Questions and Answers
A 19-year-old female has just been extricated from her severely damaged car. You should:
When removing a 33-year-old restrained driver from his vehicle, you should:
A 50-year-old female is entrapped in her passenger car after it struck a tree. You should:
The MOST appropriate method of immobilizing and moving a hiker who fell approximately 20′ from a cliff is to:
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As you and your team are removing an unconscious patient from her wrecked car, you note that she has closed deformities to both of her legs. You should:
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Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT:
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Disentanglement involves:
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If a technical rescue team is required at the scene, but is not present when you arrive, you should:
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In contrast to simple access, complex access:
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In order to evaluate hazards present at the scene and determine the number of patients, you should:
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The EMT's role at the scene of a search and rescue attempt is to:
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The reasons for rescue failure can be referred to by the mnemonic FAILURE. According to this mnemonic, the 'U' stands for:
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The rescue team is in the process of extricating a 40-year-old male from his truck. As his wife calmly observes, you should:
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The scene size-up at a motor vehicle crash or other incident:
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Trench collapses usually involve large areas of falling dirt that weigh approximately _______ per cubic foot.
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Upon arriving at the scene of a motor vehicle crash, you can see three patients. You should:
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When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle and provide care to the patient:
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When removing a critically injured patient from his or her vehicle, you should:
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Which of the following is a typical function of the rescue team?
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Which of the following situations would require the use of a specialized rescue team?
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Which of the following statements regarding the rapid extrication technique is correct?
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Which of the following statements regarding trench rescue is correct?
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You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot. You should:
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Your primary concern when arriving at the scene of a motor vehicle crash is:
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_____________ is defined as the ability to reach the patient.
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Study Notes
Patient Assessment and Extrication
- In cases of unconscious patients, provide ventilatory assistance if slow and shallow respirations are noted along with significant deformities.
- For alert patients with neck pain, immobilize using a vest-style device to prevent further injury during extrication.
- Maintain spinal stabilization during the extrication of patients with shallow breathing and absent radial pulse.
Extraction Techniques
- Use a long backboard and basket stretcher for transporting patients in steep or unstable environments.
- When removing unconscious patients with closed deformities, support their extremities instead of realigning or splinting before removal.
- Disentanglement includes removing patients from dangerous positions, not just gaining access.
Scene Safety and Assessment
- Perform a 360° walk-around to evaluate hazards and determine the number of patients present.
- Ensure that rescue teams are notified and en route if they are not present, maintaining communication with the incident commander.
- At ongoing emergencies, the scene size-up is continuous until the incident is resolved.
Rescue Operations
- In complex rescues, approval from the extrication officer is necessary before providing patient care.
- Protect the cervical spine during patient removal to minimize injury risk.
- The rescue team primarily focuses on providing safe entry and access to patients, rather than initial triage or care during extrication.
Specialized Rescue Situations
- Use specialized rescue teams for patients trapped in confined spaces or complex environments like caves.
- Ground vibrations can lead to secondary collapses in trench rescues, necessitating safety measures.
General Guidelines and Best Practices
- Immediately request additional resources when multiple patients are involved in a scene.
- Assess the scene for hazards before gaining patient access to ensure safety.
- The ability to reach and assess the patient is termed "access."
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Description
Test your knowledge with the EMT Chapter 37 Quiz focused on trauma assessment and patient stabilization techniques. This quiz features flashcards that cover critical scenarios and decision-making processes required for emergency medical responders.