EMT Chapter 37: Flashcards and Quiz for Care Scenarios

Questions and Answers

A 19-year-old female has just been extricated from her severely damaged car. You should:

Direct your partner to begin ventilatory assistance. (correct)

Stabilize her legs with the pneumatic antishock garment (PASG).

Obtain baseline vital signs and transport at once.

Apply 100% oxygen via a nonrebreathing mask.

When removing a 33-year-old restrained driver from his vehicle, you should:

Immobilize him with a vest-style device. (correct)

Use the rapid extrication technique.

Maintain slight traction to his neck area.

Adequately secure him to a long backboard.

A 50-year-old female is entrapped in her passenger car after it struck a tree. You should:

Maintain spinal stabilization as she is extricated. (correct)

Secure her with a short backboard or vest device.

Stabilize her condition before extrication begins.

Begin CPR as the rescue team begins extrication.

The MOST appropriate method of immobilizing and moving a hiker who fell approximately 20′ from a cliff is to:

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

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:

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

Common duties and responsibilities of EMS personnel at the scene of a motor vehicle crash include all of the following, EXCEPT:

Assigning all patients a triage category. Signup and view all the answers

Disentanglement involves:

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

If a technical rescue team is required at the scene, but is not present when you arrive, you should:

Check with the incident commander to ensure that the team is en route. 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

In order to evaluate hazards present at the scene and determine the number of patients, you should:

Perform a 360° walk-around of the scene. Signup and view all the answers

The EMT's role at the scene of a search and rescue attempt is to:

Stand by at the command post until the person is located. Signup and view all the answers

The reasons for rescue failure can be referred to by the mnemonic FAILURE. According to this mnemonic, the 'U' stands for:

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

The rescue team is in the process of extricating a 40-year-old male from his truck. As his wife calmly observes, you should:

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

The scene size-up at a motor vehicle crash or other incident:

Is an ongoing process until the incident is terminated. 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 arriving at the scene of a motor vehicle crash, you can see three patients. You should:

Immediately request additional resources. Signup and view all the answers

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:

After receiving approval from the extrication officer. Signup and view all the answers

When removing a critically injured patient from his or her vehicle, you should:

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

Which of the following is a typical function of the rescue team?

Providing safe entry and access to patients. Signup and view all the answers

Which of the following situations would require the use of a specialized rescue team?

A patient trapped in a cave or a confined space. Signup and view all the answers

Which of the following statements regarding the rapid extrication technique is correct?

The rapid extrication technique is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle. Signup and view all the answers

Which of the following statements regarding trench rescue is correct?

Ground vibration is a primary cause of secondary collapse. Signup and view all the answers

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:

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

Your primary concern when arriving at the scene of a motor vehicle crash is:

Surveying the area for hazards. Signup and view all the answers

_____________ is defined as the ability to reach the patient.

Access Signup and view all the answers

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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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.

EMT Chapter 37 Quiz