LA County Test Questions And Accurate
Answers (A+ Graded)
Patient dies in prone position, accidental or homicide? - Answer Accidental
Why can't you transport prone? - Answer Positional Asphyxia
A peds Pt is what age? - Answer < 14 YO
When is the DuoDote (Atropine + 2-‐Pam) indicated? - Answer Ref. 1225 - Nerve Agent
Exposure
DuoDote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
Atropine for organophosphate poisoning
What advanced airways are LA County approved?-Answer Ref. LACo Study
Guide—Difficult Airway Mangagement(ppt)
How many attempts?—LACo allows THREEE attempts at advanced airway insertion:
Insert ETT
Try again AFTER changing something
Insert King Airway OR continue BVM
Answer: ETT and King LTD-‐S NOT Combitube
Which pediatric does NOT go to the EDAP? - Answer The auto vs. ped (PTC) Ref.506
Pt wants a run copy, can you give them one if not where can they get one? -Answer Ref.
,612 Release of EMS Records
Policy I.A—The requesting individual will be referred to the Medical Records Dept. of the
receiving hospital where the patient was transported
Policy I.B—Provider agency
Policy I.C—EMS Agency
Ref. 604 Ordering Prehospital Care Forms
Medical full arrest goes to what facility? -Answer MAR
If ROSC/STEMI transport to SRC
Ref. 502 VI D State that pts. who have ROSC after a non‐traumatic cardiac arrest should
be transported to an approved STEMI Receiving Center (SRC)
Ref. 516 III B Pt's that have progressed in cardiopulmonary arrest while en route and
had a pre‐arrest STEMI go to SRC
Base has final say in pt. destination. - Answer Ref. 502 Principle 7 - Final authority for
patient destination rests within the base hospital handling the call
Ref 304 VII stated that the "base hospital physician has the ultimate responsibility for
determining the patient's treatment and disposition."
What abuse is mandatory to report? - Answer Ref. 508 - Sexual Assault Patient
Destination
Ref. 822 - Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823- Elder Abuse and Dependent Adult Abuse Reporting Guidelines
The only form of abuse not required to be reported is drug abuse
Ref. 823 Policy I.C—The reporter reasonably suspects abuse, neglect, or self-‐neglect.
*Report abuse—need suspicion only
Why call MAC? Perhaps because they can come up w/ pt. destinations for all of those
involved? Answer Ref. 519 Management of Multiple Causality Incidents
Principle 6—MAC is capable of transmitting to multiple receiving facilities at the same
time and can rapidly determine system wide emergency department bed status, hospital
, and ambulance resources.
Why would you radio base? For Advice OR for protocols w/meds? - Answer Advice
You give POLST pt. morphine for pain: do you transport, make them AMA, Must be
transported - Answer Make base contact to get an order for morphine
Get AMA—Ref. 834 Policy Section I.C
When base hospital contact is made, contact should be made prior to the patient leaving
the scene. The base hospital shall be informed by the paramedics of all the
circumstances including care, transportation, reasons for refusal, and the patient's plan
for follow-‐up care.
Ref. 815 Policy Section II.C.4.b
Treat the patient for pain, dyspnea, major hemorrhage, or other medical conditions
(includes medication by any route
Do NOT transport to hospital for medical interventions. Transport only if comfort needs
cannot be met in current location
Indications for morphine?-Answer Ref 1248
Burn Injury refer to Ref 1271
Isolated extremity injury and other trauma refer to Ref 1275
For chest pain refer to Ref 1244
For pregnant patient >20 weeks refer to Ref 1281
For other non-traumatic pain, including non-traumatic abdominal pain consider
Adult: 2-‐12 mg SIVP, titrate to pain relief, may repeat every 5 minutes, maximum adult
dose 20 mg
Pediatric: 0.1 mg/kg SIVP, see Color Code Drug Doses/LACo Kids, DO NOT repeat dose,
maximum pediatric dose 4 mg
Absolute contraindications: ALOC, RR less than 12, hypersensitivity/allergy
28-‐year-‐old pt in active labor complaining of vaginal bleeding goes to? - Answer Ref.
511 Policy I - Transport to the most accessible perinatal center
Answers (A+ Graded)
Patient dies in prone position, accidental or homicide? - Answer Accidental
Why can't you transport prone? - Answer Positional Asphyxia
A peds Pt is what age? - Answer < 14 YO
When is the DuoDote (Atropine + 2-‐Pam) indicated? - Answer Ref. 1225 - Nerve Agent
Exposure
DuoDote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
Atropine for organophosphate poisoning
What advanced airways are LA County approved?-Answer Ref. LACo Study
Guide—Difficult Airway Mangagement(ppt)
How many attempts?—LACo allows THREEE attempts at advanced airway insertion:
Insert ETT
Try again AFTER changing something
Insert King Airway OR continue BVM
Answer: ETT and King LTD-‐S NOT Combitube
Which pediatric does NOT go to the EDAP? - Answer The auto vs. ped (PTC) Ref.506
Pt wants a run copy, can you give them one if not where can they get one? -Answer Ref.
,612 Release of EMS Records
Policy I.A—The requesting individual will be referred to the Medical Records Dept. of the
receiving hospital where the patient was transported
Policy I.B—Provider agency
Policy I.C—EMS Agency
Ref. 604 Ordering Prehospital Care Forms
Medical full arrest goes to what facility? -Answer MAR
If ROSC/STEMI transport to SRC
Ref. 502 VI D State that pts. who have ROSC after a non‐traumatic cardiac arrest should
be transported to an approved STEMI Receiving Center (SRC)
Ref. 516 III B Pt's that have progressed in cardiopulmonary arrest while en route and
had a pre‐arrest STEMI go to SRC
Base has final say in pt. destination. - Answer Ref. 502 Principle 7 - Final authority for
patient destination rests within the base hospital handling the call
Ref 304 VII stated that the "base hospital physician has the ultimate responsibility for
determining the patient's treatment and disposition."
What abuse is mandatory to report? - Answer Ref. 508 - Sexual Assault Patient
Destination
Ref. 822 - Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823- Elder Abuse and Dependent Adult Abuse Reporting Guidelines
The only form of abuse not required to be reported is drug abuse
Ref. 823 Policy I.C—The reporter reasonably suspects abuse, neglect, or self-‐neglect.
*Report abuse—need suspicion only
Why call MAC? Perhaps because they can come up w/ pt. destinations for all of those
involved? Answer Ref. 519 Management of Multiple Causality Incidents
Principle 6—MAC is capable of transmitting to multiple receiving facilities at the same
time and can rapidly determine system wide emergency department bed status, hospital
, and ambulance resources.
Why would you radio base? For Advice OR for protocols w/meds? - Answer Advice
You give POLST pt. morphine for pain: do you transport, make them AMA, Must be
transported - Answer Make base contact to get an order for morphine
Get AMA—Ref. 834 Policy Section I.C
When base hospital contact is made, contact should be made prior to the patient leaving
the scene. The base hospital shall be informed by the paramedics of all the
circumstances including care, transportation, reasons for refusal, and the patient's plan
for follow-‐up care.
Ref. 815 Policy Section II.C.4.b
Treat the patient for pain, dyspnea, major hemorrhage, or other medical conditions
(includes medication by any route
Do NOT transport to hospital for medical interventions. Transport only if comfort needs
cannot be met in current location
Indications for morphine?-Answer Ref 1248
Burn Injury refer to Ref 1271
Isolated extremity injury and other trauma refer to Ref 1275
For chest pain refer to Ref 1244
For pregnant patient >20 weeks refer to Ref 1281
For other non-traumatic pain, including non-traumatic abdominal pain consider
Adult: 2-‐12 mg SIVP, titrate to pain relief, may repeat every 5 minutes, maximum adult
dose 20 mg
Pediatric: 0.1 mg/kg SIVP, see Color Code Drug Doses/LACo Kids, DO NOT repeat dose,
maximum pediatric dose 4 mg
Absolute contraindications: ALOC, RR less than 12, hypersensitivity/allergy
28-‐year-‐old pt in active labor complaining of vaginal bleeding goes to? - Answer Ref.
511 Policy I - Transport to the most accessible perinatal center
