Chapter 38 Quiz - Vehicle Extrication and Special Rescue

What should you do if you find a patient entrapped in a vehicle who is in need of CPR? A. Perform CPR during the extrication process. B. Perform rapid extrication techniques. C. Apply manual stabilization until the patient can be extricated. D. Apply a bag-valve mask (BVM).

B. Perform rapid extrication techniques.

As an EMT, what is your main role at the scene of an accident involving extrication of the patient? A. To extricate the patients B. To assess and provide immediate medical care C. To provide safe entrance and access to the patients D. To provide traffic control and direction

B. To assess and provide immediate medical care

When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle and provide care to the patient: Select one: A. only after you believe the vehicle has been stabilized. B. after receiving approval from the incident commander. C. only if the patient has experienced a major injury. D. after rescue personnel have cut the battery cables.

B. after receiving approval from the incident commander.

Upon arrival at a trench rescue operation, you should _________. Select one: A. park as close to the incident as possible B. park at least 500 feet from the incident C. determine if rescuers are operating safely D. assist with the rescue operation

B. park at least 500 feet from the incident

Once entrance and access to the patient have been provided, you should: Select one: A. begin treating his or her injuries. B. perform a primary assessment. C. administer high-flow oxygen. D. allow extrication to commence.

B. perform a primary assessment.

Upon arrival at a search-and-rescue incident, the EMS crew should _________. Select one: A. provide the incident commander with the crew's names and certification level(s) B. prepare the equipment to carry to the patient C. begin searching for the patient D. split up and request a search grid

B. prepare the equipment to carry to the patient

Extrication is defined as: Select one: A. immobilizing a patient before moving him or her. B. removal from a dangerous situation or position. C. dismantling an automobile to remove a victim. D. using heavy equipment to access a patient.

B. removal from a dangerous situation or position.

Returning the emergency unit to service is part of the _________. Select one: A. transfer phase B. termination phase C. support phase D. hazard-control phase

B. termination phase

You have tried to gain simple access to a crashed vehicle but the doors are all jammed. What is your next step? A. Break the window closest to the patient. B. Use the "jaws of life" to jimmy the driver's side door. C. Break the window farthest away from the patient. D. Break the front windshield.

C. Break the window farthest away from the patient.

Which of the following is an example of simple access? A. Prying open a door B. Removing the windshield C. Opening a rear door D. Breaking a side window

C. Opening a rear door

During which phase of extrication should you don proper protective gear (PPE)? A. During hazard control B. Patient removal C. Upon arrival D. En route

C. Upon arrival

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: Select one: A. use a pry bar to attempt to open the door. B. request the rescue team to extricate him. C. ask the patient if he can unlock the door. D. break the window and unlock the door.

C. ask the patient if he can unlock the door.

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________. Select one: A. disconnect the car battery B. apply retardant to the leaking fuel C. call for additional resources and keep bystanders away from the vehicle D. search the vehicle for occupants

C. 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: Select one: A. don personal protective equipment and begin the rescue process. B. have fire personnel initiate the rescue process if they are at the scene. C. check with the incident commander to ensure that the team is en route. D. remain with your ambulance until the rescue team arrives at the scene.

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

At a scene with downed electrical lines, the EMT should _________. Select one: A. relocate the danger (hot) zone away from the patient B. enter the danger (hot) zone for patient removal only C. remain outside the danger (hot) zone D. stabilize the patient in the danger (hot) zone

C. remain outside the danger (hot) zone

The EMT's responsibility during search-and-rescue operations is to _________. Select one: A. assist in the search on foot B. assume medical command C. wait at the staging area until the patient is located D. direct other incoming EMS units

C. wait at the staging area until the patient is located

At what point should you begin your primary assessment of a patient who has been entrapped? A. After the patient has been extricated from the wreckage B. Once the patient has been moved to the safe zone C. En route to the ED D. Before extrication begins

D. Before extrication begins

In an instance of multiple casualties, how should patient care be initiated? A. In the order you reach each patient B. Based on the mechanism of injury C. In the order of age beginning with the youngest D. Only after all patients have been triaged

D. Only after all patients have been triaged

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 unresponsive, has slow and shallow respirations, and has bilaterally closed femur deformities. You should: Select one: A. stabilize her legs with long board splints. B. apply oxygen via a nonrebreathing mask. C. obtain baseline vital signs and transport at once. D. direct your partner to begin ventilatory assistance.

D. direct your partner to begin ventilatory assistance.

The rescue team is in the process of extricating a 40-year-old male from his truck. The patient's wife, who was uninjured in the crash, is calmly observing the extrication and asks you if her husband will be all right. You should: Select one: A. ask her follow-up questions about the details of the crash. B. allow her to talk to her husband during the extrication. C. allow her to observe the extrication and keep her calm. D. ensure that she is in a safe area, away from the scene.

D. ensure that she is in a safe area, away from the scene.

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: Select one: A. perform a rapid assessment and move him to a place of safety. B. treat only critical injuries before moving him to a safe place. C. limit your primary assessment to airway and breathing only. D. grab him by the clothes and immediately move him to safety.

D. grab him by the clothes and immediately move him to safety.

Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have been ejected from their vehicle. You should: Select one: A. request law enforcement for traffic control. B. call medical control for further direction. C. begin triage to determine injury severity. D. immediately request additional resources.

D. immediately request additional resources.

A 33-year-old restrained driver of a motor vehicle crash is awake and alert, complaining only of neck pain and left leg pain. The vehicle is stable and no hazards are present. When removing this patient from his vehicle, you should: Select one: A. maintain slight traction to his neck area. B. apply a full leg splint prior to extrication. C. use the rapid extrication technique. D. immobilize him with a vest-style device.

D. immobilize him with a vest-style device.

While staged at the scene of a structure fire, the EMT should _________. Select one: A. assess firefighters for signs of fatigue B. stay with the incident commander C. locate the safety officer D. remain with the ambulance

D. remain with the ambulance

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. Select one: A. 100 lb B. 50 lb C. 150 lb D. 200 lb

A. 100 lb

How far away should you park your ambulance from the site of a cave-in or trench collapse? A. 500 feet B. 100 feet C. 20 feet D. 1000 feet

A. 500 feet

You are assessing a female patient as the extrication team gets ready to roll up the dashboard to remove her. The patient has multiple fractures in her left arm. What should you do? A. Secure the injured arm against her body. B. Leave the arm alone until the patient has been extricated. C. Apply a rigid splint before she is removed. D. Apply an air splint before she is removed.

A. Secure the injured arm against her body.

Where should you park the ambulance when responding to a vehicle crash involving a hazardous material spill? A. Uphill and upwind from the hazard B. Downhill and upwind from the hazard C. Downhill and downwind from the hazard D. Uphill and downwind from the hazard

A. Uphill and upwind from the hazard

The use of special tools to remove an entrapped patient from a vehicle is known as _________. Select one: A. complex access B. simple access C. vehicle stabilization D. incident management

A. complex access

When removing a critically injured patient from his or her vehicle, you should: Select one: A. protect the cervical spine during the entire process. B. move him or her in one fast, continuous step. C. remove him or her using a short backboard. D. release c-spine control to facilitate rapid removal.

A. protect the cervical spine during the entire process.