Ambulance Driver Module Flashcards
Criteria for full C-Spine Immobilization: (Collar / Full Backboard):
Blunt trauma, cervical, lumbar, thoracic pain
New onset paralysis
Neurological Deficits
Altered Mental Status
Distracting Injury
Railroad Crossings:
- Hover Brake Pedal
- 4 ways on
- Windows down, radios off
- Stop
- Look left, right, left
- Look, Listen
- Proceed with caution
Max Speed allowed over speed limit when using emergency lights/ Sirens :
No more than 15mph over posted speed limit
COLA:
CUT IN pressure: 100 psi, at 95 psi defect report, anything under 80 psi place unit out of service
CUT OUT pressure: 120-135 Psi, must not exceed 135 psi
Low air alarm: between 60-90 psi audible / visual
Air leakage rate: no more than 3 psi in 60 seconds for a straight truck
Nitroglycerin
- Heart rate must be above 60 but not more than 150
- Must be above age 13
Must have own prescribed Nitro - No Pulmonary Hypertensive Meds (Adcirca, Revatio) in the last 48 hrs
- No Erectile Dysfunction meds in the last 48 hours (Levitra, cialis, viagra)
- Systolic BP must be above 90
On Spots:
- Only to be used when vehicle is in motion - Must not go over 25mph
- Used in under 6 inches of snow
- Only use along with snow tire chains if you are stuck on ice (PERIOD)
Bleach Cleaning Solution:
1:10 Ratio
Hospital Conditions:
Red- No Cardiac Monitors
Yellow- No beds, no patients in need of immediate medical care
Blue- High call volume, transport to nearest hospital
EMS Unit Positioning:
Box- position out of way, allowing for rapid egress from the scene
On roadway- position downstream, with patient loading compartment/ back doors facing away from traffic
If first unit on scene of a highway incident, position upstream as the blocker unit to protect yourself
Intersections, 2 categories:
Controlled and uncontrolled
Controlled- traffic lights
Uncontrolled- no traffic control devices
METRO incident EMS unit staging:
Stage at designated location, according to (on METRO map in green METRO bags, carried on suppression companies)
Stage according to the Staging area Manager (4th Due Engine Company responsibility on METRO incident).
FERNO Cot Weight Limits:
700lbs in any raised position 1100lbs at lowest setting for bariatric patients
Stair Chair Weight Limit:
500lbs
Bonafide emergency response:
Audible and visual warning devices activated
Ambulance weight:
20,000lbs
Cover brake pedal when:
Proceeding through intersections
Benefits: cuts down on reaction distance / time
PROACTIVE DRIVING FORMULA:
S- Sense
I- Identify
P- Predict
D- Decide
E- Execute
DEF Fluid:
Refill when DEF tank gets down to half way (ON GAUGE),
do not refill before tank gets to half, this can cause crystallization of hoselines and hardware.
DEF: 32.5 % UREA
Parking Lots:
Most dangerous turn around spot for an ambulance
Skid types:
-Front wheel
-Rear wheel
-Power skid
-Hydroplane
5 actions drivers need to take to practice due regard:
Hover brakes
Prepare to slow down
Change Siren Cadence
Scan Intersection
Make eye contact with other drivers
Most dangerous place for an ambulance:
Intersections
Locking rear diff:
Only if stuck in mud or another slippery surface
What to do if another driver doest yield at an intersection:
-Back off siren
-Give driver time to react
-Sound horn
-Change cadence of siren
Situations that affect driving conditions:
- Road Conditions
- Weather
- Time of day
- Vehicle malfunctions (Breaking down) . - Driver Error
4 responsibilities of ambulance crew on box alarm:
-2 out
-RIT
-AIDE Station
-Locate Patients (Advise Command on AIDE Station location
5 things needed for patient refusal:
- Name
- Vitals
- Signature
- Explanation on risk of refusing care
- Advise patient to call back at anytime if anything changes
Zone of confusion:
When multiple units come together at an intersection at the same time (Decide on who gets the right of way)
Total Stopping Distance:
-Perception Distance
-Reaction Distance
-Braking Distance
Exposure Routes:
- Eyes
- Mouth
- Skin
- Mucus Membranes
Ambulance Tire Pressure Used
Unit Specific, found on sticker label on driver door jam
(DO NOT INFLATE TO NUMBER ON STICKER ABOVE TIRES)
Rear Diff Locked:
Do not exceed 25mph,
Wheels spin together with equal power, rear diff lock switch on dash in cab.
5 Things to do when involved in an accident in a county vehicle:
- Stop
- Secure Apparatus
- Notify ECC/ Supervisor/ and Police
- Render Aide
- Request additional resources if needed Remain on scene
Gross Vehicle Weight Rating (GVWR):
Maximum operating weight recommended by manufacturer (includes all equipment and supplies on unit)
Curb Weight: ?
