EMT chapter 3

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How far apart should your hands be when using a power​ grip?

10 in

When a stretcher is​ lifted, the number of rescuers lifting from the head and foot of the stretcher should​ be:

2

How many rescuers are recommended in moving a patient with a stair​ chair?

3

When lifting a stretcher or​ backboard, which of the following is the best number of people to​ use?

4

Which of the following patients could be moved using an ambulance​ cot?

A responsive patient on a gymnasium floor

A staircase is steep and your partner wants to use a stair chair with a​ track-like system instead of a traditional stair chair to move a patient down the stairs.​ Why?

A stair chair with a​ track-like system prevents the patient from having to be lifted down stairs.

You have been dispatched to a home​ where, upon​ entering, you note that there is smoke in the rear of the building. The patient is unconscious on the living room couch. You have about two to three minutes to get the patient out the front door. What type of move will this​ require?

An emergency move will be the most appropriate in this case.

What patient needs a bariatric​ stretcher?

An obese patient

Your patient is a​ 22-year-old female who was involved in a​ low-speed car crash. Her only complaint is some tenderness in her neck. What is the MOST appropriate way to care for​ her?

Apply a short backboard while she is seated in the car

Where should you position the weight of the object being​ lifted?

As close to the body as possible

Which of the following should you do when reaching for​ something?

Avoid prolonged reaching with strenuous effort.

Which of the following techniques will NOT contribute to the safe and efficient movement of a patient from an upstairs bedroom to the​ ambulance?

Calling for assistance only if you find that you and your partner cannot lift the patient

In moving a patient on a​ stretcher, what is the safest level at which to do​ so?

Closest to the ground

Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers​ kneel, curl the patient to their​ chests, stand, and then reverse the process to place the patient on the​ stretcher?

Direct ground lift

Which of the choices is a CORRECT statement when transferring a patient from his or her bed to the stair​ chair?

Do not use the device for unresponsive patients.

For a patient without a possibility of spinal​ injury, which of the following carries should be used to move him from a bed to a​ stretcher?

Draw-sheet method

An ideal lifting arrangement​ is:

EMTs of similar strength and height.

You have responded to a​ multiple-casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus and several are piled on top of each other. What type of move would you perform to gain access to the most critically injured​ patients?

Emergency move

Which of the following should you use when you want to move a patient from a wheelchair to a​ stretcher?

Extremity lift

Which is useful for narrow hallways but is not used for immobilization of a​ patient?

Flexible stretcher

Which of the following devices is best suited for maneuvering a patient through a narrow​ hallway?

Flexible stretcher

If the weight is below your waist​ level, what is the proper position for pushing or​ pulling?

From a kneeling position.

What is the BEST way to transport a patient securely who is suspected of having a spinal​ injury?

Fully immobilized with necessary spinal precautions

In​ reaching, what should be done every​ time?

Have a​ locked-in back.

Which of the following is an advantage of a vacuum​ mattress?

It naturally pads voids for greater comfort.

Which of the following is used to immobilize a patient with a suspected spinal​ injury?

Long backboard

Which of the following patients should not be transported in a stair​ chair?

Patient with a suspected spinal injury

When placing all fingers and the palm in contact with the object being​ lifted, you are using which of the​ following?

Power grip

Which of the following is another name for the​ squat-lift position that involves squatting rather than bending at the​ waist?

Power lift

Which of the following techniques is used by power weight​ lifters?

Power lift

Which of the following best describes body​ mechanics?

Proper use of the body to facilitate lifting and moving objects

Which of the following is the correct position of an​ EMT's feet when​ lifting?

Shoulder-width apart

Your patient is​ conscious, has no​ trauma, and is complaining of dyspnea. The patient is concerned that transport will aggravate the breathing difficulty. Which of the following is most likely the BEST way to position the patient during transport that would also address this​ patient's concern?

Sitting upright in a stair chair

A patient is on the top floor of a​ three-story house with narrow hallways and a single narrow staircase. Which of the following devices should be used to carry this patient down to ground​ level?

Stair chair

When a stretcher with a patient secured to it is​ elevated, what​ occurs?

The center of gravity is raised and this causes a tip hazard.

What are body​ mechanics?

The proper use of your body to prevent injury and facilitate lifting and moving

What is the preferred number of rescuers when using a stair​ chair?

Three: two carrying and one spotting

Which of the following must be avoided in​ lifting?

Twisting

Which of the following statements regarding body mechanics is​ true?

Use your legs to lift.

A stair chair should be used in which of the following​ circumstances?

When traversing narrow corridors and doorways

You respond to a call at a park where you find a​ 550-pound patient who has fallen down a slope near a creek. As you and your partner discuss the​ situation, you decide to call a second unit for lifting assistance. Once the patient is on a​ stretcher, how would the additional two personnel help in this​ lift?

You place one person on each corner of the stretcher to balance the weight and share in the lifting.

Which of the following factors should be considered before lifting any​ patient?

Your physical limitations

Fire and exposure to explosives or other hazardous materials are examples of immediate dangers that would​ warrant:

an emergency move such as a clothes drag

A method of lifting and carrying a patient during which one rescuer slips hands under the​ patient's armpits and grasps the​ wrists, while another rescuer grasps the​ patient's knees,​ is:

an extremity lift.

You and your partner arrive on the scene of a​ 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit​ up, he gets very dizzy and has a syncopal episode. In addition to calling for additional manpower to move the​ patient, you would likely​ need:

bariatric stretcher

The term that has to do with patients who are significantly overweight or obese​ is:

bariatric.

You know​ you'll be moving your patient across some rough terrain. The​ best-suited device for your purpose would be​ a:

basket stretcher.

You need to lower a patient from a low balcony to the floor below. For this you should use​ a:

basket stretcher.

The safest and MOST efficient methods for using​ one's body to facilitate lifting and moving are​ called:

body mechanics.

When​ lifting, keep the​ weight:

close to your body.

Forming a plan for lifting and carrying a patient should​ be:

communicated to your partner before putting the plan into action.

A stair​ chair's descent should​ be:

controlled

A method of transferring a patient from bed to​ stretcher, during which two or more rescuers curl the patient to their chests then reverse the process to lower the patient to the​ stretcher, is:

direct carry

When assessing a​ patient, you quickly decide that it is in the​ patient's best interest for you to do an emergency move. Which of the following is NOT an indication for an emergency​ move?

dispatch is holding calls for your community

An efficient way of transferring a patient between a hospital and nursing home that uses the​ patient's bed in the transfer is​ the:

draw-sheet method.

You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to​ fall?

explain to the patient what you are doing and advise her to hold hands together and not let go until you are finished moving her

During which type of drag should you take care not to bump the​ patient's head?

foot

In a Fowler or​ semi-Fowler position, it is normal and not a cause for concern if the​ patient:

is in a​ semi-sitting position.

When pushing or​ pulling, you​ should:

keep the line of pull through the center of your body.

To use your legs instead of your back to​ lift, you​ must:

keep the weight close to your body.

If the weight being pulled is below the level of the​ EMT's waist, he should be in​ a(n) ________ position

kneeling

When lifting a​ patient, a basic principle is​ to:

know your lifting limits.

To minimize or prevent aggravation of a spinal injury during an emergency​ move, the EMT should move the patient in the direction of​ the:

long axis of the body.

A critically​ injured, unresponsive patient in a wrecked semi cab requires an urgent​ move, and you decide that rapid extrication is​ necessary, which means stabilizing the​ patient's spine manually to move to​ a:

long spine board.

Of the two types of spine​ boards, the one used for the transport of patients in the supine position is​ the:

long spine board.

You respond to the scene of a​ two-vehicle T-bone vehicle collision. The​ driver's side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is​ unresponsive, in critical​ condition, and has gurgling respirations. You should extricate the passenger by which​ technique?

move the patient out of the car as quickly as possible, in the direction of the long axis of the body

The term body mechanics describes the proper use of your body for lifting and​ ______ without injury.

moving

Which of the following best describes an urgent​ move?

moving a patient from a car to a long spine board

An emergency move​ involves:

moving the patient in the direction of the long axis

An emergency move would be permitted in order to change a​ patient's position in a situation in which​ you:

need to perform CPR

What type of device will the EMT likely use to immediately remove a patient from a car that has started to​ burn?

no device

An important key to preventing injury while lifting or moving​ is:

not compensating when lifting with one hand.

You arrive on scene and assess the need for a bariatric ambulance for transport of a patient because the patient​ is:

obese

Which of the following is NOT correct when performing a log​ roll?

place both feet flat on the ground

You and your partner decide to use a short backboard to immobilize a patient. This patient​ is:

possibly injured in the neck or spine.

Bending all fingers at the same angle and placing the hands ten inches apart are two key elements of​ the:

power grip.

Which of the following is recommended when moving something​ heavy?

pushing

You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the BEST position for transporting the​ patient?

recovery position

To immobilize a patient with a possible spinal injury who needs to be removed from her crashed​ car, you would want what type of​ device?

short spine board

What is the contraindication for the use of a scoop or orthopedic​ stretcher?

spinal fracture

You want to navigate a responsive patient down several​ narrow, curving stairways. You want to transport the patient in a sitting​ position, which means you use​ a:

stair chair.

When executing a power​ lift, to keep the weight as close to your body as​ possible:

straddle it if possible.

Emergency moves may be necessary​ if:

there is a threat of fire or possible explosion.

An obese patient is upset that a special stretcher is to be used for him and that you have called for a bariatric ambulance. The BEST way to respond is to explain​ that:

this equipment enables you to provide the best assessment and care for the patient.

During a cradle​ carry, one arm is across the​ patient's back and the​ other:

under her knees.

You respond to a​ 48-year-old morbidly obese female patient. Her adult daughter called you because she has not gotten up from her oversized recliner chair in over a week. She has tried to help her out of the chair but states that each time her mother screams in agony. The foul odor presence of urine and feces is strong around the patient. Her feet do not touch the​ ground, and any attempt to lift the patient by her arms or scoot her down to the end of the chair results in severe pain to the patient. You are finding it nearly impossible to get a good grip on the patient. How will you get her out of the​ chair?

vest type extrication device

Before lifting any​ patient, consider the​ patient's:

weight.

You want to move a responsive patient with no spine injuries in a​ semi-sitting position. For this you would use​ a:

wheeled stretcher

Which of the following is an indication for an emergency​ move?

you are unable to gain access to other patients who need lifesaving care

You are called to the scene of a patient who fell approximately 5 feet off a stepladder to the floor of a​ third-story attic of a very old building. He is complaining of severe neck and back​ pain, and he has an obvious fractured ankle. You cannot get your stretcher past the​ first-floor stairs, and your long spine board is not practical with the winding spiral staircase and the small attic access. What is the best device to safely get the patient out of the attic where he can be properly​ immobilized?

​Vest-type extrication device


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