EMT Chapter 6

You and your partner are preparing to move a trauma patient down a flight of stairs using a portable stretcher. As you begin the move, a third EMT shows up and asks to help. Which one of the following instructions would be most appropriate to ensure a safe move for both the patient and crew? Select one: a. "Stand behind us at the top of the stairs and let us know if you see any obstacles." b. "Please stand behind the EMT at the foot end and count steps for her." c. "Come up and help me with the head end, since most of the weight is here." d. "You can help by grasping the right side of the stretcher to keep it balanced."

b.

In preparing the schedule, you have been instructed to pair EMTs in the best way to decrease 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? Select one: a. A short and very strong EMT b. A tall and weaker EMT c. A tall and very strong EMT d. A short and weaker EMT

c.

The EMT should perform an urgent move when the: Select one: a. patient is stable but suffering from pain. b. scene contains an immediate threat to the patient and EMT. c. patient is suffering from an immediate threat to life. d. patient exhibits no problems with the airway, breathing, or circulation.

c.

When lifting the stretcher with a patient secured to it, the EMT must avoid which one of the following? Select one: a. Contracting the abdominal muscles b. Maintaining a straight back c. Bending at the waist d. Lifting with the thigh muscles

c.

When you must push an object, it is important to: Select one: a. keep your elbows straight. b. push from an overhead position. c. push from between your waist and shoulder. d. push with your arms away from your body.

c.

You have been charged with writing a policy regarding reaching for equipment. In that policy, you should indicate that the maximum distance an EMT should reach should be no more than: Select one: a. one arm's length in front of her body. b. 30 inches while bending at the waist. c. 15 to 20 inches in front of her body. d. 10 to 12 inches in front of her body.

c.

After immobilizing an elderly female patient who fell in her bathroom, you prepare to carry her down a flight of stairs on a backboard. Which one of the following instructions would be most appropriate to give to your partner? Select one: 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. "Make sure to hold the board six inches from your body so that you get maximum stabilization." d. "Why don't I take the head and then we can carry her down the stairs feet first."

d.

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: Select one: a. direct movement from behind the EMT at the head. b. assist the EMT at the patient's feet. c. assist the EMT at the patient's head. d. "spot" by standing behind the EMT at the feet.

d.

You have an obese patient who cannot ambulate and must be carried down several flights of stairs. You realize that moving this patient exceeds your physical capabilities; however, you know that your partner is very strong. Which one of the following statements is the best means to safely lift and move the patient as well as minimize your opportunity of suffering an injury? Select one: a. "When we move him, let's go slowly down the stairs." b. "To be safe, let's move him quickly and at one time down the stairs." c. "As long as I lean backward when moving him, we should be okay." d. "We will have to call for assistance to get him from his house."

d.

The EMT recognizes that an advantage of using the wheeled stretcher is that it: Select one: a. can be adjusted to different positions. b. can be safely moved by one EMT. c. rolls smoothly over rough terrain. d. cannot become unbalanced.

a.

When reaching to perform a logroll, the EMT should: Select one: a. use his shoulder muscles. b. reach no more than 30 inches. c. lean from the waist. d. keep his back flexed.

a.

Which one of the following instructions would you give to a new EMT who is preparing to use a squat lift to raise a patient secured to a stretcher? Select one: a. "Make sure that you push yourself up with your stronger leg." b. "Make sure to place your weaker leg slightly back." c. "Support yourself with your stronger leg and push up with your weaker one." d. "Do not use the power grip when performing the squat lift."

a.

Which one of the following observations indicates that the EMTs and Emergency Medical Responders are correctly using the stair chair? Select one: a. The patient is carried down the stairs feet first. 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 wheels of the stair chair touch each and every step.

a.

You are at the scene of a collision involving a small car and a tanker truck carrying gasoline. The car is lodged under the tanker, from which gasoline is leaking from a ruptured valve. The car engine is smoking and the threat of fire and explosion is great. Assessment reveals your patient to be unresponsive with a patent airway, but breathing with difficulty at 8 times a minute. In caring for this patient, your immediate action should be to: Select one: a. rapidly extricate the patient and provide care away from the wreckage. b. open the airway and suction prior to moving the patient. c. start positive pressure ventilation and place a vest immobilization device for extrication. d. obtain vital signs and then extricate the patient from the car.

a.

You have been called to assist a pediatric physician, a pediatric nurse, and a respiratory therapist in the transfer of a two-week-old baby who is very sick. The baby will be taken from a community hospital and transferred in an isolette to a large metropolitan teaching hospital in a nearby city. The isolette is secured to the stretcher, and the stretcher is loaded into the ambulance. The physician, nurse, and respiratory therapist will provide all patient care. Prior to departing the hospital, it is essential that you: Select one: a. make sure the stretcher is secured in the ambulance. b. advise the family of the baby's critical condition. c. mix and prepare the medications needed for transport. d. disinfect the outside of the isolette.

a.

A patient has developed chest pain while working in his wood shop. After assessing and providing basic 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 one of the following would be the safest for both the patient and crew? Select one: a. The patient is carried up the stairs on the stair chair feet first. b. The stronger of the EMTs takes the head of the portable stretcher. c. The two EMTs grasp the sides of the portable stretcher and move the patient up the stairs. d. The patient carefully walks up the stairs under the watchful assistance of the EMTs.

b.

A patient suffering from critical injuries secondary to a motor-vehicle collision must be urgently removed from a car for immediate care and transport to the hospital. Prior to removing the patient from the vehicle, which one of the following must be done? Select one: a. Completion of the primary and secondary exams b. Application of a cervical-spine immobilization collar c. Application of a vest-type immobilization device d. Completion of the primary assessment and vital signs

b.

To improve physical fitness and decrease the risk of injury when lifting and moving patients, you should combine good body mechanics with: Select one: a. caffeine substitutes. b. proper nutrition. c. protein drinks. d. vitamin supplements.

b.

When lifting or moving any patient, the EMT must remember to primarily use the muscles of his or her: Select one: a. arms. b. legs. c. back. d. hips.

b.

Which one of the following best describes the appearance of kyphosis? Select one: a. Lateral curvature of the cervical spine b. Exaggerated forward curvature of the thoracic spine c. Exaggerated curvature of the lumbar spine d. Lateral curvature of the thoracic spine

b.