47, AEMT

A car has rolled several times and is on its roof. Closer inspection reveals the unrestrained driver lying in her back with the back portion of the roof collapsed. At this time, which one of the following instructions should you give FIRST? A) "We need to take the weight off of the posts." B) "Let us open the doors and use them for support." C) "We need to climb in to assess the patient." D) "Let us forcibly remove the back door."

A) "We need to take the weight off of the posts."

You have been dispatched to a motor-vehicle collision. On-scene you find that a minivan has completely sheared a wooden utility pole. The electrical wires are draped over the hood of the minivan and the driver, a woman in her 20s, is screaming that she is not hurt and wants to get out of the vehicle. Further observation of the wires reveals that they are not moving, arcing, or making any noise. Which one of the following instructions is MOST appropriate at this time? A) "You need to remain still and calm in your seat and do not touch anything in the car." B) "Carefully get out of the car and shuffle away with small steps while keeping your feet together." C) "I need you to jump clear of the car and shuffle away in small steps keeping your feet together." D) "The electrical wires are not charged anymore, but stay where you are until the fire department gets here."

A) "You need to remain still and calm in your seat and do not touch anything in the car."

An elderly patient has fallen in her home and activated the 911 system by pressing a medical alarm worn around her neck. On arrival you can see the patient on the floor, but she cannot come to the door to open it to let you in. In this situation, your BEST course of action is to: A) Break a window in a room away from where the patient is located B) Open the storm door in the front and kick open the front door C) Use a crowbar to pry open a window or door D) Contact a locksmith to pick the locks on the front door

A) Break a window in a room away from where the patient is located

A patient involved in a motor vehicle collision is complaining of neck pain. Which of the following pieces of information should cause the AEMT to have a high index of suspicion that the patient may have suffered more significant injuries beyond the complaint of neck pain? A) Death of the car's driver B) Complaint of head and neck pain C) History of heart problems D) No airbags in the car

A) Death of the car's driver

You are on the scene of a motor-vehicle collision involving two cars. To remove the driver of the first car, rescuers must break the windshield and roll back the roof. While he is performing this operation, which of the following sets of personal protective equipment will afford the AEMT the BEST protection? A) Helmet, goggles, turnout gear, leather gloves, and steel-toed boots B) Goggles, latex exam gloves, steel-toed boots, and fluorescent vest C) Sunglasses, steel-toed boots, and fluorescent identification vest D) Latex exam gloves, fluorescent identification vest, and helmet

A) Helmet, goggles, turnout gear, leather gloves, and steel-toed boots

A vehicle has been struck in its front end by another car. The driver is entrapped and the roof must be rolled back to allow extrication. The car has been appropriately stabilized and you are inside with the patient. The primary assessment is complete and a cervical collar applied. Rescue personnel are ready to begin cutting the vehicle. At this time, the appropriate action is to: A) Place a tarp over the patient B) Stabilize the vehicle C) Apply a short vest-type extrication device D) Remove the windshield

A) Place a tarp over the patient

You have been given an order to cut through the "C" posts of a car with a trapped passenger. As an AEMT with knowledge of vehicle extrication, you cut the posts located at which areas of the roof? A) Rear B) Middle C) Front D) Top

A) Rear

A vehicle has rolled onto its passenger side after running a red light at an intersection and striking another car. The restrained driver remains in the car, screaming in pain. To manage this scene, which one of the following should you do FIRST? A) Stabilize the vehicle B) Hold manual inline stabilization C) Remove the roof D) Determine vital signs

A) Stabilize the vehicle

When teaching EMRs about airbags, which of the following points would you emphasize? A) The benefit of airbags is decreased in multiple collisions B) Airbags prevent broken glass from striking the occupant C) Properly placed airbags eliminate the need for seatbelts D) Airbags are effective in decreasing injury in a rollover-type collision

A) The benefit of airbags is decreased in multiple collisions

Assessment of a patient involved in a motor vehicle accident reveals him to have crepitus to the left humerus, instability to the left lateral chest wall and flank, and pain on palpation to left hip region. He also complains of pain to the right side of the neck. Based on this injury pattern, the AEMT would recognize the patient was: A) The driver of a car hit on the driver's side B) An unrestrained occupant in a car struck from the side C) An unrestrained driver involved in a head-on collision D) The passenger in a car hit from behind

A) The driver of a car hit on the driver's side

You are on-scene of a serious motor-vehicle collision. As the officer in charge, which one of the following instructions for other rescuers is MOST appropriate? A) "Park the ambulance downhill to make movement of the patient easier." B) "Let us stop all traffic and reroute it to alternative roadways." C) "We need to route passing traffic no more than 20 feet around the scene." D) "Let us make sure to put cones around the cars."

B) "Let us stop all traffic and reroute it to alternative roadways."

The AEMT understands the importance of evaluating the mechanism of injury when he states: A) "The mechanism of injury is useful in determining the exact injuries the patient has sustained." B) "The mechanism of injury can be used to guide your assessment and treatment of the patient." C) "The mechanism of injury is a useful tool in determining if the patient's outcome will be good or bad." D) "Evaluating the mechanism of injury is important since it determines whether emergency transport to the hospital is needed."

B) "The mechanism of injury can be used to guide your assessment and treatment of the patient."

To gain access to a patient entrapped in a car, the rescuers must use the "jaws of life" to open the door. The AEMT should recognize this situation as: A) Simple access B) Complex access C) Rapid extrication D) Hydraulic stabilization

B) Complex access

A car has been hit head-on by another vehicle at a moderate rate of speed. Seatbelts were in place and the airbags deployed. The patient is complaining of chest pain. Quick observation reveals a bruise to his sternum. The AEMT would immediately: A) Deflate the airbag to get breath sounds B) Lift the airbag and check the steering wheel C) Suspect an injury related to the airbag D) Check the windshield for starring

B) Lift the airbag and check the steering wheel

You have just arrived on the scene of a motor-vehicle collision where a car rolled several times at a high rate of speed. The car is on its wheels with the restrained driver still in his seat. After ensuring that the scene is safe and gaining access to the patient, which one of the following should you do immediately? A) Establish a plan to extricate the patient B) Provide manual inline spinal stabilization C) Remove pieces of broken glass from around the patient D) Cover the patient and force the door open

B) Provide manual inline spinal stabilization

At the scene of a motor-vehicle collision, a driver is entrapped in his car after striking the back of a truck at a high rate of speed. Which action would be performed FIRST when providing stabilization of the car? A) Placing the transmission in "park" B) Shutting off the engine C) Setting the parking brake D) Disconnecting the battery

B) Shutting off the engine

As you pull up to a motor vehicle collision, you quickly scan the scene for clues as to the type and severity of injuries. Which of the following scene clues would BEST indicate that a patient may have a head injury? A) Blood on a patient's clothing B) Starring of a windshield C) Airbag deployment D) Frontal-type collision

B) Starring of a windshield

A car has struck a utility pole at a high rate of speed. The male driver appears to be unresponsive with snoring respirations. The vehicle has just been stabilized, and you have donned the appropriate personal protective equipment. Which one of the following should you do next? A) Place a tarp over some spilled antifreeze B) Take manual spinal stabilization C) Apply a cervical collar to his neck D) Perform a jaw-thrust airway maneuver

B) Take manual spinal stabilization

An unresponsive patient is in a car with the doors locked and the windows up. Which one of the following actions is MOST appropriate when attempting to gain access to the patient? A) Use a crowbar to break the lock on the door B) Call for a rescue truck to forcibly remove a door C) Break the window opposite the patient with a spring-loaded punch D) Break the window by striking it with a crowbar

C) Break the window opposite the patient with a spring-loaded punch

Which one of the following situations represents simple access to a patient? A) Unlocking a car door by breaking the window using a screwdriver B) Extrication of a patient from a car after removing one door C) Climbing stairs to gain access to a patient on a porch D) Forcing entry into a house

C) Climbing stairs to gain access to a patient on a porch

Rescue workers are preparing to remove the windshield and roof from a car to extricate a patient who is trapped. Before the rescue commences, which one of the following should the AEMT do FIRST? A) Cover the patient with a heavy tarp for protection B) Wet the car down with a fire hose to prevent an accidental fire C) Explain to the patient what is taking place D) Lock all four doors and roll up the windows

C) Explain to the patient what is taking place

The rescue captain has asked that you disconnect a car's battery to shut down all power to the vehicle completely. How should you do this safely? A) Cut the positive battery cable, and then remove the negative cable B) Disconnect the positive battery cable first C) Remove the negative battery cable first D) Remove the negative and positive cables simultaneously

C) Remove the negative battery cable first

An unrestrained female driving a small car is involved in a rollover-type collision. Why her risk for serious injury and death is significantly increased? A) The risk for ejection is lessened, increasing injuries suffered in the car B) Rollovers are the result of high speeds C) There are more impacts in a roll over D) Smaller and lighter cars tend to roll over

C) There are more impacts in a roll over

You are on the scene of a car that hit a tree head on. The patient has a laceration to his forehead and a deformity to his left forearm. The car is a hybrid that runs on traditional as well as hydrogen gas. There is moderate front-end damage to the vehicle, but the airbags did not deploy. The patient was wearing a seatbelt. Which one of the following instructions is MOST appropriate in this situation? A) "Let us deactivate the airbags by turning the engine off." B) "We will need to puncture the hydrogen tank to prevent an explosion." C) "Place a flare near the oil spill so that no one slips." D) "I need to have the battery cables disconnected."

D) "I need to have the battery cables disconnected."

On the scene of a motor-vehicle collision, the driver is sitting inside the car with all windows up. When you attempt to open the doors, you find that they are locked. Given this situation, which one of the following statements made to the patient is MOST appropriate? A) "Please remain still. I am calling for the rescue truck to remove the door of your car." B) "Very carefully, with as little movement as possible, please roll down the window." C) "Please shield your eyes. I am going to break the window so we can open the door." D) "Without moving your head or neck, please try to unlock the door."

D) "Without moving your head or neck, please try to unlock the door."

Which of the following BEST describes the goal of a trauma system? A) Providing all trauma patients with a complete battery of diagnostic tests and access to specialists B) Providing the highest level of care possible within a 10minute transport time for all patients C) Transporting as many patients as possible by air medical transportation D) Getting the right patient to the right facility in the right amount of time

D) Getting the right patient to the right facility in the right amount of time

Which of the following statements concerning trauma is TRUE? A) Mechanism of injury is the best predictor of patient outcome B) A "spider web" or "star" pattern of cracks on the windshield means the patient impacted the windshield with his head C) Falls are the leading cause of trauma deaths D) Multisystem trauma has a higher mortality rate than single-system injuries

D) Multisystem trauma has a higher mortality rate than single-system injuries

A midsize car has been struck by a small delivery truck and sustained moderate damage to the front passenger area. The car is on its tires, and wood chocks have been placed under the undercarriage of the car. The airbags did not deploy. Which one of the following is the next step in this rescue? A) Extricate the patient B) Forcibly open the trunk C) Carefully deploy the airbags D) Release air from the tires

D) Release air from the tires

On the scene of a motor-vehicle collision, which one of the following AEMTs is engaged in complex extrication of the patient? A) The AEMT entering the car to open the patient's airway B) The AEMT constantly monitoring the scene for safety hazards C) The AEMT stabilizing the car to prevent it from moving D) The AEMT removing the patient from the car

D) The AEMT removing the patient from the car

A roofer on top of a two-story house called 911 after experiencing chest pain and dizziness. You are providing care to the patient on top of the roof and the fire department has arrived to help remove the patient from his present location. As the patient is brought down the ladder, your highest priority as an AEMT is: A) Safety of the patient B) Providing patient care C) Safety of the other rescuers D) Your personal safety

D) Your personal safety