LA County Protocols Test Questions
with Answers
Ref 516 ROSC
POSC patients should be transport to the? - Answer-most accessible SRC regardless of
ED diversion status
Ref 516 ROSC
if transport time to a SRC greater than 30 mins shall be transported to ? - Answer-the
MAR
Ref 516 ROSC
SRC may request diversion when? - Answer-1. the cath lab is fully committed
2. SRC has mechanical failure of essential cath lab equipment
3. SRC has internal disaster
Ref 519 Management of MCI
role of the provider agency steps - Answer-A. Institute ICS as necessary
B. Implement MCI triage
C. Est. early communication with MAC for 5 or more pts., less than 5 contact base for
the purpose of pt. destination or medical direction
D. if the need for additional BLS transport units exceeds jurisdictional provider, request
from fire operation area coordinator
E. request hospital based medical resources from the MAC
Ref 519 Management of MCI
cont. role of the provider agency steps - Answer-F. provide MAC with nature of incident,
location of incident, Med Com provider unit and agency, agency in charge of incident,
total number of immediate, delayed, minor and deceased, and PEDS, nearest receiving
facilities, transporting provider unit number and destination, and any hazmat
Reassess status constantly
Ref 519 Management of MCI
role of MAC - Answer-A. provide prehospital care with ER availability
B. assist with pt. destinations
c. arrange for additional ambulance transport
D.coordinate activation of HERT as requested
E. notify receiving facilities of incoming patients via Reddinet
F. documenting the authority of MAC
Ref 519 Management of MCI
level 1 trauma center accept how many pts. - Answer-6 immediate patients
,Ref 519 Management of MCI
Level II trauma center accept how many pts. - Answer-3 immediate patients
Ref 519 management of MCI
when activated by the EMS agency, Burn Resource Centers can accept how many
patients? - Answer-accept up to 12 critically burned patients
Ref 519.1 MCI Def.
HERT is what ? - Answer-Hospital Emergency Response Team
from level I trauma center, available 24 hours/day to respond and provide a higher level
of on-scene surgical expertise
Ref 519.1 MCI def.
Jump start? - Answer-PEDS MCI field triage, parallel to START which adequately
addresses the unique anatomy and physiology of children
Ref 519. 3 MCI transport
Level 1 response - Answer-up to 10 ambulances required
Ref 519.3 MCI transport
Level 2 response - Answer-greater than 10 ambulances required
REf 519.3 MCI transport
Level 3 response - Answer-greater than 50 ambulances
Ref 521 Stroke Center Des.
Modified LA prehospital stroke screen(MLAPSS) is what ? - Answer-help to ID a stroke
LAPSS criteria:
1. symptom less than 2 hours
2.no history of seizures or epilepsy
3. age >40
4. at baseline, pt. not wheelchair or bedridden
5. blood glucose between 60 and 400 mg/dl
6. asymmeteryunilateral weakness
facial smile/ grimace
grip
arm strength
Ref 521 Stoke Center Des.
Local Neurological Signs ? - Answer-signs that may iddicate an irritation in the nervous
system such as a stroke or lesion. these include speech disturbances, ALOC,
paresthesias, new onset seizures, dizziness, unilateral weakness, visual disturbances.
Ref 521 Stoke Center Des.
, Responsibility of the Provider Agency - Answer-Perform a mLAPSS for patients
exhibiting local neurological s/s of a possible stroke
transport pt. to nearest ASC
Ref 521 Stoke Center Des.
Responsibility of the ASC - Answer-provide service 24 hours a day/7 days a week
diversion of stroke patients is allowed only for internal disaster
Ref 521 Stoke Center Des.
transportation os a Stroke pt,. to an ASC - Answer-all suspected stroke pt. shall be
transported to the most accessible ASC, if ground transport is 30 mins or less
if ground time exceeds 30 mins, transport to the MAR
Ref 602 Confidentially of pt. info
protected health information may be disclosed by pre-hospital personnel when ? -
Answer-A. healthcare providers involved in the care of the patient
B. EMS agency
C. base hospital
D. Patient, legal guardian or others authorized by the patient
E. Law enforcement
F. provider agency billing
G. response to a subponea
Ref 606 Documentation of prehospital care
an EMS report form must be completed for every EMS response and - Answer-
Canceled calls
no patient found
false alarms
Ref 702 Controlled drugs carried on ALS units
How much Fentanyl can be carried? - Answer-100mcg unit dose, min. amount 500mcg
not to exceed 1500mcg
Ref 702 Controlled drugs carried on ALS units
how much morphine can you carry - Answer-4mg unit dose, min. amount is 32mg not to
exceed 60mg
Ref 702 controlled drugs carried on ALS units
how much Midazolam(Versed) can you carry - Answer-5mg unit dose, min. amount
20mg not to exceed 40mg
ref 702 controlled drugs
provider may obtain controlled drugs through - Answer-a county operated hospital
pharmacy with approval from EMS agency or
provider medical director who meets the qualifications
with Answers
Ref 516 ROSC
POSC patients should be transport to the? - Answer-most accessible SRC regardless of
ED diversion status
Ref 516 ROSC
if transport time to a SRC greater than 30 mins shall be transported to ? - Answer-the
MAR
Ref 516 ROSC
SRC may request diversion when? - Answer-1. the cath lab is fully committed
2. SRC has mechanical failure of essential cath lab equipment
3. SRC has internal disaster
Ref 519 Management of MCI
role of the provider agency steps - Answer-A. Institute ICS as necessary
B. Implement MCI triage
C. Est. early communication with MAC for 5 or more pts., less than 5 contact base for
the purpose of pt. destination or medical direction
D. if the need for additional BLS transport units exceeds jurisdictional provider, request
from fire operation area coordinator
E. request hospital based medical resources from the MAC
Ref 519 Management of MCI
cont. role of the provider agency steps - Answer-F. provide MAC with nature of incident,
location of incident, Med Com provider unit and agency, agency in charge of incident,
total number of immediate, delayed, minor and deceased, and PEDS, nearest receiving
facilities, transporting provider unit number and destination, and any hazmat
Reassess status constantly
Ref 519 Management of MCI
role of MAC - Answer-A. provide prehospital care with ER availability
B. assist with pt. destinations
c. arrange for additional ambulance transport
D.coordinate activation of HERT as requested
E. notify receiving facilities of incoming patients via Reddinet
F. documenting the authority of MAC
Ref 519 Management of MCI
level 1 trauma center accept how many pts. - Answer-6 immediate patients
,Ref 519 Management of MCI
Level II trauma center accept how many pts. - Answer-3 immediate patients
Ref 519 management of MCI
when activated by the EMS agency, Burn Resource Centers can accept how many
patients? - Answer-accept up to 12 critically burned patients
Ref 519.1 MCI Def.
HERT is what ? - Answer-Hospital Emergency Response Team
from level I trauma center, available 24 hours/day to respond and provide a higher level
of on-scene surgical expertise
Ref 519.1 MCI def.
Jump start? - Answer-PEDS MCI field triage, parallel to START which adequately
addresses the unique anatomy and physiology of children
Ref 519. 3 MCI transport
Level 1 response - Answer-up to 10 ambulances required
Ref 519.3 MCI transport
Level 2 response - Answer-greater than 10 ambulances required
REf 519.3 MCI transport
Level 3 response - Answer-greater than 50 ambulances
Ref 521 Stroke Center Des.
Modified LA prehospital stroke screen(MLAPSS) is what ? - Answer-help to ID a stroke
LAPSS criteria:
1. symptom less than 2 hours
2.no history of seizures or epilepsy
3. age >40
4. at baseline, pt. not wheelchair or bedridden
5. blood glucose between 60 and 400 mg/dl
6. asymmeteryunilateral weakness
facial smile/ grimace
grip
arm strength
Ref 521 Stoke Center Des.
Local Neurological Signs ? - Answer-signs that may iddicate an irritation in the nervous
system such as a stroke or lesion. these include speech disturbances, ALOC,
paresthesias, new onset seizures, dizziness, unilateral weakness, visual disturbances.
Ref 521 Stoke Center Des.
, Responsibility of the Provider Agency - Answer-Perform a mLAPSS for patients
exhibiting local neurological s/s of a possible stroke
transport pt. to nearest ASC
Ref 521 Stoke Center Des.
Responsibility of the ASC - Answer-provide service 24 hours a day/7 days a week
diversion of stroke patients is allowed only for internal disaster
Ref 521 Stoke Center Des.
transportation os a Stroke pt,. to an ASC - Answer-all suspected stroke pt. shall be
transported to the most accessible ASC, if ground transport is 30 mins or less
if ground time exceeds 30 mins, transport to the MAR
Ref 602 Confidentially of pt. info
protected health information may be disclosed by pre-hospital personnel when ? -
Answer-A. healthcare providers involved in the care of the patient
B. EMS agency
C. base hospital
D. Patient, legal guardian or others authorized by the patient
E. Law enforcement
F. provider agency billing
G. response to a subponea
Ref 606 Documentation of prehospital care
an EMS report form must be completed for every EMS response and - Answer-
Canceled calls
no patient found
false alarms
Ref 702 Controlled drugs carried on ALS units
How much Fentanyl can be carried? - Answer-100mcg unit dose, min. amount 500mcg
not to exceed 1500mcg
Ref 702 Controlled drugs carried on ALS units
how much morphine can you carry - Answer-4mg unit dose, min. amount is 32mg not to
exceed 60mg
Ref 702 controlled drugs carried on ALS units
how much Midazolam(Versed) can you carry - Answer-5mg unit dose, min. amount
20mg not to exceed 40mg
ref 702 controlled drugs
provider may obtain controlled drugs through - Answer-a county operated hospital
pharmacy with approval from EMS agency or
provider medical director who meets the qualifications
