Chapter 37

Upon arrival at an accident scene, the EMT should _________.

. leave emergency lights running

..

..

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

A. park at least 500' from the incident

_____________ is defined as the ability to reach the patient.

Access

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.

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.

Which of the following statements regarding trench rescue is correct?

Ground vibration is a primary cause of secondary collapse.

A hiker was injured when he fell approximately 20¢ 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:

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

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:

Maintain spinal stabilization as she is extricated.

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

Perform a 360° walk-around of the scene.

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:

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

Extrication is MOST accurately defined as:

Removal from a dangerous situation or position.

Disentanglement involves:

Removing a patient from a dangerous position.

Which of the following statements regarding the rapid extrication technique is correct?

The rapid extrication technique is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle

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

Underestimating the logistics of the incident.

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

call for additional resources and keep bystanders away from the vehicle

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

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

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

complex access

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 unconscious, has slow and shallow respirations, and has bilaterally closed femur deformities. You should:

direct your partner to begin ventilatory assistance.

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

immobilize him with a vest-style device.

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

perform a primary assessment.

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

prepare the equipment to carry to the patient

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

protect the cervical spine during the entire process.

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

remain outside the hot zone

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

remain with the ambulance

Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then:

report to the incident commander for instructions.

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

stage until the patient is located

The EMT's role at the scene of a search and rescue attempt is to:

stand by at the command post until the person is located.

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

surveying the area for hazards.

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

termination phase

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.

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:

ask the incident commander where the ambulance should be staged.

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

keeping bystanders at a safe distance.