MICN LA County Final Exam Questions And
100% Correct Answers
For how long does ALS and SRC diversion last? -Answer ALS=120, SRC=180
APOT standard -Answer Patients offloaded from EMS within 30 mins 90% of the time
Where is an extremis patient transported to? -Answer MAR
911 Re-triage Criteria-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 is a STEMI?-Answer 1mm or more of ST elevation in 2 or more contiguous leads
*Activate cath lab if >2mm
What is the destination for a patient with decompression emergency?-Answer *Contact
MAC*
Immediate transport to MAC listed hyperbaric chamber facility if unconscious,
pulseless, apneic, with a premature ascent with reported failure to complete any
underwater decompression stops
What is the goal SpO2 for COPD v.s. not-Answer COPD 88-92%
Regular 94-98%
Indications for high flow O2 - Answer Respiratory or cardiac arrest, shock, TBI, Carbon
monoxide poisoning, pneumo, hypoxia <94% not corrected with NC or simple mask
100% Correct Answers
For how long does ALS and SRC diversion last? -Answer ALS=120, SRC=180
APOT standard -Answer Patients offloaded from EMS within 30 mins 90% of the time
Where is an extremis patient transported to? -Answer MAR
911 Re-triage Criteria-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 is a STEMI?-Answer 1mm or more of ST elevation in 2 or more contiguous leads
*Activate cath lab if >2mm
What is the destination for a patient with decompression emergency?-Answer *Contact
MAC*
Immediate transport to MAC listed hyperbaric chamber facility if unconscious,
pulseless, apneic, with a premature ascent with reported failure to complete any
underwater decompression stops
What is the goal SpO2 for COPD v.s. not-Answer COPD 88-92%
Regular 94-98%
Indications for high flow O2 - Answer Respiratory or cardiac arrest, shock, TBI, Carbon
monoxide poisoning, pneumo, hypoxia <94% not corrected with NC or simple mask