Chapter 38 Vehicle Extrication and Special Rescue quiz
_____ is defined as the ability to reach the patient. -Access -Rescue -Extrication -Disentanglement
Access
What should be done for any type of alternative-fuel vehicle that is involved in an accident? -Drain the fuel. -Apply fire retardant to the engine compartment. -Leave the engine in neutral during rescue operations. -Disconnect the battery.
Disconnect the battery.
Which of the following is the BEST example of gaining simple access to a patient? -Using a pry bar to open a damaged door -Entering a vehicle through an open window -Breaking glass to gain access to the patient -Removing the roof to access a critical patient
Entering a vehicle through an open window
Who has overall command of an emergency incident? -Incident commander -Safety officer -Senior paramedic -Medical director
Incident commander
Which of the following is the most important in protecting EMS providers during an extrication operation? -The dispatch information -The scene size-up -The number of patients -The availability of special operations personnel
The scene size-up
Rescuers have brought you a patient rescued from a structural collapse. You should immediately _____. -notify the incident commander -contact medical direction -begin a rapid assessment -transport the patient
begin a rapid assessment
Tactical EMS providers are specially trained to function during _____. -high-angle rescue operations -dangerous law enforcement operations -aircraft rescue and recovery operations -swift-water rescue operations
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 -interview witnesses -ask law enforcement to search the scene -photograph the accident scene
do a 360-degree walk-around
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. -immobilize him to a long backboard and use the four-person carry to move him. -apply a vest-style immobilization device and move him using a stair chair device. -immobilize him with a short backboard and place him on the ambulance stretcher.
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. -is a skill commonly taught to EMTs. -does not involve the breaking of glass. -often involves simply unlocking a door.
involves forcible entry into a vehicle.
Upon arrival at an active law enforcement incident, the EMT should _____. -look for the suspect(s) -enter the hot zone -set up a treatment area -notify the incident commander
notify the incident commander
The EMT's primary responsibility during a rescue or extrication situation is _____. -incident command -documentation -crowd control -patient care
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: -notify the hospital that you will be transporting a burn patient to their facility. -remain with the ambulance and wait for fire personnel to bring the victim to you. -immediately locate the incident commander and ask where the victim is located. -locate the victim and provide initial care while your partner stays with the ambulance.
remain with the ambulance and wait for fire personnel to bring the victim to you.
Disentanglement involves: -removing a patient from a dangerous position. -the use of simple access tools such as a pry bar. -extrication techniques that EMTs are trained in. -gaining access to a patient in a crashed vehicle.
removing a patient from a dangerous position.
As you and your team removing an unresponsive patient from her wrecked car, you note that she has closed deformities to both her legs and a deformity to her left humerus. You should: -realign the deformed extremities before continuing. -splint the deformities before moving her any further. -support the injured extremities and continue removal. -assess distal neurovascular functions in her extremities.
support the injured extremities and continue removal.
A unique consideration when dealing with a hybrid vehicle is that: -you must locate the ignition switch and cut it to prevent a fire. -cutting the battery cables often results in an explosion or fire. -rescue teams should disconnect the positive battery cable first. -the battery has higher voltage than a traditional vehicle battery.
the battery has higher voltage than a traditional vehicle battery.
The reasons for rescue failure can be referred to by the mnemonic FAILURE. In this mnemonic the "U" stands for: -underutilizing personnel at the scene. -unprepared to effectively manage the scene. -underestimating the logistics of the incident. -undertrained to correctly utilize equipment.
underestimating the logistics of the incident.
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: -contact medical control and apprise him or her of the situation. -park your ambulance behind the incident commander's vehicle. -set up a staging area where firefighters can be treated if necessary. -ask the incident commander where the ambulance should be staged.
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. -assigning all patients a triage category. -preparing all patients for transportation. -continual assessment of critical patients.
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: -maintain spinal immobilization as she is extricated. -secure her with a short board or vest device. -stabilize her condition before extrication begins. -begin CPR as the rescue team begins extrication.
maintain spinal immobilization as she is extricated.