MICN LA County Final Exam 2026–2027 – Complete Study
Guide, Practice Questions & Exam Prep
How long does ALS and SRC diversion last? - correct answers -ALS=120, SRC=180
APOT standard - correct answers -Patients are offloaded from EMS within 30 minutes 90% of the time
Where does an extremis patient get transported to? - correct answers -MAR
Criteria for 911 Re-triage - correct answers -trauma AND poor perfusion, or need for blood, or need for
intubation, or GCS <9, or GCS deteriorating by 2 or more, or penetrating injuries to trauma box, or
extremity injury with neurovascular compromise, or s/p evaluation by ED MD and life saving
intervention needed within 2 hours
What is the maximum transport time for an alternate MAR? - correct answers -15 minutes
What is the maximum transport time for SRC? - correct answers -30 minutes
What is the maximum transport time for SART center? - correct answers -Not defined
What is the maximum transport time for facility by patient request? - correct answers -Not defined
What happens if an ETA is beyond the maximum allowable transport time? - correct answers -MAR
1
, BRUE - correct answers -<12 months WITH irregular breathing, color change, chanf in muscle tone, or
ALOC
BRUE treatment - correct answers -Airway, cardiac monitor, IV, 20ml/kg NS if poor perfusion, if
persistent push dose epi
Who goes to PMC? - correct answers -14 or less AND one of the following: dysrhythmia, respiratory
distress, cyanosis, AMS, status epilepticus, BRUE, focal neuro w/o trauma, ROSC
13 y.o. choking on an apple, resolved- where should they go? - correct answers -EDAP
Would go to PMC if respiratory distress/cyanotic
Who goes to Perinatal Center? - correct answers -20 weeks pregnant or more AND one of the following:
Active labor, CC related to pregnancy, perinatal complications, injured and not meeting trauma criteria,
BP >140/90 (including up to 6 weeks PP)
Where does a STEMI patient go? - correct answers -SRC if w/in 30 minutes. If >30 minutes then to the
MAR
What constitutes a STEMI? - correct answers -1mm or more of ST elevation in 2 or more contiguous
leads
*Activate cath lab if >2mm
Where does a patient with decompression emergency go? - correct answers -*Contact MAC*
Immediate transport to MAC listed hyperbaric chamber facility if unconscious, pulseless, apneic, with a
premature ascent with reported failure to complete any underwater decompression stops
2
Guide, Practice Questions & Exam Prep
How long does ALS and SRC diversion last? - correct answers -ALS=120, SRC=180
APOT standard - correct answers -Patients are offloaded from EMS within 30 minutes 90% of the time
Where does an extremis patient get transported to? - correct answers -MAR
Criteria for 911 Re-triage - correct answers -trauma AND poor perfusion, or need for blood, or need for
intubation, or GCS <9, or GCS deteriorating by 2 or more, or penetrating injuries to trauma box, or
extremity injury with neurovascular compromise, or s/p evaluation by ED MD and life saving
intervention needed within 2 hours
What is the maximum transport time for an alternate MAR? - correct answers -15 minutes
What is the maximum transport time for SRC? - correct answers -30 minutes
What is the maximum transport time for SART center? - correct answers -Not defined
What is the maximum transport time for facility by patient request? - correct answers -Not defined
What happens if an ETA is beyond the maximum allowable transport time? - correct answers -MAR
1
, BRUE - correct answers -<12 months WITH irregular breathing, color change, chanf in muscle tone, or
ALOC
BRUE treatment - correct answers -Airway, cardiac monitor, IV, 20ml/kg NS if poor perfusion, if
persistent push dose epi
Who goes to PMC? - correct answers -14 or less AND one of the following: dysrhythmia, respiratory
distress, cyanosis, AMS, status epilepticus, BRUE, focal neuro w/o trauma, ROSC
13 y.o. choking on an apple, resolved- where should they go? - correct answers -EDAP
Would go to PMC if respiratory distress/cyanotic
Who goes to Perinatal Center? - correct answers -20 weeks pregnant or more AND one of the following:
Active labor, CC related to pregnancy, perinatal complications, injured and not meeting trauma criteria,
BP >140/90 (including up to 6 weeks PP)
Where does a STEMI patient go? - correct answers -SRC if w/in 30 minutes. If >30 minutes then to the
MAR
What constitutes a STEMI? - correct answers -1mm or more of ST elevation in 2 or more contiguous
leads
*Activate cath lab if >2mm
Where does a patient with decompression emergency go? - correct answers -*Contact MAC*
Immediate transport to MAC listed hyperbaric chamber facility if unconscious, pulseless, apneic, with a
premature ascent with reported failure to complete any underwater decompression stops
2
