LA County Accred Exam with complete solutions
Patient dies in prone position, accidental, or homicide? - Answer -Accidental
Why can't you transport prone? - Answer -Positional asphyxia
When is the Duodote (Atropine + 2Pam) indicated? - Answer -Ref. 1225 Nerve Agent Exposure
-Duodote ONLY for nerve agents
Ref. 1233 Organophosphate Poisoning
-Atropine for organophosphate poisoning
What advanced airways are LA Co. Approved? - Answer -ETT tube and King tube
note: 3 attempts at advanced airway insertion.
With Pediatric does not go to the EDAP? - Answer -Ref. 506
Auto vs. Ped goes to PTC
Pt wants a run copy, can you give them one if not where can they get one? - Answer -
Ref. 612 Release of EMS records
-The requesting indiv. will be referred to the Medical Records Dept. of the receiving hospital where the Pt was txp.
-Provider agency
-EMS Agency
Ref. 604 Ordering Prehospital Care Forms
Medical full arrest goes to what facility? - Answer -MAR
If ROSC/STEMI transport to SRC
Ref. 502 VI D states that patients who have ROSC after a non-traumatic cardiac arrest should be txp to an approved SRC.
Base has final say in Pt destination - Answer -Ref. 502 Princ. 7
-Final authority for Pt dest. rests within the base hospital handling the all.
Ref. 304 VII
-the "base hospital physician has the ultimate responsibility for determining the Pt's treatment and disposition." What abuse is mandatory to report? - Answer -Ref. 508-Sexual Assault Pt's Destination
Ref. 833-Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823-Elder Abuse and Dependent Adult Abuse Reporting Guidelines
Ref. 823-The reporter reasonable suspects abuse, neglect, or self-neglect
Drug abuse is the only type of abuse that is NOT mandatory to report.
Helicopters have no impact on physiology of traumas. - Answer -True
MAC should be called because?
Possibly because they can come up with Pt dest. for all of the ones involved? - Answer -
Ref. 519-Management of MCI
MAC is equipped to communicate with multiple receiving facilities simultaneously and can rapidly assess system wide emergency dept. 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 transported? - Answer --Make base contact
-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 --Burn injury
-Isolated extremity injury and other trauma
-For chest pain
-For pregnant Pt (at least 20 weeks)
-For other non-traumatic pain, including non-traumatic abdo pain
Adult: 2-12mg max 20mg
Pedi: 0.1mg/kg max 4mg
28 y/o Pt in active labor complaining of vaginal bleeding goes to? - Answer -Transport to
most accessible perinatal center
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 --Importance of evidence collected for legal proceedings should be one of the factors considered.
-Every effect should be made to txp sexual assault Pts who meet base hospital contact and txp criteria to the MAR facility that is an affiliated designated SART Center.
Patient dies in prone position, accidental, or homicide? - Answer -Accidental
Why can't you transport prone? - Answer -Positional asphyxia
When is the Duodote (Atropine + 2Pam) indicated? - Answer -Ref. 1225 Nerve Agent Exposure
-Duodote ONLY for nerve agents
Ref. 1233 Organophosphate Poisoning
-Atropine for organophosphate poisoning
What advanced airways are LA Co. Approved? - Answer -ETT tube and King tube
note: 3 attempts at advanced airway insertion.
With Pediatric does not go to the EDAP? - Answer -Ref. 506
Auto vs. Ped goes to PTC
Pt wants a run copy, can you give them one if not where can they get one? - Answer -
Ref. 612 Release of EMS records
-The requesting indiv. will be referred to the Medical Records Dept. of the receiving hospital where the Pt was txp.
-Provider agency
-EMS Agency
Ref. 604 Ordering Prehospital Care Forms
Medical full arrest goes to what facility? - Answer -MAR
If ROSC/STEMI transport to SRC
Ref. 502 VI D states that patients who have ROSC after a non-traumatic cardiac arrest should be txp to an approved SRC.
Base has final say in Pt destination - Answer -Ref. 502 Princ. 7
-Final authority for Pt dest. rests within the base hospital handling the all.
Ref. 304 VII
-the "base hospital physician has the ultimate responsibility for determining the Pt's treatment and disposition." What abuse is mandatory to report? - Answer -Ref. 508-Sexual Assault Pt's Destination
Ref. 833-Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823-Elder Abuse and Dependent Adult Abuse Reporting Guidelines
Ref. 823-The reporter reasonable suspects abuse, neglect, or self-neglect
Drug abuse is the only type of abuse that is NOT mandatory to report.
Helicopters have no impact on physiology of traumas. - Answer -True
MAC should be called because?
Possibly because they can come up with Pt dest. for all of the ones involved? - Answer -
Ref. 519-Management of MCI
MAC is equipped to communicate with multiple receiving facilities simultaneously and can rapidly assess system wide emergency dept. 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 transported? - Answer --Make base contact
-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 --Burn injury
-Isolated extremity injury and other trauma
-For chest pain
-For pregnant Pt (at least 20 weeks)
-For other non-traumatic pain, including non-traumatic abdo pain
Adult: 2-12mg max 20mg
Pedi: 0.1mg/kg max 4mg
28 y/o Pt in active labor complaining of vaginal bleeding goes to? - Answer -Transport to
most accessible perinatal center
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 --Importance of evidence collected for legal proceedings should be one of the factors considered.
-Every effect should be made to txp sexual assault Pts who meet base hospital contact and txp criteria to the MAR facility that is an affiliated designated SART Center.
