EMT Chapter 38 - Questions

Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT: 1.Keeping bystanders at a safe distance 2.Assigning all patients a triage category 3.Preparing all patients for transportation 4.Continual assessment of critical patients

1

How far should you park the ambulance from the site of a cave-in or trench collapse?

500 feet

___ is defines as the ability to reach the patient.

Access

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 arrival at the scene, you should:

Ask the incident commander where the ambulance should be staged

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

Tactical EMS providers are specially trained to function during ___.

Dangerous law enforcement operations

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

Disconnect the battery

To evaluate the scene for hazards and identify the number of patients, the EMT should first ___.

Do a 360-degree walk-around

What is an example of gaining simple access to a patient?

Entering a vehicle through an open window

(T/F) The EMTs assessment of the patient and the scene will dictate how medical care, packaging, and transport will proceed.

False

(T/F) You will need to treat any patients trapped in a trench collapse prior to extrication to avoid the patient becoming hypoxic.

False

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

Who has overall command of an emergency incident?

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 patients have been triaged

What is an example of simple access?

Opening a rear door

The EMT's primary responsibility during a rescue or extrication situation is ___.

Patient care

What should you do if you find a patient entrapped in a vehicle who is in need of CPR?

Perform rapid extrication techniques

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 injured arm against her body

As you and your team are removing an unresponsive patient from a 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

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

The battery has higher voltage than a traditional vehicle battery

What is the most important aspect in protecting EMS providers during an extrication operation?

The scene size-up

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

To assess and provide immediate medical care

(T/F) A team of experienced EMTs should be able to perform rapid extrication in 1 minute or less.

True

(T/F) Even when the technical rescue group includes a paramedic or physician, generally only essential care is provided until the group members can bring the patient to the staging area.

True

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 from the hazard

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

Upon arrival

When working around undeployed airbags after a vehicle crash, you should maintain at least a ___ clearance between yourself and the passenger-side airbags.

20 inch