LA County Paramedic Accreditation WITH VERY WELL
ELABORATED ANSWERS 2026.
Who is final authority on patient destination? - ANSWER☑️⭐-Base
When can BLS transport a critical patient? (TC, SRC) - ANSWER☑️⭐-When transport time < ETA of ALS
unit
Can you transport a STEMI to a hospital that is closed ED SAT? - ANSWER☑️⭐-Yes, you can still take
specialty patients if Reddinet says "ED*"
How long can hospital be on diversion? - ANSWER☑️⭐-One hour, with 10 minute opening, then another
hour.
Extended to two hours during covid pandemic
When can MAR not turn patient away? - ANSWER☑️⭐-Extremis - Unmanageable airway, uncontrolled
bleeding, ETA to Alternative facility is >15 minutes
Required staffing on LA county ALS unit - ANSWER☑️⭐-2 Paramedics
What is most effective method of determining if a patient is critically injured? - ANSWER☑️⭐-MOI
Trauma blood pressure criteria?
Example: Pediatric patient fell off swings, (insert fluff here), BP 82/50, HR 100, RR 17, SPO2 100%. Is this
a trauma patient? - ANSWER☑️⭐-SBP < 90 in adults
, SBP < 70 in infants less than 1 year of age
Trauma/ALS criteria for Autoped?
Example: Pt is run over by airport luggage tug going 10mph? is this patient ALS? - ANSWER☑️⭐-Pt struck
by vehicle going >20mph or run over/thrown regardless of speed.
Yes, pt is ALS
814 criteria for penetrating traumatic arrest? - ANSWER☑️⭐-Pt is only dead if we have asystole
814 criteria for blunt traumatic arrest? - ANSWER☑️⭐-Pt is dead if we have anything on the monitor
other then PEA. "Start CPR only if monitor shows an organized supraventricular rhythm" (aka PEA)
Is base hospital contact required for STEMI? - ANSWER☑️⭐-Technically No, not per LACO protocols, but
it is required per LAFD policy.
Approved DNR proof - ANSWER☑️⭐-State medallion
What is Paramedic's responsibility if child abuse suspected? - ANSWER☑️⭐-Notify Law enforcement,
notify CPS ASAP, SCAR report within 36 hours
Can not leave scene until law enforcement arrives
Elderly abuse age? - ANSWER☑️⭐-65 or older. If victim is less than 65, its just a regular domestic
Who to notify of elderly abuse in facility? - ANSWER☑️⭐-Law enforcement or Ombudsman
Who to notify of elderly abuse in a home? - ANSWER☑️⭐-Law enforcement or adult protective services.
ELABORATED ANSWERS 2026.
Who is final authority on patient destination? - ANSWER☑️⭐-Base
When can BLS transport a critical patient? (TC, SRC) - ANSWER☑️⭐-When transport time < ETA of ALS
unit
Can you transport a STEMI to a hospital that is closed ED SAT? - ANSWER☑️⭐-Yes, you can still take
specialty patients if Reddinet says "ED*"
How long can hospital be on diversion? - ANSWER☑️⭐-One hour, with 10 minute opening, then another
hour.
Extended to two hours during covid pandemic
When can MAR not turn patient away? - ANSWER☑️⭐-Extremis - Unmanageable airway, uncontrolled
bleeding, ETA to Alternative facility is >15 minutes
Required staffing on LA county ALS unit - ANSWER☑️⭐-2 Paramedics
What is most effective method of determining if a patient is critically injured? - ANSWER☑️⭐-MOI
Trauma blood pressure criteria?
Example: Pediatric patient fell off swings, (insert fluff here), BP 82/50, HR 100, RR 17, SPO2 100%. Is this
a trauma patient? - ANSWER☑️⭐-SBP < 90 in adults
, SBP < 70 in infants less than 1 year of age
Trauma/ALS criteria for Autoped?
Example: Pt is run over by airport luggage tug going 10mph? is this patient ALS? - ANSWER☑️⭐-Pt struck
by vehicle going >20mph or run over/thrown regardless of speed.
Yes, pt is ALS
814 criteria for penetrating traumatic arrest? - ANSWER☑️⭐-Pt is only dead if we have asystole
814 criteria for blunt traumatic arrest? - ANSWER☑️⭐-Pt is dead if we have anything on the monitor
other then PEA. "Start CPR only if monitor shows an organized supraventricular rhythm" (aka PEA)
Is base hospital contact required for STEMI? - ANSWER☑️⭐-Technically No, not per LACO protocols, but
it is required per LAFD policy.
Approved DNR proof - ANSWER☑️⭐-State medallion
What is Paramedic's responsibility if child abuse suspected? - ANSWER☑️⭐-Notify Law enforcement,
notify CPS ASAP, SCAR report within 36 hours
Can not leave scene until law enforcement arrives
Elderly abuse age? - ANSWER☑️⭐-65 or older. If victim is less than 65, its just a regular domestic
Who to notify of elderly abuse in facility? - ANSWER☑️⭐-Law enforcement or Ombudsman
Who to notify of elderly abuse in a home? - ANSWER☑️⭐-Law enforcement or adult protective services.
