Chapter 39 Vehicle Extrication and Special Rescue

You are dispatched to the scene of a trench collapse. Upon arriving at the scene, your ambulance should be parked at least _____ feet from the incident.

500

The EMT's responsibility during search-and-rescue operations is to _________.

wait at the staging area until the patient is located

Proper protective equipment will vary depending on the hazards encountered. Which piece of equipment should be utilized during all patient contacts?

Blood- and fluid-impermeable gloves

A man has been sucked inside the bin of a grain silo and is trapped. Which of the following rescue teams is the MOST appropriate to request?

Confined space rescue

Gaining entry to an enclosed area and reaching a patient.

access

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.

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

While the EMT is in a vehicle assessing the patient, the rescue team should be:

assessing exactly how the patient is trapped and determining the safest way to extricate

You respond to a wooded area to help search for a child who has been missing for approximately 24 hours. Which of the following equipment should you leave in the ambulance?

backboard

The designated field command center where the incident commander and support staff are located.

command post

A two-door passenger car struck a tree while driving approximately 50 mph. The doors are badly damaged and jammed, and the driver appears to be unconscious inside the vehicle. Entering the vehicle by breaking the back window is an example of:

complex access

Entry that requires special tools and training and includes the use of force.

complex access

The use of special tools to remove an entrapped patient from a vehicle is known as _________.

complex access

An area where people can be exposed to hazards such as electric wires, sharp metal edges, broken glass, toxic substances, radiation, or fire.

danger zone (hot zone)

To be caught (trapped) within a vehicle, room, or container with no way out or to have a limb or other body part trapped.

entrapment

Removal of a patient from entrapment or a dangerous situation or position, such as removal from a wrecked vehicle, industrial incident, or collapsed building.

extrication

The scene size-up at a motor vehicle crash or other incident:

is an ongoing process until the incident is terminated.

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.

If there are downed power lines near a vehicle involved in a crash, you should:

have the patient remain in the vehicle

Any substance that is toxic, poisonous, radioactive, flammable, or explosive and causes injury or death with exposure.

hazardous material

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.

The individual who has overall command of the incident in the field.

incident commander

Proper removal of a critically injured patient from an automobile involves:

moving the patient in smooth, slow, controlled steps

Upon arrival at a trench rescue operation, you should _________.

park at least 500 feet from the incident

In order to evaluate hazards present at the scene and determine the number of patients, you should:

perform a 360-degree walk around of the scene.

A 30-year-old semiconscious man is pinned by the steering wheel of his badly wrecked vehicle. Once access has been gained to the patient, the EMT should:

perform a primary assessment and provide any needed emergency care prior to extrication

What is the first phase of extrication?

preparation

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.

As you approach an unconscious patient who is still in her wrecked vehicle, you note that there is a power line entangled in the wreckage of the vehicle. You should:

retreat until the power line has been removed or the power is shut off

An area of protection providing safety from the danger zone (hot zone).

safe zone

Respirator with independent air supply used by firefighters to enter toxic and otherwise dangerous atmospheres.

self-contained breathing apparatus

Access that is easily achieved without the use of tools or force.

simple access

The ongoing process of information gathering and scene evaluation to determine appropriate strategies and tactics to manage an emergency.

size-up

A specialized law enforcement tactical unit.

special weapons and tactics team

A fire in a house, apartment building, office, school, plant, warehouse, or other building.

structure fire

Your primary concern when arriving at the scene of a motor vehicle crash is:

surveying the area for hazards.

A hostage, robbery, or other situation in which armed conflict is threatened or shots have been fired and the threat of violence remains.

tactical situation

A team of emergency responders from one or more departments in a region who are trained and on call for certain types of technical rescue.

technical rescue group

A rescue that requires special technical skills and equipment in one of many specialized rescue areas, such as technical rope rescue, cave rescue, and dive rescue.

technical rescue situation

Situational awareness is MOST accurately defined as:

the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact.