Chapter 39- Vehicle Extrication and Special Rescue Q & A

Which of the following situations would require the use of a specialize rescue team

A patient trapped in a cave or confined space

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot

A. 100 lb

The use of special tools to remove an entrapped patient from a vehicle is known as _________.

A. complex access

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:

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

Once entrance and access to the patient have been provided, you should:

A. perform a primary assessment.

While staged at the scene of a structure fire, the EMT should _________

A. remain with the ambulance

Returning the emergency unit to service is part of the _________.

A. termination phase

The EMT's responsibility during search-and-rescue operations is to _________.

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

_Is defined as the ability to reach the patient.

Access

_____________ is defined as the ability to reach the patient.

Access

Hazardous materials

Any substances that are toxic poisonous radioactive flammable or explosive and cause injury or death with exposure

Danger zone

Area where individuals can be exposed to sharp metal edges broken glass toxic substance ignition or explosions

You are attempting to gain access to the patient was injured when his truck struck another vehicle from behind. The patient is conscious and alert, but screaming in pain. You try to open the door, but it is locked. You shouldn't:

Ask the patient if he can unlock the door

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:

B. ask the patient if he can unlock the door

If a technical rescue team is required at the scene, but is not present when you arrive, you should:

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

When removing a critically injured patient from his or her vehicle, you should:

B. protect the cervical spine during the entire process.

Vehicle extrication

Brake pedal displacement - rollover door removal roof opening on the seat displacement steering column displacement steering wheel cutting

You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately _________.

C. call for additional resources and keep bystanders away from the vehicle

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:

C. direct your partner to begin ventilatory assistance

Extrication is defined as:

C. removal from a dangerous situation or position.

If a technical rescue team is required at the scene, but not present arrive, you should:

Check with the incident commander to ensure that the team is in route.

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:

D. after receiving approval from the incident commander.

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:

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

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:

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:

D. immobilize him with a vest-style device

Upon arrival at a trench rescue operation, you should _________.

D. park at least 500 feet from the incident

Upon arrival at a search-and-rescue incident, the EMS crew should _________.

D. prepare the equipment to carry to the patient

At a scene with downed electrical lines, the EMT should _________.

D. remain outside the danger (hot) zone

While staged at the scene of a structure fire, the EMT should _________.

D. remain with the ambulance

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

Disconnect the battery.

The rescue team is in the process of extracting a 40-year-old male from his truck. Patient's wife, who was injured in the crash, is calmly observing the extrication and ask you if her husband will be alright. You should:

Ensure that she's in a safe area away from the scene

Which of the following is the BEST example of gaining simple access to a patient?

Entering a vehicle through an open window

Which of the following is the best example of gaining simple access to a patient

Entering a vehicle through an open window

F.A.I.L.U.R.E

F: failure to understand the environment or underestimating it A: additional medical problems not considered I: inadequate rescue skills L: lack of teamwork or experience U: underestimating the logistics of incident R: rescue vs recovery mode not considered E: equipment not mastered

Which of the following statements regarding trench rescue is correct?

Ground vibration is a primary cause of secondary collapse

Upon arriving at the scene of a motor vehicle crash you can see three patients, one who is entrapped in the car into Web ejected from the vehicle. You should:

Immediately request additional resources.

A hiker was injured when he fell approximately 20 feet from a cliff. We arrive at the scene, a number of technical rescue groups escorts you to the patient, who is positioned on a steep incline. The most important method of it immobilizing and moving the patient to the ambulance is to

Immobilize his spine with a long Backboard and place him in a basket stretcher

Who has overall command of an emergency incident?

Incident commander

Incident commander

Individual who is overall command of the scene in the field

The scene size up of a motor vehicle crash or other incident:

Is an ongoing process until the incident is terminated

A 50 year old female is trapped in her passenger car after it struck a tree. As the rescue team is preparing to extricate her, u quickly assess her breathing and find she is breathing shallowly and that her radio pulses absent. You should:

Maintaining spinal stabilization and she is extracted

Technical rescue situation

May contain hidden dangers and personnel needs special skills for safety

Scene size up

Ongoing process of information gathering and seen evaluation to determine appropriate strategies

In order to evaluate hazards presence at the scene and determine the number of patients, you should:

Performing 360 walk around of the scene.

Entrapment

Person is caught within a closed area with no way out has limb or body part trapped

10 phases of extrication

Preparation, in route, arrival, hazard control support operation, gaining access, emergency care, removal transfer and termination

Which of the following is a typical function of a rescue team

Providing safe entry and access to the patients

Extrication

Removal from an entrapment or dangerous situation or position

Disentanglement involves

Removing a patient from a dangerous position

Upon arriving at the scene of a law-enforcement tactical situation, you ensure your own safety and then:

Report to the incident commander for instructions

Complex access

Requires use of special tools, hand pneumatic, hydraulic devices a special training

Your primary concern when arriving at the scene of a motor vehicle crash is:

Surveying area for hazards.

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

The battery has higher amps than a traditional vehicle battery

Which of the following statements regarding rapid extrication technique is correct

The rapid extrication technique is indicated if the scene is unsafe and the patient is not entrapped in his owner vehicle

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

The scene size-up

Simple access

Trying to get to the patient has quickly and simply as possible without using any tools or breaking any glass

The reasons for rescue failure can be referred to by the mnemonic failure. According to this pneumonic the U stands for:

Underestimating the logistics of the incident

When removing an injured patient from a vehicle due to an environmental threat or the need to perform CPR, it is best to use the _________ technique. a. rapid extrication b. KED board c. upright chest compression d. intermediate extrication

a

________ is the ability to recognize any possible issues once you arrive on the scene and to act proactively to avoid a negative impact. a. situational awareness b. situational consciousness c. situational alertness d. situational disregard

a

Controlling traffic at a scene is typically the responsibility of: a. a fire fighter b. law enforcement c. the rescue group d. EMS personnel

b

During all phases of rescue, your primary concern is: a. extrication b. safety c. patient care d. rapid transport

b

Prior to attempting to gain access into a vehicle, the parking brake should be on and the ________ should be disconnected. a. radio b. battery c. hydraulics d. brake lines

b

When attempting simple access into a vehicle, you should: a. use complex tools b. try opening the doors using the door handles first c. break the windows initially d. make sure that all the windows are rolled up

b

Which of the following statements regarding tactical emergency medical support is false? a. some incidents pose an increased risk to EMS b. once you have checked in at the command post, you are free to roam the area looking for ways to help c. lights and sirens should be turned off when nearing the scene d. planning measures and working with the incident commander will reduce the potential for chaos

b

_______ is responsible for properly securing and stabilizing the vehicle and providing a safe entrance and access to the patient. a. law enforcement b. the rescue team c. the EMS service d. the HazMat unit

b

At what point should you begin your primary assessment of a patient who has been entrapped?

before extrication begins

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

begin a rapid assessment

You have tried to gain simple access to a crashed vehicle but the doors are all jammed. What is your next step?

break the window farthest away from the patient

Lighting at a scene, establishing a tool and equipment area, and marking for a helicopter landing all fall under: a. logistic operations b. EMS operations c. support operations d. law enforcement

c

Which of the following is not considered a specialized rescue situation? a. cave rescue b. dive rescue c. truck rescue d. mine rescue

c

You should communicate with members of ________ throughout the extrication process. a. law enforcement b. the media c. the rescue team d. the insurance company

c

________ among team members and clear leadership are essential to safe, efficient provision of proper emergency care.

communication

During a 360 walk-around at an accident scene, you should look for all of the following except: a. the mechanism of injury b. leaking fuels or fluids c. trapped or ejected patients d. the amount of air left in the tires

d

If there are downed power lines near a vehicle involved in a crash, you should: a. attempt to move the power lines yourself b. touch the power lines with an object to see if there is active electricity c. have the patient slowly exit the vehicle d. have the patient remain in the vehicle

d

When arriving at the scene of a cave-in or trench collapse, response vehicles should be parked at least ________ away from the scene. a. 50ft b. 150ft c. 250ft d. 500ft

d

When you arrive at the scene where there is a potential for hazardous materials exposure: a. turn off your warning light b. do not waste time waiting for the scene to be marked and protected c. park your unit downhill of the scene d. park your unit uphill of the scene

d

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

Extinguishing fires, preventing additional ignition, and removing any spilled fuel is primarily the responsibility of _______ _______.

fire fighters

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.

Unless otherwise instructed, only the _______ _______ should communicate any news or progress of a search and rescue to a victim's family.

incident commander

In contrast to simple access, complex access:

involves forcible entry into a vehicle.

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 stabilization as she is extricated.

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

notify the incident commander

In an instance of multiple casualties, how should patient care be initiated?

only after all have been triaged

which of the following is an example of simple access

opening a rear door

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.

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?

secure the injury against her body

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.

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.

Where should you park the ambulance when responding to a vehicle crash involving a hazardous material spill?

uphill and upwind

During which phase of extrication should you don proper protective gear (PPE)?

upon arrival

________ is usually the cause of secondary collapse in a trench collapse.

vibration

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:

ask the incident commander where the ambulance should be staged.

As an EMT, what is your main role at the scene of an accident involving extrication of the patient?

asses and provide immediate care

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.

100 lb

When working around undeployed air bags after a vehicle crash, you should maintain at least a ________ clearance between yourself and the passenger-side airbag.

20 inch

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.