LA County Protocol Study Guide Latest Exam Questions
and Answers.
Which of the following is an acceptable reason for a hospital to divert ALS unit?
(503)
A. internal disaster
B. workers action
C. non-operable MRI - ANS Internal disaster
What is an acceptable reason for a hospital to divert BLS units? (502) - ANS BLS
units transport to MAR regardless of diversion status with the exception of internal
disaster.
At what point should a paramedic report abuse of a dependent adult or child? - ANS
When there is reasonable suspicion that the abuse has occurred.
You are transporting a patient with a gunshot wound to the abdomen, your pt. goes
into cardiac arrest during the transport. What facility would you transport this patient
to? (506) - ANS Trauma Center
What is the most accurate description of a MAR? - ANS The facility most appropriate
to suite the patients' needs and chief complaint.
What must you assess in order to pronounce a death in the field? (814) - ANS
assess apical pulse for 60 seconds
What is required to function as a paramedic or MICN in La County (1006) - ANS
Employed with an approved LA county provider and possess a current CA state
license?
Which of the following may request discontinuation of resuscitation efforts for a
pediatric patient in full arrest? (815) - ANS Parent or Guardian
11 year old female at a park with small laceration to the left hand, there is no
bleeding and ALS treatment/transport is not required. What do you do? - ANS
Release patient to self
What is 2pam used in conjunction with? - ANS Atropine
What is 2pam used for? - ANS Nerve agents
Who has ultimate say in patient destination? - ANS Base hospital
Where do you perform needle T? - ANS Mid-clavicle second intercostal space.
What is not a trauma guideline? - ANS Physiology of helicopter/Air transport/altitude
Which are not appropriate means of pain management? - ANS Rapid transport
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, Which of the following requires base contact?
A. 82 year old female with a possible hip fracture
B. 26 year old male complaining of pleurisy chest pain
C. 31 year old female complaining of vaginal bleeding. - ANS Chest pain must make
base contact
You are treating a patient with V-teach when they suddenly become unresponsive,
what treatment can you administer? - ANS Synchronized cardio version
What treatment would you administer first for a patient with respiratory distress with
a cardiac origin?
A. albuterol
B. nitro
C. CPAP - ANS Nitro
What is considered a pediatric in LA County? - ANS 14 and younger
Penetrating injuries meeting trauma criteria per (506) - ANS In-between the
midclavicular lines
You are assessing a pt. and notice unilateral adventitious (Riles) lung sounds, what
would you expect? - ANS Pneumonia
You are treating a patient who was actively seizing and is now postictal, what should
you do? - ANS Contact base
Your pt. meets medical guidelines and requires treatment, however the patient is
refusing ALS assessment, treatment, and transport. What do you do? - ANS Contact
base. (Prior to releasing any pt. AMA you must contact base)
What pt. criteria requires transport to a hospital regardless of chief complaint? - ANS
Pediatrics 12 months and younger
Your pt. is a pediatric with swollen vocal chords, what treatment do you administer? -
ANS 5mg 1:1000 nebulized EPI if over 1yo
If under 1yo 2.5 mg
You are treating a hospice patient with morphine, what is required? - ANS Pt. must
sign AMA
You are treating a patient on scene in full arrest. At what point should you transport?
- ANS After ROSC is achieved
If a patient needs a copy of their EMS report, where would they be able to get it? -
ANS EMS provider
What is not a barrier to pain? - ANS Time of day
What must you acquire after you achieve ROSC? (1210) - ANS 12 Lead
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and Answers.
Which of the following is an acceptable reason for a hospital to divert ALS unit?
(503)
A. internal disaster
B. workers action
C. non-operable MRI - ANS Internal disaster
What is an acceptable reason for a hospital to divert BLS units? (502) - ANS BLS
units transport to MAR regardless of diversion status with the exception of internal
disaster.
At what point should a paramedic report abuse of a dependent adult or child? - ANS
When there is reasonable suspicion that the abuse has occurred.
You are transporting a patient with a gunshot wound to the abdomen, your pt. goes
into cardiac arrest during the transport. What facility would you transport this patient
to? (506) - ANS Trauma Center
What is the most accurate description of a MAR? - ANS The facility most appropriate
to suite the patients' needs and chief complaint.
What must you assess in order to pronounce a death in the field? (814) - ANS
assess apical pulse for 60 seconds
What is required to function as a paramedic or MICN in La County (1006) - ANS
Employed with an approved LA county provider and possess a current CA state
license?
Which of the following may request discontinuation of resuscitation efforts for a
pediatric patient in full arrest? (815) - ANS Parent or Guardian
11 year old female at a park with small laceration to the left hand, there is no
bleeding and ALS treatment/transport is not required. What do you do? - ANS
Release patient to self
What is 2pam used in conjunction with? - ANS Atropine
What is 2pam used for? - ANS Nerve agents
Who has ultimate say in patient destination? - ANS Base hospital
Where do you perform needle T? - ANS Mid-clavicle second intercostal space.
What is not a trauma guideline? - ANS Physiology of helicopter/Air transport/altitude
Which are not appropriate means of pain management? - ANS Rapid transport
Page 1|6
, Which of the following requires base contact?
A. 82 year old female with a possible hip fracture
B. 26 year old male complaining of pleurisy chest pain
C. 31 year old female complaining of vaginal bleeding. - ANS Chest pain must make
base contact
You are treating a patient with V-teach when they suddenly become unresponsive,
what treatment can you administer? - ANS Synchronized cardio version
What treatment would you administer first for a patient with respiratory distress with
a cardiac origin?
A. albuterol
B. nitro
C. CPAP - ANS Nitro
What is considered a pediatric in LA County? - ANS 14 and younger
Penetrating injuries meeting trauma criteria per (506) - ANS In-between the
midclavicular lines
You are assessing a pt. and notice unilateral adventitious (Riles) lung sounds, what
would you expect? - ANS Pneumonia
You are treating a patient who was actively seizing and is now postictal, what should
you do? - ANS Contact base
Your pt. meets medical guidelines and requires treatment, however the patient is
refusing ALS assessment, treatment, and transport. What do you do? - ANS Contact
base. (Prior to releasing any pt. AMA you must contact base)
What pt. criteria requires transport to a hospital regardless of chief complaint? - ANS
Pediatrics 12 months and younger
Your pt. is a pediatric with swollen vocal chords, what treatment do you administer? -
ANS 5mg 1:1000 nebulized EPI if over 1yo
If under 1yo 2.5 mg
You are treating a hospice patient with morphine, what is required? - ANS Pt. must
sign AMA
You are treating a patient on scene in full arrest. At what point should you transport?
- ANS After ROSC is achieved
If a patient needs a copy of their EMS report, where would they be able to get it? -
ANS EMS provider
What is not a barrier to pain? - ANS Time of day
What must you acquire after you achieve ROSC? (1210) - ANS 12 Lead
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