2024-2025 LA County Protocols Practice Exam with Answers (113 Solved Questions)

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LACountyProtocols100%VERIFIED ANSWERS2024/2025 CORRECTRef. 304 Purpose of base hospitalBase hospital is ?responsible for providing medical direction and destination to pre-hospital carepersonnel within LA County EMS system according to standard procedures consistentwith statewide guidelinesRef. 304 Purpose of base hospitalMICN is what?registered nurse who has been authorized by the medical director, qualified to provideprehospital advanced life support or to issue instructions to EMS personnel within LACountyRef. 304 Purpose of base hospitalbase hospital shall:1. Be lic. by CA state dept. of public health2.special permit for basic or comprehensive emergency service3. Be accredited , deemed acceptable for Medicare and Medicaid4.Meet or exceed standards for PEDS unless exempted5. Have a written contractual agreement with EMS agency6. Implement and monitor LA County policies

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**7. Designate a base hospital medical director who shall be responsible of thebase hospital. base hospital medical director shall be a physician on thehospital*****and a lot of more shit to rememberRef. 408 ALS Unit StaffingALL ALS units shallboth public and privateshall be staffedat least two state licensed paramedics accredited in Los AngelesCountyRef. 409Procedure for reporting ALS unit staffing exceptions1. Complete a report for each calendar month where an ALS unit operates with lessthan the minimum staff.2. the report must be submitted no later than 10 days after the close of the calendarmonth to DHSRef. 502 Patient DestinationMAR defined asthe most accessible receiving (MAR) may or may not be the closest facilitygeographically.consider traffic, weather conditions,that may influence transport timeRef. 502 Patient Destinationpts. shall not be transported ?pt. shall not be transported to a medical facility that is on diversion due to internaldisaster

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Ref. 502 Patient DestinationPt. should be transported to the MAR unless1. The base hospital determines that another facility is more appropriate to meet theneeds of the pt. or2. the patient meets criteria or guidelines to a specialty care centerRef. 503 Guidelines for hospital requesting Diversion of ALS Pt.ALSpt. defined asALS patient is any patient who requires paramedic assessment or intervention,including not limited to patient meeting the criteria outlined in ref. 808Ref. 503 Guidelines for hospital requesting diversionwho is responsible maintaining ReddiNetReceiving hospital are responsible for maintaining and updating ReddiNetRef. 503 Guidelines for hospital requesting diversionED Saturation defined asED resources( beds, equipment and staff) are fully committed orare not sufficient tocare for addtl incoming ALS patients. hospitals may request ED diversion via theReddiNet for up to one hour at a time. at the end of the hour Reddinet will automaticallyre-open the hospitalonly one hour incrementsRef. 503 guidelines for hospital requesting diversionCT Scanner

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hospital is unable to provide essential diagnostic procedures due to lack of a functioningCT scannerRef. 503 guidelines for hospital requesting diversiontrauma centers requesting diversionhospital is unable to care for additional trauma patients because trauma team is fullycommitted caring for trauma patientsa. critical equipment unavailableb. operating room unavailablec. trauma team encumberedRef. 503 guidelines for hospital requesting diversionPediatric Medical Center (PMC)diversion may be requested only when critical equipment essential to definitivediagnosis or treatment of critical medical pediatric patients is unavailablelack of available PICU beds alone is not sufficient cause to requestPMC DiversionRef. 503 guidelines hospital requesting diversionSTEMIdiversion may be requested only when all cardiac cath labs are fully encumbered caringfor STEMI pt.ED sat. not sufficient cause to request SRC diversionRef. 503 guidelines hospitalrequesting diversionInternal Disaster defined asHospital must request diversion to MAC by phone1. power outage2. critical infrastructure or systems

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3. fire4. bomb threat/explosion5. flooding6. water disruption/contamination7. hazmatRef 506 traumatriagetransport of hypotensive pt.do not delay transport of hypotensive patients with penetrating torso trauma in order toapply spinal immobilizationRef 506 trauma triagetransport of hypotensive pt. by an 800EMT personnel may immediately transport hypotensive patients with life threatening,penetrating injuries to the torso to the closest trauma center, not the MAR, whentransport time is less than the estimated time of paramedic arrival. the transporting unitshould make every effort to contact the receiving trauma centerRef 506 trauma triagePt. in blunt arrest shall be transported when?Patients in blunt traumatic full arrest, not meeting 814, should be transported to themost accessible medical facility appropriate to their needsRef 506 trauma triagepatients who fall into one or more of the following are to be transport to traumacenter, if transport time doesnt exceed 30 mins1. Systolic BP below 90 mmHg, or less than 70 1 year old or younger2. RR greater than 29/min, less than 10/minless than20/min in infants requiring ventilation support3.cardiopulmonary arrest with penetrating torso, unless found to meet 8144. all penetrating injuries to head, neck, torso, and extremities proximal to the elbow or

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knee5. blunt head injury associated withsuspected skull fracture, ALOC, GCS<14, seizures,unequal pupils, or neuro deficitRef 506 trauma triagepatients who fall into one or more of the following are to be transported to atrauma center6. injury to spine, with acute sensory or motor deficit7.fail chest8. diffuse abd. tenderness9. suspected pelvic fracture10. extremity injury: crushed, degloved, mangeld, amputation proximal to wrist or ankle,fractures of two or more long bonesRef. 506 trauma triagepatients who fall one or more of the following are to be transported to traumacenter11. falls: adult >15 ft. Peds >10ft or 3 times the height of kid12. passenger space intrusion >12 inches occupied space13. ejected from vehicle partial or complete14. auto vs. ped/bike thrown, run over, or over 20 mph15. unenclosed transport crash with significant over 20 mphRef 506 Guidelinestrauma triage1. Passenger space intrusion 18 inches into any unoccupied space2. auto vs. ped/bike impact equal or less than 20 mph3. injured victims of vehicular crashes in which a fatality occurred same vehicle4. pt. requiring extrication5. vehicle of high risk injury6. injured pts. on anticoagulation or bleeding disorders

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Ref506 Trauma triagespecial considerations1. adults over 552. Systolic BP less than 110 mmHg may represent shock after 653. Prego over 20 weeks4. Prehospital judgmentRef 506 trauma triageExtremis Patientsrequire immediate transport to MAR1. Patientswith an obstructed airway2. Patients, as determined by the base hospital personnel, whose lives would bejeopardized by transportation to any destination but the MARRef. 508 sexual assaultSART Centera lic. general acute care hospital, lic. ER or a hospital sponsored program clinic that hasmet the specific requirements, approved by LA County to receive patients who arevictims of sexual assaultRef.508 sexual assaultPolicy1. Sexual assault pt. who deny physical injuries and who do not meet base hospitalcontact and transport criteria may be released at the scene to PD for follow up2. Every effort should be made to transport sexual assault patients. who meet basehospital contact and transport criteria to the MAR that has been designated SARTCenterRef 510 PEDS Pt. DestinationPEDS Age?

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children 14 years or youngerRef 510 PEDS Pt. DestinationEDAP?ER that has been approved to receive 9-1-1 patientsRef 510 PEDS Pt. DestinationPMCPediatric Medical Centeracute care hospital that can receive critically ill 9-1-1 peds.Ref 510 PEDS Pt. DestinationPTCPediatric Trauma Centeracute care hospital that can receive critically injured 9-1-1 peds.Ref 510 PEDS Pt. DestinationGuidelines for transporting to EDAP, PMC, PTC, or trauma canter1. Patients who require transport and don't meet guidelines for transport to a PMC andPTC shall be transported to EDAP2. BLS units shall call for an ALS unit or transport PEDS to the most accessible EDAPRef 510 PEDS Pt. DestinationPatients meeting medical guidelines for transport to a PMC?1. Shall be transported to the most accessible PMC if ground transport is 30 mins. orless2. If transport to a PMC is greater than 30 mins, transport to most accessible EDAPRef 510 PEDS Pt. DestinationPatients meeting trauma criteria / guidelines for transport to PTC

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