MICN LA County Final Exam – Questions & Answers How long does ALS and SRC diversion last? Correct Ans - ALS=120,
SRC=180
APOT standard Correct Ans - Patients are offloaded from EMS within 30 minutes 90% of the time Where does an extremis patient get transported to? Correct Ans - MAR Criteria for 911 Re-triage Correct Ans - 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? Correct Ans - 15 minutes What is the maximum transport time for SRC? Correct Ans - 30 minutes What is the maximum transport time for SART center? Correct Ans - Not defined What is the maximum transport time for facility by patient request?Correct Ans - Not defined What happens if an ETA is beyond the maximum allowable transport time?Correct Ans - MAR BRUE Correct Ans - <12 months WITH irregular breathing, color change, chanf in muscle tone, or ALOC BRUE treatment Correct Ans - Airway, cardiac monitor, IV, 20ml/kg NS if poor perfusion, if persistent push dose epi 1 / 2
Who goes to PMC? Correct Ans - 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? Correct Ans
- EDAP
Would go to PMC if respiratory distress/cyanotic Who goes to Perinatal Center? Correct Ans - 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? Correct Ans - SRC if w/in 30 minutes.If >30 minutes then to the MAR What constitutes a STEMI? Correct Ans - 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? Correct Ans - *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 Correct Ans - COPD 88-92% Regular 94-98% Indications for high flow O2 Correct Ans - Respiratory or cardiac arrest, shock, TBI, Carbon monoxide poisoning, pneumo, hypoxia <94% not corrected with NC or simple mask SGA/iGEL considerations Correct Ans - Advanced airway but unsecure, Good for any age!What is a secured airway? Correct Ans - ETT and protected airway
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