la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
LA COUNTY TEST
1. Patient dies in prone position, accidental or homicide?: Accidental
2. Why can't you transport prone?: Positional Asphyxia
3. A peds Pt is what age?: < 14 YO
4. When is the DuoDote (Atropine + 2- Pam) indicated:?Ref. 1225 - Nerve Agent
Exposure
DuoDote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
Atropine for organophosphate poisonin
5. What advanced airways are LA County approved?: Ref. LACo Study
Guide—Difficult Airway Mangagement (ppt)
How many attempts?—LACo allows THREEE attempts at advanced airway inser-
tion:
Insert ETT
Try again AFTER changing something
Insert King Airway OR continue BVM
Answer: ETT and King LTD- S NOT Combitube
1 of 37 11/28/2024, 8:04
,la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
6. Which pediatric does NOT go to the EDAP?: The auto vs. ped (PTC) Ref.506
7. Pt wants a run copy, can you give them one if not where can they get
one?: 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
8. Medical full arrest goes to what facility?: MARIf
ROSC/STEMI transport to SRC
Ref. 502 VI D states that patients 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 who have progressed in cardiopulmonary arrest while en routeand
had a pre-arrest STEMI go to SRC
9. Base has final say in pt. destination.: 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."
10. What abuse is mandatory to report?: Ref. 508 - Sexual Assault Patient Des-
2 of 37 11/28/2024, 8:04
,la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
tination
Ref. 822 - Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823 - Elder Abuse and Dependent Adult Abuse Reporting GuidelinesDrug
abuse is the only type of abuse that is NOT mandatory to report
3 of 37 11/28/2024, 8:04
,la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
Ref. 823 Policy I.C—The reporter reasonably suspects abuse, neglect, or self- ne-
glect. *Report abuse—need suspicion only
11. MAC should be called because? Possibly because they can come up withpt.
destinations for all of the ones involved?: Ref. 519 Management of Multiple
Causality Incidents
Principle 6—MAC is equipped to communicate with multiple receiving facilities
simultaneously and can rapidly assess system wide emergency department bed
status, hospital and ambulance resources.
12. Why should you make base contact? Advice OR protocols with meds?: -
Advice
13. You give POLST pt. morphine for pain: do you transport, make them AMA,
Must be transported: Make base contact to get an order for morphine
Obtain AMA—Ref. 834 Policy Section I.C
When base hospital contact is made, contact should be made prior to the patient leaving
the scene. Paramedics shall advise the base hospital 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
4 of 37 11/28/2024, 8:04
LA COUNTY TEST
1. Patient dies in prone position, accidental or homicide?: Accidental
2. Why can't you transport prone?: Positional Asphyxia
3. A peds Pt is what age?: < 14 YO
4. When is the DuoDote (Atropine + 2- Pam) indicated:?Ref. 1225 - Nerve Agent
Exposure
DuoDote ONLY for nerve agents
Ref. 1233 - Organophosphate Emergency
Atropine for organophosphate poisonin
5. What advanced airways are LA County approved?: Ref. LACo Study
Guide—Difficult Airway Mangagement (ppt)
How many attempts?—LACo allows THREEE attempts at advanced airway inser-
tion:
Insert ETT
Try again AFTER changing something
Insert King Airway OR continue BVM
Answer: ETT and King LTD- S NOT Combitube
1 of 37 11/28/2024, 8:04
,la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
6. Which pediatric does NOT go to the EDAP?: The auto vs. ped (PTC) Ref.506
7. Pt wants a run copy, can you give them one if not where can they get
one?: 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
8. Medical full arrest goes to what facility?: MARIf
ROSC/STEMI transport to SRC
Ref. 502 VI D states that patients 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 who have progressed in cardiopulmonary arrest while en routeand
had a pre-arrest STEMI go to SRC
9. Base has final say in pt. destination.: 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."
10. What abuse is mandatory to report?: Ref. 508 - Sexual Assault Patient Des-
2 of 37 11/28/2024, 8:04
,la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
tination
Ref. 822 - Suspected Child Abuse/Neglect Reporting Guidelines
Ref. 823 - Elder Abuse and Dependent Adult Abuse Reporting GuidelinesDrug
abuse is the only type of abuse that is NOT mandatory to report
3 of 37 11/28/2024, 8:04
,la county test.pdf file:///C:/Users/HP/Desktop/New%20folder/la%20county%20test
Ref. 823 Policy I.C—The reporter reasonably suspects abuse, neglect, or self- ne-
glect. *Report abuse—need suspicion only
11. MAC should be called because? Possibly because they can come up withpt.
destinations for all of the ones involved?: Ref. 519 Management of Multiple
Causality Incidents
Principle 6—MAC is equipped to communicate with multiple receiving facilities
simultaneously and can rapidly assess system wide emergency department bed
status, hospital and ambulance resources.
12. Why should you make base contact? Advice OR protocols with meds?: -
Advice
13. You give POLST pt. morphine for pain: do you transport, make them AMA,
Must be transported: Make base contact to get an order for morphine
Obtain AMA—Ref. 834 Policy Section I.C
When base hospital contact is made, contact should be made prior to the patient leaving
the scene. Paramedics shall advise the base hospital 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
4 of 37 11/28/2024, 8:04
