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PARAMEDIC SCHOOL > BLOCK 3: TRANSPORT OPERATIONS > Flashcards

BLOCK 3: TRANSPORT OPERATIONS Flashcards

1
Q

Who designs the original specs for emergency vehicles

A

General Services Administration (GSA) DOT KKK 1822

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2
Q

two other current guidelines for emergency vehicle specs

A

NFPA 1917 and CAAS-GVS V2.0 (commission on accreditation of ambulance services)

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3
Q

Original vehicle guideline color

A

omaha orange and white

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4
Q

Society of Automotive Engineers

A

newer safety designs for emergency vehicles

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5
Q

Emergency vehicles:
Type I
Type II
Type III
Heavy duty

A

Type I: truck-cab
Type II: standard van
Type III: specialty van
Heavy duty: heavy-duty

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6
Q

two types of specialized transport vehicles and their staffing

A

stroke units and pediatric intensive care
staffed with: RN, medic, EMT

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7
Q

what organization makes recommendations regarding infection control practices

A

OSHA

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8
Q

American College of Surgeons

A

developed first standardized equipment list for emergency vehicles

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9
Q

who currently publishes standardized equipment list for emergency vehicles

A

American College of Emergency Physicians and National Association of EMS Physicians

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10
Q

why is checking access to outside doors of rig important during truck check

A

most rigs keep spine stabilization and patient-moving equipment outside

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11
Q

4 S’s of emergency vehicle

A

emergency vehicle needs to be able to do these four things 100% of the time or immediately be put out of service

Start, Steer, Stay Running, Stop

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12
Q

belt noise

A

chirping or squealing sound synchronous with engine speed NOT road speed

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13
Q

brake fade

A

sensation that vehicle has lost its power brakes

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14
Q

brake pull

A

sensation when you try to depress the brake pedal, someone is trying to jerk the steering wheel to the left or right

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15
Q

drift

A

vehicle consistently wanders left or right when you let go of steering wheel

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16
Q

steering pull

A

tug on steering wheel that you can feel as vehicle drifts to one side or another

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17
Q

pulsating break pedal

A

up/down motion of brake pedal during deceleration

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18
Q

steering play

A

sensation of looseness or sloppiness in a vehicle’s steering

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19
Q

tire squeal

A

singing sound when you turn the vehicle at parking speeds (normal on smooth concrete, not on asphalt)

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20
Q

wheel bounce

A

vibration synchronous with road speed that you can feel in steering wheel or drivers seat

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21
Q

wheel wobble

A

common finding at low speeds when a vehicle has a bent wheel

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22
Q

4 key factors in “high performance EMS systems”

A

response times, productivity, unit costs, taxpayer subsidies

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23
Q

response time standard for urban area

A

less than 8 minutes

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24
Q

what is the goal of System Status Management (SSM)

A

maximize efficiency and reduce response time

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25
Q

peak loads

A

increased demand for services during certain hours or locations

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26
Q

strategic deployment

A

deployment of emergency vehicle to a “posting” location

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27
Q

steps of scene sizeup (5)

A

1.look for safety hazards
2. determine need for additional units
3. identify MOI or nature of illness
4. determine need to specialized equipment or additional vehicles
5. take standard precautions

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28
Q

how many straps are usually on a gurney

A

shoulder straps and 3 across body straps

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29
Q

process of removing dirt, dust, blood, or other visible contaminants from a surface

A

cleaning

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30
Q

killing of pathogenic agents by directly applying a chemical made for that purpose to a surface

A

disinfection

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31
Q

complete elimination of microorganisms with the exception of a small number of bacterial spores

A

high-level disinfection

32
Q

application of heat or UV lighting that removes all microbial contamination

A

sterilization

33
Q

what to clean stretcher with

A

EPA approved solution or 1:100 dilution of bleach and water

34
Q

how many emergency medical vehicles are involved in crashes each year

A

6,500

35
Q

what percent of ambulance crashes happen during emergency response

A

60%

36
Q

percent of emergency response crashes that involve injury or fatality of at least one person

A

35%

37
Q

where do most injuries/fatalities occur in emergency response accidents

A

patient compartment

38
Q

what course is recommended for EMS vehicle operators

A

EVOS

39
Q

what can save more time than driving faster

A

switching to an alternative route

40
Q

who should make the decision to drive code 3 or not

A

the paramedic in the emergency vehicle’s rear compartment with the patient

41
Q

what 3 things are considered maintaining a cushion of safety

A

distance between your vehicle and one in front of you
checking for tailgaters
being alert to vehicles hiding in your blind spot

42
Q

how far should you travel behind another vehicle at average speed in good weather conditions

A

4-5 seconds

43
Q

what to do if you are being tailgated

A

do not speed up or slow down
tell dispatcher to contact law enforcement

44
Q

3 blind spots and how to fix them on emergency vehicle

A

rear view mirror in front of you (lean forward)
rear of vehicle (use spotters)
side of vehicle (use convex mirrors and lean forward/backward)

45
Q

most common source of emergency vehicle damage

A

backing up

46
Q

where to park during crash scene

A

100ft past scene on same side of road

47
Q

where to park during hazmat scene

A

uphill/upwind

48
Q

when to leave lights on

A

parking on backside of hill/curve
parking at night
(use only yellow lights if you have them)

49
Q

what to be careful of when parking off side of the road
dry and wet weather

A

dry weather: vehicle could start grass fire
wet weather: vehicle could get stuck

50
Q

as driver of emergency vehicle, what are the only two ways to control the vehicle

A

changing its direction or changing its speed

51
Q

what is the apex of a turn

A

the point at which the vehicle is closest to the inside edge of the curve

52
Q

always brake in a ___ line

A

straight

53
Q

hydroplaning

A

speeds greater than 30mph, tires may be lifted off road as water “piles up” under them making it feel like its floating

54
Q

what to do after driving out of pool of water

A

lightly tap brakes until they are dry
if antilock brakes, apply steady light pressure to dry

55
Q

what headlights to use during smog, snow, heavy rain

A

low headlight beams

56
Q

what are the largest source of lawsuits against EMS personnel

A

motor vehicle crashes

57
Q

what vehicle are EMS not allowed to pass

A

school bus with red flashing lights

58
Q

lights and sirens does not ___ you the right-of-way, it ___ the right-of-way

A

give
requests

59
Q

what is due regard

A

proceed only if you consider safety of all people on roadway

60
Q

3 principles that govern use of warning lights/siren

A
  1. true emergency
  2. audible and visual warning devices
  3. operate with due regard
61
Q

most common area of crashes

A

intersections

62
Q

who helps rural EMS systems get to remote locations

A

Forestry Service

63
Q

what type of aircraft is used for transport to regional trauma centers

A

rotor-wing aircraft (helicopters)

64
Q

what type of aircraft are used to transport patients over long distances

A

fixed-wing aircraft

65
Q

when is aircraft transport warranted besides extended transport/extreme condition

A

spinal injury and rough terrain over which patient would be carried

66
Q

what patient should be transported by ground due to space limitations

A

cardiac arrest and peri-arrest conditions

67
Q

medevac

A

medical/trauma air evacuation

68
Q

2 things that should be included in medevac request

A

chief complaint and patient’s weight

69
Q

how many feet above sea level are helicopter services limited to

A

10,000ft above sea level

70
Q

how fast do medevac helicopters fly

A

120-150mph

71
Q

area of a landing zone

A

60x60ft minimum, 100x100ft prefered
hard, level surface

72
Q

how to mark landing zone

A

weighted cones or position emergency vehicles at corners of landing zone, headlights facing inward to form an X

73
Q

what does “hot” mean in reference to helicopters

A

tail rotor is spinning

74
Q

proper approach to helicopter

A

between 10 and 2 oclock as the pilot sits forward

75
Q

what grade to approach a helicopter from

A

downhill (rotor’s are closer to ground on uphill side)

PARAMEDIC SCHOOL (74 decks)

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