LA COUNTY ACCRED NEW
COMPLETELY SOLVED!!!
1. How should paramedics manage pain due to IO infusion - ANSWERLidocaine 2%
1. When performing TCP, after you get ROSC, Pt is still showing signs of poor perfusion
what should you do next? - ANSWERIncrease Rate by 10bpm
1. Paramedics respond to the home of an 86 yo male who sustained a mechanical fall
down a flight of stairs thirty minutes prior to your arrival. A contusion is noted to his
occipital no other visible trauma noted. 88/60, 112,12, 99%. GCS 345, changed from
baseline, how do you mange his BP? - ANSWERNS 1L rapid IV/IO infusion
When should treatment of suspected crush syndrome begin during management of an
entrapped patient - ANSWERASAP while victim entrapped
Destination policies in LA County consistently reinforced the basic concept that it is
always best to transport patients to a hospital based on which of the following factors -
ANSWERTo a hospital that specializes in treating their age group or provider
impression
1. You're managing a patient with the dystonic reaction and have made base contact.
The mar is on diversion due to ED SAT in addition to the diversion status of nearby
facilities what will determine the destination? - ANSWERdriving times including traffic
conditions
1. Why should resuscitation occur on scene for patients with nondramatic cardiac
arrest? - ANSWERROSC prior to transport improve chances for a good neurologic
outcome
1. Six-year-old in Cardiac arrest, patient's mother on scene request that you withhold
resuscitation due to terminal illness, how do you proceed? - ANSWERHonor the
mother's wishes and withhold resuscitation
1. When performing TCP, how should you confirm that both electrical and mechanical
capture has been achieved? - ANSWERconfirm a palpable pulse that correlates with
the rate set on the pacer
1. Where should you transfer 26-year-old male who has sustained second and third
degree burns to his face, neck, and chest? - ANSWERMAR 5 mins away
, 1. When a competent adult refuses indicated emergency treatment or transportation,
paramedics shall do which of the following actions? - ANSWERadvise the patient of
pertinent risks and consequences
1. 75 year old woman, ALOC, poor responsiveness which is a change from her normal
baseline mental status. Skin is hot to touch, she's tachycardic at 126, tachypneic 28,
200/70, 90% on RA, she has rales on her right lung exam only, GCS of 13 what is your
primary and secondary provider impression? - ANSWERSepsis - ALOC
1. Among the restraint methods authorized by LA County EMS protocols, what is the
safest way to restrain an agitated violent patient? - ANSWERMetal handcuffs
accompanied by police officer
1. What is the purpose of contacting the base hospital for medical direction? -
ANSWERTo receive guidance on patient management in the field
1. What is the correct anatomical location for needle thoracostomy? - ANSWERAnterior
Axillary 4th ICS or midclavicular 2nd ICS
1. 66-year-old male. History of diabetes, hypertension and heart problems. Patient is in
moderate respiratory distress with tachypnea and tachycardia. Wheezes in upper lung
fields and diminished breath sounds in lower. Lower extremity edema bilaterally to mid-
thigh, and JVD. What field treatment should you provide immediately to reduce the
patients likelihood of intubation at the hospital? - ANSWERCPAP
1. In a 56-year-old male you get ROSC, BP 68/38. NS 250ml is given, then RALES
heard bilaterally. BP now 72/40. What should be administered? - ANSWERPush- Dose-
EPI
1. What supraglottic airway is authorized in LA County for advanced airway
management? - ANSWERKing LT (S) - O
1. How many you use levels of exhaled CO2 capnography to assist you in the
resuscitation of a patient in cardiac arrest? - ANSWERThe sudden rise in the ETCO2
level indicates ROSC
1. 50-year-old male witnesses say complained of severe chest pain then collapsed.
Patient is now unresponsive and pulseless. You are concerned for STEMI when should
the first ECG be performed? - ANSWERAfter ROSC
1. What is the target SP02 patients with COPD? - ANSWER88-92%
1. What is the role of the MAC in an MCI - ANSWERTo provide destinations for all
patients
COMPLETELY SOLVED!!!
1. How should paramedics manage pain due to IO infusion - ANSWERLidocaine 2%
1. When performing TCP, after you get ROSC, Pt is still showing signs of poor perfusion
what should you do next? - ANSWERIncrease Rate by 10bpm
1. Paramedics respond to the home of an 86 yo male who sustained a mechanical fall
down a flight of stairs thirty minutes prior to your arrival. A contusion is noted to his
occipital no other visible trauma noted. 88/60, 112,12, 99%. GCS 345, changed from
baseline, how do you mange his BP? - ANSWERNS 1L rapid IV/IO infusion
When should treatment of suspected crush syndrome begin during management of an
entrapped patient - ANSWERASAP while victim entrapped
Destination policies in LA County consistently reinforced the basic concept that it is
always best to transport patients to a hospital based on which of the following factors -
ANSWERTo a hospital that specializes in treating their age group or provider
impression
1. You're managing a patient with the dystonic reaction and have made base contact.
The mar is on diversion due to ED SAT in addition to the diversion status of nearby
facilities what will determine the destination? - ANSWERdriving times including traffic
conditions
1. Why should resuscitation occur on scene for patients with nondramatic cardiac
arrest? - ANSWERROSC prior to transport improve chances for a good neurologic
outcome
1. Six-year-old in Cardiac arrest, patient's mother on scene request that you withhold
resuscitation due to terminal illness, how do you proceed? - ANSWERHonor the
mother's wishes and withhold resuscitation
1. When performing TCP, how should you confirm that both electrical and mechanical
capture has been achieved? - ANSWERconfirm a palpable pulse that correlates with
the rate set on the pacer
1. Where should you transfer 26-year-old male who has sustained second and third
degree burns to his face, neck, and chest? - ANSWERMAR 5 mins away
, 1. When a competent adult refuses indicated emergency treatment or transportation,
paramedics shall do which of the following actions? - ANSWERadvise the patient of
pertinent risks and consequences
1. 75 year old woman, ALOC, poor responsiveness which is a change from her normal
baseline mental status. Skin is hot to touch, she's tachycardic at 126, tachypneic 28,
200/70, 90% on RA, she has rales on her right lung exam only, GCS of 13 what is your
primary and secondary provider impression? - ANSWERSepsis - ALOC
1. Among the restraint methods authorized by LA County EMS protocols, what is the
safest way to restrain an agitated violent patient? - ANSWERMetal handcuffs
accompanied by police officer
1. What is the purpose of contacting the base hospital for medical direction? -
ANSWERTo receive guidance on patient management in the field
1. What is the correct anatomical location for needle thoracostomy? - ANSWERAnterior
Axillary 4th ICS or midclavicular 2nd ICS
1. 66-year-old male. History of diabetes, hypertension and heart problems. Patient is in
moderate respiratory distress with tachypnea and tachycardia. Wheezes in upper lung
fields and diminished breath sounds in lower. Lower extremity edema bilaterally to mid-
thigh, and JVD. What field treatment should you provide immediately to reduce the
patients likelihood of intubation at the hospital? - ANSWERCPAP
1. In a 56-year-old male you get ROSC, BP 68/38. NS 250ml is given, then RALES
heard bilaterally. BP now 72/40. What should be administered? - ANSWERPush- Dose-
EPI
1. What supraglottic airway is authorized in LA County for advanced airway
management? - ANSWERKing LT (S) - O
1. How many you use levels of exhaled CO2 capnography to assist you in the
resuscitation of a patient in cardiac arrest? - ANSWERThe sudden rise in the ETCO2
level indicates ROSC
1. 50-year-old male witnesses say complained of severe chest pain then collapsed.
Patient is now unresponsive and pulseless. You are concerned for STEMI when should
the first ECG be performed? - ANSWERAfter ROSC
1. What is the target SP02 patients with COPD? - ANSWER88-92%
1. What is the role of the MAC in an MCI - ANSWERTo provide destinations for all
patients
