Chapter 38:Vehicle Extrication and Special Rescue

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_____________ is defined as the ability to reach the patient.

Access

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

Disconnect the battery.

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

Entering a vehicle through an open window

Who has overall command of an emergency incident?

Incident commander

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

The scene size-up

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

begin a rapid assessment

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

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.

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

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.

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.

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

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:

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:

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.


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