Chapter 39 vehicle extrication and special rescue

Which of the following situations would require the sue of a specialized rescue team?

A patient trapped in a cave or a confined space

Your unit has been dispatched to stand by at the scene of a structure fire. There are no injuries of which you are aware. Upon arriving at the scene, you should:

Ask the incident commander where the ambulance should be staged

You are attempting to gain access to a patient who was injured when his truck struck another vehicle from behind. The patient is conscious and alert but is screaming in pain. You try to open the door, but it is locked. You should:

Ask the patient if he can unlock the door

If a technical rescue team is required at the scene, but is not present when you arrive, you should:

Check with the incident commander to ensure that the team is en route

A 19-year-old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilateral closed femur deformities. You should:

Direct your partner to begin ventilators assistance

Which of the following is the best example of gaining simple access to a patient?

Entering a vehicle through an open window

You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot. The patient is lying supine in an open area and is not moving. As the SWAT team escorts you to the patient, you should:

Grab him by the clothes and immediately move him to safety

Which of the following statements regarding trench rescue is correct?

Ground vibration is a primary cause of a secondary collapse

Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have been ejected from their vehicle. You should:

Immediately request additional resources

A 33-year-old restrained drive of a motor vehicle crash is awake and alert, complaining only of neck pain and left leg pain. The vehicle is stable, and no hazards are present. When removing this patient from his vehicle, you should:

Immobilize him with a vest-style device

A hiker was injured when he fell approximately 20' from a cliff. When you arrive at the scene, a member os the technical rescue group escorts you to the patient, who is positioned on a steep incline. The most appropriate method for immobilizing and moving the patient to the ambulance is to:

Immobilize his spine with a long backboard and place him in a basket stretcher

The scene size-up at a motor vehicle crash or other incident:

Is an ongoing process until the incident is terminated

Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT:

Keeping bystanders at a safe distance

Upon arrival at a motor vehicle crash, the EMT should:

Leave only the essential warning lights activated

A 50-year-old female is entrapped in her passenger car after it struck a tree. As the rescue team is preparing to extricate her, you quickly assess her and determine that she is breathing shallowly and her radial pulse is absent. You should:

Maintain spinal stabilization as she is extricated

Once entrance and access to the patient have been provided, you should:

Perform a primary assessment

When removing a critically injured patient from his or her vehicle, you should:

Protect the cervical spine during the entire process

Which of the following is a typical function of the rescue team?

Providing safe entry and access to patients

Upon arriving at the scene of law enforcement tactical situation, you should ensure your own safety and then:

Report to the incident commander for instructions

The EMT's role at the scene of a search and rescue attempt is to:

Stand by at the command post until the person is loacted

As you and your team are removing an unresponsive patient from her wrecked car, you note that she has deformities to both of her legs and a deformity to her left humerus. You should:

Support the injured extremities and continue removal

Your primary concern when arriving at the scene of a motor vehicle crash is:

Surveying the area for hazards

Situation awareness is most accurately defined as:

The ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact

A unique consideration when dealing with a hybrid vehicle is that:

The battery has higher voltage than a traditional vehicle battery

When determining the exact location and position of the patients in a wrecked vehicle, you and your team should routinely consider all of the following, except:

The make and model of the vehicle

The reasons for rescue failure can be recalled by the mnemonic FAILURE. According to this mnemonic, the "U" stands for:

Underestimating the logistics of the incident

In contrast to simple access, complex access:

involves forcible entry into a vehicle.

Extrication is defined as:

removal from a dangerous situation or position.

Disentanglement involves:

removing a patient from a dangerous position.

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.

100 lbs