EMT Operations

There are five stages in the death/dying process. Of those five stages, which comment or question does a patient usually ask themselves in the bargaining stage?

"ok, but first let me.."

At the scene of a workplace shooting, how would you triage the following three patients: Patient 1, shot in the right arm, with bleeding controlled and is capable of walking. Patient 2, with chest pain and a respiratory rate of 35 breaths per minute. Patient 3, shot in the right thigh with bleeding uncontrolled.

1 green, 2 red

You are called to a traffic accident. As you approach, you are informed that a small fire has ignited in the engine compartment of one of the vehicles. There is no spilled fuel or other apparent hazards. You should park the ambulance?

100 feet away from the scene of the accident

What is the minimum amount of transport time for which an air medical transport would be considered faster than a ground medical transport?

30 mins

You arrive on scene with your partner to a multiple casualty incident. The scene shows that there are 7 patients in 3 cars all requiring extrication. The first car holds three young women ages 17, 17, and 18. The girl in the driver seat has neck pain as well as the girl in the passenger seat. They have contusions on their heads that are bleeding though the volume does not seem to be critical. Neither were wearing seatbelts. The girl in the back was seatbelted with no signs of injury. The second car has a 29-year-old woman who is 28 weeks pregnant and has her two children with her in the car. Her 9-year-old daughter has extreme pain in her arms and legs, and indicates that her back "hurts a little". Her 7-year-old son has a facial laceration and is conscious, but breathing very shallow. The last car is a 77-year-old man lurched over the center console. He is unresponsive to verbal or painful stimuli. He has no pulse. Who would be the top priority patient?

7 year old male

A multiple-casualty incident can involve up to how many patients?

99

You arrive on the scene of a MCI and you are delegated the job of triage officer. Four patients are brought to your attention. Which of the following patients is your top priority?

A 62-year-old male, difficulty breathing.

An addition to an original Prehospital Care Report is which of the following?

Addendum

You have been dispatched for a multi-vehicle crash and are the first unit arriving on scene along with a fire battalion chief. The battalion chief takes command and assigns you and your partner to triage. After safely directing the walking wounded to a treatment area, you begin to triage the remaining patients. The first patient you happen upon is a 6-year-old female who has been ejected from the vehicle she was in. She is unconscious, unresponsive, and apneic. You check for a pulse and find a pulse so you open the patient's airway. The patient is still apneic, despite repositioning her airway. What should you do?

Administer five rescue breaths and recheck respirations

Which of the following is an acceptable way to approach a helicopter?

Approach from the front

While wheeling your patient into the ER, she begins shouting out loud that you threatened to physically harm her in the back of the ambulance. She is accusing you of?

Assault

When parking your emergency vehicle to block oncoming traffic at the scene of a crash, how should you park your apparatus?

At a 45 degree angle to traffic, taking up multiple lanes

What is an advantage of a duplex radio system?

Both parties can communicate simultaneously

You have been dispatched for a car-vs.-pedestrian. Your 9-year-old male patient was struck by a car while he was riding his scooter. His helmet and shoes were thrown off upon contact with the vehicle. Police are on scene and are treating the accident as a crime scene. Which of the following should you not do?

Bring the helmet with you to the emergency room

Transporting which of the following patients by air transport would be the least appropriate utilization of aeromedical resources?

Cardiac arrest with CPR in progress

You arrive at a retirement home to treat several cases of nausea, lightheadedness, and weakness from various residents and one staff member. These symptoms are minor for the staff member and moderate for the elderly residents, and all had the same time of onset. Your primary concern is?

Checking the scene for a potential HAZMAT

Your ambulance has been requested as an additional resource at the scene of a large chlorine leak. In which safety zone will you be staging?

Cold zone

You have just arrived on scene at a mass casualty incident involving a building collapse. You are assigned to triage. The first patient you reach is unconscious with major multi-systems trauma. The patient has no palpable radial pulse, is unconscious, and has agonal respirations at 2/minute. You reposition their airway but the patient's condition does not change. How should you triage this patient?

Deceased

The implementation of tsunami warning system with monthly drills is known as what?

Disaster mitigation

Another name for an advance directive is?

Do Not Resuscitate (DNR) Order

A requirement to render emergency medical care is called?

Duty to Act

what resource must be carried on ambulances which helps identify hazardous substances?

Emergency Resource Guidebook

When treating a patient with Hepatitis, it is especially important to?

Ensure that no direct contact is made with the patients blood or other fluids

You are treating a diabetic patient who is hypoglycemic and unconscious. You administer Dextrose to the patient and he awakens. He tells you that he does not want to go to the hospital. He is fully conscious and rational and even after you explain the need for him to be evaluated, he still refuses. You and your partner refuse to remove the IV and tell the patient that he must go to the hospital because treatment has begun, then force him onto the stretcher. You could be held liable for:

False imprisonment

You have been called for a lift assist at a private residence. You notice a large stack of hospital bills on a table as you walk in. Your patient is an 84-year-old male whose legs were too weak to support his weight when getting out of bed. He feels hot to the touch and wears adult diapers. He is slightly disoriented but his wife states that he is fine and she takes care of him. Despite your best efforts, his wife is adamant that he does not need ambulance transport and she will call his doctor today. What do you think is the reason she does not want him to go to the hospital?

Financial concerns about paying the bill

A person who can administer patient care in the "hot" zone of a hazardous materials incident has which level of training?

HAZMAT Technician level

HEPA masks are worn when patients are suspected of having or known to have tuberculosis. What does HEPA stand for?

High Efficiency Particulate Air

You are the third arriving apparatus to a motor vehicle crash with multiple vehicles involved. It is a Tuesday night with heavy traffic in both directions. Upon your arrival, what is the best safety practice in regards to your apparatus lights?

Leave the emergency lights on but turn off the headlights to avoid blinding oncoming traffic

What is the easiest way to determine if a vehicle is a hybrid?

Look for the word "hybrid" on the rear of the car

You have been dispatched to a motor vehicle crash involving multiple vehicles on a busy highway with no center median. As you arrive, you notice that traffic in the opposing lanes is still moving. One lane of traffic A power pole is leaning after being hit head on by a vehicle. Lines appear to be down near the car but are not arcing. One vehicle is on its side but the occupants have crawled out. Another vehicle appears to have at least two entrapped occupants. Which of the following is least important as your assessing your scene safety?

Multiple patients entrapped

what is NIMS?

National Incident Management System

The expectation of the paramedic to do as little harm to the patient as possible while treating them is known as?

Nonmaleficence

When working in a rural setting, with no radio or cellular phone reception, you are working off of?

Off-line medical control

You are responding to a MVC and will be the first emergency apparatus arriving on scene. There is no fire or hazardous materials concern. How close to the crash should you park and where should you park your vehicle?

Park 50 feet away from the crash and park in front of the crash so oncoming traffic will see your ambulance and stop

Your ambulance is the first to arrive at the scene of a multiple-vehicle accident that spreads across both lanes of a 2-lane freeway. What is the best position for your ambulance?

Park behind the accident and block all lanes of travel

When you are performing a rescue operation near or in cold water, you should always wear a?

Personal Floatation Device

There are nine phases to an ambulance call. Which of the following is in the correct order?

Preparation, dispatch, en route, arrival at scene, transfer of patient to ambulance, transport, delivery, en route to station, postrun

You are called to a cardiac arrest of a 71-year-old male in a suburban home. You arrive on scene and the patient's daughter tells you that the man had mentioned last week that he would not want to be resuscitated if he ever went into cardiac arrest. She does not know of any actual DNR document. You should?

Provide CPR, use an AED, and transport

What color tag should a person with altered mental status receive during triage?

RED (altered mental status always requires immediate attention)

Which of the following is not an error when deciding whether or not to use air medical transport?

Requesting air transport when the patient has severe, life-threatening injuries

You have been dispatched for a possible anxiety attack. Your patient is a 48-year-old male who has become extremely agitated after learning of a family member's death. He is breathing rapidly, looking around wildly, and clenching his hands. He does not appear to be aware of your presence in the room. The patient stands up suddenly and starts to pace back and forth. What should you do?

Retreat and request law enforcement

Which of the following is not a minimum requirement for PPE during a rescue operation?

Self-contained breathing apparatus

If your patient is lying supine with her head elevated 45-degrees, she is lying in the _____________ position

Semi-Fowler's

You are responding with lights and sirens on a 3-lane highway that has a middle lane for traffic to make turns into businesses along the route. One of the vehicles along the route makes a sudden turn into the middle '"turn only" lane before you make your way by. How should you proceed?

Stop and wait for the vehicle to pull to the right

You arrive on scene of a 48-year-old male in cardiac arrest. After 35 minutes of ALS resuscitation efforts, the patient remains in asystole. There is no indication that further efforts will be successful. At least ten family members are gathered in an adjacent room and are very emotional. How should you proceed?

Stop resuscitation and inform the family that the patient has died

You are responding to a cardiac arrest down a two-way street divided by a double yellow. You come upon a school bus with its red lights flashing that is unloading children. Which of the following would be the correct action to take?

Stop your ambulance and and wait for the sign to retract and the lights to stop flashing

Which of the following is NOT a criteria for an immediate priority (Red tag) patient during triage?

Systolic blood pressure less than 90 mmHg

Paramedics and EMTs are always taught to hold a high index of suspicion. This is best defined as which of the following?

The anticipation of an injury to a certain area of the body based on the mechanism of injury

Of the following, which unit has initial command upon arriving at an incident?

The first in unit

The National Fire Protection Association placard consists of four colored diamonds within a larger diamond and is used to provide information about a hazard. The yellow portion represents?

The instability of the hazard

You have responded to a motor vehicle crash and have one patient who is complaining of severe neck pain with numbness and tingling in their extremities. Your partner is holding manual c-spine. Who should be in charge of moving the patient onto a backboard?

The person who is holding manual c-spine

Which of the following is not a component of the scene size-up?

Transport decision

You are called to a traffic accident where a 50-year-old male and his wife have both been transported with severe injuries. Their 16-year-old son, who was driving, reports some slight abdominal pain. He is CAOx4 and is not showing signs of shock. He states, "I feel ok and just want to go home. Please let me go home." You should?

Transport him against his wishes, because you have implied consent

What is most important safety precaution to take to avoid being struck by a vehicle while you are involved in emergency operations near moving traffic?

Utilize apparatus blocking

You have responded to a private residence for an unknown medical. When you arrive, your 64-year-old male patient is doubled over on the toilet in obvious discomfort. There is a strong odor of feces and you notice diarrhea on the floor and toilet. The patient reaches out and touches you on the shoulder as he says "I am so sick. Please help me!" There is diarrhea on the patient's hand that is resting on your shoulder. What would be the most appropriate action to prevent further contamination?

Wash your hands, wash your uniform, and shower as soon as possible. Use hot water and soap when washing

You are called to a nursing home where a 95-year-old female has a severe cough and has coughed up mucous. You are sure to not make any direct contact with any fluid that the patient has coughed up, and you must also be sure to?

Wear protective gloves and a HEPA mask

You have responded to a motor vehicle crash involving a single vehicle into a power pole. The car has multiple power lines contacting that and several are sparking but the car is not on fire. You can see the occupants becoming frantic in the car. Which of the following should you do?

Yell at the occupants to stay in the car until the power can be cut and the lines are no longer "live"

While responding to the report of a diabetic problem, your ALS ambulance is waiting for a red light at a busy highway intersection. A head-on motor vehicle crash occurs in the intersection in front of you. You turn on the lights and sirens and block the intersection. You and your partner immediately begin to provide medical care to the severely injured driver who is entrapped. A BLS ambulance is dispatched to replace you for the diabetic call. In regards to the diabetic call, what possibly has just occurred?

abandonment

A law that is created by OSHA is what type of law?

administrative law

Which of the following types of radiation is least damaging to the human body?

alpha

Which of the following biological agents does not spread through a population easily?

anthrax

Unlawfully touching a patient without consent is an accepted definition of which of the following?

battery

what do the colors mean?

black: deceased/dying, red: immediate life threats, need attention, yellow: patients who need treatment but are not immediate, green: walking wounded

Which of the following is not one of the main components of a mass casualty incident?

communication

What is the most common reason aeromedical transport is utilized?

decreased transport time

Radioactive material that has traveled from a nuclear detonation and can result in radioactive exposure is known as?

fallout

When moving a backboarded patient down a set of stairs, what it the most appropriate method?

feet first

You and your partner just responded on a patient with trauma to the head and face. Following the call, the patient's family informed you that the patient is HIV positive. What is the most important infection control practice for field providers?

hand washing

You are performing triage at a multiple patient scene. You encounter an unconscious victim with snoring respirations, but no other obvious traumatic injuries. After repositioning the airway with a modified jaw-thrust-maneuver, the patient's breathing improves. How would you triage this patient's injuries?

immediate

Of the following answers, which would be the best indicator for determining possible injuries in an MVC?

mechanism of injury

Gamma radiation exposure requires what kind of decontamination?

no decontamination needed

The majority of motor vehicle collisions involving ambulances:

occured at an intersection

The signs that are placed on the outside of containers holding hazardous materials is called?

placards

What are the 3 components of START triage?

respirations, perfusions and mental status

During an explosion, your patient was struck with flying debris from a nearby wall and window. He has a fractured left humerus and lacerations all over his body. What type of blast injuries did this patient sustain?

secondary

You are the first arriving unit at a motor vehicle crash. Two cars have collided head-on. Both vehicles are stopped and resting on all four tires. You and your partner exit the ambulance and approach both vehicles to perform a quick triage. Upon reaching the first vehicle, what should you do after ensuring there is no immediate threat to your safety?

take the keys out of the ignition and engage the parking brake

Which of the following pieces of information would NOT be considered confidential?

the street you responded to

Which division is responsible for quickly assessing patients' overall conditions and injuries and placing them in designated categories?

triage