Emergency Care Chapter 38 Quiz & Flashcards

Questions and Answers

What should you direct your partner to do for a 19-year-old female who is unresponsive with slow and shallow respirations?

direct your partner to begin ventilatory assistance.

What should you do when removing a 33-year-old restrained driver complaining of neck pain and left leg pain?

immobilize him with a vest-style device.

At a scene with downed electrical lines, the EMT should _________.

remain outside the danger (hot) zone

What is extrication defined as?

removal from a dangerous situation or position. Signup and view all the answers

If a technical rescue team is required but not present, what should you do?

check with the incident commander to ensure that the team is en route. Signup and view all the answers

Once entrance to the patient has been provided, what should you perform?

perform a primary assessment. Signup and view all the answers

Returning the emergency unit to service is part of the _________.

termination phase Signup and view all the answers

The EMT's responsibility during search-and-rescue operations is to _________.

wait at the staging area until the patient is located Signup and view all the answers

What should you ensure for the uninjured wife of a patient being extricated?

ensure that she is in a safe area, away from the scene. Signup and view all the answers

The use of special tools to remove an entrapped patient from a vehicle is known as _________.

complex access Signup and view all the answers

Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.

100 lb Signup and view all the answers

Upon arrival at a search-and-rescue incident, the EMS crew should _________.

prepare the equipment to carry to the patient Signup and view all the answers

Upon arrival at a trench rescue operation, you should _________.

park at least 500 feet from the incident Signup and view all the answers

What should you do upon seeing three patients at a motor vehicle crash?

immediately request additional resources. Signup and view all the answers

When functioning at the scene of a motor vehicle crash requiring complex extrication, care should be provided to the patient _________.

after receiving approval from the incident commander. Signup and view all the answers

When removing a critically injured patient, you should _________.

protect the cervical spine during the entire process. Signup and view all the answers

While staged at the scene of a structure fire, the EMT should _________.

remain with the ambulance. Signup and view all the answers

What should you ask the patient if you cannot open the door of a crashed vehicle?

ask the patient if he can unlock the door. Signup and view all the answers

What should you do if the incident commander advises that personnel has been shot?

grab him by the clothes and immediately move him to safety. Signup and view all the answers

What should you do immediately for an alternative-fuel vehicle leaking an unknown substance?

call for additional resources and keep bystanders away from the vehicle. Signup and view all the answers

You should remain with the ambulance when the incident commander announces, 'We have located a victim'.

remain with the ambulance and wait for fire personnel to bring the victim to you. Signup and view all the answers

The EMT's primary responsibility during a rescue or extrication situation is _________.

patient care. Signup and view all the answers

What should you ask upon arriving at a structure fire with no known injuries?

ask the incident commander where the ambulance should be staged. Signup and view all the answers

Which of the following is the most important in protecting EMS providers during an extrication operation?

the scene size-up. Signup and view all the answers

What is the MOST appropriate method for moving a hiker injured from a fall?

immobilize his spine with a long backboard and place him in a basket stretcher. Signup and view all the answers

To evaluate the scene for hazards, the EMT should first _________.

do a 360-degree walk-around. Signup and view all the answers

What should be done to support a patient with closed deformities during removal?

support the injured extremities and continue removal. Signup and view all the answers

What should be done for any type of alternative-fuel vehicle involved in an accident?

Disconnect the battery. Signup and view all the answers

Disentanglement involves _________.

removing a patient from a dangerous position. Signup and view all the answers

Who has overall command of an emergency incident?

Incident commander. Signup and view all the answers

What should you do as the rescue team prepares to extricate a 50-year-old female?

maintain spinal stabilization as she is extricated. Signup and view all the answers

What should tactical EMS providers be trained for?

dangerous law enforcement operations. Signup and view all the answers

In contrast to simple access, complex access involves _________.

forcible entry into a vehicle. Signup and view all the answers

What should you do as soon as you have a patient rescued from a structural collapse?

begin a rapid assessment. Signup and view all the answers

Which of the following is the BEST example of gaining simple access to a patient?

Entering a vehicle through an open window. Signup and view all the answers

What should the EMT do upon arrival at an active law enforcement incident?

notify the incident commander. Signup and view all the answers

What is a unique consideration when dealing with a hybrid vehicle?

the battery has higher voltage than a traditional vehicle battery. Signup and view all the answers

_____________ is defined as the ability to reach the patient.

Access Signup and view all the answers

Common duties of EMS personnel include all EXCEPT:

keeping bystanders at a safe distance. Signup and view all the answers

In the mnemonic FAILURE, what does 'U' stand for?

underestimating the logistics of the incident. Signup and view all the answers

When working around undeployed airbags after a vehicle crash, maintain at least a ________ clearance.

20 inch Signup and view all the answers

Where should you park the ambulance when responding to a vehicle crash involving a hazardous material spill?

uphill and upwind. Signup and view all the answers

What is your main role at the scene of an accident involving extrication?

assess and provide immediate care. Signup and view all the answers

Which of the following is an example of simple access?

opening a rear door. Signup and view all the answers

In an instance of multiple casualties, how should patient care be initiated?

only after all have been triaged. Signup and view all the answers

During which phase of extrication should you don proper protective gear (PPE)?

upon arrival. Signup and view all the answers

What should you do if a patient has multiple fractures while being extricated?

secure the injury against her body. Signup and view all the answers

What is the next step if you cannot gain simple access to a crashed vehicle?

break the window farthest away from the patient. Signup and view all the answers

When should you begin your primary assessment of a patient who has been entrapped?

before extrication begins. Signup and view all the answers

Study Notes

Vehicle Extrication and Special Rescue Overview

Extrication involves removal from a dangerous situation or position.
The EMT's primary responsibility during rescue scenarios is patient care.

Patient Assessment and Management

Rapid assessment is crucial for unresponsive patients, particularly for those with inadequate respirations.
For alert patients with significant pain, immobilization should be performed using a vest-style device.
In spinal injury cases, maintain cervical spine stabilization throughout the extrication process.

Scene Safety and Protocols

Stay outside the danger zone in incidents with hazards like downed electrical lines.
Identifying scene hazards involves performing a 360-degree walk-around.
Always ensure additional resources are on the way if multiple patients are present at a crash scene.

Rescue Operations

EMTs should wait at the staging area during search-and-rescue operations until the patient is found.
In hostage situations, maintain safety protocols and move the patient only when it’s safe.
Manage complex access scenarios with forcible entry tools for patients entrapped in vehicles.

Technical Rescue Teams and Equipment

If a technical rescue team is required, check with the incident commander for their status.
Upon arrival at incidents, prepare equipment to transport, especially in trench or structure collapses.

Communication and Coordination

Report patient findings to the incident commander upon arrival at the scene.
Keep bystanders at a safe distance during extrication operations.

Special Vehicle Considerations

Alternative-fuel vehicles should have their batteries disconnected in accidents.
Hybrid vehicles contain higher voltage batteries, necessitating special precautions during rescue.

Patient Handling Techniques

For critically injured and entrapped patients, immobilize the spine with appropriate equipment before extrication begins.
When encountering jammed doors, use the farthest window to gain access.

Logistical Considerations

Maintain a minimum 20-inch clearance from undeployed airbags.
Ambulances should be parked uphill and upwind when responding to hazardous material spills.

Extrication Phases and Safety

Proper protective gear must be donned upon arriving at the scene of extrication.
Primary assessment of a patient should commence before extrication, allowing for timely intervention.

Incident Command Structure

The incident commander holds overall control of all operations during emergencies.
Effective communication with the commander is essential, especially regarding logistics and team status.

Patient-Centric Care

During multiple casualty incidents, triage all patients before initiating care.
Secure any injuries against the body when preparing for patient movement, especially with fractures.

Conclusion

Vehicle extrication and special rescue operations require adherence to protocols, effective communication, and prioritization of patient safety and care.

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Description

Test your knowledge on vehicle extrication and special rescue techniques with this quiz. Focus on assessing and managing patients during emergencies, especially in vehicle-related incidents. Enhance your understanding of emergency care protocols.

Emergency Care Chapter 38