MICN LA COUNTY FINAL | ACTUAL 2026 EXAM | 126
QUESTIONS AND ANSWERS | WITH COMPLETE
SOLUTION
How long does ALS and SRC diversion last? Answer - ALS=120, SRC=180
APOT standard Answer - Patients are offloaded from EMS within 30 minutes
90% of the time
Where does an extremis patient get transported to? Answer - MAR
Criteria for 911 Re-triage Answer - trauma AND poor perfusion, or need for
blood, or need for intubation, or GCS <9, or GCS deteriorating by 2 or more, or
penetrating injuries to trauma box, or extremity injury with neurovascular
compromise, or s/p evaluation by ED MD and life saving intervention needed
within 2 hours
What is the maximum transport time for an alternate MAR? Answer - 15
minutes
What is the maximum transport time for SRC? Answer - 30 minutes
What is the maximum transport time for SART center? Answer - Not defined
, What is the maximum transport time for facility by patient request? Answer -
Not defined
What happens if an ETA is beyond the maximum allowable transport time?
Answer - MAR
BRUE Answer - <12 months WITH irregular breathing, color change, chanf in
muscle tone, or ALOC
BRUE treatment Answer - Airway, cardiac monitor, IV, 20ml/kg NS if poor
perfusion, if persistent push dose epi
Who goes to PMC? Answer - 14 or less AND one of the following: dysrhythmia,
respiratory distress, cyanosis, AMS, status epilepticus, BRUE, focal neuro w/o
trauma, ROSC
13 y.o. choking on an apple, resolved- where should they go? Answer - EDAP
Would go to PMC if respiratory distress/cyanotic
Who goes to Perinatal Center? Answer - 20 weeks pregnant or more AND one
of the following: Active labor, CC related to pregnancy, perinatal complications,
injured and not meeting trauma criteria, BP >140/90 (including up to 6 weeks
PP)
Where does a STEMI patient go? Answer - SRC if w/in 30 minutes. If >30
minutes then to the MAR
What constitutes a STEMI? Answer - 1mm or more of ST elevation in 2 or more
contiguous leads
*Activate cath lab if >2mm
QUESTIONS AND ANSWERS | WITH COMPLETE
SOLUTION
How long does ALS and SRC diversion last? Answer - ALS=120, SRC=180
APOT standard Answer - Patients are offloaded from EMS within 30 minutes
90% of the time
Where does an extremis patient get transported to? Answer - MAR
Criteria for 911 Re-triage Answer - trauma AND poor perfusion, or need for
blood, or need for intubation, or GCS <9, or GCS deteriorating by 2 or more, or
penetrating injuries to trauma box, or extremity injury with neurovascular
compromise, or s/p evaluation by ED MD and life saving intervention needed
within 2 hours
What is the maximum transport time for an alternate MAR? Answer - 15
minutes
What is the maximum transport time for SRC? Answer - 30 minutes
What is the maximum transport time for SART center? Answer - Not defined
, What is the maximum transport time for facility by patient request? Answer -
Not defined
What happens if an ETA is beyond the maximum allowable transport time?
Answer - MAR
BRUE Answer - <12 months WITH irregular breathing, color change, chanf in
muscle tone, or ALOC
BRUE treatment Answer - Airway, cardiac monitor, IV, 20ml/kg NS if poor
perfusion, if persistent push dose epi
Who goes to PMC? Answer - 14 or less AND one of the following: dysrhythmia,
respiratory distress, cyanosis, AMS, status epilepticus, BRUE, focal neuro w/o
trauma, ROSC
13 y.o. choking on an apple, resolved- where should they go? Answer - EDAP
Would go to PMC if respiratory distress/cyanotic
Who goes to Perinatal Center? Answer - 20 weeks pregnant or more AND one
of the following: Active labor, CC related to pregnancy, perinatal complications,
injured and not meeting trauma criteria, BP >140/90 (including up to 6 weeks
PP)
Where does a STEMI patient go? Answer - SRC if w/in 30 minutes. If >30
minutes then to the MAR
What constitutes a STEMI? Answer - 1mm or more of ST elevation in 2 or more
contiguous leads
*Activate cath lab if >2mm
