Chapter 42

A car has rolled several times and is on its roof. Closer inspection reveals the unrestrained driver lying in her back with the back portion of the roof collapsed. At this time, which one of the following instructions should you give first? Select one: a. "Let's forcibly remove the back door." b. "We need to take the weight off of the posts." c. "We need to climb in to assess the patient." d. "Let's open the doors and use them for support."

b

Rescue workers are preparing to remove the windshield and roof from a car to extricate a patient who is trapped. Before the rescue commences, which one of the following should the EMT do first? Select one: a. Lock all four doors and roll up the windows. b. Explain to the patient what is taking place. c. Cover the patient with a heavy tarp for protection. d. Wet the car down with a fire hose to prevent an accidental fire.

b

A vehicle has been struck in its front end by another car. The driver is entrapped and the roof must be rolled back to allow extrication. The car has been appropriately stabilized and you are inside with the patient. The primary assessment is complete and a cervical collar applied. Rescue personnel are ready to begin cutting the vehicle. At this time, the appropriate action is to: Select one: a. remove the windshield. b. stabilize the vehicle. c. place a tarp over the patient. d. apply a short vest-type extrication device.

c

A vehicle has rolled onto its passenger side after running a red light at an intersection and striking another car. The restrained driver remains in the car, screaming in pain. To manage this scene, which one of the following should you do first? Select one: a. Determine vital signs. b. Hold manual in-line stabilization. c. Stabilize the vehicle. d. Remove the roof.

c

An unresponsive patient is in a car with the doors locked and the windows up. Which one of the following actions is most appropriate when attempting to gain access to the patient? Select one: a. Break the window by striking it with a crowbar. b. Use a crowbar to break the lock on the door. c. Break the window opposite the patient with a spring-loaded punch. d. Call for a rescue truck to forcibly remove a door.

c

At the scene of a motor-vehicle collision, a driver is entrapped in his car after striking the back of a truck at a high rate of speed. Which action would be performed first when providing stabilization of the car? Select one: a. Placing the transmission in "park" b. Setting the parking brake c. Shutting off the engine d. Disconnecting the battery

c

On the scene of a motor-vehicle collision, which one of the following EMTs is engaged in complex extrication of the patient? Select one: a. The EMT entering the car to open the patient's airway b. The EMT stabilizing the car to prevent it from moving c. The EMT removing the patient from the car d. The EMT constantly monitoring the scene for safety hazards

c

You are on scene of a serious motor-vehicle collision. As the officer in charge, which one of the following instructions for other rescuers is most appropriate? Select one: a. "Let's make sure to put cones around the cars." b. "Park the ambulance downhill to make movement of the patient easier." c. "Let's stop all traffic and reroute it to alternative roadways." d. "We need to route passing traffic no more than 20 feet around the scene."

c

You are on the scene of a motor-vehicle collision involving two cars. To remove the driver of the first car, rescuers must break the windshield and roll back the roof. While he is performing this operation, which of the following sets of personal protective equipment will afford the EMT the best protection? Select one: a. Latex exam gloves, fluorescent identification vest, and helmet b. Goggles, latex exam gloves, steel-toed boots, and fluorescent vest c. Helmet, goggles, turnout gear, leather gloves, and steel-toed boots d. Sunglasses, steel-toed boots, and fluorescent identification vest

c

A car has struck a utility pole at a high rate of speed. The male driver appears to be unresponsive with snoring respirations. The vehicle has just been stabilized, and you have donned the appropriate personal protective equipment. Which one of the following should you do next? Select one: a. Take manual spinal stabilization. b. Perform a jaw-thrust airway maneuver. c. Place a tarp over some spilled antifreeze. d. Apply a cervical collar to his neck.

a

A midsize car has been struck by a small delivery truck and sustained moderate damage to the front passenger area. The car is on its tires, and wood chocks have been placed under the undercarriage of the car. The airbags did not deploy. Which one of the following is the next step in this rescue? Select one: a. Release air from the tires. b. Extricate the patient. c. Carefully deploy the airbags. d. Forcibly open the trunk.

a

On the scene of a motor-vehicle collision, the driver is sitting inside the car with all windows up. When you attempt to open the doors, you find that they are locked. Given this situation, which one of the following statements made to the patient is most appropriate? Select one: a. "Without moving your head or neck, please try to unlock the door." b. "Very carefully, with as little movement as possible, please roll down the window." c. "Please shield your eyes. I am going to break the window so we can open the door." d. "Please remain still. I am calling for the rescue truck to remove the door of your car."

a

The rescue captain has asked that you disconnect a car's battery to shut down all power to the vehicle completely. How should you do this safely? Select one: a. Remove the negative battery cable first. b. Disconnect the positive battery cable first. c. Remove the negative and positive cables simultaneously. d. Cut the positive battery cable, and then remove the negative cable.

a

Which one of the following situations represents simple access to a patient? Select one: a. Climbing stairs to gain access to a patient on a porch b. Extrication of a patient from a car after removing one door c. Unlocking a car door by breaking the window using a screwdriver d. Forcing entry into a house

a

You are on the scene of a car that hit a tree head on. The patient has a laceration to his forehead and a deformity to his left forearm. The car is a hybrid that runs on traditional as well as hydrogen gas. There is moderate front-end damage to the vehicle, but the airbags did not deploy. The patient was wearing a seatbelt. Which one of the following instructions is most appropriate in this situation? Select one: a. "I need to have the battery cables disconnected." b. "We will need to puncture the hydrogen tank to prevent an explosion." c. "Place a flare near the oil spill so that no one slips." d. "Let's deactivate the airbags by turning the engine off."

a

You have been dispatched to a motor-vehicle collision. On scene you find that a minivan has completely sheared a wooden utility pole. The electrical wires are draped over the hood of the minivan and the driver, a woman in her 20s, is screaming that she is not hurt and wants to get out of the vehicle. Further observation of the wires reveals that they are not moving, arcing, or making any noise. Which one of the following instructions is most appropriate at this time? Select one: a. "You need to remain still and calm in your seat and do not touch anything in the car." b. "Carefully get out of the car and shuffle away with small steps while keeping your feet together." c. "The electrical wires are not charged anymore, but stay where you are until the fire department gets here." d. "I need you to jump clear of the car and shuffle away in small steps keeping your feet together."

a

You have just arrived on the scene of a motor-vehicle collision where a car rolled several times at a high rate of speed. The car is on its wheels with the restrained driver still in his seat. After ensuring that the scene is safe and gaining access to the patient, which one of the following should you do immediately? Select one: a. Provide manual in-line spinal stabilization. b. Cover the patient and force the door open. c. Establish a plan to extricate the patient. d. Remove pieces of broken glass from around the patient.

a

A roofer on top of a two-story house called 911 after experiencing chest pain and dizziness. You are providing care to the patient on top of the roof and the fire department has arrived to help remove the patient from his present location. As the patient is brought down the ladder, your highest priority as an EMT is: Select one: a. providing patient care. b. safety of the other rescuers. c. safety of the patient. d. your personal safety.

d

An elderly patient has fallen in her home and activated the 911 system by pressing a medical alarm worn around her neck. On arrival you can see the patient on the floor, but she cannot come to the door to open it to let you in. In this situation, your best course of action is to: Select one: a. open the storm door in the front and kick open the front door. b. contact a locksmith to pick the locks on the front door. c. use a crowbar to pry open a window or door. d. break a window in a room away from where the patient is located.

d

You have been given an order to cut through the "C" posts of a car with a trapped passenger. As an EMT with knowledge of vehicle extrication, you cut the posts located at which areas of the roof? Select one: a. Front b. Top c. Middle d. Rear

d