Podcast
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?
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?
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 _________.
At a scene with downed electrical lines, the EMT should _________.
remain outside the danger (hot) zone
What is extrication defined as?
What is extrication defined as?
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If a technical rescue team is required but not present, what should you do?
If a technical rescue team is required but not present, what should you do?
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Once entrance to the patient has been provided, what should you perform?
Once entrance to the patient has been provided, what should you perform?
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Returning the emergency unit to service is part of the _________.
Returning the emergency unit to service is part of the _________.
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The EMT's responsibility during search-and-rescue operations is to _________.
The EMT's responsibility during search-and-rescue operations is to _________.
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What should you ensure for the uninjured wife of a patient being extricated?
What should you ensure for the uninjured wife of a patient being extricated?
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The use of special tools to remove an entrapped patient from a vehicle is known as _________.
The use of special tools to remove an entrapped patient from a vehicle is known as _________.
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Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.
Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.
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Upon arrival at a search-and-rescue incident, the EMS crew should _________.
Upon arrival at a search-and-rescue incident, the EMS crew should _________.
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Upon arrival at a trench rescue operation, you should _________.
Upon arrival at a trench rescue operation, you should _________.
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What should you do upon seeing three patients at a motor vehicle crash?
What should you do upon seeing three patients at a motor vehicle crash?
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When functioning at the scene of a motor vehicle crash requiring complex extrication, care should be provided to the patient _________.
When functioning at the scene of a motor vehicle crash requiring complex extrication, care should be provided to the patient _________.
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When removing a critically injured patient, you should _________.
When removing a critically injured patient, you should _________.
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While staged at the scene of a structure fire, the EMT should _________.
While staged at the scene of a structure fire, the EMT should _________.
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What should you ask the patient if you cannot open the door of a crashed vehicle?
What should you ask the patient if you cannot open the door of a crashed vehicle?
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What should you do if the incident commander advises that personnel has been shot?
What should you do if the incident commander advises that personnel has been shot?
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What should you do immediately for an alternative-fuel vehicle leaking an unknown substance?
What should you do immediately for an alternative-fuel vehicle leaking an unknown substance?
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You should remain with the ambulance when the incident commander announces, 'We have located a victim'.
You should remain with the ambulance when the incident commander announces, 'We have located a victim'.
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The EMT's primary responsibility during a rescue or extrication situation is _________.
The EMT's primary responsibility during a rescue or extrication situation is _________.
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What should you ask upon arriving at a structure fire with no known injuries?
What should you ask upon arriving at a structure fire with no known injuries?
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Which of the following is the most important in protecting EMS providers during an extrication operation?
Which of the following is the most important in protecting EMS providers during an extrication operation?
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What is the MOST appropriate method for moving a hiker injured from a fall?
What is the MOST appropriate method for moving a hiker injured from a fall?
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To evaluate the scene for hazards, the EMT should first _________.
To evaluate the scene for hazards, the EMT should first _________.
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What should be done to support a patient with closed deformities during removal?
What should be done to support a patient with closed deformities during removal?
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What should be done for any type of alternative-fuel vehicle involved in an accident?
What should be done for any type of alternative-fuel vehicle involved in an accident?
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Disentanglement involves _________.
Disentanglement involves _________.
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Who has overall command of an emergency incident?
Who has overall command of an emergency incident?
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What should you do as the rescue team prepares to extricate a 50-year-old female?
What should you do as the rescue team prepares to extricate a 50-year-old female?
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What should tactical EMS providers be trained for?
What should tactical EMS providers be trained for?
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In contrast to simple access, complex access involves _________.
In contrast to simple access, complex access involves _________.
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What should you do as soon as you have a patient rescued from a structural collapse?
What should you do as soon as you have a patient rescued from a structural collapse?
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Which of the following is the BEST example of gaining simple access to a patient?
Which of the following is the BEST example of gaining simple access to a patient?
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What should the EMT do upon arrival at an active law enforcement incident?
What should the EMT do upon arrival at an active law enforcement incident?
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What is a unique consideration when dealing with a hybrid vehicle?
What is a unique consideration when dealing with a hybrid vehicle?
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_____________ is defined as the ability to reach the patient.
_____________ is defined as the ability to reach the patient.
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Common duties of EMS personnel include all EXCEPT:
Common duties of EMS personnel include all EXCEPT:
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In the mnemonic FAILURE, what does 'U' stand for?
In the mnemonic FAILURE, what does 'U' stand for?
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When working around undeployed airbags after a vehicle crash, maintain at least a ________ clearance.
When working around undeployed airbags after a vehicle crash, maintain at least a ________ clearance.
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Where should you park the ambulance when responding to a vehicle crash involving a hazardous material spill?
Where should you park the ambulance when responding to a vehicle crash involving a hazardous material spill?
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What is your main role at the scene of an accident involving extrication?
What is your main role at the scene of an accident involving extrication?
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Which of the following is an example of simple access?
Which of the following is an example of simple access?
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In an instance of multiple casualties, how should patient care be initiated?
In an instance of multiple casualties, how should patient care be initiated?
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During which phase of extrication should you don proper protective gear (PPE)?
During which phase of extrication should you don proper protective gear (PPE)?
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What should you do if a patient has multiple fractures while being extricated?
What should you do if a patient has multiple fractures while being extricated?
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What is the next step if you cannot gain simple access to a crashed vehicle?
What is the next step if you cannot gain simple access to a crashed vehicle?
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When should you begin your primary assessment of a patient who has been entrapped?
When should you begin your primary assessment of a patient who has been entrapped?
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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.
