LA COUNTY TEST CORRECT
QUESTIONS & ANSWERS
Patient dies in prone position, accidental or homicide? - ANSWERAccidental
Why can't you transport prone? - ANSWERPositional Asphyxia
A peds Pt is what age? - ANSWER< 14 YO
When is the DuoDote (Atropine + 2-‐Pam) indicated? - ANSWERRef. 1225 - Nerve
Agent Exposure
DuoDote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
Atropine for organophosphate poisonin
What advanced airways are LA County approved? - ANSWERRef. LACo Study Guide—
Difficult Airway Mangagement (ppt)
How many attempts?—LACo allows THREEE attempts at advanced airway insertion:
Insert ETT
Try again AFTER changing something
Insert King Airway OR continue BVM
Answer: ETT and King LTD-‐S NOT Combitube
Which pediatric does NOT go to the EDAP? - ANSWERThe auto vs. ped (PTC) Ref.506
Pt wants a run copy, can you give them one if not where can they get one? -
ANSWERRef. 612 Release of EMS Records
Policy I.A—The requesting individual will be referred to the Medical Records Dept. of
the receiving hospital where the patient was transported
Policy I.B—Provider agency
Policy I.C—EMS Agency
Ref. 604 Ordering Prehospital Care Forms
Medical full arrest goes to what facility? - ANSWERMAR
If ROSC/STEMI transport to SRC
Ref. 502 VI D states that patients who have ROSC after a non-‐traumatic cardiac arrest
should be transported to an approved STEMI Receiving Center (SRC)
Ref. 516 III B - Pt's who have progressed in cardiopulmonary arrest while en route and
had a pre-arrest STEMI go to SRC
Base has final say in pt. destination. - ANSWERRef. 502 Principle 7 - Final authority for
patient destination rests within the base hospital handling the call
Ref 304 VII stated that the "base hospital physician has the ultimate responsibility for
determining the patient's treatment and disposition."
, What abuse is mandatory to report? - ANSWERRef. 508 - Sexual Assault Patient
Destination
Ref. 822 - Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823 - Elder Abuse and Dependent Adult Abuse Reporting Guidelines
Drug abuse is the only type of abuse that is NOT mandatory to report
Ref. 823 Policy I.C—The reporter reasonably suspects abuse, neglect, or self-‐neglect.
*Report abuse—need suspicion only
MAC should be called because? Possibly because they can come up with pt.
destinations for all of the ones involved? - ANSWERRef. 519 Management of Multiple
Causality Incidents
Principle 6—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? -
ANSWERAdvice
You give POLST pt. morphine for pain: do you transport, make them AMA, Must be
transported - ANSWERMake base contact to get an order for morphine
Obtain AMA—Ref. 834 Policy Section I.C
When base hospital contact is made, contact should be made prior to the patient
leaving the scene. Paramedics shall advise the base hospital of all the circumstances
including care, transportation, reasons for refusal, and the patient's plan for follow-‐up
care.
Ref. 815 Policy Section II.C.4.b
Treat the patient 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? - ANSWERRef. 1248
Burn Injury refer to Ref. 1271
Isolated extremity injury and other trauma refer to Ref. 1275
For chest pain refer to Ref. 1244
For pregnant patient (at least 20 weeks) refer to Ref. 1281
For other non-‐traumatic pain, including non-‐traumatic abdominal pain, consider:
Adult: 2-‐12 mg SIVP, titrate to pain relief, may repeat every 5 minutes, maximum adult
dose 20 mg
Pediatric: 0.1 mg/kg SIVP, see Color Code Drug Doses/LACo Kids, DO NOT repeat
dose,
maximum pediatric dose 4 mg
Absolute contraindications: ALOC, RR less than 12, hypersensitivity/allergy
QUESTIONS & ANSWERS
Patient dies in prone position, accidental or homicide? - ANSWERAccidental
Why can't you transport prone? - ANSWERPositional Asphyxia
A peds Pt is what age? - ANSWER< 14 YO
When is the DuoDote (Atropine + 2-‐Pam) indicated? - ANSWERRef. 1225 - Nerve
Agent Exposure
DuoDote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
Atropine for organophosphate poisonin
What advanced airways are LA County approved? - ANSWERRef. LACo Study Guide—
Difficult Airway Mangagement (ppt)
How many attempts?—LACo allows THREEE attempts at advanced airway insertion:
Insert ETT
Try again AFTER changing something
Insert King Airway OR continue BVM
Answer: ETT and King LTD-‐S NOT Combitube
Which pediatric does NOT go to the EDAP? - ANSWERThe auto vs. ped (PTC) Ref.506
Pt wants a run copy, can you give them one if not where can they get one? -
ANSWERRef. 612 Release of EMS Records
Policy I.A—The requesting individual will be referred to the Medical Records Dept. of
the receiving hospital where the patient was transported
Policy I.B—Provider agency
Policy I.C—EMS Agency
Ref. 604 Ordering Prehospital Care Forms
Medical full arrest goes to what facility? - ANSWERMAR
If ROSC/STEMI transport to SRC
Ref. 502 VI D states that patients who have ROSC after a non-‐traumatic cardiac arrest
should be transported to an approved STEMI Receiving Center (SRC)
Ref. 516 III B - Pt's who have progressed in cardiopulmonary arrest while en route and
had a pre-arrest STEMI go to SRC
Base has final say in pt. destination. - ANSWERRef. 502 Principle 7 - Final authority for
patient destination rests within the base hospital handling the call
Ref 304 VII stated that the "base hospital physician has the ultimate responsibility for
determining the patient's treatment and disposition."
, What abuse is mandatory to report? - ANSWERRef. 508 - Sexual Assault Patient
Destination
Ref. 822 - Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823 - Elder Abuse and Dependent Adult Abuse Reporting Guidelines
Drug abuse is the only type of abuse that is NOT mandatory to report
Ref. 823 Policy I.C—The reporter reasonably suspects abuse, neglect, or self-‐neglect.
*Report abuse—need suspicion only
MAC should be called because? Possibly because they can come up with pt.
destinations for all of the ones involved? - ANSWERRef. 519 Management of Multiple
Causality Incidents
Principle 6—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? -
ANSWERAdvice
You give POLST pt. morphine for pain: do you transport, make them AMA, Must be
transported - ANSWERMake base contact to get an order for morphine
Obtain AMA—Ref. 834 Policy Section I.C
When base hospital contact is made, contact should be made prior to the patient
leaving the scene. Paramedics shall advise the base hospital of all the circumstances
including care, transportation, reasons for refusal, and the patient's plan for follow-‐up
care.
Ref. 815 Policy Section II.C.4.b
Treat the patient 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? - ANSWERRef. 1248
Burn Injury refer to Ref. 1271
Isolated extremity injury and other trauma refer to Ref. 1275
For chest pain refer to Ref. 1244
For pregnant patient (at least 20 weeks) refer to Ref. 1281
For other non-‐traumatic pain, including non-‐traumatic abdominal pain, consider:
Adult: 2-‐12 mg SIVP, titrate to pain relief, may repeat every 5 minutes, maximum adult
dose 20 mg
Pediatric: 0.1 mg/kg SIVP, see Color Code Drug Doses/LACo Kids, DO NOT repeat
dose,
maximum pediatric dose 4 mg
Absolute contraindications: ALOC, RR less than 12, hypersensitivity/allergy
