EMS Operations

Question 1

Different types of ambulances

Answer 1

Type 1, 2, 3, 4

Question 2

Inspect with Engine off and On***

Answer 2

Running lights ect….need to be checked with lights on -

Check the dash-mounted indicators to see if any light remains on to indicate a possible problem with oil pressure, eng temp, or vehicles electrical system

Check dash mounted gauges for proper operation

depress the brake pedal. pedal travel / air pressure

test the parking brake. Move transmission level to drive. parking brake is holding

turn steering wheel from side to side

windshield wipers

warning lights

vehicle lights

heating and air

transmission fluid

operate communication equip

Question 3

BLS only - Alpha level call 1Hr

Answer 3

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Question 4

Bravo - Engine & BLS

Answer 4

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Question 5

Charlie - closest ALS

Answer 5

.

Question 6

Delta ALS engine ALS rescue

Answer 6

.

Question 7

CAD

Answer 7

computer aided dispatch

Question 8

park vehicle 50 to 100 in front if have a blocking vehicle

Answer 8

.

Question 9

park vehicle 50 to 100 in back if no blocking vehicle

Answer 9

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Question 10

patient carrying device must have how many straps

Answer 10

990**

first at chest level, hip or waist, lower extremity, fourth strap if two are crossed at the chest

Question 11

most used - best safety device used in the ambulance

Answer 11

seat belt

Question 12

before being back in service

Answer 12

disenfect , change linen

Question 13

helicopter - pt inter facility transfer
care no different than on ground is largest need

use these for quick transport - however when you call the quickest they can get to you & land is 40 min

prolonged extrication

Answer 13

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Question 14

minimum landing zone 100x100

Answer 14

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Question 15

most dangerous area

Answer 15

tail router - approach from the front

Question 16

scene safety - people control with helicopter

Answer 16

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Question 17

Ambulances, type 1, 2, 3, 4

Answer 17

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Question 18

Ensuring Readiness for Service

Answer 18

• Make sure vehicle and equipment are ready for use at
beginning of every shift
• Ambulance inspection, engine off
• Ambulance inspection, engine on
• Inspection of patient compartment supplies and equipment

Question 19

Think About It

Answer 19

• As I walk around the vehicle (engine-on and engine-off check), what information do I get from what I hear, see, and smell?

Question 20

Receiving and Responding to a Call

Answer 20

• Emergency Medical Dispatcher
– Interrogate caller and assign priority to call
– Provide pre-arrival medical instructions to callers and information to crews
– Dispatch and coordinate EMS resources
– Coordinate with other public safety agencies

Question 21

Operating the Ambulance

Answer 21

• Safe operation
• Understand the law
• Use warning devices
• Speed and safety
• Escorted or multiple vehicle
responses
• Respond safely

Question 22

Highway Safety

Answer 22

• Keep unnecessary units and people off highway
• Avoid crossovers unless turn can be completed without
obstructing traffic
• Wear all PPE
• Place cones/flares and reduce
emergency lighting
• Unit placement is important

Question 23

Four Steps of Transferring

Answer 23

• Select proper patient-carrying
device
• Package patient for transfer
• Move patient to ambulance
• Load patient into ambulance

Question 24

Packaging the Patient

Answer 24

• Readying patient to be moved and combining patient and patient-carrying
device as unit ready for transfer
• Sick or injured patient must be packaged so that condition is not aggravated
• Before placing patient on carrying device
– Complete necessary care for wounds, other injuries
– Stabilize impaled objects
– Check dressings and splints
• Cover patient and secure to patient carrying device

Question 25

Protecting the Patient

Answer 25

• Must be secured to patient-carrying device • Minimum of three straps to secure – Chest level, waist level, lower extremities • Use shoulder harness if available

Question 26

Protecting the EMT

Answer 26

* EMT at greater risk in patient compartment * Make sure all equipment is secured * Remain seated * Wear seat belt and harness if possible * Avoid unnecessary movement during response and transport

Question 27

Preparing Patient for Transport to Hospital

Answer 27

* Continue assessment * Secure stretcher in place in ambulance * Position and secure patient * Adjust security straps

Question 28

Preparing Patient for Transport to Hospital

Answer 28

* Prepare for respiratory and cardiac complications * Loosen constricting clothing * Load personal effects * Talk to the patient

Question 29

Caring for Patient En Route to Hospital

Answer 29

* Notify hospital * Continue to provide emergency care as required * Use safe practices during transport * Compile additional patient information

Question 30

Transferring Patient to Emergency Department

Answer 30

* If routine admission or non-life-threatening injury, check what is to be done with patient * Assist emergency department staff, provide verbal report * As soon as free from patient care, prepare prehospital care report * Transfer patient’s personal effects * Obtain your release from hospital

Question 31

Terminating the Call: At the Hospital

Answer 31

* Clean patient compartment * Prepare equipment for service * Replace expendable items * Exchange equipment according to local policy * Make up ambulance cot

Question 32

Terminating the Call: En Route to Quarters

Answer 32

• Radio dispatch with your status • Air out ambulance if necessary for odor control • Refuel ambulance

Question 33

Terminating the Call: In Quarters

Answer 33

* Place badly contaminated linens in biohazard containers * Clean equipment * Disinfect non-disposable equipment

Question 34

When to Call for Air Rescue

Answer 34

• Operational reasons – Speeding transport to distant trauma center • Medical reasons – High priority patients requiring advanced care or procedures not available at local hospital

Question 35

Information to Give When Calling for Air Rescue

Answer 35

* Name and call-back number * Agency name * Nature of situation * Exact location (crossroads, major landmarks) * Exact location and description of landing zone

Question 36

LZ

Answer 36

100 x 100 | Approach from front or side

Question 37

EMS Operations Chapter Review

Answer 37

• Inspect the vehicle to assure that it is complete and that critical items can be easily located. • The laws in most states allow the driver of an emergency vehicle running “hot” to break some of the vehicle and traffic laws; however it must be done with due regard.

Question 38

EMS Operations Chapter Review

Answer 38

• Pay attention to driving. • Secure all gear. • Always wear your seat belt. • Know the medical and operational reasons for helicopter transport and know how to set up a safe landing zone.

Question 39

Remember EMS Operations

Answer 39

• Ambulances must be properly stocked and prepared. Pre-call inspections assure readiness and appropriate equipment. • Emergency Medical Dispatchers enhance patient care by providing pre-arrival instructions and by obtaining information for responders.

Question 40

Remember EMS Operations

Answer 40

• Each state has statutes regulating operation of emergency vehicles. EMTs must be familiar with local rules and regulations. • EMTs should use good judgment and due regard for safety of others when operating an ambulance.

Question 41

Remember EMS Operations

Answer 41

• The four steps involved in transferring the patient to the ambulance are selecting proper patient-carrying device, packaging patient for transfer, moving patient to ambulance, and loading patient into ambulance.

Question 42

Remember EMS Operations

Answer 42

* Patients should be safely secured prior to the ambulance’s moving. Assessment and care must continue during transport. * The primary concern of transfer of care is continuation of patient care. Failure to do so properly can be considered abandonment.

Question 43

Remember EMS Operations

Answer 43

• Cleaning the ambulance, replacing used supplies and equipment, and readying the ambulance stretcher are important elements the EMT must complete while terminating a call. However, EMTs should be prepared for unusual circumstances.

Question 44

Remember EMS Operations

Answer 44

• Indications for utilizing air rescue may include both operational and medical reasons. EMTs should be familiar with local protocols for accessing and utilizing air rescue transport.