MICN LA COUNTY FINAL EXAM ACTUAL EXAM 2026
| ALL QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | GRADED A+ | BRAND NEW
VERSION
What type of patient would have emergency field decontamination? ---
------CORRECT ANSWER-----------------Chemical contamination
When can you treat prior to decontamination? ---------CORRECT
ANSWER-----------------Radiation or life threatening injury
Stroke patient with a + mLAPSS and LKWT within 24 hours goes where?
---------CORRECT ANSWER-----------------PSC
Patient with a LAMS 3 or less goes where? ---------CORRECT ANSWER----
-------------Closest stroke center- PSC or CSC
Patient with LAMS 4 or higher goes where? ---------CORRECT ANSWER---
--------------CSC (if >30 minutes, then PSC as second choice)
,Reference 814 ---------CORRECT ANSWER-----------------Determine death
in the field IF absence of respirations, cardiac activity, neurological
reflexes AND one of the following: decapitation, massive crush injury,
penetrating or blunt injury with evisceration of heart, lung, or brain,
decomposition, incineration, pulseless not breathing with extrication
>15 minutes, penetrating trauma found pulseless with no organized
EKG activity, pulseless nonbreathing with multiple victims and
insufficient medical resources, drowning with submersion >1 hour,
rigor mortis, lividity
When do you do 20 minutes of CPR? ---------CORRECT ANSWER------------
-----18 y.o and up, arrest not witnessed by EMS, no shockable rhythm,
no ROSC, no hypothermia
Can a physician on scene give EMS orders? ---------CORRECT ANSWER----
-------------Not unless an approved EMS physician. If it is a good
Samaritan, direction must come from base!
ROSC obtained on scene- when and where do we transport? ---------
CORRECT ANSWER-----------------After 5 minutes- to SRC
, Do we transport medical cardiac arrests? ---------CORRECT ANSWER------
-----------No- only penetrating traumatic! Best thing for medical cardiac
arrest is high quality CPR with minimal interruptions. Cant do that in
the ambulance/transporting.
Treatment post ROSC with cardiogenic shock? ---------CORRECT
ANSWER-----------------If SBP <90 NS 1L and push dose epi if no response
after 250ml NS
What is the first priority for a cardiac arrest patient? ---------CORRECT
ANSWER-----------------CPR!
What is the preferred advanced airway for cardiac arrest patients? ------
---CORRECT ANSWER-----------------SGA/iGel- do not have interrupt CPR
to place and can monitor capnography throughout
Normal ETCO2 during CPR? ---------CORRECT ANSWER----------------->10
with box shaped waveforms
An increase in ETCO2= ROSC
| ALL QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | GRADED A+ | BRAND NEW
VERSION
What type of patient would have emergency field decontamination? ---
------CORRECT ANSWER-----------------Chemical contamination
When can you treat prior to decontamination? ---------CORRECT
ANSWER-----------------Radiation or life threatening injury
Stroke patient with a + mLAPSS and LKWT within 24 hours goes where?
---------CORRECT ANSWER-----------------PSC
Patient with a LAMS 3 or less goes where? ---------CORRECT ANSWER----
-------------Closest stroke center- PSC or CSC
Patient with LAMS 4 or higher goes where? ---------CORRECT ANSWER---
--------------CSC (if >30 minutes, then PSC as second choice)
,Reference 814 ---------CORRECT ANSWER-----------------Determine death
in the field IF absence of respirations, cardiac activity, neurological
reflexes AND one of the following: decapitation, massive crush injury,
penetrating or blunt injury with evisceration of heart, lung, or brain,
decomposition, incineration, pulseless not breathing with extrication
>15 minutes, penetrating trauma found pulseless with no organized
EKG activity, pulseless nonbreathing with multiple victims and
insufficient medical resources, drowning with submersion >1 hour,
rigor mortis, lividity
When do you do 20 minutes of CPR? ---------CORRECT ANSWER------------
-----18 y.o and up, arrest not witnessed by EMS, no shockable rhythm,
no ROSC, no hypothermia
Can a physician on scene give EMS orders? ---------CORRECT ANSWER----
-------------Not unless an approved EMS physician. If it is a good
Samaritan, direction must come from base!
ROSC obtained on scene- when and where do we transport? ---------
CORRECT ANSWER-----------------After 5 minutes- to SRC
, Do we transport medical cardiac arrests? ---------CORRECT ANSWER------
-----------No- only penetrating traumatic! Best thing for medical cardiac
arrest is high quality CPR with minimal interruptions. Cant do that in
the ambulance/transporting.
Treatment post ROSC with cardiogenic shock? ---------CORRECT
ANSWER-----------------If SBP <90 NS 1L and push dose epi if no response
after 250ml NS
What is the first priority for a cardiac arrest patient? ---------CORRECT
ANSWER-----------------CPR!
What is the preferred advanced airway for cardiac arrest patients? ------
---CORRECT ANSWER-----------------SGA/iGel- do not have interrupt CPR
to place and can monitor capnography throughout
Normal ETCO2 during CPR? ---------CORRECT ANSWER----------------->10
with box shaped waveforms
An increase in ETCO2= ROSC
