Failure to manage the patient as a competent EMT    Exhibits unacceptable affect with patient or other personnel    Uses or orders a dangerous or inappropriate intervention  \nYou must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over).  \n© 2012 National Registry of Emergency Medical Technicians, Inc., Columbus, OH  \nAll materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. p313/09-16","cbCaigZ6eMqNe5vO","https://ap.wps.com/l/cbCaigZ6eMqNe5vO","pdf",416713,"English","# Examination Procedures\n## Required Intervention Steps\n## Critical Failure Criteria","[{\"question\":\"What are the primary steps for managing hemorrhage and hypoperfusion?\",\"answer\":\"Candidates must apply direct pressure, utilize a tourniquet if bleeding persists, correctly position the patient, administer high-concentration oxygen, and implement measures to prevent heat loss.\"},{\"question\":\"What defines a critical failure during this psychomotor examination?\",\"answer\":\"Critical failures include failing to use PPE, neglecting oxygen administration, inability to control hemorrhage in a timely manner, failing to call for immediate transport, or performing dangerous/inappropriate medical interventions.\"},{\"question\":\"Who publishes this examination skill sheet?\",\"answer\":\"This document is published by the National Registry of Emergency Medical Technicians, Inc. (NREMT) and is intended for educational purposes.\"}]","National Registry of Emergency Medical Technicians - Bleeding Control and Shock Management Examination | PDF"]