Chapter 37-41
When parking your ambulance at the scene of a motor vehicle crash, you should position the ambulance:
100 feet past the scene on the same side of the road
Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.
100 lb
Hydroplaning of the ambulance on wet roads would MOST likely occur at speeds of greater than _____ mph.
30
_____________ is defined as the ability to reach the patient.
Access
Other than personal safety equipment, which of the following should be the MOST readily accessible item in the back of an ambulance?
Bleeding control supplies
Minimum airway and ventilation equipment that should be carried on every ambulance include all of the following, EXCEPT:
Combitubes or laryngeal mask airways
What should be done for any type of alternative-fuel vehicle that is involved in an accident?
Disconnect the battery.
Which of the following is an example of regional equipment or supplies?
DuoDote Auto-Injector
A type _____ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed.
I
Which of the following statements regarding transport of patients from a multiple-casualty incident or disaster site is correct?
Immediate-priority patients should be transported two at a time.
Who has overall command of an emergency incident?
Incident Commander
According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?
Open the airway and reassess breathing status.
You and your partner are standing by at the scene of a residential fire when you hear the incident commander state, "We have located a victim" over the radio. You should:
Remain with the ambulance and wait for fire personnel to bring the victim to you
In which of the following situations would the EMTs MOST likely utilize a police escort?
The EMTs are unfamiliar with the location, but the police officer knows the area
After assessing your patient, you determine that his condition is stable. You provide the appropriate treatment and then load him into the ambulance. While en route to the hospital, you should:
Turn your emergency lights off and obey all traffic laws
In general, medivac helicopters should be utilized when:
a patient has a time-dependent injury or illness and traffic conditions would cause a significant delay in definitive care
Characteristics of a safe ambulance operator include:
a positive attitude and tolerance of other drivers.
Equipment and supplies that are carried on an ambulance should be stored:
according to the urgency and frequency of their use
You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should:
advise the dispatcher that you are out of service and to send another unit.
When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle and provide care to the patient:
after receiving approval from the incident commander.
Interoperability, an important feature of the NIMS, refers to the ability of:
agencies of different types or from different jurisdictions to communicate with each other.
When a helicopter must land on a grade (uneven ground), you should:
approach the aircraft from the downhill side
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.
Minimum staffing in the patient compartment of a basic life support (BLS) ambulance includes:
at least one EMT
When transporting a patient to the hospital, you should:
be safe and get the patient to the hospital in the shortest practical time
Rescuers have brought you a patient rescued from a structural collapse. You should immediately _________.
begin a rapid assessment
You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________.
call for additional resources and keep bystanders away from the vehicle
While using lights and siren, most state laws permit an ambulance to:
carefully exceed the posted speed limit
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.
The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called:
cleaning.
The use of special tools to remove an entrapped patient from a vehicle is known as _________.
complex access
During the transport phase of an ambulance call, it is MOST important to:
converse with the patient and provide reassurance.
A carboy is a container that would MOST likely be used to store and transport:
corrosives
A 49-year-old man has been removed from his overturned tanker, which was carrying a hazardous material. The tank ruptured and he was exposed to the material. When rescue personnel bring him to the decontamination area, they note that he is unconscious and has slow, shallow breathing. They should:
cut away all of the patient's clothing and do a rapid rinse to remove as much of the contaminating matter as they can.
Tactical EMS providers are specially trained to function during _________.
dangerous law enforcement operations
You and your partner are the first to arrive at the scene of a motor vehicle accident. As you approach the scene, you can see multiple patients, some walking and others who are still in their vehicles. You should:
declare a mass-casualty incident and request additional resources.
The process of removing or neutralizing and properly disposing of a hazardous material is called:
decontamination
Which of the following is NOT a common role of the EMT at the scene of a HazMat incident?
decontamination
During a motor vehicle collision involving multiple patients, the incident commander would MOST likely:
designate a safety officer, but retain other command functions.
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 bilaterally closed femur deformities. You should:
direct your partner to begin ventilatory assistance.
To evaluate the scene for hazards and identify the number of patients, the EMT should first _________.
do a 360-degree walk-around
Phases of an ambulance call include all of the following activities, EXCEPT:
emergency care provided at the scene
The purpose of the incident command system (ICS) is to:
ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources.
The rescue team is in the process of extricating a 40-year-old male from his truck. The patient's wife, who was uninjured in the crash, is calmly observing the extrication and asks you if her husband will be all right. You should:
ensure that she is in a safe area, away from the scene.
Which of the following is the BEST example of gaining simple access to a patient?
entering a vehicle through an open window
As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:
establish command.
Injuries or conditions that would be classified as first priority (red tag; immediate) include all of the following, EXCEPT:
fractures of multiple long bones.
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.
Common safety equipment carried on the ambulance includes all of the following, EXCEPT:
hazardous materials gear.
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 driver 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 feet from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The MOST appropriate method of 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 LEAST practical place to store a portable oxygen cylinder is:
in the driver's compartment
The MOST common and usually the most serious ambulance crashes occur at:
intersections.
In contrast to simple access, complex access:
involves forcible entry into a vehicle
Maintaining a cushion of safety when operating an ambulance means:
keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors' blind spots
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 returning to your station following a run, you should disinfect the ambulance as needed. Disinfection is MOST accurately defined as:
killing pathogenic agents with a chemical made for that purpose.
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 that her radial pulse is absent. You should:
maintain spinal stabilization as she is extricated
General principles for approaching a potential HazMat incident include:
maintaining a safe distance and viewing the scene with binoculars.
The six-pointed Star of Life emblem identifies vehicles that:
meet federal specifications as licensed or certified ambulances
When approaching a helicopter, whether the rotor blades are moving or not, you should:
never duck under the body or the tail boom because the pilot cannot see you in these areas.
Upon arrival at an active law enforcement incident, the EMT should _________.
notify the incident commander
Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:
observe the scene for safety hazards.
Common activities that occur while you and your partner are en route to the scene of an emergency call include all of the following, EXCEPT:
obtaining additional information from the dispatcher
Upon arrival at a trench rescue operation, you should _________.
park at least 500 feet from the incident
The EMT's primary responsibility during a rescue or extrication situation is _________.
patient care
For every emergency request, the dispatcher should routinely gather and record all of the following information, EXCEPT the:
patient's medical history.
Once entrance and access to the patient have been provided, you should:
perform a primary assessment.
You and your partner arrive at the scene where a truck has crashed into a small building, injuring eight people. You immediately request additional ambulances and begin the triage process. The first patient that you triage is a young female who is unconscious and apneic. She has an open head injury and her pulse is weak and thready. You should:
place a red tag on her and continue triaging
When transporting a patient who is secured to a backboard, it is important to:
place deceleration straps over the patient's shoulders
When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:
position the ambulance upwind.
Upon arrival at a search-and-rescue incident, the EMS crew should _________.
prepare the equipment to carry to the patient
Which of the following is NOT a responsibility of the treatment supervisor?
primary assessment
When removing a critically injured patient from his or her vehicle, you should:
protect the cervical spine during the entire process.
General guidelines for safe ambulance driving include all of the following, EXCEPT:
regularly using the siren as much as possible.
You have a critically injured patient in the back of your ambulance, ready to be transported. There are other injured patients at the scene and it will be approximately 10 minutes before other ambulances will arrive. Law enforcement personnel are at the scene. You should:
remain at the scene until at least one other ambulance arrives.
When driving an ambulance on a multilane highway in emergency mode, you should:
remain in the extreme left-hand lane
At a scene with downed electrical lines, the EMT should_____________.
remain outside the danger (hot) zone
While staged at the scene of a structure fire, the EMT should _________.
remain with the ambulance
Extrication is defined as:
removal from a dangerous situation or position.
Disentanglement involves:
removing a patient from a dangerous position.
A Level 4 hazardous material:
requires specialized gear designed for protection against that particular hazard.
When working at the scene of a motor vehicle crash at night, you should NOT use:
road flares
According to the JumpSTART triage system, infants or children not developed enough to walk or follow commands, including children with special needs:
should be taken to the treatment area for immediate secondary triage.
The use of lights and siren on an ambulance:
signifies a request for other drivers to yield the right of way.
While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should:
stop and wait until the warning lights stop flashing.
As you and your team are removing an unresponsive patient from her wrecked car, you note that she has closed deformities to both of her legs and a deformity to her left humerus. You should:
support the injured extremities and continue removal.
It is 10:30 pm and you have requested air medical transport for a critically injured patient. When you arrive at the designated landing zone, you should:
survey the area for power lines or other hazards
Returning the emergency unit to service is part of the _________.
termination phase
The reference used as a base for your initial actions at a HazMat incident is:
the Emergency Response Guidebook.
A unique consideration when dealing with a hybrid vehicle is that:
the battery has higher voltage than a traditional vehicle battery.
Which of the following is the most important in protecting EMS providers during an extrication operation?
the scene size up
The reasons for rescue failure can be referred to by the mnemonic FAILURE. In this mnemonic the "U" stands for:
underestimating the logistics of the incident
The MOST appropriate location to park your ambulance at a HazMat incident is:
upwind at least 100 feet from the incident.
Your unit and a fire department vehicle are responding to the scene of a patient in cardiac arrest. As you approach an intersection that is highly congested, you should:
use a different siren tone than the fire department vehicle
A medical transport helicopter is incoming and you are responsible for setting up the landing zone (LZ). You should:
use weighted cones to mark all four corners of the LZ.
The EMT's responsibility during search-and-rescue operations is to _________.
wait at the staging area until the patient is located
As soon as you leave the hospital and are en route back to your station, you should inform the dispatcher:
whether you are back in service
