NREMT operations Flashcards
(35 cards)
What are the criteria for START triage classification?
Respirations (greater than 30/min = RED)
Pulse (poor pulse, skin color or cap refill = RED)
Mental status (unable to follow simple directions = RED)
The “RPM” mnemonic is used to remember this.
What are the risks for an unsecured EMT in the patient compartment of a moving ambulance in the event of a collision?
In the event of a collision the unsecured EMT will be thrown about and seriously injured or killed. The risk of being struck by unsecured equipment is also high in a collision.
What is the transport officer responsible for at the MCI?
Tracking which patient goes to which hospital.
Assuring patients are sent to appropriate hospitals.
Seeing that no hospital gets overloaded with patients.
Notifying hospitals of incoming patients.
What size should a helicopter landing zone be?
100 x 100 feet and a slope of less than 8 degrees.
The area should be clear of poles and electric or telephone lines.
List the functions under the EMS branch in a major incident.
Triage
- Treatment
- Transportation
- Staging
- Rehabilitation
- Safety
What effect does use of the siren during a call have on the patient and EMT operating the ambulance?
Use of the siren may increase patient anxiety.
It may also create a sense of urgency or excitement that causes the driver to drive at excessive and potentially dangerous speeds.
What are the two types of decontamination from a hazardous material exposure?
Gross decontamination is removal or neutralization of a majority of the substance.
Secondary decontamination is the process of removing remaining material after gross decontamination. In many cases small amounts of the substance can remain even after secondary decon.
You responded to a call on an interstate highway. Where do you park the ambulance when you are first to arrive?
Where do you park if other emergency vehicles are there first?
If you are first on the scene you should park between oncoming traffic and the accident to warn oncoming motorists and protect the scene.
If other units are there first you should park past the accident scene. This will allow safer access to remove and load the stretcher without risk from oncoming vehicles.
List three concepts to reduce exposure from a terrorist attack.
Time - minimize your time at a scene or event
Distance - Maintain a safe distance
Shielding - keep objects between you and the hazard. This may be a physical structure or building, or approved personal protective equipment.
List the components in the mnemonic CBRNE.
Chemical
- Biological
- Radiological
- Nuclear
- Explosive
What is the difference between a dispatcher and an emergency medical dispatcher?
An emergency medical dispatcher is one who is specially trained to handle EMS calls. This usually involves training in obtaining the proper information from the caller and providing some type of pre-arrival instructions to the caller.
Someone who is a dispatcher may routinely handle calls from the public and/or radio dispatching but does not have the specific medical dispatch training.
The four incident command branches under Command are:
- Planning
- Operations
- Logistics
- Finance
What are the four colors of the NFPA 704 system?
What does each color signify?
Blue - health hazard
Red - fire hazard
Yellow - reactivity
White - specific hazard
You must respond to a call in an adjoining district. It is a long response–and one you don’t do often. List several factors that will affect your choice of driving route.
Time of day and day of the week (anticipated traffic)
Road construction
Weather
Other delays (railroad crossings, bridges, school bus routes and times)
What does NIMS stand for?
National Incident Management System
How far should you park your ambulance from downed power lines?
You must park far enough so the down lines couldn’t reach the vehicle.
A general rule is to park two full telephone pole lengths from the downed wires.
What do UHF and VHF stand for?
These are radio frequency bands:
Ultra High Frequency
Very High Frequency
Define: Hazardous Material
Hazardous materials are solids, liquids, or gases that can harm people, other living organisms, property, or the environment
What is the role of the person who assumes “Command” at an incident.
The incident commander, or “Command,” assumes overall responsibility for the incident.
Provide an example of a “blocking” vehicle? What does it do at a crash scene?
A fire engine is an example of a blocking vehicle. A highway truck (e.g. dump truck) may also be used.
The purpose of a blocking vehicle is to provide a large physical barrier between traffic and the accident scene.
Where are bloody bandages and disposable towels used to clean up blood or body fluids disposed of?
In a “red bag” indicating infectious waste.
What is the staging officer responsible for at the MCI?
Staging is responsible for providing a place for incoming EMS units and personnel to wait prior to assignment. This prevents confusion and unnecessary personnel on the scene and assures people are ready and available when necessary.
The staging officer keeps track of the resources at hand and send equipment and personnel to other sectors as they are requested and assures adequate help is available for future requests.
What is the difference between a type I and a Type III ambulance?
Both the Type I and Type III are a “box” design but in the type III the EMT can move from the cab back into the box.
Ambulances may disregard some traffic devices and exceed the speed limit when on an emergency. What is the standard for caution that must be observed?
“Due regard for others” means that the ambulance can’t be driven recklessly, negligently or in a way that may harm others.
