LA county accredidation exam questions
and answers
Patient dies in prone position - accidental or homicide? - Answer -Accidental
Why can't you transport prone? - Answer -Positional asphyxia
When is the DuoDote (Atropine + 2-Pam) indicated? - Answer -Ref. 1225 - Nerve Agent Exposure
- Duodote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
- Atropine for organophosphate poisoning
What advanced airways are approved in LA County? - Answer -ETT and King LTD-s (Not Combitube)
Which pediatric does NOT go to the EDAP? - Answer -Auto vs. Ped. PTC (ref 506)
Pt wants a run copy, can you give them one - if not, where can they get one? - Answer -
Ref 612 Release of EMS Records
Police 1A - The requesting individual will be referred to the Medical Records department
of the receiving hospital
Medical full arrest goes to what facility? - Answer -MAR
If ROSC/STEMI, transport to SRC (Ref 502)
Who has final say in pt destination? - Answer -Base - Ref 502: Final authority for patient
destination rests within the base hospital
Ref 304 - Base hospital physician has the ultimate responsibility for treatment and disposition
What abuse is mandatory to report? - Answer -Ref 508 - Sexual Assault Patient Destination
Ref 822 - Suspected Child Abuse/Neglect Ref 823 - Elder Abuse and Dependent Adult Abuse
Drug abuse is the only type of abuse NOT mandatory to report Need suspicion only to report
Do helicopters impact physiology of traumas? - Answer -No
MAC should be called because - they can come up with pt destinations for all the ones involved? - Answer -Ref 519 - MAC is equipped to communicate with multiple receiving facilities simultaneously and can rapidly assess system wide emergency department bed status, hospital and ambulance resources
Why should you make base contact? advice or protocols with meds? - Answer -Advice
You give POLST pt morphine for pain, do you transport, make them AMA, must be transport? - Answer -Make base contact to get an order for morphine - Obtain AMA
Treat the pt for pain, dyspnea, major hemorrhage, or other medical conditions (includes medication by any route)
Do NOT transfer to hospital for medical interventions. Transfer ONLY if comfort needs cannot be met in current location
Indications for morphine? - Answer -Ref 1248- Burn injury
Isolated extremity injury other trauma in Ref 1275
chest pain
Pregnant pt at least 20 weeks - ref 1281
For other non-traumatic pain, including non-traumatic abdominal pain, consider:
Adult 2-12mg SIVP, titrate to pain relief, may repeat every 5 mins, max adult dose of 20mg
Ped: 0.1 mg/kg SIVP, see LACO Kids Color Code, do not repeat dose, max ped dose of
4mg
Absolute contraindications: ALOC, RR less than 12, hypersensitivity/allergy
28 y/o pt in active labor c/o vaginal bleeding goes to - Answer -transport to most accessible perinatal center
- pt's who appear to be in active labor, whether or not delivery appears imminent
you approach a chest pain pt where the EMTs were there first, you should make sure to
ask what first? - Answer -if they already administered NTG
Transport to a SART center - Answer -Ref 508 - Importance of evidence collection for legal proceedings should be one of the factors considered
every effort should be made to tsp sexual assult victims who meet base hospital contact
and tsp criteria to the MAR facility that has an affiliated designated SART center
and answers
Patient dies in prone position - accidental or homicide? - Answer -Accidental
Why can't you transport prone? - Answer -Positional asphyxia
When is the DuoDote (Atropine + 2-Pam) indicated? - Answer -Ref. 1225 - Nerve Agent Exposure
- Duodote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
- Atropine for organophosphate poisoning
What advanced airways are approved in LA County? - Answer -ETT and King LTD-s (Not Combitube)
Which pediatric does NOT go to the EDAP? - Answer -Auto vs. Ped. PTC (ref 506)
Pt wants a run copy, can you give them one - if not, where can they get one? - Answer -
Ref 612 Release of EMS Records
Police 1A - The requesting individual will be referred to the Medical Records department
of the receiving hospital
Medical full arrest goes to what facility? - Answer -MAR
If ROSC/STEMI, transport to SRC (Ref 502)
Who has final say in pt destination? - Answer -Base - Ref 502: Final authority for patient
destination rests within the base hospital
Ref 304 - Base hospital physician has the ultimate responsibility for treatment and disposition
What abuse is mandatory to report? - Answer -Ref 508 - Sexual Assault Patient Destination
Ref 822 - Suspected Child Abuse/Neglect Ref 823 - Elder Abuse and Dependent Adult Abuse
Drug abuse is the only type of abuse NOT mandatory to report Need suspicion only to report
Do helicopters impact physiology of traumas? - Answer -No
MAC should be called because - they can come up with pt destinations for all the ones involved? - Answer -Ref 519 - MAC is equipped to communicate with multiple receiving facilities simultaneously and can rapidly assess system wide emergency department bed status, hospital and ambulance resources
Why should you make base contact? advice or protocols with meds? - Answer -Advice
You give POLST pt morphine for pain, do you transport, make them AMA, must be transport? - Answer -Make base contact to get an order for morphine - Obtain AMA
Treat the pt for pain, dyspnea, major hemorrhage, or other medical conditions (includes medication by any route)
Do NOT transfer to hospital for medical interventions. Transfer ONLY if comfort needs cannot be met in current location
Indications for morphine? - Answer -Ref 1248- Burn injury
Isolated extremity injury other trauma in Ref 1275
chest pain
Pregnant pt at least 20 weeks - ref 1281
For other non-traumatic pain, including non-traumatic abdominal pain, consider:
Adult 2-12mg SIVP, titrate to pain relief, may repeat every 5 mins, max adult dose of 20mg
Ped: 0.1 mg/kg SIVP, see LACO Kids Color Code, do not repeat dose, max ped dose of
4mg
Absolute contraindications: ALOC, RR less than 12, hypersensitivity/allergy
28 y/o pt in active labor c/o vaginal bleeding goes to - Answer -transport to most accessible perinatal center
- pt's who appear to be in active labor, whether or not delivery appears imminent
you approach a chest pain pt where the EMTs were there first, you should make sure to
ask what first? - Answer -if they already administered NTG
Transport to a SART center - Answer -Ref 508 - Importance of evidence collection for legal proceedings should be one of the factors considered
every effort should be made to tsp sexual assult victims who meet base hospital contact
and tsp criteria to the MAR facility that has an affiliated designated SART center
