Ch. 39 Flashcards

(20 cards)

1
Q

Disentranglemt involves:

-The use of simple access tools such as a pry bar
-Gaining access to a patient in a crashed vehicle
-Removing a patient from a dangerous position
-Extrication techniques that EMTs are trained in

A

Removing a patient from a dangerous position

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2
Q

In contrast to simple access, complex access:

-Involves forcible entry into a vehicle
-Is a skill commonly taught to EMTs
-Does not involved the breaking of glass
-Often involves simply unlocking a door

A

Involves forcible entry into a vehicle

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3
Q

Once entrance and access to the patient have ben provided, you should:

-Perform a primary assessment
-Begin treating his or her injuries
-Allow extrication to commence
-Administer high-flow oxygen

A

Perform a primary assessment

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4
Q

Situation 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

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5
Q

The EMT’s role at the scene of a search and rescue attempt is to:

-Report to a location where the patient will be carried
-Direct the search effort from a centralized location
-Stand by the command post until the person is located
-Accompany search team members and provide care

A

Stand by the command post until the person is located

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6
Q

Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then:

-Apprise medical control of the tactical situation
-Locate all injured personnel an begin treatment
-Begin immediate triage of any injured personnel
-Report to the incident commander for instructions

A

Report to the incident commander for instructions

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7
Q

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:

-Hazards that pose a risk to rescues
-The make and model of the vehicle
-The possibility of vehicle instability
-The position of the crashed vehicle

A

The make and model of the vehicle

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8
Q

When removing a critically injured patient from his or her vehicle, you should:

-Move him or her in one fast, continuous step
-Release c-spine control to facilitate rapid removal
-Remove him or her using a short backboard
-Protect the cervical spine during the entire process

A

Protect the cervical spine during the entire process

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9
Q

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:

-Use a pry bar to attempt to open the door
-Request the rescue team to extricate him
-Ask the patient if he can unlock the door
-Break the window and unlock the door

A

Ask the patient if he can unlock the door

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10
Q

Your primary concern when arriving at the scene of a motor vehicle crash is:

-Gaining access to the patient(s)
-Immediately beginning triage
-Surveying the area for hazards
-Requesting additional resources

A

Surveying the area for hazards

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11
Q

Proper protective equipment will vary depending on the hazards encountered. Which piece of equipment should be utilized during all patient contacts?

-Turnout gear
-Helmets
-Blood- and fluid-impermeable gloves
-Goggles

A

Blood- and fluid-impermeable gloves

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12
Q

What is the first phase of extrication?

-Arrival
-Preparation
-Scene size-up
-Gaining access

A

Preparation

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13
Q

As you approach an unconscious patient who is still in her wrecked vehicle, you note that there is a power line entangled in the wreckage of the vehicle. You should:

-retreat until the power line has been removed or the power is shut off
-carefully gain access to the patient without touching any metal objects
-don a pair of rubber gloves and carefully disentangle and remove the power line
-call for a tow truck to lift the vehicle off of the power line and then access the patient

A

retreat until the power line has been removed or the power is shut off

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14
Q

A two-door passenger car struck a tree while driving approximately 50 mph. The doors are badly damaged and jammed, and the driver appears to be unconscious inside the vehicle. Entering the vehicle by breaking the back window is an example of:

-Simple access
-Complex access
-Technical rescue
-Disentanglement

A

Complex access

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15
Q

A 30-year-old semiconscious man is pinned by the steering wheel of his badly wrecked vehicle. Once access has been gained to the patient, the EMT should:

-have the fire department disentangle the patient and quickly remove him from the vehicle
-immediately apply high-flow oxygen to the patient and then allow extrication to begin
-perform a primary assessment and provide any needed emergency care prior to extrication
-ensure that the patient is not bleeding significantly before allowing the extrication process to commence

A

perform a primary assessment and provide any needed emergency care prior to extrication

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16
Q

While the EMT is in a vehicle assessing the patient, the rescue team should be:

-assessing exactly how the patient is trapped and determining the safest way to extricate
-awaiting further instructions from the EMT regarding how to proceed with the extrication
-actively extricating the patient using whichever rescue method is deemed necessary by the rescue leader
-preparing for a simple extrication process, as the EMT has obviously gained access to the patient

A

assessing exactly how the patient is trapped and determining the safest way to extricate

17
Q

Proper removal of a critically injured patient from an automobile involves:

-Moving the patient in one fast, continuous step
-Utilizing no more than two personnel to avoid crowing
-Moving the patient in smooth, slow, controlled steps
-Removing the patient by grasping the immobilization device

A

Moving the patient in smooth, slow, controlled steps

18
Q

A man has been sucked inside the bin of a grain silo and is trapped. Which of the following rescue teams is the most appropriate to request?

-Trench rescue
-High-angle rescue
-Local fire department
-Confined space rescue

A

Confined space rescue

19
Q

You respond to a wooded area to help search for a child who has been missing for approximately 24 hours. Which of the following equipment should you leave in the ambulance?

-Radio
-Flashlight
-Jump kit
-Backboard

20
Q

Yo are dispatched to the scene of a trench collapse. Upon arriving at the scene, your ambulance should be parked at least ____ feet from the incident.

-250
-500
-750
-1000