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MICN LA County Final Exam Questions and Answers
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MICN LA County Final Exam Questions and Answers
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MICN LA County Final Exam Questions and AnswersHow 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
Note: max 3 attempts! Then SGA
Pulse oximetry measures what? Capnography measures what? - Answer -
Oxygenation/Ventilation
When is capnography required - Answer -When a patient is started on positive airway pressure USE RARF
Respiratory distress treatment - Answer -Give albuterol 5mg neb (may repeat x2) if not working- give epi 1mg/ml 0.5mg IM!
What type of patient would have emergency field decontamination? - Answer -Chemical
contamination
When can you treat prior to decontamination? - Answer -Radiation or life threatening injury
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