Chapter 38 --> Vehicle Extrication and Special Resources

Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT: A. keeping bystanders at a safe distance. B. assigning all patients a triage category. C. preparing all patients for transportation. D. continual assessment of critical patients.

A. keeping bystanders at a safe distance.

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: A. maintain spinal stabilization as she is extricated. B. secure her with a short backboard or vest device. C. stabilize her condition before extrication begins. D. begin CPR as the rescue team begins extrication.

A. maintain spinal stabilization as she is extricated.

_____________ is defined as the ability to reach the patient.

Access

Which of the following is the BEST example of gaining simple access to a patient? A. Using a pry bar to open a damaged door B. Entering a vehicle through an open window C. Breaking glass to gain access to the patient D. Removing the roof to access a critical patient

B. Entering a vehicle through an open window

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

Disconnect the battery.

Who has overall command of an emergency incident?

Incident commander

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

begin a rapid assessment

Tactical EMS providers are specially trained to function during _________.

dangerous law enforcement operations

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

do a 360-degree walk-around

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:

immediately locate the incident commander and ask where the victim is located..

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:

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

In contrast to simple access, complex access:

involves forcible entry into a vehicle.

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

notify the incident commander

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

patient care

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.

Disentanglement involves:

removing a patient from a dangerous position.

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:

support the injured extremities and continue removal.

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

the battery has higher voltage than a traditional vehicle battery.

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

the scene size up

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

underestimating the logistics of the incident.