EMT Chapter 37: Transport Operations

If you properly assess and stabilize a patient at the scene, driving to the hospital with excessive speed: A. is allowable according to state law. B. will decrease the driver's reaction time. C. is often necessary if the patient is critical. D. increases the patient's chance for survival.

B. will decrease the driver's reaction time

Which of the following is an example of regional equipment or supplies? A. Oral glucose B. Vacuum splint C. Snake bite kit D. Bronchodilator

C. snake bite kit

Equipment and supplies that are carried on an ambulance should be stored? A. In locked or secured cabinets in order to prevent theft B. Based on recommendations of the health department C. As directed by the EMS system's medical director D. According to the urgency and frequency of their use

D. According to the urgency and frequency of their use

The purpose of a Jump Kit is to? A. facilitate defibrillation within 5 minutes after making patient contact. B. manage a critically injured patient until he or she is loaded into the ambulance. C. carry advanced life support equipment approved by the EMS medical director. D. contain anything that you might need during the first 5 minutes of patient care.

D. Contain anything that you might need during the first 5 minutes of patient care

A folding or portable stretcher is MOST beneficial when:

a second patient must be transported on the squad bench of the ambulance.

Fixed-wing aircraft and helicopters that have been modified for medical care; used to evacuate and transport patients with life-threatening injuries to treatment facilities

air ambulances

vehicle that is used for treating and transporting patients who need emergency medical care to a hospital

ambulance

areas of the road that are blocked from your sight by your own vehicle or mirrors

blind spots

a process, such as heating, that removes microbial contamination

sterilization

What is the minimum size of a helicopter landing zone?

60x60

Which of the following items would MOST likely require special protocols in order to be carried on the ambulance? A. Pneumatic anti shock garment B. Pediatric nonrebreathing masks C. Automated external defibrillator D. Devices for restraining a patient

A. (PASG) pneumatic anti shock garment

A disposable oxygen humidifier should be considered for ambulance services that often transport patients on runs longer than: A. 1 hour. B. 2 hours. C. 3 hours. D. 4 hours.

A. 1 hour

Hydroplaning of the ambulance on wet roads would MOST likely occur at speeds of greater than _____ mph. A. 30 B. 15 C. 10 D. 20

A. 30

When arriving at the scene of an over turned tractor-trailer rig, you notice that a green cloud is being emitted from the crash 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? A. Position the ambulance upwind B. Quickly gain access to the patient C. Park downhill from the scene D. Ask the driver to exit the vehicle

A. Position the ambulance upwind

Minimum staffing in the patient compartment of a basic life support (BLS) ambulance includes: A. at least one EMT. B. at least two EMTs. C. an EMT and a paramedic. D. an EMT and an AEMT.

A. at least one EMT

Phases of an ambulance call include all of the following activities, EXCEPT A. emergency care provided at the scene. B. transport of the patient to the hospital. C. checking equipment on the ambulance. D. transferring the patient to the ambulance.

A. emergency care provided at the scene

The MOST common and usually the most serious ambulance crashes occur at? A. Intersections B. Stop signs C. Stop lights D. Railroad crossings

A. intersections

For every emergency request, the dispatcher should routinely gather and record all of the following information, EXCEPT the: A. Patient's medical history B. Location of the patient(s) C. Caller's phone number D. Nature of the call

A. patients medical history

A portable oxygen cylinder should have a capacity of a minimum of ______ of oxygen. A. 250 L B. 500 L C. 750 L

B. 500 L

Typically medivac helicopters fly between:

130 to 150 mph

A type _____ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed. A. 1 B. IV C. II D. III

A. I

Which of the following statements regarding the use of the warning lights and siren on the ambulance is correct? A. If it is necessary to use the siren, you should tell the patient beforehand. B. If the patient is stable, you may use the warning lights without the siren. C. Warning lights and siren should be avoided, even if the patient is unstable. D. It is generally acceptable to increase your speed if lights and siren are in use.

A. If it is necessary to use the siren, you should tell the patient beforehand

A medical transport helicopter is incoming and you are responsible for setting up the landing zone (LZ). You should A. Use weighted cones to mark all four corners of the LZ B. Place for flares 100 feet apart in an "X" pattern. C. Use yellow caution tape to mark the LZ perimeter D. Ask bystanders to stand at all four corners of the LZ

A. Use weighted cones to mark all four corners of the LZ

The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called: A. Cleaning B. High-level disinfection C. Disinfection D. Sterilization

A. cleaning

When transporting a patient who is secured to a backboard, it is important to: A. place deceleration straps over the patient's shoulders. B. routinely elevate the head of the backboard 12". C. use at least eight straps to secure the patient to the board. D. place a folded towel or blanket under his or her head.

A. place deceleration straps over the patient's shoulders

When working at the scene of a motor vehicle crash at night, you should NOT use: A. road flares. B. reflective vests. C. portable floodlights. D. intermittent flashing devices.

A. road flares

When being tailgated by another vehicle while responding to an emergency call, you should: A. slow down and allow the driver to pass you. B. increase your speed to create more distance. C. slam on the brakes to frighten the tailgater. D. stop the ambulance and confront the driver.

A. slow down and allow the driver to pass you.

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: A. Stop and wait until the warning lights stop flashing B. Slowly and carefully pass the bus on the left side C. Back up and take an alternate route to the scene D. Pass the bus only after all the children have exited

A. stop and wait until the warning lights stop flashing

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: A. turn your emergency lights off and obey all traffic laws. B. keep your emergency lights on but avoid using the siren. C. use your lights and siren but drive slowly and defensively. D. drive slowly and remain in the far left-hand lane, if possible.

A. turn your emergency lights off and obey all traffic laws.

Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park your ambulance in a direction that is facing oncoming traffic. You should: A. turn your headlights off. B. quickly access the patient. C. place a flare near the crash. D. turn all warning lights off.

A. turn your headlights off

The main objective of traffic control at the scene of a motor vehicle crash is to: A. warn oncoming traffic and prevent another crash. B. facilitate a route for the media to access the scene. C. prevent curious onlookers from observing the scene. D. get oncoming traffic past the scene as soon as possible.

A. warn oncoming traffic and try to prevent another crash

As soon as you leave the hospital and are en route back to your station, you should inform the dispatcher: A. whether you are back in service. B. that you are prepared for another call. C. of the name of the accepting physician. D. about the patient's clinical condition.

A. whether you are back in service

When parking your ambulance at the scene of a motor vehicle crash, you should position the ambulance: A. 50′ past the scene on the opposite side of the road. B. 100′ past the scene on the same side of the road. C. 50′ before the scene on the same side of the road. D. alongside the scene to rapidly access the patient(s).

B. 100′ past the scene on the same side of the road

Minimum airway and ventilation equipment that should be carried on every ambulance include all of the following, EXCEPT: A. various sizes of oral and nasal airways. B. Combitubes or laryngeal mask airways. C. mounted and portable suctioning units. D. adult and pediatric bag-mask devices.

B. Combitubes or laryngeal mask airways

It is 10:30pm and you have requested air medical transport for a critically injured patient. When you arrive at the designated landing zone, you should? A. mark the proposed landing area with road flares. B. survey the area for power lines or other hazards. C. provide the flight crew with a patient status update. D. mark the landing site using personnel with flashlights.

B. Survey the area for power lines or other hazards

In which of the following situations would the EMTs MOST likely utilize a police escort? A. The weather is treacherous and there are numerous roads washed out B. The EMTs are unfamiliar with the location, but the police officer knows the area C. The call is dispatched as an unresponsive patient with CPR in progress. D. The EMTs are transporting a critical pediatric patient through traffic

B. The EMTs are unfamiliar with the location, but the police officer knows the area.

Characteristics of a safe ambulance operator include: A. the ability to operate an ambulance at a high rate of speed. B. a positive attitude about the ability to tolerate other drivers. C. realizing that lights and siren will be effective traffic tools. D. an offensive attitude about driving during an emergency call.

B. a positive attitude about the ability to tolerate other drivers

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: A. Quickly proceed to the call and clean and restock the ambulance afterwards B. Advise the dispatcher that you are out of service and to send another unit C. Have your partner quickly clean the ambulance as you proceed to the call D. Proceed to the call, functioning only as an emergency medical responder

B. advise the dispatcher that you are out of service and to send another unit

When a helicopter must land on a grade (uneven ground), you should: A. approach the aircraft from the uphill side. B. approach the aircraft from the downhill side. C. attempt to approach the aircraft from behind. D. move the patient to the aircraft as soon as it lands.

B. approach the aircraft from the downhill side

During the transport phase of an ambulance call, it is MOST important to: A. Reassess unstable patients at least every 15 minutes B. Converse with the patient and provide reassurance C. Complete the run form before arrival at the hospital D. Reassess the patient only if he or she deteriorates

B. converse with the patient and provide reassurance

If hydroplaning of the ambulance occurs, the driver should: A. slowly move the steering wheel back and forth. B. gradually slow down without jamming on the brakes. C. slowly pump the brakes until he or she regains vehicle control. D. quickly jerk the steering wheel.

B. gradually slow down without jamming on the brakes

Common safety equipment carried on the ambulance includes all of the following, EXCEPT: A. Turnout gear B. Hazardous materials gear C. Face shields D. Safety goggles

B. hazardous materials gear

The six-pointed Star of Life emblem identifies vehicles that: A. are staffed by a minimum of one certified advanced EMT (AEMT). B. meet federal specifications as licensed or certified ambulances. C. are equipped with supplies to manage a mass-casualty situation. D. have complied with state regulations for ambulance certification.

B. meet federal specifications as licensed or certified ambulances

When driving an ambulance on a multilane highway in emergency mode, you should: A. pass other drivers on the right side. B. remain in the extreme left-hand lane. C. remain in the extreme right-hand lane.

B. remain in the extreme left hand lane

You are dispatched to a residence for a patient with chest pain; however, you are unfamiliar with the address and cannot find the location in your map book. A nearby police officer radios you and tells you that he knows how to get to the scene. You should: A. ask the dispatcher to call the residence and obtain driving directions. B. turn off your lights and carefully follow the police officer to the scene. C. follow the police officer in emergency mode until you get near the scene. D. keep your lights on and ask the police officer to guide you to the scene.

B. turn off your lights and carefully follow the police officer to the scene

Portable and mounted suction units must be powerful enough to generate a vacuum of at least ____ mm Hg when the tubing is clamped. A. 100 B. 200 C. 300 D. 400

C. 300

Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then? A. Quickly gain access to the patient B. Carefully assess the mechanism of injury C. Observe the scene for safety hazards D. Determine if additional units are needed

C. 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: A. assigning tasks to each member of the response team. B. obtaining additional information from the dispatcher. C. apprising the medical director of the nature of the call. D. fastening your seatbelts before the ambulance departs.

C. apprising the medical director of the nature of the call

While using lights and siren, most state laws permit an ambulance to: A. disregard all traffic control signals. B. drive as fast as the department allows. C. carefully exceed the posted speed limit. D. proceed through red lights without stopping.

C. carefully exceed the posted speed limit

The LEAST practical place to store a portable oxygen cylinder is: A. Near the side or rear door B. Inside the jump kit C. In the driver's compartment D. On the ambulance stretcher

C. in the driver's compartment

Aggressive ambulance driving may have a negative effect on other motorists because A. they may become enraged and attempt to run you off the road. B. they move to the right or drive as close to the curb as possible. C. it may not allow for their reaction time to respond to your vehicle D. they often freeze when they see the lights in the rearview mirror.

C. it may not allow for their reaction time to respond to your vehicle.

Maintaining a cushion of safety when operating an ambulance means: A. Driving at the posted speed limit, regardless of the patient's condition, and routinely using your lights and siren when driving on a freeway. B. Driving about 2 to 3 seconds behind any vehicles in fron of you and exceeding the posted speed limit by no ore than 20 to 25 mph. C. Keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirror's blind spots. D. Remaining in the far right-hand lane when transporting a critical patient and refraining from passing other motorists on the left side.

C. keeping a safe distance between your ambulance and the vehicle in front of you and remaining aware of vehicles potentially hiding in your mirror's blind spots.

When approaching a helicopter, whether the rotor blades are moving or not, you should: A. Approach the aircraft from the side because this will make it easier for you to access the aircraft doors B. Carefully approach the aircraft from the rear unless a crew member instructs you to do otherwise C. Never duck under the body or the tail boom because the pilot cannot see you in these areas D. Remember that the main rotor blade is flexible and can dip as low as 5c or 6c from the ground

C. never duck under the body or the tail boom because the pilot cannot see you in these areas

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: A. turn off your lights and siren and proceed with safety. B. advise the fire department vehicle to follow you closely. C. use a different siren tone than the fire department vehicle. D. ask the fire department vehicle to remain 1,000′ behind you.

C. use a different siren tone than the fire department vehicle

Which of the following is an example of regional equipment or supplies? A. Vacuum splint B. Oral glucose C. Inhaled bronchodilator D. DuoDote Auto-Injector

D. DuoDote Auto-Injector

General guidelines for safe ambulance driving include all of the following, EXCEPT: A. Avoiding routes with heavy traffic congestion B. Assuming that other drivers will not pass you C. Avoiding one-way streets whenever possible D. Regularly using the siren as much as possible

D. Regularly using the siren as much as possible.

In general, medivac helicopters should be utilized when: A. ground transport would leave your service area without an ambulance for greater than 30 minutes. B. ground transport to the hospital exceeds 30 to 45 minutes, even if the patient's present condition is stable. C. a patient has been in cardiac arrest for more than 15 minutes and has not responded to CPR and defibrillation. D. a patient has a time-dependent injury or illness and traffic conditions would cause a significant delay in definitive care.

D. a patient has a time-dependent injury or illness and traffic conditions would cause a significant delay in definitive care.

Regardless of where portable and mounted oxygen cylinders are stored in the ambulance, they must: A. undergo hydrostatic testing on a weekly basis. B. hold a minimum capacity of 1,500 L of oxygen. C. be easily identifiable by their bright green color. D. be capable of delivering oxygen at 1 to 15 L/min.

D. be capable of delivering oxygen 1-15 liters per min

When transporting a patient to the hospital, you should: A. generally exceed the posted speed limit by 10 to 20 mph. B. place the patient on a long backboard, even if no trauma is involved. C. secure the patient to the ambulance stretcher with at least two straps. D. be safe and get the patient to the hospital in the shortest practical time.

D. be safe and get the patient to the hospital in the shortest practical time

Other than personal safety equipment, which of the following should be the MOST readily accessible item in the back of an ambulance? A. Emergency childbirth kit B. Stethoscope and penlight C. Vest-style extrication device D. Bleeding control supplies

D. bleeding control supplies

Upon returning to your station following a run, you should disinfect the ambulance as needed. Disinfection is MOST accurately defined as: A. using heat as a means of removing all microbial contaminants. B. advise the dispatcher that you are out of service and to send another unit. C. removing dirt, dust, blood, or other grossly visible contaminants. D. destroying pathogenic agents by using potent disinfection means.

D. destroying pathogenic agents with a chemical made for that purpose.

Delivering a patient to the hospital involves all of the following activities, EXCEPT: A. completing a detailed written report. B. informing the dispatcher of your arrival. C. restocking any disposable items you used. D. giving a verbal report to the triage clerk.

D. giving a verbal report to the triage clerk

You are en route to an emergency call when you approach a slow-moving vehicle on a two-way road. You can see oncoming traffic in the other lane. The driver has his windows up and does not realize that you are behind him. You should: A. use your public address (PA) system to alert the driver. B. quickly pass the vehicle on the left side. C. pass the driver on the right-hand shoulder. D. remain at a safe distance until it is safe to pass.

D. remain at a safe distance until it is safe to pass

The use of lights and siren on an ambulance: A. Is required any time a patient is being transported to the hospital B. Legally gives the emergency vehicle operator the right of way C. Allows other drivers to hear and see you from a great distance D. Signifies a request for other drivers to yield the right of way

D. signifies a request for other drivers to yield the right of way.

It is essential that you ____________ your equipment to prevent the spread of disease.

decontaminate

Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should:

direct your partner to apply manual in-line support of the patient's head.

vehicles that respond initially to the scene with personnel and equipment to treat the sick and inured until an ambulance can arrive

first responder vehicles

What should you do to properly position patient if you do not have a CPR board?

use a short or long board rolled up towel to raise shoulders