Agency Information
Agency Name
Los Angeles County EMS Agency
County
Los Angeles County
State
California
Protocol Version
Updated Feb 2026
Official Source
What You'll Study
EMT / BLS
EMT BLS protocols cover airway, bleeding control, AED, and assisting with medications.
Paramedic / ALS
Full ALS protocols including cardiac arrest, RSI, critical care transport, and specialty centers.
Protocol Documents
LACEMA BLS/ALS Treatment Protocols
full manual
External →
Sample Questions (Free Preview)
PARAMEDIC
Q1. You respond to a 4-year-old (20 kg) in cardiac arrest. Per LA County protocol, what is the correct dose of Epinephrine 1:10,000 for this pediatric patient?
A. 0.2 mg (2 mL of 1:10,000)
B. 0.2 mg (0.2 mL of 1:1,000)
C. 1 mg (10 mL of 1:10,000)
D. 0.02 mg (0.2 mL of 1:10,000)
Pediatric epinephrine in cardiac arrest is dosed at 0.01 mg/kg IV/IO using 1:10,000 solution. For a 20 kg child: 0.01 × 20 = 0.2 mg (2 mL of 1:10,000). Maximum single dose is 1 mg.
PARAMEDIC
Q2. A 10 kg pediatric patient in cardiogenic shock requires IV fluid resuscitation per LA County EMS protocol. What is the correct initial IV fluid bolus?
A. 200 mL NS (20 mL/kg)
B. 300 mL NS (fixed adult dose)
C. 500 mL NS
D. 100 mL NS (10 mL/kg)
Pediatric fluid bolus is 20 mL/kg NS. For a 10 kg child: 20 × 10 = 200 mL NS administered IV/IO, given over 5–15 minutes. Reassess after each bolus.
PARAMEDIC
Q3. An 8-year-old (25 kg) presents with SVT at a rate of 220 bpm with stable perfusion. LA County protocol calls for Adenosine. What is the correct first dose?
A. 2.5 mg rapid IVP (0.1 mg/kg)
B. 6 mg rapid IVP (adult dose)
C. 1.25 mg rapid IVP (0.05 mg/kg)
D. 5 mg rapid IVP (0.2 mg/kg)
Adenosine for pediatric SVT is dosed at 0.1 mg/kg rapid IVP, maximum first dose 6 mg. For 25 kg: 0.1 × 25 = 2.5 mg IV rapid push followed immediately by 10–20 mL NS flush.
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