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LA County Accred New
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LA County Accred New 2024-20251. How would you as a paramedic manage pain due to IO infusion - Answer Lidocaine 2%
1. On a patient receiving TCP, after you get ROSC, Pt is still showing signs of poor
perfusion what do you do next? - Answer Increase Rate by 10bpm
1. Paramedics are called to the home of an 86 yo male who had a mechanical fall down a
flight of stairs thirty minutes prior to your arrival. A contusion is noted to his occipital no
other visible trauma noted. 88/60, 112,12, 99%. GCS 345, changed from baseline, how
do you mange his BP? -Answer NS 1L rapid IV/IO infusion
When should treatment of suspected crush syndrome begin during management of an
entrapped patient - Answer ASAP while victim entrapped
Destination policies in LA County consistently reinforced the basic concept that it is
always best to transport patients to a hospital based on which of the following factors -
Answer To a hospital that specializes in treating their age group or provider impression
1. You are transporting a patient for the dystonic reaction and have made initial contact.
The mar is on diversion due to ED SAT in addition to the diversion status of nearby
facilities what will determine the destination? - Answer driving times including traffic
conditions
1. Why should resuscitation occur on scene for patients with nondramatic cardiac
arrest? - Answer ROSC prior to transport improve chances for a good neurologic
outcome
1. Cardiac arrest Six year old, mother on scene requests that you withhold resuscitation
due to a terminal illness, how do you proceed? - Answer Honor the mother's request and
withhold resuscitation
, 1. During a TCP how do you verify that electrical and mechanical capture has occurred?
-Answer Confirm a palpable pulse that correlates with the rate set on the pacer
TC High speed involving a nine month old patient being strained in the car seat, patient
appears normal with normal vital signs, how should you SMR? v - Answer immobilize the
patient in the car seat
1. 52-yr-old female compliant of shortness of breath productive cough. She is awake and
alert 154/88, 98, R22 with decreased TV. Lungs revealed rhonchi, what is the best
provider impression? - Answer Resp Distress / Bronchospasm
1. A 13 month old 10 kg, had a seizure at home. What amount of midazolam are you able
to administer before contacting base? - Answer 2.0 mg
1. 46YOM, Fall ground lvl, laceration to forehead. Bleeding well controlled, suspect
ETOH, pt unable to name or state location, where would you transport this pt.? - Answer
nearest trauma center ETA 25 minutes
1. To where would you transport a six-year-old male struck by a car traveling 30 mph?
-Answer Closest PTC
1. What is your role in suspected child abuse? - Answer You are legally obligated to
report suspected child abuse as quickly as possible with a verbal report to a child
protective service agency
You are called to the school and find an unidentified child, lying unconscious on
playground after a fall, under what circumstances can you begin providing care for the
child? - Answer You can immediately provide care without consent to treat
1. You are assessing a 2yo M for irritability. Parents state that he has been crying more
than usual. On pain assessment he cries steadily. How many points would be given for
cry on the FL ACC behavioral assessment? - Answer 2
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