Chapter 3
How far should your hand to be when using a power grip A) 24 inches B) 6 inches C) 15 inches D) 10 inches
10 inches
You and your partner arrive on the scene of a 400 pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. In addition to calling for additional manpower to move the patient, you would likely need: A) A basket stretcher B) A bariatric stretcher C) A scoop stretcher D) A stair chair
A bariatric stretcher
To immobilize a patient with a possible spinal injury who needs to be removed from her crashed car, you would want what type of device? A) A long spine board B) A short spine board C) A vacuum mattress D) A scoop stretcher
A short spine board
A staircase is steep and your partner wants to use a stair chair with a track-like system instead of a traditional stair chair to move a patient down the stairs. Why? A) A stair chair with a track-like system prevents the patient from having to be lifted down stairs B) A stair chair with a track-like system can be manipulated to lift into an ambulance using a hydraulic system C) There is no benefit of a track-like stair chair over a traditional stair chair D) Only one EMT is required to operate a stair chair with a track-like system
A stair chair with a track-like system prevents the patient from having to be lifted down stairs
What patient needs a bariatric stretcher? A) An underweight elderly patient B) An obese patient C) A patient in need of immediate life-saving care D) A patient in need of urgent care
An obese patient
Your patient is a 22 year old female who was involved in a low speed care crash. Her only complaint is some tenderness in her neck. What is the most appropriate way to care for her A) Apply a short backboard while she is seated in the car B) Use a long backboard to remove her from the vehicle C) Use the rapid extrication technique D) Ask her to sit on the long backboard on your stretcher, and strap her in
Apply for a short backboard while she is seated in the car (Because this is a nonurgent move, there are no indication for a rapid extraction, and you suspect that there may be spine injury. Therefore, it is most appropriate to use the short spine device to immobilize the patient before moving her)
Where should you position the weight of the object being lifted? A) As far from the body as possible B) An arm's length away from the body C) As close to the body as possible D) To one side or the other
As close to the body as possible
Which of the follwoing should you do when reaching for something A) Reach no more than a maximum of two feet B) Twist and turn for leverage C) Avoid prolonged reaching with strenuous effort D) Keep your back in a bent position
Avoid prolonged reaching with strenuous effort
You know you'll be moving your patient across some rough terrain. The best suited device for your purpose would be a: A) Basket stretcher B) Wheeled stretcher C) Power stretcher D) Flexiable Stretcher
Basket Stretcher
Which of the following techniques will not contribute to the safe and effcient movement of a patient from an upstairs bedroom to the ambulance? A) Sizing up the scene accurately B) Calling for assistance only if you find that you and your partner cannot lift the patient C) Using the most appropriate equipment for the job D) Being aware of the physical abilities and limitations of each team member
Calling for assistance only if you find that you and your partner cannot lift the patient Before lifting the patient the EMT on scene should take moment to accurately appraise the patients weight and the capabilities of the first crew on scene. Call for help early, not after you learn that you cannot move the patient, because then you are placing the patient and yourself at greater risk of injury
Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher? A. Power lift B. Direct ground lift C. Direct carry D. Draw-sheet method
Direct ground lift
You have responded to a multiple-casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus and several are piled on top of each other. What type of move would you perform access to the most critically injured patients? A) Urgent move B) Non-urgent move C) Extremity lift D) Emergency Move
Emergency Move
You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving to prevent her from grabbing the railing and causing you to fall? A) Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her B) Gently tie the patient's hands together until you are downstairs to prevent her from unconsciously grabbing the railing C) Place the patient on oxygen during the move to calm her down D) Use a strap to safely secure the patient's arms to the chair without causing any loss of circulation to the patient's extremities
Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her
Which of the following should you use when you want to move a patient from a wheelchair to a stretcher? A) Direct carry B) Clothing lift C) Extremity lift D) Ground transfer
Extremity lift
Which is useful for narrow hallways but is not used for immobilization of a patient A) flexible stretcher B) rigid cervical collar C) Long spine board D) Short spine board
Flexible stretcher
Which of the following devices is best suited for maneuvering a patient through a narrow hallway? A) long backboard B) Wheeled stretcher C) Basket stretcher D) Flexible stretcher
Flexible stretcher
During which type of drag should you take care not to bump the patient's head? A) Clothes B) Foot C) Incline D) Shoulder
Foot
If the weight is below your waist level, what is the proper positioning for pushing or pulling A) from a bent over position B) from a kneeling position C) From a standing position D) From a squatting position
From a kneeling position
In a Fowler or Semi-Fowler position, it is normal and not a cause for concern if the patient A) vomits B) becomes unresponsive C) is in a semi sitting position D) experiences an occluded airway
Is in a semi sitting position
Which of the following is an advantage of a vacuum mattress? A) The cervical collar can be removed B) The device is nonconforming C) It naturally pads voids for greater comfort D) It does not require a pump
It naturally pads voids for greater comfort Vacuum mattresses naturally pad voids as air is withdrawn
When pushing or pulling you should A) Reach and twist at the same time B) push or pull overhead whenever possible C) keep your back in a bent position for flexibility D) Keep the line of pull through the center of your body
Keep the line of pull through the center of your body
Which of the following is used to immobilize a patient with a suspected spinal injury? A) Long backboard B) Basket stretcher C) Portable stretcher D) Scoop stretcher
Long backboard
A critically injured, unresponsive patient in a wrecked semi cab requires an urgent move, and you decided that rapid extraction is necessary, which means stabilizing the patient's spine manually to move to a : A) Scoop stretcher B) wheeled stretcher C) long spine board D) short spine board
Long spine board
The term body mechanics describes the proper use of your body for lifting and ___ without injury A) Turning B) Twisting C) Dropping D) Moving
Moving
Which of the following best describes an urgent move? A) Using a sheet to move a patient from a best to the stretcher B) Dragging a patient from a burning house using his shirt C) Pulling a patient by her feet across a parking lot D) Moving a patient from a car directly to a long spine board
Moving a patient from a car directly to a long-spine board
What type of device will the EMT likely use to immediately remove a patient from a car that has started to burn? A) A long spine board B) A basket stretcher C) No device D) A wheeled stretcher
No device
The following patients should not be transported in a stair chair A) patient with a suspected spinal injury B) patient found lying in bed C) patient With difficulty breathing D) Patient who is nauseated
Patient with suspected spinal injury
Which of the following is NOT correct when performing a log roll? A) Place both feet flat on the ground B) Keep your back straight C) Use your shoulder muscles D) Lean forward from the hips
Place both feet on the ground
When placing all fingers and the palm in contact with the object being lifted, you are using which of the following? A. Lock grip B. Power grip C. Vise grip D. Power lift
Power grip
Which of the following is another name for the squat-lift position that involves squatting rather than bending at the waist? A) Incline drag B) Direct carry C) Power lift D) Power grip
Power lift
Which of the following best describes body mechanics? A) Proper use of the body to protect patient safety B) Proper use of the body to facilitate lifting and moving objects C) Equipment designed to minimize stress on the user's body D) Both B and C
Proper use of the body to facilitate lifting and moving objects
You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the best position for transporting the patient A) Semi-Fowler position B) Fowler position C) Recovery position D) Supine
Recovery position
Which of the following patients could be moved using an ambulance cot A) unresponsive patient requiring rapid extraction B) responsive patient on a gymnasium floor C) A critically injured patient requiring immediate life-saving care D) A responsive patient in a stairwell
Responsive patient on a gymnasium floor
Which of the following is the correct position of an EMT's feet when lifting? A) As wide apart as possible B) Two feet apart C) As close together as possible D) Shoulder-width apart
Shoulder-width apart
What is the contraindication for the use of a scoop or orthopedic stretcher? A) Internal injuries B) Pelvic injuries C) Spinal injury D)Hip fracture
Spinal injury
A patient is on the top floor of a three-story house with narrow hallways and a single narrow staircase. Which of the following devices should be used to carry this patient down to ground level? A) Stair chair B) Scoop stretcher C) Wheeled ambulance stretcher D) Basket strecher
Stair chair
When executing a power lift to keep the wait is close to your body as possible A) lift from the back B) bend forward over the weight C) lift from in front D) Straddle it if possible
Straddle it if possible
When a stretcher with a patient secured to it is elevated, what occurs? A. The center of gravity is raised and this causes a tip hazard. B. The patient feels more comfortable being at near normal height. C. The stretcher is more stable and easily pushed. D. The EMTs lessen the possibility of injury from being bent over the patient.
The center of gravity is raised and this causes a tip hazard
What is the preferred number of rescuers when using a stair chair? A) Only one with the track-like chair B) Four: one for each corner of the device C) Two: one in front and one in back D) Three: two carrying and one spotting
Three: two carrying and one spotting
Which of the following statements regarding body mechanics is true? A) Use your legs to lift B) Use your back to lift C) Position your feet close together D) Twist your torso while lifting
Use your legs to lift
You are called on to the scene of a patient who fell approximately 5 feet off a stepladder to the floor of a third-story attic of a very old building. He is complaining of severe neck and back pain, and he has an obvious fractured ankle. You cannot get your stretcher past the first-floor stairs, and your long spine board is not practical with the winding spiral staircase and the small attic access. What is the best device to safely get the patient out of the attic where he can be properly immobilized A) flexible stretcher B) Vest-type extraction device C) Scoop stretcher D) Stair Chair
Vest-Type extraction device
You respond to the scene of a two vehicle T-bones vehicle collision the driver side door is smashed shut and will not open the front passenger door will open the front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is on responsive is critical condition and has gargling respiration you should extract the patient by which technique A) take extra care to protect the patient's neck with a short spinal board because of the injury B) carefully move the patient using for C-spine precautions C) move the patient as quickly as possible so that he can get to a hospital before paralysis sets in D) Move the patient out of the car as quickly as possible, it in the direction of the long axis of the body
Well the patient out of the car as quickly as possible in the direction of the long axis of the body
Which of the following is an indication for an emergency move? A) The patient is yelling for you to "hurry up" B) You need to practice your lifting technique C) Dispatch needs you to clear rapidly, as EMS calls are backing up D) You are unable to gain access to other patients who need lifesaving care
You are unable to gain access to other patients who need lifesaving care (Indications for an emergency move include 1. Immediate environmental danger to the patient or rescuer 2. Inability to gain access to other patients who need lifesaving care, and 3. inability to provide lifesaving care because of the patients location or position )
You respond to a call at a park where you find a 550 pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift? A) You will place two persons at the head of the stretchers, one at the foot, and one to act as a spotter B) You place one person on each corner of the stretcher to balance the weight and share in the lifting C) You will place two persons at the foot, one at the head, and the other to act as a safety anchor with a rope D) They would position themselves halfway up the slope to take over when you and your partner get fatigued
You place one person one each corner of the stretcher to balance the weight and share in the lifting
Which of the following factors should be considered before lifting any patient? A) The best method for dragging the patient B) Your physical limitations C) How to keep the patient in a sitting position D) The immobilization device to use
Your physical limitation
You need to lower a patient from a low balcony to the floor below. For this you should use a: A) flexible stretcher B) Vacuum mattress C) Basket Stretcher D) Scoop Stretcher
basket stretcher
A stair chair's descent should be A) as fast as possible B) controlled C) immediate D) in an unbroken straight ling
controlled
Or a patient without a possibility of a spinal injury which of the following carriers should be used to move him from a bed to stretcher A) Direct ground lift B) draw sheet method C) fire fighters Carry D) extremity lift
draw sheet method
If the weight being pulled is below the level of the EMT's waist, he should be in a(n) ________ position. A. squatting B. kneeling C. overhead D. feet-together
kneeling
When lifting a patient, a basic principle is to: A) lift with your lower back B) rush your lift to minimize your lift time C) know your lift limits D) extend your arms to maximize your lift
know your lifting limits
An emergency move involves: A) Moving the patient in the direction of the long axis B) a single rescuer C) Multiple rescuers D) Carefully immobilizing the patient
moving the patient in the direction of the long axis
During a cradle carry, one arm is across the patient's back and the other A) around her neck B) hanging free C) under her ankles D) under he knees
under her knees
You want to move a responsive patient with no spine injuries in a semi-sitting position. For this you would use a: A) stair chair B) Short spine board C) wheeled stretcher D) long spine board
wheeled stretcher