LA County Protocol Study Guide Questions and Answers Rated A+

LA County Protocol Study Guide Questions and Answers Rated A+ Which of the following is an acceptable reason for a hospital to divert ALS unit? (503) A. internal disaster B. workers action C. non-operable MRI Internal disaster What is an acceptable reason for a hospital to divert BLS units? (502) BLS units transport to MAR regardless of diversion status with the exception of internal disaster. At what point should a paramedic report abuse of a dependent adult or child? When there is reasonable suspicion that the abuse has occurred. You are transporting a patient with a gunshot wound to the abdomen, your pt goes into cardiac arrest during the transport. What facility would you transport this patient to? (506) Trauma Center What is the most accurate description of a MAR? The facility most appropriate to suite the patients' needs and chief complaint. What must you assess in order to pronounce a death in the field? (814) Assess apical pulse for 60 seconds What is required to function as a paramedic or MICN in La County (1006) Employed with an approved LA county provider and possess a current CA state license. Which of the following may request discontinuation of resuscitation efforts for a pediatric patient in full arrest? (815) Parent or Guardian 11 year old female at a park with small laceration to the left hand, there is no bleeding and ALS treatment/transport is not required. what do you do? Release patient to self What is 2pam used in conjunction with? Atropine What is 2pam used for? Nerve agents Who has ultimate say in patient destination? Base hospital Where do you perform needle T? Mid-clavicular second intercostal space. What is not a trauma guideline? Physiology of helicopter/Air transport/altitude Which are not appropriate means of pain management? Rapid transport Which of the following requires base contact? A. 82 year old female with a possible hip fracture B. 26 year old male complaining of pleuritic chest pain C. 31 year old female complaining of vaginal bleeding. Chest pain must make base contact You are treating a patient with V-tach when they suddenly become unresponsive, what treatment can you administer? Synchronized cardioversion What treatment would you administer first for a patient with respiratory distress with a cardiac origin? A. albuterol B. nitro C. CPAP Nitro What is considered a pediatric in LA County? 14 and younger Penetrating injuries meeting trauma criteria per (506) In-between the midclavicular lines You are assessing a pt and notice unilateral adventitious (Rales) lung sounds, what would you expect? Pneumonia You are treating a patient who was actively seizing and is now postictal, what should you do? Contact base Your pt meets medical guidelines and requires treatment, however the patient is refusing ALS assessment, treatment, and transport. What do you do? Contact base. (Prior to releasing any pt AMA you must contact base) What pt criteria requires transport to a hospital regardless of chief complaint? Pediatrics 12 months and younger