Chapter 6 EMT
In preparing the schedule, you have been instructed to pair EMTs in a way that decreases the chance of injury when lifting and moving patients. Given this directive, who would make the best partner for a tall and very strong EMT? A. A tall and very strong EMT B. A short and weaker EMT C. A short and very strong EMT D. A tall and weaker EMT
A
To improve your physical fitness and decrease the risk of injury when lifting and moving patients, you should combine proper body mechanics with: A. Proper nutrition B. Caffeine substitutes C. Vitamin supplements D. Protein drinks
A
When lifting or moving any patient, the EMT must remember to primarily use the muscles of his or her: A. Legs B. Back C. Arms D. Abdomen
A
When lifting the stretcher with a patient secured to it, the EMT must avoid which action? A. Bending over at the waist B. Lifting with the thigh muscles C. Contracting the abdominal muscles D. Maintaining a straight back
A
Which statement accurately describes the concept of body mechanics? A. Body mechanics refers to methods that promote using your body in the safest and most efficient way when moving objects or patients B. Body mechanics refers to an exercise program designed to increase strength and prevent injuries when lifting or moving patients C. Body mechanics describes the personal maintenance of a proper weight and posture so that on-the-job injuries are minimized D. Body mechanics describes a process by which the EMT can gauge or estimate the type of injuries sustained in a traumatic incident
A
You and your partner have just been dispatched to the local children's hospital to pick up the neonatal transport team and the neonatal isolette so that you can transport them to a small community hospital 2 hours away and retrieve a neonate who is in distress. While driving to the children's hospital, which statement from your partner demonstrates he understands how to transport a patient with in an isolette? A. "Once we get to the children's hospital, I will remove the wheeled cot so we can load the neonatal isolette." B. "I realize that if I'm driving to the community hospital, I will not use the lights and sirens." C. "I hate taking these types of transports because it is so boring having to sit in the front of the ambulance." D. "If you are the one in the back with the transport team on our way back to the children's hospital with the patient, make sure you turn the heat up to the highest level so the neonate stays warm."
A
A patient has developed chest pain while working in his basement wood shop. After EMTs have assessed and provided care to the patient, the chest pain remains, although his vital signs are normal. To get him to the ambulance, the EMTs must first go up a short flight of stairs from the basement to the first floor, where the front door is located. Which action would be the safest for both the patient and crew? A. The two EMTs grasp the sides of the portable stretcher and move the patient up the stairs B. The stronger of the EMTs takes the head of the portable stretcher, and the EMTs carry the patient up the stairs head first C. The patient is carried up the stairs on the stair chair feet first, with the stronger EMT carrying the back of the device D. The patient carefully walks up the stairs under the watchful assistance of the EMTs
B
An EMT would perform an urgent move when: A. The patient is stable but has pain B. The patient has a life-threatening injury C. The patient exhibits no problems with the airway, breathing, or circulation D. The scene contains an immediate threat to the patient and EMT
B
An obese patient cannot ambulate and must be carried down several flights of stairs. Carrying the patient alone exceeds your physical capabilities; however, your partner is very strong and physically fit. Which statement, made by you, indicates the best means to safely lift and move the patient as well as minimize the likelihood of either of you suffering an injury? A. "When we go down the steps, you take the 'head' end and I'll carry the legs and go down the steps first." B. "We must call for assistance to get the patient from this location." C. "When we move him, let's go slowly down the stairs." D. "As long as I lean backward when moving him, we will be okay."
B
When you must push an object, it is important to: A. Keep your elbows straight and locked B. Push using muscles between your waist and your shoulders C. Push from an overhead position D. Push with your hands spread as far apart as you can
B
You are at the scene of a motorcycle accident on a rural road. The EMS captain has set up a landing zone and the local helicopter EMS agency has just landed; the aircraft is still running with both rotors turning. Which observation would cause you to take immediate action? A. The EMTs who will be helping to transfer the patient to the aircraft are removing their hats and sunglasses B. You see a new EMT start walking toward the aircraft as if he is going to open a door C. The flight crew has exited the aircraft and are walking toward you while the main and tail rotor blades of the aircraft are still rotating D. The patient was removed from the ambulance on the wheeled cot in anticipation of the flight crew arrival
B
You have been charged with writing a policy regarding reaching for equipment. In that policy, you indicate that the maximum distance an EMT should reach is no more than: A. 10 to 12 inches in front of her body B. 15 to 20 inches in front of her body C. 30 inches in front of her body D. One arm's length in front of her body
B
A patient must be removed immediately from a structure that is on the verge of collapse following an explosion. He is lying on the ground and dressed in shorts and a T-shirt. You are by yourself and have no other supplies or equipment. Which type of move would be most appropriate in this situation? A. The pants drag B. The extremity lift C. The armpit-forearm drag D. The blanket drag
C
After providing spinal motion restriction to an elderly female patient who fell in her bathroom, you prepare to carry her down a flight of stairs on a backboard. Which verbal instructions would be most appropriate to give to your partner? A. "Let's have the patient hold onto the stair railing to prevent the board from getting off balance." B. "It is best if we do not talk so that we can concentrate on safely moving her down the stairs." C. "I can take the head if you want the foot end, and then we will carry her down the stairs feet first." D. "Make sure to hold the board 6 inches from your body so that you get maximum stabilization."
C
One advantage of using the wheeled stretcher is: A. It cannot become unbalanced on a slope or rough terrain B. It rolls smoothly over rough terrain C. It can be adjusted to different positions or heights D. It can be safely moved by one EMT with a patient on it
C
When transferring a patient from a bed to a wheeled stretcher, an EMT uses proper body mechanics when he or she: A. Transfers the patient to the stretcher all at once, not in stages B. Keeps his arms locked and the patient away from his body during the transfer C. Aligns his shoulder, hips, and feet when moving the patient D. Primarily uses the muscles of his back to move the patient
C
You and two other EMTs are preparing to move a patient down several flights of stairs using a stair chair. After assigning one rescuer to hold the chair at the head and another to hold the chair at the foot facing the patient, you should: A. Assist the EMT at the patient's feet B. Direct movement from behind the EMT at the head C. "Spot" by standing behind the EMT at the feet D. Assist the EMT at the patient's head
C
You are caring for a young male patient who has overdosed on an unknown medication and has a decreased level of consciousness. When positioning the patient on the stretcher, which instructions will you give to the Emergency Medical Responders assisting you? A. "When you put him on the stretcher, elevate his head and chest." B. "Place him in a supine position and then carefully elevate his feet." C. "When you move him to the stretcher, put him on his left side." D. "He will need to be positioned flat on his back when on the stretcher."
C
You are correctly using the blanket drag to move a patient when you: A. Place the patient in a blanket and drag him by grasping his forearms B. Secure the patient in a supine position and drag him feet first along the ground C. Secure the patient in a blanket and drag him head first toward you D. Place the patient in the blanket in a prone position and drag him toward you
C
You are trying to convince the equipment committee to purchase a hydraulic power cot. When discussing advantages of this device over a more traditional stretcher, which point would you emphasize? A. It is considered much safer for transporting a child car seat B. It is much lighter, more durable, and easier to maneuver C. It will be easier to lift and lower when it is loaded with a patient D. It enables one EMT to safely move the stretcher, freeing another for patient care
C
A patient involved in a motor vehicle collision has critical injuries and must be removed from the car for care and transport to the hospital. Prior to removing the patient from the vehicle, what must be done? A. Completion of the primary and secondary exams B. Application of a vest-type immobilization device C. Completion of the primary assessment and vital signs D. Application of a cervical collar
D
A small car and a tanker truck loaded with gasoline have collided. The car is lodged under the tanker, the car engine is smoking, and the threat of fire is significant. After being waved in by the fire department, assessment reveals the patient to be unresponsive with a patent airway, but breathing with difficulty at 8 times per minute. In caring for this patient, your immediate action should be to: A. Quickly obtain vital signs and then extricate the patient from the car B. Promptly open the airway and suction prior to moving the patient C. Immediately start positive pressure ventilation and place a vest immobilization device for extrication D. Rapidly extricate the patient and provide care away from the wreckage
D
The safest and most efficient way of using your body to gain mechanical advantage is: A. The power lift B. To reduce the distance an object must be used C. To call for backup D. Body mechanics
D
When carrying equipment in the right hand, the EMT should: A. Bend backward for counterbalance B. Tilt his body to the right side C. Lean to the left side for compensation D. Keep his or her back straight as best possible
D
Which observation demonstrates that the EMTs and EMRs are correctly using the stair chair? A. The wheels of the stair chair touch each and every step B. The stair chair is carried down the stairs with the chair tilted forward C. The stair chair slides down the stairs while tilted forward D. The patient is carried down the stairs feet first
D