EMT Ch. 39 Vehicle Extrication and Special Rescue STUDY SET
Which of the following situations would require the use of a specialized rescue team? A. An obese patient who must be moved to the ambulance B. A patient in a badly damaged car, not entrapped C. A patient found floating face down in a swimming pool D. A patient trapped in a cave or a confined space
A patient trapped in a cave or a confined space
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: A. after receiving approval from the incident commander. B. after rescue personnel have cut the battery cables. C. only if the patient has experienced a major injury. D. only after you believe the vehicle has been stabilized.
A. after receiving approval from the incident commander
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. ask the patient if he can unlock the door. B. use a pry bar to attempt to open the door. C. break the window and unlock the door. D. request the rescue team to extricate him.
A. 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: A. check with the incident commander to ensure that the team is en route. B. have fire personnel initiate the rescue process if they are at the scene. C. don personal protective equipment and begin the rescue process. D. remain with your ambulance until the rescue team arrives at the scene.
A. check with the incident commander to ensure that the team is en route
Which of the following statements regarding trench rescue is correct? A. Ground vibration is a primary cause of secondary collapse. B. A trench less than 15' deep usually does not require shoring. C. Most deaths involving cave-ins are caused by head injury. D. Rescue vehicles should park at least 250′ from the scene.
A. ground virbation is a primary cause of secondary collapse
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: A. immobilize him with a vest-style device. B. maintain slight traction to his neck area. C. use the rapid extrication technique. D. apply a full leg splint prior to extrication.
A. immobilize him with a vest-style device
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: A. immobilize him with a vest-style device. B. maintain slight traction to his neck area. C. apply a full leg splint prior to extrication. D. use the rapid extrication technique.
A. immobilize him with a vest-style device.
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 to a long backboard and use the four-person carry to move him. C. apply a vest-style immobilization device and move him using a stair chair device. D. immobilize him with a short backboard and place him on the ambulance stretche
A. immobilize his spine with a long backboard and place him in a basket stretcher
The scene size-up at a motor vehicle crash or other incident: A. is an ongoing process until the incident is terminated. B. is a quick visual assessment of the scene prior to entry. C. should be performed by the most experienced EMT. D. determines who is allowed to safely enter the hot zone.
A. is an ongoing process until the incident is terminated
Upon arrival at a motor vehicle crash, the EMT should: A. leave only the essential warning lights activated. B. park at least 300 feet away from the accident scene. C. turn off the emergency flashing lights and headlights. D. turn off the ambulance and set the emergency brake.
A. leave only the essential warning lights activated
To evaluate hazards present at the scene and determine the number of patients, you should: A. perform a 360° walkaround of the scene. B. use the information provided by dispatch. C. request the fire department at all scenes. D. interview bystanders present at the scene.
A. perform a 360º walkaround of the scene
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. remain with the ambulance and wait for fire personnel to bring the victim to you. B. notify the hospital that you will be transporting a burn patient to their facility. C. immediately locate the incident commander and ask where the victim is located. D. locate the victim and provide initial care while your partner stays with the ambulance.
A. remain with the ambulance and wait for fire personnel to bring the victim to you
As you and your team are removing an unresponsive patient from her wrecked car, you note that she has deformities to both of her legs and a deformity to her left humerus. You should: A. support the injured extremities and continue removal. B. assess distal neurovascular functions in her extremities. C. splint the deformities before moving her any further. D. realign the deformed extremities before continuing.
A. support the injured extremities and continue removal
As you and your team are removing an unresponsive patient from her wrecked car, you note that she has deformities to both of her legs and a deformity to her left humerus. You should: A. support the injured extremities and continue removal. B. splint the deformities before moving her any further. C. realign the deformed extremities before continuing. D. assess distal neurovascular functions in her extremities.
A. support the injured extremities and continue removal.
Your primary concern when arriving at the scene of a motor vehicle crash is: A. surveying the area for hazards. B. gaining access to the patient(s). C. immediately beginning triage. D. requesting additional resources.
A. surveying the area for hazards
Your primary concern when arriving at the scene of a motor vehicle crash is: A. surveying the area for hazards. B. immediately beginning triage. C. gaining access to the patient(s). D. requesting additional resources.
A. surveying the area for hazards
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: A. Contact medical control and apprise him or her of the situation. B. Ask the incident commander where the ambulance should be staged. C. Set up staging area where firefighters can be treated if necessary. D. Park your ambulance behind the incident commander's vehicle
Ask the incident commander where the ambulance should be staged
Which of the following situations would require the use of a specialized rescue team? A. A patient found floating face down in a swimming pool B. A patient trapped in a cave or a confined space C. An obese patient who must be moved to the ambulance D. A patient in a badly damaged car, not entrapped
B. a patient trapped in a cave or a confined space
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: A. only after you believe the vehicle has been stabilized. B. after receiving approval from the incident commander. C. only if the patient has experienced a major injury. D. after rescue personnel have cut the battery cables.
B. after receiving approval from the incident commander
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 bilateral closed femur deformities. You should: A. apply oxygen via a nonrebreathing mask. B. direct your partner to begin ventilatory assistance. C. obtain baseline vital signs and transport at once. D. stabilize her legs with long board splints.
B. direct your partner to begin ventilatory assistance
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. perform a rapid assessment and move him to a place of safety. D. limit your primary assessment to airway and breathing only
B. grab him by the clothes and immediately move him to safety
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: A. request law enforcement for traffic control. B. immediately request additional resources. C. call medical control for further direction. D. begin triage to determine injury severity.
B. immediately request additional resources
Once entrance and access to the patient have been provided, you should: A. begin treating his or her injuries. B. perform a primary assessment. C. allow extrication to commence. D. administer high-flow oxygen.
B. perform a primary assessment
Which of the following is a typical function of the rescue team? A. Initial triage and patient prioritization B. Providing safe entry and access to patients C. Shutting off power to downed electrical lines D. Providing emergency care during extrication
B. providing safe entry and access to patients
Which of the following statements regarding the rapid extrication technique is correct? A. Rapid extrication involves the use of heavy equipment to disentangle a patient from his or her crashed vehicle. B. Rapid extrication is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle. C. It involves rapidly removing a patient from his or her vehicle after immobilizing him or her with a short backboard. D. The only indication for performing a rapid extrication is if the patient is not entrapped and is in cardiac arrest.
B. rapid extrication is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle
Extrication is defined as: A. immobilizing a patient before moving him or her. B. removal from a dangerous situation or position. C. using heavy equipment to access a patient. D. dismantling an automobile to remove a victim.
B. removal from a dangerous situation or position
Extrication is defined as: A. using heavy equipment to access a patient. B. removal from a dangerous situation or position. C. dismantling an automobile to remove a victim. D. immobilizing a patient before moving him or her.
B. removal from a dangerous situation or position.
Situational awareness is most accurately defined as: A. performing an initial scan of the scene to identify hazards that will pose an immediate threat to you and your crew. B. the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact. C. an ongoing process of information gathering and scene evaluation to determine appropriate strategies and tactics. D. predicting the presence of certain hazards at the scene after receiving initial information from the dispatcher.
B. the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact
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: A. contact medical control and apprise him or her of the situation. B. park your ambulance behind the incident commander's vehicle. C. ask the incident commander where the ambulance should be staged. D. set up a staging area where firefighters can be treated if necessary.
C. ask the incident commander where the ambulance should be staged
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 bilateral closed femur deformities. You should: A. stabilize her legs with long board splints. B. apply oxygen via a nonrebreathing mask. C. direct your partner to begin ventilatory assistance. D. obtain baseline vital signs and transport at once.
C. direct your partner to begin ventilatory assistance.
Which of the following is the best example of gaining simple access to a patient? A. Removing the roof to access a critical patient B. Breaking glass to gain access to the patient C. Entering a vehicle through an open window D. Using a pry bar to open a damaged door
C. entering a vehicle through an open window
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 him to a long backboard and use the four-person carry to move him. B. apply a vest-style immobilization device and move him using a stair chair device. C. immobilize his spine with a long backboard and place him in a basket stretcher. D. immobilize him with a short backboard and place him on the ambulance stretcher.
C. immbolize his spine with a long backboard and place him in a basket stretcher
In contrast to simple access, complex access: A. often involves simply unlocking a door. B. does not involve the breaking of glass. C. involves forcible entry into a vehicle. D. is a skill commonly taught to EMTs.
C. involves forcible entry into a vehicle
Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, except: A. preparing all patients for transportation. B. ongoing assessment of critical patients. C. keeping bystanders at a safe distance. D. assigning all patients a triage category.
C. keeping bystanders at a safe distance
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 her radial pulse is absent. You should: A. begin CPR as the rescue team begins extrication. B. secure her with a short backboard or vest device. C. maintain spinal stabilization as she is extricated. D. stabilize her condition before extrication begins.
C. maintain spinal stabilization as she is extricated
When removing a critically injured patient from his or her vehicle, you should: A. release c-spine control to facilitate rapid removal. B. remove him or her using a short backboard. C. protect the cervical spine during the entire process. D. move him or her in one fast, continuous step.
C. protect the cervical spine during the entire process
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. removing a patient from a dangerous position. D. extrication techniques that EMTs are trained in.
C. removing a patient from a dangerous position
When determining the exact location and position of the patient(s) in a wrecked vehicle, you and your team should routinely consider all of the following, except: A. the position of the crashed vehicle. B. the possibility of vehicle instability. C. the make and model of the vehicle. D. hazards that pose a risk to rescuers.
C. the make and model of the vehicle
If a technical rescue team is required at the scene but is not present when you arrive, you should: A. Don personal protective equipment and begin the rescue process. B. Have fire personnel initiate the rescue process if they are at the scene. C. Remain with your ambulance until the rescue team arrives at the scene D. Check with the incident commander to ensure that the team is en route
Check with the incident commander to ensure that the team is en route
Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. A. 200 lbs B. 150 lbs C. 50 lbs D. 100 lbs
D. 100lbs
_____________ is defined as the ability to reach the patient. A. Disentanglement B. Extrication C. Rescue D. Access
D. access
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: A. allow her to observe the extrication and keep her calm. B. ask her follow-up questions about the details of the crash. C. allow her to talk to her husband during the extrication. D. ensure that she is in a safe area, away from the scene.
D. ensure that she is in a safe area, away from the scene
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 her radial pulse is absent. You should: A. stabilize her condition before extrication begins. B. begin CPR as the rescue team begins extrication. C. secure her with a short backboard or vest device. D. maintain spinal stabilization as she is extricated.
D. maintain spinal stabilization as she is extricated.
Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then: A. begin immediate triage of any injured personnel. B. locate all injured personnel and begin treatment. C. apprise medical control of the tactical situation. D. report to the incident commander for instructions.
D. report to the incident commander for instructions
The EMT's role at the scene of a search and rescue attempt is to: A. report to a location where the patient will be carried. B. accompany search team members and provide care. C. direct the search effort from a centralized location. D. stand by at the command post until the person is located
D. stand by at the command post until the person is located
A unique consideration when dealing with a hybrid vehicle is that: A. you must locate the ignition switch and cut it to prevent a fire. B. rescue teams should disconnect the positive battery cable first. C. cutting the battery cables often results in an explosion or fire. D. the battery has higher voltage than a traditional vehicle battery.
D. the battery has higher voltage than a traditional vehicle battery
The reasons for rescue failure can be recalled 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. undertrained to correctly utilize equipment. D. underestimating the logistics of the incident.
D. underestimating the logistics of the incident
You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personal 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. Perform a rapid assessment and move him to a place of safety. B. Treat only critical injuries before moving him to a safe place. C. Limit your primary assessment to airway and breathing only D. Grab him by the clothes and immediately move him to safety.
Grab him by the clothes and immediately move him to safety
Which of the following statements regarding trench rescue is correct? A. Most death involving cave-ins are caused by head injury. B. A trench less than 15' deep usually does not require shoring C. Rescue vehicles should park at least 250' from the scene D. Ground vibration is a primary cause of secondary collapse
Ground vibration is a primary cause of secondary collapse
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 him to a long backboard and use the four-person carry to move him. B. Apply a vest-style immobilization device and move him using stair chair device C. Immobilize him with a short backboard and place him on the ambulance stretcher. D. Immobilize his spine with a long backboard and place him in a basket stretcher
Immobilize his spine with a long backboard and place him in a basket stretcher
Upon arrival at a motor vehicle crash, the EMT should: A. Park at least 300 feet away from the accident scene. B. Turn off the emergency flashing lights and headlights C. Leave only the essential warning lights activated D. Turn off the ambulance and set the emergency brake
Leave only the essential warning lights activated
To evaluate hazards present at the scene and determine the number of patients, you should: A. use the information provided by dispatch B. Interview bystanders present at the scene C. perform a 360° walkaround of the scene D. Request the fire department at all scenes
Perform a 360° walkaround of the scene
When removing a critically injured patient from his or her vehicle, you should: A. Protect the cervical spine during the entire process B. remove him or her using a short backboard. C. Move him or her in one fast, continuous step D. release C-spine control to facilitate rapid removal
Protect the cervical spine during the entire process
Which of the following is a typical function of the rescue team? A. Initial triage and patient prioritization B. Providing safe entry and access to patients C. Providing emergency care during extrication D. Shutting off power to downed electrical lines
Providing safe entry and access to patients
Which of the following statements regarding the rapid extrication technique is correct? A. Rapid extrication is indicated if the scene is unsafe and the patient is not entrapped B. Rapid extrication involves the use of heavy equipment to disentangle a patient from his or her crashed vehicle C. It involves rapidly removing a patient form his or her vehicle after immobilizing him or her with a short backboard D The only indication for performing a rapid extrication is if the patient is not entrapped and is in cardiac arrest
Rapid extrication is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle
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. Immediately locate the incident commander and ask where the victim is located. C. Notify the hospital that you will be transporting a burn patient to their facility D. Remain with the ambulance and wait for fire personnel to bring the victim to you.
Remain with the ambulance and wait for fire personnel to bring the victim to you
The EMT's role at the scene of a search and rescue attempt is to: A. Report a location where the patient will be carried B. stand by at the command post until the person is located C. Accompany search team members and provide care D. Direct the search effort from a centralized location
Standby at the command post until the person is located
Situational awareness is most accurately defined as: A. The ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact B. Performing an initial scan of the scene to identify hazards that will pose an immediate threat to you and your crew C. An ongoing process of information gathering and scene evaluation to determine appropriate strategies and tactics. D. Predicting the presence of certain hazards at the scene after receiving initial information from the dispatcher
The ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact
A unique consideration when dealing with a hybrid vehicle is that: A. Cutting the battery cables often results in an explosion or fire B. You must locate the ignition switch and cut it to prevent a fire C. The battery has higher voltage than a traditional vehicle battery. D. Rescue teams should disconnect the positive battery cable first.
The battery has higher voltage than a traditional vehicle battery
Which of the following situations would require the use of a specialized rescue team? a. a patient found floating face down in a swimming pool b. a patient trapped in a cave or a confined space c. an obese patient who must be moved to the ambulance d. a patient in a badly damaged car, not entrapped
b. a patient trapped in a cave or a confined space
Which of the following statements regarding trench rescue is correct? a. rescue vehicles should park at least 250' from the scene b. ground vibration is a primary cause of secondary collapse c. a trench less than 15' deep usually does not require shoring d. most deaths involving cave-ins are caused by head injury
b. ground vibration is a primary cause of secondary collapse
In contrast to simple access, complex access: a. does not involve the breaking of glass b. involves forcible entry into a vehicle c. often involves simply unlocking a door d. is a skill commonly taught to EMTs
b. involves forcible entry into a vehicle
Your primary concern when arriving at the scene of a motor vehicle crash is: a. immediately beginning triage b. surveying the area for hazards c. gaining access to the patient d. requesting additional resources
b. surveying the area for hazards
When determining the exact location and position of the patients in a wrecked vehicle, you and your team should routinely consider all of the following, except: a. the position of the crashed vehicle b. the make and model of the vehicle c. hazards that pose a risk to rescuers d. the possibility of vehicle instability
b. the make and model of the vehicle
Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot. a. 200 lbs b. 50 lbs c. 100 lbs d. 150 lbs
c. 100 lbs
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. use a pry bar to attempt to open the door b. request the rescue team to extricate him c. ask the patient if he can unlock the door d. break the window and unlock the door
c. ask the patient if he can unlock the door
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: a. obtain baseline vital signs and transport at once b. apply oxygen via a nonrebreathing mask c. direct your partner to begin ventilatory assistance d. stabilize her legs with long board splints
c. direct your partner to begin ventilatory assistance
Once entrance and access to the patient have been provided, you should: a. administer high-flow oxygen b. allow extrication to commence c. perform a primary assessment d. begin treating his or her injuries
c. perform a primary assessment
When removing a critically injured patient from his or her vehicle, you should: a. move them in one fast, continuous step b. release c-spine c. protect the cervical spine during the entire process d. remove them using a short backboard
c. protect the cervical spine during the entire process
The scene size-up at a motor vehicle crash or other incident: a. determines who is allowed to safely enter the hot zone b. is a quick visual assessment of the scene prior to entry c. should be performed by the most experienced EMT d. is an ongoing process until the incident is terminated
d. is an ongoing process until the incident is terminated
Which of the following is a typical function of the rescue team? a. providing emergency care during extrication b. shutting off power to downed electrical lines c. initial triage and patient prioritization d. providing safe entry and access to patients
d. providing safe entry and access to patients
Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then: a. locate all injured personnel and begin treatment b. begin immediate triage of any injured personnel c. apprise medical control of the tactical situation d. report to the incident commanded for instructions
d. report to the incident commanded for instructions
The EMT's role at the scene of a search and rescue attempt is to: a. accompany search team members and provide care b. direct the search effort from a centralized location c. report to a location where the patient will be carried d. stand by at the command post until the person is located
d. stand by at the command post until the person is located
Situational awareness is MOST accurately defined as: a. an ongoing process of information gathering and scene evaluation to determine appropriate strategies and tactics b. performing an initial scan of the scene to identify hazards that will pose an immediate threat to you and your crew c. predicting the presence of certain hazards at the scene after receiving initial information from the dispatcher d. the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact
d. the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact
The reasons for rescue failure can be recalled 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. undertrained to correctly utilize equipment d. underestimating the logistics of the incident
d. underestimating the logistics of the incident
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 bilateral closed femur deformities. You should: A. Apply oxygen via a nonrebreathing mask B. Direct your partner to begin ventilatory assistance. C. Stabilize her legs with long board splints D. Obtain baseline vital signs and transport at once.
direct your partner to begin ventilatory assistance
The rescue team is in the process of executing 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: A. Ask her follow-up questions about the details of the crash B. Ensure that she is in a safe area, away from the scene. C. Allow her to observe the extrication and keep her calm D. Allow her to talk to her husband during the extrication
ensure that she is in a safe area, away from the scene
Which of the following is the best example of gaining simple access to a patient? A. Entering a vehicle through an open window B. removing the roof to access a critical patient C. Using a pry bar to open a damaged door. D. Breaking glass to gain access to the patient
entering a vehicle through an open window
Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who was in trapped in his car and two who have been a ejected from their vehicle. You should: A. Begin triage to determine severity B. Request law enforcement for traffic control C. call medical control for further direction. D. Immediately request additional resources
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: A. Maintain slight traction to his neck area. B. Immobilize him with a vest-style device C. Apply a full leg splint prior to extrication D. Use the rapid extrication technique.
immobilize him with a vest-style device
In contrast to simple access, complex access: A. Does not involve the breaking of glass B. Is a skill commonly taught to EMTs C. Involves forcible entry into a vehicle D. Often involves simply unlocking a door
involves forcible entry into a vehicle
The scene size-up at a motor vehicle crash or other incident A. Determines who is allowed to safely enter the hot zone B. Is an ongoing process until the incident is terminated. C. Is a quick visual assessment of the scene prior to entry D. Should be performed by the most experienced EMT
is an ongoing process until the incident is terminated
Once entrance and access to the patient have been provided, you should: A. Allow extrication to commerce B. Administer high-flow oxygen. C. Begin treating his or her injuries D. Perform a primary assessment
perform a primary assessment
Extrication is defined as: A. Removal from a dangerous situation or position B. Dismantling an automobile to remove a victim C. Immobilizing a patient before moving him or her D. Using heavy equipment to access a patient
removal from a dangerous situation or position
Disentanglement involves: A. Gaining access to a patient in a crashed vehicle B. Removing a patient from a dangerous position C. The use of simple access tools such as a pry bar. D. Extrication techniques that EMTs are trained in
removing a patient from a dangerous position
Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then: A. Report to the incident commander for instructions B. Begin immediate triage of any injured personnel. C. Locate all injured personnel and begin treatment D. Apprise medical control of the tactical situation
report to the incident commander for instructions
As you and your team are removing an unresponsive patient from her wrecked car, you note that she has deformities to both of her legs and a deformity to her left humerus. You should: A. Assess distal neurovascular functions in her extremities B. Support the injured extremities and continue removal C. Realign the deformed extremities before continuing. D. Splint the deformities before moving her any further.
support the injured extremities and continue removal
Your primary concern when arriving at the scene of a motor vehicle crash is: A. Requesting additional resources B. Surveying the area for hazards C. Immediately beginning triage. D. Gaining access to the patient(s)
surveying the area for hazards
When determining the exact location and position of the patient(s) in a wrecked vehicle, you and your team should routinely consider all of the following, except: A. The possibility of vehicle instability B. Hazards that pose a risk to rescuers. C. The position of the crashed vehicle D. The make and model of the vehicle
the make and model of the vehicle
The reasons for rescue failure can be recalled by the mnemonic FAILURE. According to this mnemonic, the "U" stands for: A. Underestimating the logistics of the incident B. Undertrained to correctly utilize equipment C. Underutilizing personnel at the scene D. Unprepared to effectively manage the scene
underestimating the logistics of the incident
If a technical rescue team is required at the scene, but is not present when you arrive, you should: a. check with the incident commander to ensure that the team is en route b. remain with your ambulance until the rescue team arrives at the scene c. have fire personnel initiate the rescue process if they are at the scene d. don personal protective equipment and begin the rescue process
a. check with the incident commander to ensure that the team is en route
Which of the following is the best example of gaining simple access to a patient? a. entering a vehicle through an open window b. removing the roof access to a critical patient c. breaking glass to gain access to the patient d. using a pry bar to open a damaged door
a. entering a vehicle through an open window
Disentanglement involves: a. removing a patient from a dangerous position b. extrication techniques that EMTs are trained in c. gaining access to a patient in a crashed vehicle d. the use of a simple access tools such as a pry bar
a. removing a patient from a dangerous position
________________________ is defined as the ability to reach the patient A, Extrication B. Access C. Rescue D. Disentanglement
access
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: A. Only if the patient has experienced a major injury B. After rescue personnel have cut the battery cables C. After receiving approval from the incident commander. D. Only after you believe the vehicle has been stabilized
after recieving approval from the incident commander
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 tried to open the door, but it is locked. You should: A. Use a pry bar to attempt B. Request the rescue team to extricate him C. Break the window and unblock the door D. Ask the patient if he can unlock the door.
ask the patient if he can unlock the door
Trench collapses usually involve large areas of falling dirt that weigh approximately ___________ per cubic foot A. 50 Ibs B. 100 Ibs C. 150 Ibs D. 200 Ibs
100 lbs
Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, except: A. Assigning all patients a triage category B. Preparing all patients for transportation C. Ongoing assessment of critical patients D. Keeping bystanders at a safe distance
keeping bystanders at a safe distance
A 50-year-old female 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 her radio pulse is absent. You should: A. Begin CPR as the rescue team begins extrication B. maintain spinal stabilization as she is extricated C. secure her with a short backboard or vest device D. Stabilize her condition before extrication begins
maintain spinal stabilization as she is extricated
