Ch 37 Transport Operations

Question 1

Air ambulances

Answer 1

Fixed-wing and rotary wing (helicopter) aircrafts that have been modified for medical care; used to evacuate and transport patients with life-threatening injuries

Question 2

Ambulance

Answer 2

A specialized vehicle used to transport the sick and injured

Question 3

Blind spots

Answer 3

Areas of the road that are blocked from your view by your vehicle or mirrors

Question 4

CPR board

Answer 4

A device that provides a firm surface under a patient’s torso

Question 5

Cushion of safety

Answer 5

Keeping a safe distance between your vehicle and any vehicle around you

Question 6

Decontaminate

Answer 6

To remove or neutralize radiation, chemicals, or other hazardous material from clothing, equipment, vehicles and personnel

Question 7

Disinfection

Answer 7

The killing of pathogenic agents by direct application of chemicals

Question 8

First-responder vehicles

Answer 8

Specialized vehicles used to transport EMS equipment and personnel to emergency scenes

Question 9

High-level disinfection

Answer 9

The filling of pathogenic agents by using potent means of disinfection

Question 10

Hydroplaning

Answer 10

Occurs when the tires of a vehicle are lifted off the road as a result of water, making the vehicle feel as if it is floating

Question 11

Jump kit

Answer 11

A portable kit containing items that are used in the initial care of patients; “5-minute kit”

Question 12

Mobile data terminal

Answer 12

MDT; The EMT in the passenger seat should operate in order to limit potential “necessary” distractions that could lead to any accidents

Question 13

Hearse

Answer 13

Was the vehicle used most often as an ambulance after the late 1800s, because it was one of the only available vehicles that could allow a person to lie down

Question 14

Ambulance designs today are based on

Answer 14

The NFPA 1917 Standard for Automotive Ambulances and suggestions from industry and EMS personnel

Question 15

The modern ambulance has the following features

Answer 15

Diver’s compartment
Patient compartment that can accommodate 2 EMTs and typically 2 supine patients, where at least one can receive CPR during transport
Equipment and supplies to provide medical care, to safeguard personnel and patients from hazardous conditions and to carry out light extrication
2-way radio communications
Design and construction that ensure maximum safety and comfort

Question 16

First responders such as _____ and _____ are often the first to arrive on scene

Answer 16

Law enforcement and firefighters

Question 17

Type I ambulance design

Answer 17

Conventional truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis if needed

Question 18

Type II ambulance design

Answer 18

Standard van, forward-control integral cab-body ambulance

Question 19

Type III ambulance design

Answer 19

Specialty van cab with a modular ambulance body that is mounted on a cut away van chassis

Question 20

Phases of an ambulance call

Answer 20

Preparation for the call
Dispatch 
En Route
Arrival on scene
Transfer of the patient to the ambulance 
En route to the receiving facility (transport)
At the receiving facility (Delivery)
En route to the station
Postrun

Question 21

Store equipment and supplies in the ambulance based on _____

Answer 21

How urgently and often they are used

Ex: Place ventilation, O2, airway mgmt equipment within reach at the head of the primary stretcher

Question 22

Warning lights and a PA system

Answer 22

Are required on licensed certified ambulances

Question 23

Standardized equipment and supplies allow for

Answer 23

quick equipment exchanges with other ambulances and emergency departments, which saves time in patient transfer

Question 24

Basic supplies

Answer 24

Disposable gloves and sharps, airway and ventilation equipment, basic would care, splinting supplies, childbirth supplies, AED, Patient transfer equipment, communication equipment, etc.

Question 25

Airway management equipment that should be carried includes

Answer 25

Oropharyngeal airway Nasopharyngeal airway Equipment for advanced airway proceedures

Question 26

O2 on an ambulance

Answer 26

An O2 unit with a capacity of 3,000 L of O2 should be mounted in the ambulance There should be one portable (min 500L capacity) and one installed on board Must be secured by fixed clasps or housing to prevent accidental damage or from the object becoming a projectile

Question 27

Required PPE

Answer 27

``` ANSI 2 reflective vest face shields turnout gear helmets with face shields or safety goggles safety shoes or boots gloves etc. ```

Question 28

required equipment for work areas

Answer 28

Warning devices hat flash or have reflectors two high-intensity halogen 20,000 flashlights Fire extinguisher, type ABC, dry chemical, 5-lb minimum Hard hats or helmets Portable floodlights

Question 29

For every emergency request, the dispatcher should gather and record the following

Answer 29

Nature of the call Name, present location, call back number Location of patients Number of patients and some idea of the severity of their conditions Any special problems or pertinent info about hazards

Question 30

En route or response phase is the most dangerous for responders because

Answer 30

Crashes between motor vehicles and emergency vehicles cause many serious injuries among EMS personnel

Question 31

If you are the first to arrive at the scene of a MCI, you should

Answer 31

Size up the scene; inform dispatch you have arrived and give a brief report of what you see, any unexpected situations and do not enter if there are any hazards to you

Question 32

The main objective of directing traffic is

Answer 32

To warn other drivers, to prevent additional crashes, and to keep vehicles moving in an orderly manner

Question 33

Equipment and supplies that are carried on an ambulance should be stored:

Answer 33

according to the urgency and frequency of their use

Question 34

A medical transport helicopter is incoming and you are responsible for setting up the landing zone (LZ). You should:

Answer 34

use weighted cones to mark all four corners of the LZ

Question 35

A type _____ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed

Answer 35

Type I

Question 36

T/F hazardous materials gear is NOT a type of common safety equipment carried on the ambulance

Answer 36

True

Question 37

During the transport phase of an ambulance call, it is MOST important to:

Answer 37

converse with the patient and provide reassurance

Question 38

T/F regularly using the siren as much as possible is a general guidelines for safe ambulance driving

Answer 38

False

Question 39

Hydroplaning of the ambulance on wet roads would MOST likely occur at speeds of greater than _____ mph

Answer 39

30 mph

Question 40

Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:

Answer 40

observe the scene for safety hazards

Question 41

T/F EMTs should use a police escort when they are unfamiliar with the location, but the police officer knows the area

Answer 41

True

Question 42

Maintaining a cushion of safety when operating an ambulance means:

Answer 42

keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors' blind spots

Question 43

The MOST common and usually the most serious ambulance crashes occur at:

Answer 43

intersections

Question 44

The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called:

Answer 44

Cleaning

Question 45

The use of lights and siren on an ambulance:

Answer 45

signifies a request for other drivers to yield the right of way

Question 46

When approaching a helicopter, whether the rotor blades are moving or not, you should:

Answer 46

never duck under the body or the tail boom because the pilot cannot see you in these areas.

Question 47

When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:

Answer 47

position the ambulance upwind.

Question 48

While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should:

Answer 48

stop and wait until the warning lights stop flashing

Question 49

You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should:

Answer 49

advise the dispatcher that you are out of service and to send another unit.