MICN (500's) Assessment latest update
2025
502- MAR Definition - correct answers The most accessible receiving (MAR)
facility may or may not be the closest facility geographically. Transport
personnel shall take into consideration traffic, weather conditions, or other
factors that may influence transport time in identifying the most accessible
facility.
502- When can you bypass the MAR - correct answers Patients should be
transported to the MAR unless:
The base hospital determines that another facility is more appropriate to meet
the needs of the patient;
or
The patient meets criteria or guidelines for transport to a specialty care center
(i.e., Trauma Center, Pediatric Trauma Center, ST-Elevation Myocardial
Infarction Receiving Center, Emergency Department Approved for Pediatrics,
Pediatric Medical Center, Perinatal Center, Sexual Assault Response Team
Center, or Designated Stroke Center);
The patient requests a specific hospital;
and
The patient's condition is considered sufficiently stable to tolerate additional
transport time;
and
The requested hospital does not have a defined service area (see Section V
of this policy);
and
The requested hospital can provide services appropriate to the patient's chief
complaint;
, and
The EMS provider has determined that such a transport would not
unreasonably remove the unit from its primary area of response.
If the provider is unable to honor the request, and the patient therefore refuses
to be transported, the provider should attempt to arrange for alternate
transportation (i.e., private ambulance), in order to assist patient with receiving
necessary treatment.
The MAR has requested diversion of 9-1-1 patients requiring advanced life
support (ALS) as specified in Ref. No. 503. ALS patients may be
directed to an alternate open facility provided:
-The patient does not exhibit an unmanageable airway or uncontrolled
hemorrhage.
-The involved ALS unit estimates that it can reach an alternate facility within
fifteen (15) minutes, Code 3, from the incident location.
-If there are no open facilities within this time frame, ALS patients shall be
directed to the MAR, regardless of its diversion status (exception: Internal
Disaster).
-Paramedic personnel may transfer care of a pat
506- TRAUMA CRITERIA
Patients who fall into one or more of the following categories are to be
transported directly to the designated trauma center, if transport time does not
exceed 30 minutes. - correct answers -Systolic blood pressure less than 90
mmHg, or less than 70 mmHg in infants age less than one year
- Respiratory rate greater than 29 breaths/minute (sustained), less than 10
breaths/minute, less than 20 breaths/minute in infants age less than one year,
or requiring ventilatory support
2025
502- MAR Definition - correct answers The most accessible receiving (MAR)
facility may or may not be the closest facility geographically. Transport
personnel shall take into consideration traffic, weather conditions, or other
factors that may influence transport time in identifying the most accessible
facility.
502- When can you bypass the MAR - correct answers Patients should be
transported to the MAR unless:
The base hospital determines that another facility is more appropriate to meet
the needs of the patient;
or
The patient meets criteria or guidelines for transport to a specialty care center
(i.e., Trauma Center, Pediatric Trauma Center, ST-Elevation Myocardial
Infarction Receiving Center, Emergency Department Approved for Pediatrics,
Pediatric Medical Center, Perinatal Center, Sexual Assault Response Team
Center, or Designated Stroke Center);
The patient requests a specific hospital;
and
The patient's condition is considered sufficiently stable to tolerate additional
transport time;
and
The requested hospital does not have a defined service area (see Section V
of this policy);
and
The requested hospital can provide services appropriate to the patient's chief
complaint;
, and
The EMS provider has determined that such a transport would not
unreasonably remove the unit from its primary area of response.
If the provider is unable to honor the request, and the patient therefore refuses
to be transported, the provider should attempt to arrange for alternate
transportation (i.e., private ambulance), in order to assist patient with receiving
necessary treatment.
The MAR has requested diversion of 9-1-1 patients requiring advanced life
support (ALS) as specified in Ref. No. 503. ALS patients may be
directed to an alternate open facility provided:
-The patient does not exhibit an unmanageable airway or uncontrolled
hemorrhage.
-The involved ALS unit estimates that it can reach an alternate facility within
fifteen (15) minutes, Code 3, from the incident location.
-If there are no open facilities within this time frame, ALS patients shall be
directed to the MAR, regardless of its diversion status (exception: Internal
Disaster).
-Paramedic personnel may transfer care of a pat
506- TRAUMA CRITERIA
Patients who fall into one or more of the following categories are to be
transported directly to the designated trauma center, if transport time does not
exceed 30 minutes. - correct answers -Systolic blood pressure less than 90
mmHg, or less than 70 mmHg in infants age less than one year
- Respiratory rate greater than 29 breaths/minute (sustained), less than 10
breaths/minute, less than 20 breaths/minute in infants age less than one year,
or requiring ventilatory support
