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Exam (elaborations)

LA County Accreditation Test

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what is an acceptable reason for a hospital to divert an ALS unit? Internal disaster Which of the following reason for a hospital to divert a BLS unit? BLS units transport to a MAR REGARDLESS of diversion status with the exception of internal disaster When should a paramedic report abuse of a dependent adult or child? when there is reasonable SUSPICION that abuse has occurred transporting a pt with a gunshot wound to the abdomen, your patient goes into CARDIAC ARREST DURING the transport. where do you transport? Trauma Center what is the most accurate description of a MAR? facility MOST appropriate to suite the patients' needs and chief complaint what must you assess in order to pronounce death in the field? apical pulse for 60 seconds what is required to function as a paramedic or MICN in LA county? 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? parent or guardian 11 year old female at a park with a small laceration to the left hand, there is NO bleeding and ALS treatment/transport is not required. what do you do? release patient to self what is 2PAM used in conjunction with? Atropine What is 2PAM used for? Nerve agents what has ultimate say in patient destination? the assigned base hospital has ultimate say on pt destination where do you perform needle T? midclavicular 2nd intercostal ABOVE THE THIRD RIB what is not a trauma guideline? physiology of helicopter/air transport/ altitude which is not appropriate means of pain management? rapid transport which of the following requires base contact? 26-year-old complaining of pleuritic chest pain treating a pt with VTACH when they suddenly become unresponsive, what treatment can you administer? synchronized cardioversion what treatment would you administer FIRST for a pt with respiratory distress with a cardiac origin? nitroglycerin what is considered a pediatric in LA county? 14 years and younger pediatric injuries meeting trauma criteria per 506 in between midclavicular lines you are assessing a patient and note unilateral adventitious (rales) lung sounds, what would you suspect? pneumonia you are transporting a pt who was actively seizing and is now postictal, what should you do? contact base your pt meets medical guidelines and REQUIRES transport, however the pt is refusing ALS assessment, treatment, and transport. what do you do? contact base what pt requires transport to a hospital regardless of chief complaint? pediatric 12 months and younger your pt is a pediatric with swollen vocal cords, what treatment do you administer? 5mg:1:1000 nebulized (if over 1 year old) 2.5mg HHN less than 1 year EPI you are treating a hospice pt with morphine, what is required? patient must sign AMA

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Institution
LA County Accreditation
Course
LA County Accreditation

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LA County Accreditation Test
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whatuiisuianuiacceptableuireasonuiforuiauihospitaluitouidivertuianuiALSuiunit?Internaluidisaster
WhichuiofuitheuifollowinguireasonuiforuiauihospitaluitouidivertuiauiBLSuiunit?
BLSuiunitsuitransportuitouiauiMARuiREGARDLESSuiofuidiversionuistatusuiwithuitheuiexceptionuio
fuiinternaluidisaster
Whenuishoulduiauiparamedicuireportuiabuseuiofuiauidependentuiadultuioruichild?
whenuithereuiisuireasonableuiSUSPICIONuithatuiabuseuihasuioccurred
transportinguiauiptuiwithuiauigunshotuiwounduitouitheuiabdomen,uiyouruipatientuigoesuiintouiCARDIACuiAR
RESTuiDURINGuitheuitransport.
whereuidouiyouuitransport? TraumauiCenter
whatuiisuitheuimostuiaccurateuidescriptionuiofuiauiMAR?
facilityuiMOSTuiappropriateuitouisuiteuitheuipatients'uineedsuianduichiefuicomplaint
whatuimustuiyouuiassessuiinuiorderuitouipronounceuideathuiinuitheuifield? apicaluipulseuiforui60uiseconds
whatuiisuirequireduitouifunctionuiasuiauiparamedicuioruiMICNuiinuiLAuicounty?
employeduiwithuianuiapproveduiLAuicountyuiprovideruianduipossessuiauicurrentuiCAuistateuilicense
whichuiofuitheuifollowinguimayuirequestuidiscontinuationuiofuiresuscitationuieffortsuiforuiauiPEDIATRICui
patientuiinuifulluiarrest? parentuioruiguardian
11uiyearuiolduifemaleuiatuiauiparkuiwithuiauismalluilacerationuitouitheuileftuihand,uithereuiisuiNOuibleedinguiandui
ALSuitreatment/transportuiisuinotuirequired.uiwhatuidouiyouuido? releaseuipatientuitouiself
whatuiisui2PAMuiuseduiinuiconjunctionuiwith? Atropine
Whatuiisui2PAMuiuseduifor? Nerveuiagents
whatuihasuiultimateuisayuiinuipatientuidestination?
theuiassigneduibaseuihospitaluihasuiultimateuisayuionuiptuidestination
whereuidouiyouuiperformuineedleuiT? midclavicularui2nduiintercostaluiABOVEuiTHEuiTHIRDuiRIB
whatuiisuinotuiauitraumauiguideline? physiologyuiofuihelicopter/airuitransport/uialtitude
whichuiisuinotuiappropriateuimeansuiofuipainuimanagement? rapiduitransport
whichuiofuitheuifollowinguirequiresuibaseuicontact?ui26-year-olduicomplaininguiofuipleuriticuichestuipain
treatinguiauiptuiwithuiVTACHuiwhenuitheyuisuddenlyuibecomeuiunresponsive,uiwhatuitreatmentuicanuiyouui
administer? synchronizeduicardioversion
whatuitreatmentuiwoulduiyouuiadministeruiFIRSTuiforuiauiptuiwithuirespiratoryuidistressuiwithuiauicardiacuior
igin? nitroglycerin
whatuiisuiconsidereduiauipediatricuiinuiLAuicounty? 14uiyearsuianduiyounger
pediatricuiinjuriesuimeetinguitraumauicriteriauiperui506 inuibetweenuimidclavicularuilines
youuiareuiassessinguiauipatientuianduinoteuiunilateraluiadventitiousui(rales)uilunguisounds,uiwhatuiwoulduiyo
uuisuspect? pneumonia
youuiareuitransportinguiauiptuiwhouiwasuiactivelyuiseizinguianduiisuinowuipostictal,uiwhatuishoulduiyouuido?
contactuibase
youruiptuimeetsuimedicaluiguidelinesuianduiREQUIRESuitransport,uihoweveruitheuiptuiisuirefusinguiALSuia
ssessment,uitreatment,uianduitransport.uiwhatuidouiyouuido? contactuibase
whatuiptuirequiresuitransportuitouiauihospitaluiregardlessuiofuichiefuicomplaint?
pediatricui12uimonthsuianduiyounger
youruiptuiisuiauipediatricuiwithuiswollenuivocaluicords,uiwhatuitreatmentuidouiyouuiadminister?
5mg:1:1000uinebulizedui(ifuioverui1uiyearuiold)ui2.5mguiHHNuilessuithanui1uiyearuiEPI
youuiareuitreatinguiauihospiceuiptuiwithuimorphine,uiwhatuiisuirequired? patientuimustuisignuiAMA
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