EMT Chapt. 11

You are called to the scene of a fall that has knocked a patient unconscious. The Centers for Disease Control and Prevention states that a fall of greater than how many feet for an adult is considered a severe fall for which transport to a trauma center is​ recommended?

20

When there are no apparent hazards on the scene of an​ accident, how far away should the ambulance be​ parked?

50 feet

Which of the following is the definition of mechanism of​ injury?

A force or forces that may have caused injury

Your​ patient, who is a known black belt martial arts​ instructor, is in the middle of the street attacking cars. When is it safe to approach​ him?

After the police have subdued him

The need for additional assistance for you and your partner is LEAST likely in which​ situation?

An elderly patient fallen in his bedroom

Which of the following scenes would require you to be extra​ vigilant?

An unusually quiet scene

Which of the following would represent the next best location to park if you could not park upwind or uphill from a scene of a gasoline​ spill?

Behind a barrier

You have been asked to climb inside the wreckage at a motor vehicle crash to provide patient care. What should you MOST expect to need to take Standard Precautions​ against?

Bleeding

You are responding to the scene of a shooting and see on arrival that two patients have sustained injuries from bullets. What types of damage would you expect to​ find?

Cavitation and projectile damage

Which of the following is the area around the wreckage of a vehicle or other potentially unsafe incident within which special safety precautions must be​ taken?

Danger zone

You are dispatched to the scene of a child who was bitten by a dog. What step of the scene​ size-up can you begin to perform before​ arrival?

Determine whether the dog has been secured.

As you pull up on scene at a vehicular collision with a utility​ pole, you notice that there is gasoline leaking from the car. What is another potential hazard you would expect in this​ situation?

Fumes

Which of the following elements should be completed only after the EMT has finished the scene​ size-up?

Identify and manage​ life-threatening conditions.

Which of the following would be the appropriate place to park an ambulance if you were responding to a hazardous materials scene that involved gases or​ fumes?

Level with the scene

You have been dispatched to 29 Park Avenue for a man having chest pain. As you approach the​ house, you hear loud voices and verbal threats coming from inside. You​ should:

NOT enter the scene.

You are performing a scene​ size-up at a large motor vehicle crash scene. Which of the following elements should be assessed​ first?

Possible hazards to your safety.

What is a new and unexpected factor that changes the nature of the scene following your​ arrival?

Power lines come down as you are providing care to patients.

You arrive on the scene of a terrace collapse involving an unknown number of people. Among your​ priorities, which of the following is initially most​ important?

Requesting additional resources.

You are called to the scene of a​ multiple-vehicle collision at which several patients are injured and bleeding. Which of the following provides the best protection against bloodborne​ pathogens?

Standard Precautions

You are approaching a conscious victim of a motor vehicle accident who is still sitting in the car. You notice that the air bag never deployed and the steering wheel is bent. What is your first​ concern?

The air bag may still​ deploy, injuring you or the patient.

What is the purpose for establishing a danger zone while working at a motor vehicle crash​ scene?

To designate the area where special safety precautions should be taken

Your patient is an elderly male who has paralysis of his right arm and leg. What is an aspect of the scene that may help you identify the nature of this​ patient's illness?

Visible medications

Which of the following findings at a motor vehicle crash would indicate that there may be more than one patient​ involved?

You find a​ woman's purse in the​ car, and a man was driving.

You are called to an area that you and your partner know from experience to be a dangerous area with frequent incidents of violent crime. As you arrive on the​ scene, you​ don't see any bystanders and the​ patient, an elderly male experiencing respiratory​ problems, appears to be alone except for his granddaughter who called 911. The scene is quiet. What MOST indicates potential​ danger?

You know the neighborhood is dangerous.

A​ single-patient emergency that is MOST likely to require additional resources is one​ involving:

airway compromise.

In a rollover​ collision, expect:

any type of serious injury pattern.

An explosion has occurred at a local church. You are the first responding medical​ unit, and you note many patients lying in the street. After establishing incident​ command, you should​ next:

call for additional resources and begin the scene​ size-up.

In responding to an accident scene involving a chemical​ spill, you​ would:

consult the Emergency Response Guidebook.

You are dispatched to an auto accident. As you approach the​ scene, you notice that law enforcement is there and the fire department is close behind you. Four badly damaged vehicles are involved. You should​ next:

contact dispatch and request additional EMS units.

A relevant consideration during scene​ size-up would​ be:

determining the mechanism of injury or nature of illness.

You are dispatched to a motor vehicle crash on a street in a residential neighborhood. As you pull​ up, you note that none of the houses along the street have lights on. You should​ suspect:

downed power lines.

You are dispatched for a​ 35-year-old male complaining of chest pain. You arrive on scene at a residential address in a very​ run-down section of town. You approach the scene​ carefully, and upon​ entering, you find that the patient has been shot in the chest. You​ should:

exit the scene and call for law enforcement.

Scene​ size-up:

extends to initial identification of hazards.

The nature of the illness needs to be considered in situations​ involving:

infected patients.

Your ambulance has been dispatched to a​ multiple-car motor vehicle crash. Dispatch has alerted you that fire and rescue units are en route. As you approach the​ scene, you​ should:

look and listen for other emergency units approaching from side streets.

You respond to a motor vehicle accident. Determining where the patient was​ seated, if he was wearing a seat​ belt, and if the airbags deployed are part of determining​ the:

mechanism of injury.

You are assessing a patient who has sustained a bullet wound from a handgun. Penetrating trauma associated with handguns and shotguns is generally considered to​ be:

medium velocity.

​Bystanders:

must be kept clear of​ traffic, a​ collision, and patients.

Your patient is suffering from what appears to be a heart condition. During your scene​ size-up, you should determine the​ patient's:

nature of illness.

What is medically wrong with a patient is​ the:

nature of the illness.

A​ 77-year-old female complains of chest pain. When you​ arrive, her husband greets you at the front door. You note that he is out of​ breath, sweaty, and holding his chest. You​ should:

radio for an additional unit and have your partner assess him while you check on his wife.

A​ 39-year-old male complains of respiratory​ distress, cough, and a fever. The patient weighs 400 pounds and lives on the second floor of a small house. You determine that transport is indicated. You should​ next:

request additional lifting assistance.

The​ EMT's initial evaluation of the scene is called​ the:

scene​ size-up.

Your unit arrives first at the scene of a​ tractor-trailer motor vehicle crash. Your partner notes that he sees hazardous materials placards on the truck. You should​ first:

stage in​ place, upwind from the scene.

You arrive on scene and see​ smoke, approaching​ onlookers, an overturned​ vehicle, a broken utility​ pole, shards of glass on the​ street, and a fire hydrant. The element that signals nothing hazardous​ is:

the fire hydrant.

A​ 68-year-old female complains of respiratory distress. She says that she has been sick for three​ days, and she has a history of COPD. You note that she is coughing forcefully into a napkin. Which of the following would be the MOST appropriate personal protective equipment for use on this​ scene?

​Gloves, eye​ protection, and mask

You suspect that your patient may have tuberculosis. Which of the following should be added to your personal protective​ equipment?

​N-95 mask

A patient in a fender bender accident has a reddened spot on her forehead but​ doesn't remember striking her forehead in the collision. You suspect the redness to be the result​ of:

​blunt-force trauma.

You are responding to a​ head-on car collision. One injury pattern you would expect to find​ is:

​down-and-under.