Chapter 38 Transport Operations

Features of the modern ambulance include all of the following

- a patient compartment - two-way radio communication - a drivers compartment

Extrication equipment carried on an ambulance may include all of the following

- a rescue blanket - and adjustable wrench - duct tape

the ambulance inspection should include checks of all of the following

- fuel level - brake fluid - wheels and tires

list the general considerations used for selecting a helicopter landing site

- hard, level surface - a minimum of 100 by 100 feet - the site is clear and free of debris - no electric or telephone poles and wires or any other hazards that might interfere with the safe operation of the helicopter

the decision to activate the emergency lights and siren depends on all of the following factors

- local protocols - patient condition - the anticipated clinical outcome of the patient

you respond to multiple vehicle collision. you and your partner are reviewing dispatch information en route to the scene. you will be at a major intersection of two state highways. as you approach the scene you review the guidelines for sizing up the scene. their guidelines include;

- looking for safety hazards - evaluating the need for additional units or other assistance - evaluating the need to stabilize the spine

When an emergency call, before proceeding past a stopped school bus with its lights flashing, you should stop before reaching the bus and wait for the driver to

- make sure the children are safe - close the bus door - turn off the warning lights

basic requirements for the driver to operate an ambulance safely do include

- physical fitness - emotional fitness - proper attitude

Basic wound care supplies include all of the following

- sterile sheets - an assortment of adhesive bandages - aluminum foil

you have called for an air ambulance. while your partner is monitoring the patient, he tells you to go set up a landing zone for the helicopter. when establishing a landing site for an approaching helicopter, ensure all of the following

- that loose debris is cleared away - that the area is free of electric or telephone wires - that the area is free of telephone poles

for every emergency request, the dispatcher should gather and record all of the following

- the nature of the call - the patient's location - the number of patients and the possible severity of their condition

the main objectives in directing traffic include all of the following

- warning other drivers - preventing additional crashes - keeping vehicles moving in an orderly fashin

Phases of an ambulance call

1. Preparation for the call 2. Dispatch 3. En route 4. Arrival at scene 5. Transfer of the patient to the ambulance 6. En route to the receiving facility (transport) 7. At the receiving facility (delivery) 8. En route to the station 9. Postrun

list 4 guidelines for safe ambulance driving

1. select shortest and least busy route to scene 2. avoid routes with heavy traffic congestion 3. avoid 1-way streets and do not go against flow of trafifc unless absolutely necessary 4. watch carefully for by standers as you approach scene

describe the 3 basic principles that govern the use of warning lights and sirens

1. to the best of your knowledge, the unit must be on a tru emergency call 2. both audible and visual warning devices must be used simultaneously 3. unit must be operated with due regard for the safety of all others both on and off roadways

when attached to an oxygen supply with the oxygen reservoir in place, a bag-mask device is able to supply almost ____________ oxygen

100%

Suction units carried on ambulances must be powerful enough to generate a vacuum of ____________ when the tube is clamped

300 mm Hg

your supervisor asks you to make up jump kits for each ambulance. he has told you that he will leave it up to you as to what goes into the kits. you would want to include everything that you might need within the first ___________ minutes of arrival at the patient's side

5

an ambulance call has __________ phases

9

Spotter

A person who assists a driver in baking up an ambulance

Ambulance

A specialized vehicle for treating and transportin gisck and injured patients

Type II Design

A standard van; forward-control integral cab-body ambulance

your departments coverage area is quite large, including ALS coverage for the entire county, as well as surrounding areas out of state. you are dispatched to an unfamiliar address for "CPR in progress" and are working with a newly hired partner who is not familiar with your coverage area. how would you best mange this situation?

BE familiar with response area, study area in free time. should be able to not rely on memory. Utilize local dispatch center for directions

a ___________ ____________ provides a firm surface under the patient torso so that you can give effective chest compressions

CPR board

Air Ambulance

Fixed - or rotary- wing aircraft used to rapidly transport patients to the appropriate facility

the type ____________ ambulance is a standard van with a forward-control integral cab body

II

Cleaning

The process of removing dirt, dust, blood, or other visible contaminants

Modern ambulances are designed according to strict government regulations based on __________________ standards

NFPA

Sterilization

Removes all microbial contamination

Type II ambulance

Standard vane, forward- control integral cab body ambulance

suction tubing must reach the patient ________________ regardless of the patient's position

airway

________________ must be secured when the vehicle is in motion

all equipment, cabinets, the patient, and any passengers

if you are involved in a motor vehicle collision while operating an emergency vehicle and are found to be at fault, you may be charged

both civilly and criminally

you must always drive

defensively

transferring the patient to a receiving staff member occurs during the ______________ phase

delivery

During the _____________ phase, the team should review dispatch information and assign specific initial duties and scene management tasks to each team member

en route

the _____________ phase may be the most dangerous part of the call

en route

you are hired at the local EMS agency. during your orientation, you are given a tour of the statin and the ambulances that you will be riding on. your duties include station cleanup and checking the unit for mechanical problems. you should also check all medical equipment and supplies

every day

a CPR board is a pocket-sized reminder that the EMT carries to help recall CPR procedures

false

a clear landing zone of 50 feet by 50 feet is recommended for EMS helicopters

false

fixed wing air ambulances are generally used for short haul patient transfers

false

the en route or response phase of the emergency call is the least dangerous for the EMT

false

the use of a police escort is standard practice

false

______________ _________________ ______________ respond initially to the scene with personnel and equipment to treat the sick and injured until an ambulance can arrive

first responder vehicle

Deceleration straps over the shoulders prevent the patient from continuing to move _______________ in case the ambulance suddenly slows or stops

forward

you are cross-trained as a firefighter, and your station has been dispatched to a working structure fire. as you near the scene, another call is dispatched for "an unknown medical emergency.' you are the closest unit to the medical emergency. how would you best mange this situation

get permission to go to medical emergency from captain, assistance might be needed more at the fire. follow local protocol and chain of command

for many decades after the first motorized ambulance was used in the 1800's a _______________ was the vehicle that was the most often used as an ambulance

hearse

_____________ crashes are the most common and usually the most serious type of collision in which ambulances are involved

intersection

an _____________ _____________ is a portable kit containing items that are used in the initial 5 minutes of caring for the patient

jump kit

The following is false regarding the use of oropharyngeal airways

oropharyngeal airways cannot be used by EMTS

you are called to the scene for a motor vehicle collision. the car is situated in a curve, and traffic is heavy. police are not on the scene. your patient is alert and looking around but is tuck in the vehicle due to traffic. you see blood smeared across her face, but it appears to be minimal

park ambulance in safe area and ensure scene safety. either partner should handle until police arrive. the person not handling traffic control should assess the patient

The first thing you do each day when you arrive at work is to make sure all equipment and supplies are functioning and in their assigned places. this is the _______________ phase of transport operations

preparation

when driving with lights and siren, you are ______________________ drivers to yield the right-of-way

requesting

the __________________ is a specialized siren that emits low-frequency sound waves that may penetrate vehicles more effectively than traditional sirens

rumbler

Type III ambulance

specialty van- cab with a modular ambulance body that is mounted on a cut away van chasis

the six-pointed start that identifies vehicles that meet federal specifications as licensed or certified ambulances is known as the _________________ __ ________

star of life

to operate an emergency vehicle safely, you must know how it responds to _____________ under various conditions

steering, braking, and acceleration

Siren Syndrome

term for the increase in anxiety of other drivers that commonly causes them to drive faster in the presence of sirens

Disinfection

the killing of pathogenic agents by direct application of chemicals

Type I ambulance

truck cab chasis with a modular ambulance body

always approach a helicopter form the front

true

equipment and supplies should be placed in the unit according to how urgently and how often they are needed

true

specially trained medical flight crews accompany all air ambulance flights

true

use the " 4 second rule" to help you maintain a safe following distance

true

vehicle size and ________________ will greatly influence braking and stopping distances

weight

some states allow you to proceed through a controlled intersection "_______________ _____ _________________ ' using flashing lights and siren

with due regard