EMT CH. 35

The MOST appropriate carrying device to use when moving a patient across rough or uneven terrain is the: A. basket stretcher. B. stair chair. C. wheeled stretcher. D. scoop stretcher.

A. basket stretcher.

As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should: A. guide your partner while moving the chair backwards. B. reposition your hands and continue to move the patient. Incorrect C. stop the move and request additional lifting assistance. D. stop the move and have the patient walk down the stairs.

C. stop the move and request additional lifting assistance.

In which of the following situations is an emergency patient move indicated? A. A significant mechanism of injury is involved. B. A patient has an altered mental status or is in shock. C. The EMT has to gain access to lesser-injured patients in a vehicle. D. The EMT is unable to protect the patient from scene hazards.

D. The EMT is unable to protect the patient from scene hazards.

A critical aspect of the rapid extrication technique is to: A. maintain stabilization of the spine at all times. B. extricate the patient with one coordinated move. C. apply a vest-style device before moving the patient. D. move the patient as quickly as you possibly can.

A. maintain stabilization of the spine at all times.

An EMT may injure his or her back, even if it is straight, if the: A. hands are held close to the legs. B. shoulder is aligned over the pelvis. C. force is exerted straight down the spine. D. back is bent forward at the hips.

D. back is bent forward at the hips.

General guidelines for carrying a patient on a stretcher include: A. leaning back from your waist when lifting. B. slightly twisting your body when carrying. C. maintaining slight flexion of your back. D. constant communication with your partners.

D. constant communication with your partners.

In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient? A. a conscious patient complaining of abdominal pain B. an unconscious patient with a possible ischemic stroke C. a pedestrian with back pain after being struck by a car D. a patient who complains of hip pain following a fall

A. a conscious patient complaining of abdominal pain

An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should: A. apply a cervical collar and immobilize him with a vest-style device. B. slide a scoop stretcher under his buttocks and rotate him laterally. C. maintain manual stabilization of his head and grasp him by the clothes. D. perform a detailed head-to-toe assessment and apply a cervical collar.

A. apply a cervical collar and immobilize him with a vest-style device.

The extremity lift would NOT be appropriate to use on a patient: A. with a deformed humerus. B. who complains of nausea. C. with forearm lacerations. D. without a spinal injury.

A. with a deformed humerus.

In order to facilitate a safe and coordinated move, the team leader should: A. never become involved in the move, just direct the move. B. use preparatory commands to initiate any moves. C. speak softly but clearly to avoid startling the patient. D. be positioned at the feet so the team can hear.

B. use preparatory commands to initiate any moves.

Prior to applying medical restraints to a combative patient, you should: A. advise the patient that medical restraint is necessary, but can be removed if he or she cooperates with you during transport. B. have at least three rescuers present, one for the upper extremities, one for the lower extremities, and one for the head. C. evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia. D. place the patient in a prone position to avoid airway and breathing compromise once restrained and placed onto the stretcher.

C. evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia.

The FIRST rule of safe lifting is to: A. always lift with your palms facing down. B. spread your legs approximately 20″ apart. C. keep your back in a straight, vertical position. D. keep your back in a slightly curved position.

C. keep your back in a straight, vertical position.

In most instances, you should move a patient on a wheeled ambulance stretcher by: A. retracting the undercarriage and carrying the stretcher to the ambulance. B. pushing the foot of the stretcher while your partner guides the head. C. pushing the head of the stretcher while your partner guides the foot. D. slightly lifting the stretcher to prevent unnecessary patient movement.

C. pushing the head of the stretcher while your partner guides the foot.

An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient? A. Immobilize her in a supine position on a long backboard and secure her with straps. B. Apply a cervical collar and place her in a sitting position on the wheeled stretcher. C. Move her to a supine position and immobilize her with a scoop stretcher and padding. D. Leave her on her side and use blanket rolls to immobilize her to the long backboard.

D. Leave her on her side and use blanket rolls to immobilize her to the long backboard.

A folding or portable stretcher is MOST beneficial when: A. an injured patient cannot be placed on a long board due to severe back pain. B. a patient requires full spinal immobilization when spinal injury is suspected. C. a conscious, alert patient must be carried down several flights of steep stairs. D. a second patient must be transported on the squad bench of the ambulance.

D. a second patient must be transported on the squad bench of the ambulance.

A 56-year-old female is found supine in a narrow hallway of her mobile home. She complains of severe weakness and dizziness, and states that she is unable to walk. There is no evidence of trauma and the patient states that she did not fall. How should you and your partner move this patient to a more spacious area? A. extremity lift B. emergency move C. direct carry D. scoop stretcher

A. extremity lift

In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include: A. increased stability due to a wider wheelbase. B. a collapsible undercarriage. C. two safety rails on both sides of the stretcher. D. a weight capacity of up to 650 lb.

A. increased stability due to a wider wheelbase.

Situations in which you should use the rapid extrication technique include all of the following, EXCEPT: A. a patient whose condition requires immediate transport to the hospital. B. a patient who blocks access to another seriously injured patient. C. a patient who needs immediate care that requires a supine position. D. a patient who can be properly assessed while still in the vehicle.

D. a patient who can be properly assessed while still in the vehicle.

It is essential that you ____________ your equipment to prevent the spread of disease. A. decontaminate B. burn C. throw out D. store

A. decontaminate

The direct carry is used to transfer a patient: A. from a bed to the ambulance stretcher. B. with multiple long bone injuries. C. with a possible cervical spine injury. D. who cannot be placed on a backboard.

A. from a bed to the ambulance stretcher.