emt chap 38

direct your partner to begin ventilatory assistance.

A 19-year-old female has just been extricated from her severely damaged car. She is on a long backboard and has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should:

immobilize him with a vest-style device.

A 33-year-old restrained driver of a motor vehicle crash is awake and alert, complaining only of neck pain and left leg pain. The vehicle is stable and no hazards are present. When removing this patient from his vehicle, you should:

maintain spinal stabilization as she is extricated.

A 50-year-old female is entrapped in her passenger car after it struck a tree. As the rescue team is preparing to extricate her, you quickly assess her and determine that she is breathing shallowly and that her radial pulse is absent. You should:

immobilize his spine with a long backboard and place him in a basket stretcher.

A hiker was injured when he fell approximately 20 feet from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The MOST appropriate method of immobilizing and moving the patient to the ambulance is to:

the battery has higher voltage than a traditional vehicle battery.

A unique consideration when dealing with a hybrid vehicle is that:

support the injured extremities and continue removal.

As you and your team are removing an unresponsive patient from her wrecked car, you note that she has closed deformities to both of her legs and a deformity to her left humerus. You should:

remain outside the danger (hot) zone

At a scene with downed electrical lines, the EMT should _________.

keeping bystanders at a safe distance.

Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT:

removing a patient from a dangerous position.

Disentanglement involves:

removal from a dangerous situation or position.

Extrication is defined as:

check with the incident commander to ensure that the team is en route.

If a technical rescue team is required at the scene, but is not present when you arrive, you should:

involves forcible entry into a vehicle.

In contrast to simple access, complex access:

perform a primary assessment.

Once entrance and access to the patient have been provided, you should:

begin a rapid assessment

Rescuers have brought you a patient rescued from a structural collapse. You should immediately _________.

termination phase

Returning the emergency unit to service is part of the _________.

dangerous law enforcement operations

Tactical EMS providers are specially trained to function during _________.

patient care

The EMT's primary responsibility during a rescue or extrication situation is _________.

wait at the staging area until the patient is located

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

underestimating the logistics of the incident.

The reasons for rescue failure can be referred to by the mnemonic FAILURE. In this mnemonic the "U" stands for:

ensure that she is in a safe area, away from the scene.

The rescue team is in the process of extricating a 40-year-old male from his truck. The patient's wife, who was uninjured in the crash, is calmly observing the extrication and asks you if her husband will be all right. You should:

complex access

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

do a 360-degree walk-around

To evaluate the scene for hazards and identify the number of patients, the EMT should first _________.

100 lb

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.

prepare the equipment to carry to the patient

Upon arrival at a search-and-rescue incident, the EMS crew should _________.

park at least 500 feet from the incident

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

notify the incident commander

Upon arrival at an active law enforcement incident, the EMT should _________.

immediately request additional resources.

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:

Disconnect the battery.

What should be done for any type of alternative-fuel vehicle that is involved in an accident?

after receiving approval from the incident commander.

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:

protect the cervical spine during the entire process.

When removing a critically injured patient from his or her vehicle, you should:

Entering a vehicle through an open window

Which of the following is the BEST example of gaining simple access to a patient?

The scene size-up

Which of the following is the most important in protecting EMS providers during an extrication operation?

remain with the ambulance

While staged at the scene of a structure fire, the EMT should _________.

Incident commander

Who has overall command of an emergency incident?

remain with the ambulance and wait for fire personnel to bring the victim to you.

You and your partner are standing by at the scene of a residential fire when you hear the incident commander state, "We have located a victim" over the radio. You should:

ask the patient if he can unlock the door.

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:

grab him by the clothes and immediately move him to safety.

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:

call for additional resources and keep bystanders away from the vehicle

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________.

ask the incident commander where the ambulance should be staged.

Your unit has been dispatched to stand by at the scene of a structure fire. There are no injuries of which you are aware. Upon arriving at the scene, you should:

Access

_____________ is defined as the ability to reach the patient.