Chapter 3 Post Test
Which of the following communication techniques will better improve the quality and safety of a lifting technique using multiple EMTs? A. Communicate throughout the lifting process. B. Remain silent during the procedure so as not to scare the patient. C. Do not discuss the planned lifting technique with the patient so that the patient will be unaware if a mistake is made. D. Use verbal commands that the EMTs would know but the patient would not.
A. Communicate throughout the lifting process. Communicate the plan to your teammates. Communicate clearly throughout the lifting and moving process. This will help keep the patient and the providers safe.
Which of the choices is a CORRECT statement when transferring a patient from his or her bed to the stair chair? A. Do not use the device for unresponsive patients. B. Do not use the device if the patient is not critical. C. Do not use the straps that restrain the legs while carrying the patient. D. Do not cover the stair chair cushions with a sheet or towel.
A. Do not use the device for unresponsive patients. Contraindications for the stair chair include unresponsive patients and patients with possible spinal injury.
Which of the following is the most comfortable method when the EMT moves the patient from the ambulance stretcher to the hospital stretcher? A. Draw sheet B. Extremity carry C. Log roll D. Direct carry
A. Draw sheet A draw sheet moves the patient from the ambulance stretcher to the hospital stretcher in the most comfortable way.
Besides performing a thorough patient assessment, what skill will the EMT use on MOST patient encounters? A. Lifting the patient or equipment B. Talking to the receiving hospital physician C. Applying the automated external defibrillator D. Checking the blood sugar level
A. Lifting the patient or equipment A key skill that you will use in almost every patient contact is the lifting and/or moving of a patient from where the patient is to your cot, then to the ambulance, and eventually to the hospital cot.
What device is made of canvas or some other rubberized or flexible material, often with wooden slats sewn into pockets, and has three carrying handles on each side? A. Scoop stretcher B. Basket stretcher C. Power stretcher D. Flexible stretcher
D. Flexible stretcher A flexible stretcher is made of canvas or some other rubberized or flexible material, often with wooden slats sewn into pockets, and has three carrying handles on each side.
Your patient is a 22-year-old female who was involved in a low-speed car crash. Her only complaint is some tenderness in her neck. What is the MOST appropriate way to care for her? A. Apply a short backboard (vest or KED) while she is seated in the car B. Ask her to sit on the long backboard on your stretcher, and strap her in C. Use a long backboard to remove her from the vehicle D. Use the rapid extrication technique
A. Apply a short backboard (vest or KED) while she is seated in the car Because this is a nonurgent move, there are no indications for a rapid extrication, and you suspect that there may be a spine injury, it is most appropriate to use the KED or other short spine device to immobilize the patient before moving her.
What is the type of patient-carrying device that transports a patient in a sitting position? A. Stair chair B. Long backboard C. Wheeled stretcher D. Scoop stretcher
A. Stair chair A stair chair is useful when a wheeled stretcher cannot traverse narrow corridors and doorways, small elevators, and stairways. The benefit of this device is that the patient is in a sitting position, which makes it easier to navigate steps, small elevators, and other types of confined spaces.
How many rescuers are recommended in moving a patient with a stair chair? A. Three B. Two C. One D. Five
A. Three At least two rescuers are needed, but three are recommended: two to lift and one to serve as a spotter.
Which of the following is an indication for an emergency move? A. The patient is yelling for you to "hurry up." B. You are unable to gain access to other patients who need lifesaving care. C. You need to practice your lifting technique. D. Dispatch needs you to clear rapidly, as EMS calls are backing up.
B. You are unable to gain access to other patients who need lifesaving care. Indications for an emergency move include (1) immediate environmental danger to the patient or rescuer, (2) inability to gain access to other patients who need lifesaving care, and (3) inability to provide lifesaving care because of the patient's location or position.
When lifting, keep the weight: A. not more than 8 inches from your body. B. as close to your body as possible. C. at arm's length from your body. D. at least 6 inches from your body.
B. as close to your body as possible. Keeping the weight close to your body allows you to use your legs instead of your back.
When pushing or pulling, you should: A. keep your back in a bent position for flexibility. B. keep the line of pull through the center of your body. C. reach and twist at the same time. D. push or pull overhead whenever possible.
B. keep the line of pull through the center of your body. When pushing or pulling, you should keep the line of pull through the center of your body.
Steps in using the squat lift include: A. raising your hips just slightly ahead of your upper body. B. raising your upper body before your hips. C. placing your weaker leg slightly to the back. D. squatting down about halfway, then bending at your hips until you can grasp the cot.
B. raising your upper body before your hips. In performing this technique, avoid bending at the waist. Then follow these steps: (1) Place your weaker leg slightly forward. This foot should stay flat on the ground throughout the lift. (2) Squat down until you can grasp the cot, stretcher, or other patient-moving device. Be sure to use the power grip. (3) Push yourself up with your stronger leg. Make sure your back is locked and your upper body goes up before your hips. Lead with your head.
In lifting a patient-carrying device, such as a stair chair, the minimum number of rescuers used should be: A. four. B. two. C. one. D. three.
B. two. There should be at least two EMTs lifting any device that is used for patient movement. Consider the use of more people if the patient is obese or if there are obstacles to navigate such as stairs, snow, or uneven ground.
Techniques for moving a patient experiencing an immediate life threat are called: A. the power grip. B. urgent moves. C. the Heimlich maneuver. D. physical restraint.
B. urgent moves. Urgent moves are required when the patient must be moved quickly for treatment of a serious injury.
When lifting a stretcher or backboard, it is best to use how many people? A. 5 B. 4 C. 7 D. 3
B. 4 You should always use an even number of people.
When rescuers are working together as a team to lift a patient: A. no rescuer should bend the knees more than 90 degrees. B. all rescuers should hold their breath during the lift process. C. ensure that everyone understands the plan before lifting. D. all rescuers should lift and twist at the same time.
C. ensure that everyone understands the plan before lifting. When rescuers are working together as a team to lift a load, only one person should be in charge of verbal commands. Additionally, the commands should be in simple English that everyone can easily understand.
Which of the following techniques will NOT contribute to the safe and efficient movement of a patient from an upstairs bedroom to the ambulance? A. Using the most appropriate equipment for the job B. Being aware of the physical abilities and limitations of each team member C. Sizing up the scene accurately D. Calling for assistance only if you find that you and your partner cannot lift the patient
D. Calling for assistance only if you find that you and your partner cannot lift the patient Before lifting the patient, the EMTs on scene should take a moment to accurately appraise the patient's weight and the capabilities of the first crew on scene. Call for help early, not after you learn that you cannot move the patient, because then you are placing the patient and yourself at greater risk of injury.
Which of the following is an advantage of a vacuum mattress? A. It does not require a pump. B. The cervical collar can be removed C. The device is nonconforming D. It naturally pads voids for greater comfort.
D. It naturally pads voids for greater comfort. Vacuum mattresses naturally pad voids as air is withdrawn.
If the weight to be lifted is below your waist level, what is the proper position? A. Push or pull from a bent-over position. B. Push or pull from a squatting position. C. Push or pull from a standing position. D. Push or pull from a kneeling position.
D. Push or pull from a kneeling position. If the weight to be lifted is below your waist level, pushing or pulling from a kneeling position is the proper position.
What are body mechanics? A. The ability to use mechanical lift devices to help you carry heavier loads B. The process by which you package the patient and carry him or her to the ambulance C. Research into how to minimize back pain while maximizing the weight that you can lift and carry in an emergency D. The proper use of your body to prevent injury and facilitate lifting and moving
D. The proper use of your body to prevent injury and facilitate lifting and moving Body mechanics is the proper use of your body to prevent injury and facilitate lifting and moving.
Which of the following must be avoided in lifting? A. Use of the large muscles of your legs B. Use of the abdominal muscles C. Moving the patient quickly D. Twisting
D. Twisting Twisting while lifting or carrying a patient can place an uneven load on the vertebrae of the spine, with the result that intervertebral disks could slip, causing a back injury. If you need to twist while lifting or carrying, shuffle your feet as you turn and avoid twisting with your back.
Emergency moves may be necessary if: A. the patient is really screaming. B. additional calls are holding. C. There is a meeting later in the afternoon that you do not want to miss. D. there is a threat of fire or possible explosion.
D. there is a threat of fire or possible explosion. There are three situations that may require the use of an emergency move: The scene is hazardous, care of life-threatening conditions requires repositioning, or you must reach other patients.