Chapter 10

Question 1

Steps taken by an ambulance crew when approaching the scene of an emergency call

Answer 1

Scene size-up

Question 2

Injury caused by an object that passes through the skin or other body tissues

Answer 2

Penetrating trauma

Question 3

Injury caused by a blow that does not penetrate the skin or other body tissues

Answer 3

Blunt-force trauma

Question 4

The area around the wreckage of a vehicle collision or other incident within which special safety precautions should be taken

Answer 4

Danger zone

Question 5

Awareness that there may be injuries

Answer 5

Index of suspicion

Question 6

What is medically wrong with a patient

Answer 6

Nature of the illness

Question 7

A force or forces that have caused an injury

Answer 7

Mechanism of injury

Question 8

The scene size up is the first part of the patient assessment process. It begins as you approach the scene, surveying its to determine:

Answer 8

If there are any threats to your safety

Question 9

If you arrive at a collision scene where there are police, fire vehicles, and other ambulances already present, you should:

Answer 9

Conduct your own scene size up.

Question 10

When you are insight of the collision scene, you should watch for the signals of police officers and other emergency service personnel because:

Answer 10

They may have information about hazards or the location of injured persons.

Question 11

When there are no apparent hazards, consider the dangers own to extend at least how many feet in all directions from the wreckage?

Answer 11

50

Question 12

When the collision vehicle is on fire consider the danger zone to extend at least how many feet in all directions, even if the fire appears small unlimited to the engine compartment?

Answer 12

100

Question 13

Standard precautions should be taken with all patients. The key element of standard precautions is to:

Answer 13

Always have personal protective equipment readily available.

Question 14

Certain injuries are common to particular situations. Injuries to bones and joints are usually associated with:

Answer 14

Falls and vehicle collisions

Question 15

Knowing the mechanism of injury assists the EMT in:

Answer 15

Predicting various injury patterns.

Question 16

The physical forces and energy dating hinge on the patient are influenced by the laws of physics. One of those laws, the law of inertia, states that:

Answer 16

A body in motion will remain in motion unless acted upon by an outside force.

Question 17

You were treating a patient who was involved in a head-on collision. She was the unrestrained driver who took the “up and over” pathway. To which part of her body was she most likely to have sustained injuries?

Answer 17

Skull and upper body

Question 18

You are on the scene of a car crash. Your patient has stable vital signs and is complaining of knee, leg, and hip pain. He also states that he was in the front seat of the car and did not have his seatbelt on. What type of collision did he most likely experience?

Answer 18

Head on, down and under

Question 19

Which type of collision is most serious when the occupant is not restrained because it has the potential from multiple impacts?

Answer 19

Rollover

Question 20

A severe fall for an adult is how many feet?

Answer 20

Over 20 feet

Question 21

You are evaluating a patient who sustained a penetrating injury. The injury is usually limited to the penetrated area in what type of injury?

Answer 21

Low velocity

Question 22

The pressure wave around a bullet track through the body is called:

Answer 22

Cavitation

Question 23

You are evaluating a patient who sustained an injury caused by a blow with that hit the body but did not penetrate the skin. This type of butt injury is called a:

Answer 23

Blunt force trauma

Question 24

While in the living room of a private home and treating a patient for nausea, headache, and general body weakness, your eyes begin to tear. Three family members have the same symptoms. You should immediately:

Answer 24

Evacuate all people from the building.

Question 25

If the number of patients is more than the responding units can effectively handle, the EMT should:

Answer 25

Call for additional EMS resources immediately

Question 26

When arriving at the scene of the collision, the EMT should:

Answer 26

Don head protection, bunker coat, and a reflective vest.

Question 27

A significant danger faced by the EMT is violence. On arriving at the scene of a private home, you hear screaming from inside; or our beer cans piled up on the front porch; and as you knock on the door, it suddenly gets very quiet inside. What should you do next?

Answer 27

Retreat to a safe location and ask for the police to respond to secure the scene.

Question 28

You arrive on the scene of a large fire. If the personnel at the scene are using the incident command/management system, you should:

Answer 28

Follow the instructions of the person in charge.

Question 29

List the five signals that violence maybe a danger on your call.

Answer 29

``` One: fighting or loud voices Two: Visible weapons or weapons in use Three: Signs of alcohol or other drug use Four: unusual silence Five: knowledge of prior violence ```

Question 30

Guidelines for establishing a danger zone when no apparent hazards:

Answer 30

50 foot perimeter in all directions

Question 31

Guidelines establishing a danger zone when there is fuel spilled:

Answer 31

100 feet in all directions, stay upwind

Question 32

Guidelines for establishing a dangers own when a vehicle is on fire:

Answer 32

100 feet in all directions

Question 33

Guidelines for establishing a dangerous own when wires are down:

Answer 33

Anywhere in which people may come in contact with wires

Question 34

Are guidelines for establishing a danger zone when involving hazardous materials:

Answer 34

Check DRG or ask for advice from CHEMTREC

Question 35

List five types of motor vehicle collisions.

Answer 35

``` One: Head on up and over Two: Rear and Three: Side impact Four: rollover Five: rotational impact ```

Question 36

Name a common injury pattern for head on collisions.

Answer 36

Up and over: Head, neck, chest, abdomen | Down and under: knee, leg, hip

Question 37

Name a common injury pattern for rear end collisions.

Answer 37

Neck and head

Question 38

Name a common injury pattern for side impact collisions

Answer 38

Next, head, chest, abdomen, pelvis and thighs

Question 39

Name a common injury pattern for rollover collisions

Answer 39

Multiple serious injury potential

Question 40

Name a common injury pattern for rotational impact collisions

Answer 40

Multiple injury patterns