La, . county, . test, . grind
1. EMT, . personnel, . may, . immediately, . transport, . hypotensive, . trauma, . patients, .
with,.life,.threatening,,.penetrating,.injuries,.to,.the,.torso,.to,.the,.closest:,.trauma,.center,,.n
ot,.the,.MAR,
2. •,.The,.legal,.obligations,.to,.report,.sexual,.assault,.in,.California,,.including,.how,, . whe
n,.and,.to,.whom,.to,.report.:, . .,.EMS,.personnel,.shall,.notify,.the,.local,.law,.enforcement,.agency,.of,.sexual,.assault,
.patients,.regardless,.of,.whether,.the,.patient,.complains,.of,.physical,.injuries.,.EMS,.personnel,.shall,.document,.on,.the,.EM
S,.Report,.Form,.to,.whom,.the,.incident,.was,.reported.
3. •,.The,.importance,.of,.the,.Sexual,.Assault,.Response,.Team,.(SART),.evaluation,.f
or, . victims, . of, . sexual, . assault, . and, . which, . patients, . may, . be, . released, . to, . law,.e
nforcement,.for,.direct,.transport,.to,.a,.SART,.center.:,.Increased,.rate,.of,.conviction
4. The,.definition,.of,.BRUE:,.Brief,.Resolved,.Unexplained,.Event,.(BRUE):,.A,.brief,.episode,.characterized,.by,.any,.
one,.of,.the,.following,.(for,.children,.12,.months,.of,.age,.or,.younger):
absent,,.decreased,,.or,.irregular,.breathing;,.col
or,.change,.(usually,.cyanosis,.or,.pallor);
marked,.change,.in,.muscle,.tone,.(usually,.limpness,.or,.hypotonia,,.may,.also,.include,.hypertonia);
altered,.level,.of,.responsiveness.
5. EMT, . personnel, . shall, . transport, . 9-1-
1, . patients, . deemed, . stable, . and, . requiring, . only,.basic,.life,.support,.(BLS),.to,.the:,.MAR,.reg
ardless,.of,.its,.diversion,.status,.(
6. When,.would,.EMT,.personnel,.not,.transport,.patients,.to,.the,.MAR?:,.exception:,i. nternal,.dis
aster).
7. Transport, . personnel, . shall, . take, . into, . consideration, . what, . kind, . of, . factors, . for, . t
ransport?:,.traflc,,.weather,.conditions,,.or,.other,.factors,.that,.may,.influence,.transport,.time,.in,.identifying,.the,.most,.
accessible,.facility.
8. final,.authority,.for,.patient,.destination,.rests,.with,.the:,.base,.hospital,.handling,.the,.call
9. EMT, . personnel, . may, . honor, . patient, . requests, . to, . be, . transported, . to, . other, . than
, . the,.MAR,.provided,.that,.the,.patient,.is,.deemed:,.stable,,.requires,.basic,.life,.support,.measures,
.only,,.and,.the,.ambulance,.is,.not,.unreasonably,.removed,.from,.its,.primary,.area,.of,.response.,.In,.order,.to,.facilitate,.this,,
.EMT,.personnel,.may,.transfer,.care,.of,.a,.patient,.to,.another,.EMT,.team,.if,.necessary.
, La, . county, . test, . grind
10. In, . life-
threatening, . situations, . (e.g.,, . unmanageable, . airway, . or, . uncontrollable, . hemorr
hage), . in, . which, . the, . estimated, . time, . of, . arrival, . (ETA), . of, . the, . paramedics,.exceeds,
.the,.ETA,.to,.the,.MAR,,.EMTs,.should:,.exercise,.their,.clinical,.judgment,.as,.to,.whether,.it,.is,.in,.the,.patient
's,.best,.interest,.to,.be,.transported,.prior,.to,.the,.arrival,.of,.paramedics.
11. Destination,.of,.Restrained,.Patients:,..,.Restrained,.patients,.shall,.be,.transported,.to,.the,.MAR,.within,.
the,.guidelines,.of,.this,.policy.
12. ., . Restrained, . patients, . shall, . be, . transported, . to, . the, . MAR, . within, . the, . guideline
s,.of,.this,.policy.,.Allowable,.exceptions:,.1.,.Patients,.without,.a,.medical,.complaint,,.with,.a,.5150,.order,.
written,.by,.a,.designated,.Department,.of,.Mental,.Health,.Team,,.when,.transport,.to,.a,.psychiatric,.facility,.has,.been,.arranged
.,.2.,.A,.law,.enforcement,.request,.for,.transport,.other,.than,.the,.closest,.may,.be,.honored,.with,.base,.concurrence
13. Patient, . requests, . for, . transport, . to, . hospitals, . that, . are, . not, . 9-1-
1, . Receiving,.Facilities,.may,.be,.honored,.by,.EMT,.or,.paramedic,.personnel,.provide
d::,.1.,.made,.aware,.that,.the,.requested,.hospital,.is,.not,.a,.9-1-1,.receiving,.facility;
2. The,.Base,.hospital,.or,.EMS,.provider,.contacts,.the,.requested,.facility,.and,.ensures,.that,.the,.hospital,.has,.agreed,.to,.accept, .
the,.patient;
3. If,.transport,.requires,.additional,.transport,.time,,.the,.patient's,.condition,.is,.considered,.suflciently,.stable,.to,.tolerate
14. Ref,.500:,.TRANSPORTATION,./,.PATIENT,.DESTINATION
15. Ref, . 502:, . Patient,.destination
16. Ref, . 503:, . Guidelines,.for,.Hospitals,.Requesting,.Diversion,.of,.ALS,.Patients
17. Ref,.506:,.Trauma,.triage
18. Do,.not,.delay,.transport,.of,.hypotensive,.patients,.with:,.penetrating,.torso,.trauma,.in,.order,.to,
.apply,.spinal,.motion,.restriction.
19. When,.pediatric,.and,.adult,.trauma,.patients,.are,.transported,.together,.in,.one,.aircraf
t,,.the,.receiving,.trauma,.center,.shall,.be,.both,.a:,.trauma,.center,.and,.a,.pediatric,.trauma,.center
20. Trauma, . Criteria, . -:, . Requires,.immediate,.transportation,.to,.a,.designated,.trauma,.center
21. Requires, . immediate, . transportation, . to, . a, . designated, . trauma, . center
, La, . county, . test, . grind
Systolic, . blood, . pressure, . less, . than, . blank, . or, . less, . than, . blank, . in, . infants, . age, . le
ss,.than,.one,.year:,.90,.mmHg,,.70,.mmHg
22. PACT:,.Push,.dose,.epi,
.Adenosine,.(for,.peds),.Ca
rdioversion,.Transcutane
ous,.pacing
23. Requires,.immediate,.transportation,.to,.a,.designated,.trauma,.center,.
Respiratory,.rate,.greater,.than,.----,.less,.than,.----
less, . than, . ---, . in, . infants, . age, . less, . than, . one, . year,, . or, . requiring, . ventilatory, . support-
:,.29,.breaths/minute,.(sustained),,.10,.breaths/minute,
20,.breaths/minute
24. All, . penetrating, . injuries, . to, . head,, . neck,, . torso,, . and, . extremities, . proximal, . to, . th
e,.elbow,.or,.knee,.Requires:,.immediate,.transportation,.to,.a,.designated,.trauma,.center
25. Blunt,.head,.injury,.associated,.with,.a,.suspected,.skull,.fracture,,.altered,.level,.
of,.consciousness,.(Glasgow,.Coma,.Score,.less,.than,.or,.equal,.to,.14),,.seizures,,.
unequal,.pupils,,.or,.focal,.neurological,.deficit
Requires:, . immediate,. transportation,. to,. a,. designated,. trauma,. center
26. dependant,.adult,.is,.a:,.18,.to,.64,.year,.old,.needing,.daily,.help
27. elder,.abuse,.is,.considered,.(age),.for,.persons:,.65,.or,.older
28. mandated,.reporter:,.Anytime,.abuse,.is,.suspected
29. reporting,.for,.abuse,.elder,.abuse,.written:,.48,.hours,.or,.2,.business,.days
30. child, . abuse, . must, . be, . reported, . in:, . 36,.hours
31. ama, . is, . ref:, . 834
32. minors,.can,. be,. released,. to,. themselves,. only,. if:, . they,.are,.in,.an,.appropriate,.place,.for,.the,.child
33. Injury,.to,.the,.spinal,.column,.associated,.with,.acute,.sensory,.or,.motor,.deficit,.r
equires,.trauma,.center,.transport,.yes,.or,.no?:,.Yes
34. Blunt, . injury, . to, . chest, . with, . unstable, . chest, . wall, . (flail, . chest
),.requires, . trauma, . center, . transport, . yes, . or, . no?:, . YEs
, La, . county, . test, . grind
35. Diffuse, . abdominal, . tenderness
requires,.trauma,.center,.transport,.yes,.or,.no?:,.Yes
36. Suspected,.pelvic,.fracture,.(excluding,.isolated,.hip,.fracture,.from,.a,.ground,.l
evel,.fall)
requires,.trauma,.center,.transport,.yes,.or,.no?:,.Yes
37. What, . are, . the, . 4, . points, . of, . criteria, . for, . transporting, . an, . Extremity, . injury, . to, .
a,.trauma,.center?:,.1.,.Neurological/vascular,.compromise,.and/or,.crushed,,.degloved,,.or,.mangled,.extremi
ty
2. Amputation,.proximal,.to,.the,.wrist,.or,.ankle
3. Fractures,.of,.two,.or,. more,.proximal,.(humerus/femur),.long-bones
4. Bleeding,.not,.controlled
38. faLLS,.require,.trauma,.transport,.for,.a,.pediatric,.patient:,.Pediatric,.patients,.from,.heights,.g
reater,.than,.10,.feet,,.or,.greater,.than,.3,.times,.the,.height,.of,.the,.child
39. faLLS, . require, . trauma, . transport, . for, . an, . adult, . when, . an, . require, . trauma, . tr
ans-port,.for,.an,.adult,.when,.an:,.Adult,.patients,.from,.heights,.greater,.than,.15,.feet
40. trauma,.criteria,.for,.passenger,.space,.intrusion:,.Passenger,.space,.intrusion,.of,.greater,.than,.1
2,.inches,.into,.an,.occupied,.passenger
space
41. trauma, . criteria, . if, . Ejected, . from, . vehicles, . (partial, . or, . complete), . yes, . or, . no?
N.,.Auto,.versus,.pedestrian/bicyclist/motorcyclist ,.thrown,,.run,.over,,.or,.with,.signific
ant, . (greater, . than, . 20, . mph), . impact, . O., . Unenclosed, . transport, . crash, . with, . significa
nt,.(greater,.than,.20,.mph),.impac:,.yes
42. penetrating, . trauma, . asystole, . is:, . 814
43. blunt,.trauma,,.asystole,,.vfib,.or,.vtach,.is:,.814,.(PEA,.transport)
44. Trauma, . criteria, . for, . an, . pedestrian, . versus, . auto:, . Auto,.versus,.pedestrian/bicyclist/motorcy
-clist,.thrown,,.run,.over,,.or,.with,.significant,.(greater,.than,.20,.mph),.impact
45. unenclosed,.transport,.trauma,.criteria:,.Unenclosed,.transport,.crash,.with,.significant,.(greater,.t
han,.20,.mph),.impact
46. trauma,.criteria
1. EMT, . personnel, . may, . immediately, . transport, . hypotensive, . trauma, . patients, .
with,.life,.threatening,,.penetrating,.injuries,.to,.the,.torso,.to,.the,.closest:,.trauma,.center,,.n
ot,.the,.MAR,
2. •,.The,.legal,.obligations,.to,.report,.sexual,.assault,.in,.California,,.including,.how,, . whe
n,.and,.to,.whom,.to,.report.:, . .,.EMS,.personnel,.shall,.notify,.the,.local,.law,.enforcement,.agency,.of,.sexual,.assault,
.patients,.regardless,.of,.whether,.the,.patient,.complains,.of,.physical,.injuries.,.EMS,.personnel,.shall,.document,.on,.the,.EM
S,.Report,.Form,.to,.whom,.the,.incident,.was,.reported.
3. •,.The,.importance,.of,.the,.Sexual,.Assault,.Response,.Team,.(SART),.evaluation,.f
or, . victims, . of, . sexual, . assault, . and, . which, . patients, . may, . be, . released, . to, . law,.e
nforcement,.for,.direct,.transport,.to,.a,.SART,.center.:,.Increased,.rate,.of,.conviction
4. The,.definition,.of,.BRUE:,.Brief,.Resolved,.Unexplained,.Event,.(BRUE):,.A,.brief,.episode,.characterized,.by,.any,.
one,.of,.the,.following,.(for,.children,.12,.months,.of,.age,.or,.younger):
absent,,.decreased,,.or,.irregular,.breathing;,.col
or,.change,.(usually,.cyanosis,.or,.pallor);
marked,.change,.in,.muscle,.tone,.(usually,.limpness,.or,.hypotonia,,.may,.also,.include,.hypertonia);
altered,.level,.of,.responsiveness.
5. EMT, . personnel, . shall, . transport, . 9-1-
1, . patients, . deemed, . stable, . and, . requiring, . only,.basic,.life,.support,.(BLS),.to,.the:,.MAR,.reg
ardless,.of,.its,.diversion,.status,.(
6. When,.would,.EMT,.personnel,.not,.transport,.patients,.to,.the,.MAR?:,.exception:,i. nternal,.dis
aster).
7. Transport, . personnel, . shall, . take, . into, . consideration, . what, . kind, . of, . factors, . for, . t
ransport?:,.traflc,,.weather,.conditions,,.or,.other,.factors,.that,.may,.influence,.transport,.time,.in,.identifying,.the,.most,.
accessible,.facility.
8. final,.authority,.for,.patient,.destination,.rests,.with,.the:,.base,.hospital,.handling,.the,.call
9. EMT, . personnel, . may, . honor, . patient, . requests, . to, . be, . transported, . to, . other, . than
, . the,.MAR,.provided,.that,.the,.patient,.is,.deemed:,.stable,,.requires,.basic,.life,.support,.measures,
.only,,.and,.the,.ambulance,.is,.not,.unreasonably,.removed,.from,.its,.primary,.area,.of,.response.,.In,.order,.to,.facilitate,.this,,
.EMT,.personnel,.may,.transfer,.care,.of,.a,.patient,.to,.another,.EMT,.team,.if,.necessary.
, La, . county, . test, . grind
10. In, . life-
threatening, . situations, . (e.g.,, . unmanageable, . airway, . or, . uncontrollable, . hemorr
hage), . in, . which, . the, . estimated, . time, . of, . arrival, . (ETA), . of, . the, . paramedics,.exceeds,
.the,.ETA,.to,.the,.MAR,,.EMTs,.should:,.exercise,.their,.clinical,.judgment,.as,.to,.whether,.it,.is,.in,.the,.patient
's,.best,.interest,.to,.be,.transported,.prior,.to,.the,.arrival,.of,.paramedics.
11. Destination,.of,.Restrained,.Patients:,..,.Restrained,.patients,.shall,.be,.transported,.to,.the,.MAR,.within,.
the,.guidelines,.of,.this,.policy.
12. ., . Restrained, . patients, . shall, . be, . transported, . to, . the, . MAR, . within, . the, . guideline
s,.of,.this,.policy.,.Allowable,.exceptions:,.1.,.Patients,.without,.a,.medical,.complaint,,.with,.a,.5150,.order,.
written,.by,.a,.designated,.Department,.of,.Mental,.Health,.Team,,.when,.transport,.to,.a,.psychiatric,.facility,.has,.been,.arranged
.,.2.,.A,.law,.enforcement,.request,.for,.transport,.other,.than,.the,.closest,.may,.be,.honored,.with,.base,.concurrence
13. Patient, . requests, . for, . transport, . to, . hospitals, . that, . are, . not, . 9-1-
1, . Receiving,.Facilities,.may,.be,.honored,.by,.EMT,.or,.paramedic,.personnel,.provide
d::,.1.,.made,.aware,.that,.the,.requested,.hospital,.is,.not,.a,.9-1-1,.receiving,.facility;
2. The,.Base,.hospital,.or,.EMS,.provider,.contacts,.the,.requested,.facility,.and,.ensures,.that,.the,.hospital,.has,.agreed,.to,.accept, .
the,.patient;
3. If,.transport,.requires,.additional,.transport,.time,,.the,.patient's,.condition,.is,.considered,.suflciently,.stable,.to,.tolerate
14. Ref,.500:,.TRANSPORTATION,./,.PATIENT,.DESTINATION
15. Ref, . 502:, . Patient,.destination
16. Ref, . 503:, . Guidelines,.for,.Hospitals,.Requesting,.Diversion,.of,.ALS,.Patients
17. Ref,.506:,.Trauma,.triage
18. Do,.not,.delay,.transport,.of,.hypotensive,.patients,.with:,.penetrating,.torso,.trauma,.in,.order,.to,
.apply,.spinal,.motion,.restriction.
19. When,.pediatric,.and,.adult,.trauma,.patients,.are,.transported,.together,.in,.one,.aircraf
t,,.the,.receiving,.trauma,.center,.shall,.be,.both,.a:,.trauma,.center,.and,.a,.pediatric,.trauma,.center
20. Trauma, . Criteria, . -:, . Requires,.immediate,.transportation,.to,.a,.designated,.trauma,.center
21. Requires, . immediate, . transportation, . to, . a, . designated, . trauma, . center
, La, . county, . test, . grind
Systolic, . blood, . pressure, . less, . than, . blank, . or, . less, . than, . blank, . in, . infants, . age, . le
ss,.than,.one,.year:,.90,.mmHg,,.70,.mmHg
22. PACT:,.Push,.dose,.epi,
.Adenosine,.(for,.peds),.Ca
rdioversion,.Transcutane
ous,.pacing
23. Requires,.immediate,.transportation,.to,.a,.designated,.trauma,.center,.
Respiratory,.rate,.greater,.than,.----,.less,.than,.----
less, . than, . ---, . in, . infants, . age, . less, . than, . one, . year,, . or, . requiring, . ventilatory, . support-
:,.29,.breaths/minute,.(sustained),,.10,.breaths/minute,
20,.breaths/minute
24. All, . penetrating, . injuries, . to, . head,, . neck,, . torso,, . and, . extremities, . proximal, . to, . th
e,.elbow,.or,.knee,.Requires:,.immediate,.transportation,.to,.a,.designated,.trauma,.center
25. Blunt,.head,.injury,.associated,.with,.a,.suspected,.skull,.fracture,,.altered,.level,.
of,.consciousness,.(Glasgow,.Coma,.Score,.less,.than,.or,.equal,.to,.14),,.seizures,,.
unequal,.pupils,,.or,.focal,.neurological,.deficit
Requires:, . immediate,. transportation,. to,. a,. designated,. trauma,. center
26. dependant,.adult,.is,.a:,.18,.to,.64,.year,.old,.needing,.daily,.help
27. elder,.abuse,.is,.considered,.(age),.for,.persons:,.65,.or,.older
28. mandated,.reporter:,.Anytime,.abuse,.is,.suspected
29. reporting,.for,.abuse,.elder,.abuse,.written:,.48,.hours,.or,.2,.business,.days
30. child, . abuse, . must, . be, . reported, . in:, . 36,.hours
31. ama, . is, . ref:, . 834
32. minors,.can,. be,. released,. to,. themselves,. only,. if:, . they,.are,.in,.an,.appropriate,.place,.for,.the,.child
33. Injury,.to,.the,.spinal,.column,.associated,.with,.acute,.sensory,.or,.motor,.deficit,.r
equires,.trauma,.center,.transport,.yes,.or,.no?:,.Yes
34. Blunt, . injury, . to, . chest, . with, . unstable, . chest, . wall, . (flail, . chest
),.requires, . trauma, . center, . transport, . yes, . or, . no?:, . YEs
, La, . county, . test, . grind
35. Diffuse, . abdominal, . tenderness
requires,.trauma,.center,.transport,.yes,.or,.no?:,.Yes
36. Suspected,.pelvic,.fracture,.(excluding,.isolated,.hip,.fracture,.from,.a,.ground,.l
evel,.fall)
requires,.trauma,.center,.transport,.yes,.or,.no?:,.Yes
37. What, . are, . the, . 4, . points, . of, . criteria, . for, . transporting, . an, . Extremity, . injury, . to, .
a,.trauma,.center?:,.1.,.Neurological/vascular,.compromise,.and/or,.crushed,,.degloved,,.or,.mangled,.extremi
ty
2. Amputation,.proximal,.to,.the,.wrist,.or,.ankle
3. Fractures,.of,.two,.or,. more,.proximal,.(humerus/femur),.long-bones
4. Bleeding,.not,.controlled
38. faLLS,.require,.trauma,.transport,.for,.a,.pediatric,.patient:,.Pediatric,.patients,.from,.heights,.g
reater,.than,.10,.feet,,.or,.greater,.than,.3,.times,.the,.height,.of,.the,.child
39. faLLS, . require, . trauma, . transport, . for, . an, . adult, . when, . an, . require, . trauma, . tr
ans-port,.for,.an,.adult,.when,.an:,.Adult,.patients,.from,.heights,.greater,.than,.15,.feet
40. trauma,.criteria,.for,.passenger,.space,.intrusion:,.Passenger,.space,.intrusion,.of,.greater,.than,.1
2,.inches,.into,.an,.occupied,.passenger
space
41. trauma, . criteria, . if, . Ejected, . from, . vehicles, . (partial, . or, . complete), . yes, . or, . no?
N.,.Auto,.versus,.pedestrian/bicyclist/motorcyclist ,.thrown,,.run,.over,,.or,.with,.signific
ant, . (greater, . than, . 20, . mph), . impact, . O., . Unenclosed, . transport, . crash, . with, . significa
nt,.(greater,.than,.20,.mph),.impac:,.yes
42. penetrating, . trauma, . asystole, . is:, . 814
43. blunt,.trauma,,.asystole,,.vfib,.or,.vtach,.is:,.814,.(PEA,.transport)
44. Trauma, . criteria, . for, . an, . pedestrian, . versus, . auto:, . Auto,.versus,.pedestrian/bicyclist/motorcy
-clist,.thrown,,.run,.over,,.or,.with,.significant,.(greater,.than,.20,.mph),.impact
45. unenclosed,.transport,.trauma,.criteria:,.Unenclosed,.transport,.crash,.with,.significant,.(greater,.t
han,.20,.mph),.impact
46. trauma,.criteria
