LA COUNTY ACCREDITATION
QUESTIONS & SOLUTIONS(RATED
A+)
when should treatment of suspected crush syndrome pt begin- - ANSWERAs soon as
possible while the pt is trapped.
You are managing a pt with dystonic reaction and made base contact. MAR is on
diversion due to ED sat. what will determine the destination- - ANSWERDrive time
including traffic conditions
52 y/o female c/c of SOB w/ productive cough. Awake and alert, decreased tidal volume
with rhonchi. Whats the Provider Impression- - ANSWERPI- respiratory Distress/other
ref 1237 p-11
46 y/o male fell on the side walk and got LAC to forehead. bleeding is controlled by
direct pressure. odor of ETOHon pt. ALOC.
where should pt be transported- - ANSWERNearest trauma center ETA 25 min.
ref. 506 p1-E
What is my responsibility in cases where you suspect Child Abuse- - ANSWERYou
must provide verbal notification to child protective services ASAP.
ref 822 p2
You respond to a school to find an unidentified child who is unconscious at the
playground after a fall. When can you begin TREATMEN- - ANSWERIMMEDIATELY
and without obtaining consent for treatment.
ref 822 p-2 (implied consent- in the absence of parent or legal guardian, representative,
EMS treatment/transport of a minor may be initiated without consent)
You have just delivered a full term newborn in the field. you dry and stimulate the infant,
respirations/crying are present, trunk is PINK and extremities are blue.
what do you do next- - ANSWERReassess HEART RATE in 30 sec.
You are transporting a 21 y/o male acutely intoxicated with alcohol. he is intermittent
sonorous with hypoxia, which resolves with stimulation.
, what is the first step in addressing the pts intermittent HYPOXIA? - ANSWERPlace a
Nasopharyngeal AIRWAY
REF 1241 1302-G11, 12 (consider naloxone for narcotics overdose, PPV, NPA-seizure
pt/intoxication, unresponsive pts req assistance with maintaining airway open, aloc with
a gag reflex--> NPA)
A G3/P2 27 y/o pt being assisted with imminent delivery, during delivery, the baby's
shoulder becomes stuck and child is unable to deliver.
What medication should be considered with base hospital involvement. -
ANSWERSodium Bicarb
ref 1202.2 base contact requirement
Sodium bicarbonate for symptomatic bradycardia with suspected hyperkalemia or for
dysrhythmia due to possible tricyclic antidepressant or other toxic overdose
You perform resuscitation on a patient in cardiac arrest for 25 minutes. The arrest was
unwitnessed and the first rhythm with PEA. The patient has ROSC, and the ECG shows
Sinus Brady no STEMI. You have secured the airway. BP 60/30.
What is the next priority in managing this patient? - ANSWERAddressing the patients
abnormal vital signs
what is the required in order to report child abuse- - ANSWERA reasonable suspicion
that abuse has occurred
ref 822 p-3
You have determined that a patient who has declined transport does not require
emergency treatment or transport. What must you do prior to release of the patient at
the scene? - ANSWERInformed the patient that they should seek care with their
provider
Ref. No. 834
"Release at Scene" (Patients not requiring transport)
In a 56-year-old male you get ROSC, BP 68/38. NS 250ml is given, then RALES heard
bilaterally. BP now 72/40. What should be administered? - ANSWERPush- Dose- EPI
Ref. No. 1317.17 PDE Indications
Cardiac Arrest - Non-Traumatic: cardiac arrest resuscitation, hypotension after
return of spontaneous circulation (ROSC) not responsive to IV fluid resuscitation
QUESTIONS & SOLUTIONS(RATED
A+)
when should treatment of suspected crush syndrome pt begin- - ANSWERAs soon as
possible while the pt is trapped.
You are managing a pt with dystonic reaction and made base contact. MAR is on
diversion due to ED sat. what will determine the destination- - ANSWERDrive time
including traffic conditions
52 y/o female c/c of SOB w/ productive cough. Awake and alert, decreased tidal volume
with rhonchi. Whats the Provider Impression- - ANSWERPI- respiratory Distress/other
ref 1237 p-11
46 y/o male fell on the side walk and got LAC to forehead. bleeding is controlled by
direct pressure. odor of ETOHon pt. ALOC.
where should pt be transported- - ANSWERNearest trauma center ETA 25 min.
ref. 506 p1-E
What is my responsibility in cases where you suspect Child Abuse- - ANSWERYou
must provide verbal notification to child protective services ASAP.
ref 822 p2
You respond to a school to find an unidentified child who is unconscious at the
playground after a fall. When can you begin TREATMEN- - ANSWERIMMEDIATELY
and without obtaining consent for treatment.
ref 822 p-2 (implied consent- in the absence of parent or legal guardian, representative,
EMS treatment/transport of a minor may be initiated without consent)
You have just delivered a full term newborn in the field. you dry and stimulate the infant,
respirations/crying are present, trunk is PINK and extremities are blue.
what do you do next- - ANSWERReassess HEART RATE in 30 sec.
You are transporting a 21 y/o male acutely intoxicated with alcohol. he is intermittent
sonorous with hypoxia, which resolves with stimulation.
, what is the first step in addressing the pts intermittent HYPOXIA? - ANSWERPlace a
Nasopharyngeal AIRWAY
REF 1241 1302-G11, 12 (consider naloxone for narcotics overdose, PPV, NPA-seizure
pt/intoxication, unresponsive pts req assistance with maintaining airway open, aloc with
a gag reflex--> NPA)
A G3/P2 27 y/o pt being assisted with imminent delivery, during delivery, the baby's
shoulder becomes stuck and child is unable to deliver.
What medication should be considered with base hospital involvement. -
ANSWERSodium Bicarb
ref 1202.2 base contact requirement
Sodium bicarbonate for symptomatic bradycardia with suspected hyperkalemia or for
dysrhythmia due to possible tricyclic antidepressant or other toxic overdose
You perform resuscitation on a patient in cardiac arrest for 25 minutes. The arrest was
unwitnessed and the first rhythm with PEA. The patient has ROSC, and the ECG shows
Sinus Brady no STEMI. You have secured the airway. BP 60/30.
What is the next priority in managing this patient? - ANSWERAddressing the patients
abnormal vital signs
what is the required in order to report child abuse- - ANSWERA reasonable suspicion
that abuse has occurred
ref 822 p-3
You have determined that a patient who has declined transport does not require
emergency treatment or transport. What must you do prior to release of the patient at
the scene? - ANSWERInformed the patient that they should seek care with their
provider
Ref. No. 834
"Release at Scene" (Patients not requiring transport)
In a 56-year-old male you get ROSC, BP 68/38. NS 250ml is given, then RALES heard
bilaterally. BP now 72/40. What should be administered? - ANSWERPush- Dose- EPI
Ref. No. 1317.17 PDE Indications
Cardiac Arrest - Non-Traumatic: cardiac arrest resuscitation, hypotension after
return of spontaneous circulation (ROSC) not responsive to IV fluid resuscitation
