EMT 100: Mod 6/7 Ch.37
A hiker was injured when he fell approximately 20¢ 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: A) Immobilize his spine with a long backboard and place him in a basket stretcher. B) Immobilize him with a short backboard and place him on the ambulance stretcher. C) Immobilize him to a long backboard and use the four-person carry to move him. D) Apply a vest-style immobilization device and move him using a stair chair device.
A) Immobilize his spine with a long backboard and place him in a basket stretcher.
12: Which of the following is not a reason for rescue failure according to the mnemonic 'FAILURE"? A) limited access to the patient B) inadequate rescue skills C) lack of teamwork or experience D) unmastered equipment
A) limited access to the patient
2: The role of the EMT in the phases of an extrication operation is: A) similar to the phases of the ambulance call. B) directed by the designated logistics officer at the scene. C) varied depending if the EMT has certification in PHTLS or BTLS. D) direct care of the patient only after disentanglement and removal.
A) similar to the phases of the ambulance call.
9: Safety during rescue or extrication begins with: A) the proper mind-set and protective equipment. B) identifying a location for the tactical command post. C) stabilization of the vehicle by letting the air out of all the tires. D) traffic control and maintaining order at the scene.
A) the proper mind-set and protective equipment.
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) Treat only critical injuries before moving him to a safe place. B) Grab him by the clothes and immediately move him to safety. C) Limit your primary assessment to airway and breathing only. D) Perform a rapid assessment and move him to a place of safety.
B) Grab him by the clothes and immediately move him to safety.
Which of the following statements regarding trench rescue is correct? A) A trench deeper than 10¢ should be shored prior to entry. B) Ground vibration is a primary cause of secondary collapse. C) Most deaths involving cave-ins are caused by head injury. D) Rescue vehicles should park at least 250¢ from the scene.
B) Ground vibration is a primary cause of secondary collapse.
In order to evaluate hazards present at the scene and determine the number of patients, you should: A) Request the fire department at all scenes. B) Perform a 360° walk-around of the scene. C) Interview bystanders present at the scene. D) Use the information provided by dispatch.
B) Perform a 360° walk-around of the scene.
3: What equipment for personal safety at an extrication scene is required for the EMT? A) full fire fighter-style turnout gear B) The equipment necessary will depend on the situation. C) disposable examination gloves during direct patient contact D) leather gloves over exam gloves, helmets with face shields, and heavy coats
B) The equipment necessary will depend on the situation.
7: Using hand powered or hydraulic tools to pull or roll-up the dashboard away from a trapped occupant of a vehicle is called: A) extraction. B) disentanglement. C) tactical rescue. D) simple access.
B) disentanglement.
6: Simple access may be described as: A) the rapid removal of a patient who is not entrapped. B) entry to the patient without the use of tools or force. C) the removal of the entrapped patient using special tools and equipment. D) the removal of the wrecked motor vehicle from around the patient.
B) entry to the patient without the use of tools or force.
11: What is the first priority in rescue? A) patient care B) rescuer safety C) maintaining a perimeter D) having enough help
B) rescuer safety
8: When responding to a victim in a trench, the EMT should: A) park next to the trench and tie a rope to the bumper for safety before entry into the trench. B) wait for personnel trained in trench rescue to bring the patient to the ambulance. C) immediately attempt to remove the patient as long as the trench is at least 4' deep. D) call for heavy construction equipment to dig the trench wider before entry.
B) wait for personnel trained in trench rescue to bring the patient to the ambulance.
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: A) Secure her with a short backboard or vest device. B) Stabilize her condition before extrication begins. C) Maintain spinal stabilization as she is extricated. D) Begin CPR as the rescue team begins extrication.
C) Maintain spinal stabilization as she is extricated.
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: A) Locate the victim and provide initial care while your partner stays with the ambulance. B) Notify the hospital that you will be transporting a burn patient to their facility. C) Remain with the ambulance and wait for fire personnel to bring the victim to you. D) Immediately locate the incident commander and ask where the victim is located.
C) Remain with the ambulance and wait for fire personnel to bring the victim to you.
The reasons for rescue failure can be referred to by the mnemonic FAILURE. According to this mnemonic, the "U" stands for: A) Unprepared to effectively manage the scene. B) Underutilizing personnel at the scene. C) Underestimating the logistics of the incident. D) Undertrained to correctly utilize equipment.
C) Underestimating the logistics of the incident.
1: The removal of a patient from a dangerous situation or position, such as removal from a wrecked vehicle, is known as: A) simple access. B) tactical access. C) extrication. D) extraction.
C) extrication.
4: The primary role of the EMT is to provide emergency care and prevent further injury to the patient. At the extrication scene, it may also include: A) establishing a tactical command post. B) containment and disposal of hazardous materials. C) gaining access and disentanglement. D) traffic control and maintaining order at the scene.
C) gaining access and disentanglement.
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: A) Request the rescue team to extricate him. B) Use a pry bar to attempt to open the door. C) Break the window and unlock the door. D) Ask the patient if he can unlock the door.
D) Ask the patient if he can unlock the door.
Extrication is MOST accurately defined as: A) Dismantling an automobile to remove a victim. B) Using heavy equipment to access a patient. C) Immobilizing a patient before moving him or her. D) Removal from a dangerous situation or position.
D) Removal from a dangerous situation or position.
Disentanglement involves: A) Gaining access to a patient in a crashed vehicle. B) The use of simple access tools such as a pry bar. C) Extrication techniques that EMTs are trained in. D) Removing a patient from a dangerous position.
D) Removing a patient from a dangerous position.
5: What actions are necessary to protect the patient during auto extrication operations? A) Ventilations should be provided by use of self contained breathing apparatus (SCBA). B) The patient should wear the same protective clothing as the rescuer. C) Cover the patient with disposable, paper cot sheets. D) Use heavy blankets and backboards as a shield.
D) Use heavy blankets and backboards as a shield.
10: The termination phase of the rescue operation involves: A) investigating the cause of the crash. B) contacting management to log "hazard pay." C) moving the patient in one fast, continuous step. D) returning the emergency units and specialized equipment to service.
D) returning the emergency units and specialized equipment to service.
