MICN LA County Final EXAM TEST WITH LATEST
UPDATED (QUESTIONS AND ANSWERS) already
passed!!
How long does ALS and SRC diversion last? - (ANSWER)ALS=120, SRC=180
APOT standard - (ANSWER)Patients are offloaded from EMS within 30 minutes
90% of the time
Where does an extremis patient get transported to? - (ANSWER)MAR
Criteria for 911 Re-triage - (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 constitutes a STEMI? - (ANSWER)1mm or more of ST elevation in 2 or more
contiguous leads
*Activate cath lab if >2mm
Where does a patient with decompression emergency go? - (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
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
SGA/iGEL considerations - (ANSWER)Advanced airway but unsecure, Good for
any age!
What is a secured airway? - (ANSWER)ETT
and protected airway
Indications for ETT - (ANSWER)>12 and off Broselow
UPDATED (QUESTIONS AND ANSWERS) already
passed!!
How long does ALS and SRC diversion last? - (ANSWER)ALS=120, SRC=180
APOT standard - (ANSWER)Patients are offloaded from EMS within 30 minutes
90% of the time
Where does an extremis patient get transported to? - (ANSWER)MAR
Criteria for 911 Re-triage - (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 constitutes a STEMI? - (ANSWER)1mm or more of ST elevation in 2 or more
contiguous leads
*Activate cath lab if >2mm
Where does a patient with decompression emergency go? - (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
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
SGA/iGEL considerations - (ANSWER)Advanced airway but unsecure, Good for
any age!
What is a secured airway? - (ANSWER)ETT
and protected airway
Indications for ETT - (ANSWER)>12 and off Broselow
