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Exam (elaborations)

LA County Test Questions And Accurate Answers (A+ Graded)

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LA County Test Questions And Accurate Answers (A+ Graded)...

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  • October 26, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • la county
  • la county test
  • LA County
  • LA County
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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

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