CH 11: Size-up

Question 1

You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You and your partner are the first to arrive and note two​ middle-aged men and a woman on the front lawn with burns and cuts on their faces and arms. The fire department is en route. Which of the following resources would be the least important to request during the scene​ size-up?

Answer 1

Hazardous material​ clean-up crew

Question 2

A fall is considered severe anytime an adult patient has fallen more than​ ________ feet.

Answer 2

20

Question 3

You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck. The driver of the delivery truck is standing outside his vehicle talking to police when you​ arrive, but the driver of the car is still seated in the​ driver’s seat. You have noted moderate damage to the rear of the car. For which of the following injuries should you have the highest level of​ suspicion?

Answer 3

neck injuries

Question 4

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Part 1
You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom. As you approach the​ scene, you notice a large crowd outside the front door holding beer bottles. The group has pulled the patient outside. As you approach the​ scene, people from the group start​ yelling, “Do​ something! She’s not​ breathing.” What concerns you the most about this​ scene?

Answer 4

The large crowd that has been drinking and is now yelling at you

Question 5

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Part 1
You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the​ truck, that there are several bystanders passed out on the ground near the cab of the​ truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You​ should:

Answer 5

consult the Emergency Response Guidebook.

Question 6

As you arrive at the scene of a house​ fire, a very upset man screams at you to help his young​ son, who is trapped under a piece of burning wood on the ground. Which of the following should you do​ first?

Answer 6

size-up the scene before acting

Question 7

As you approach the scene of a motorcycle​ accident, you see an EMR trying to stop the bleeding on the​ patient’s left arm. You notice that the EMR has blood covering the front of his shirt and running down his arms. What Standard Precautions are​ needed?

Answer 7

​Gloves, gown, and face mask with eye shield are needed.

Question 8

You should have a keen awareness that there may be injuries based on your scene​ size-up. This is known as which of the​ following?

Answer 8

Index of suspicion

Question 9

As you are assessing a​ 32-year-old asthmatic woman who has called EMS due to difficulty​ breathing, her husband enters the home through a back door and​ shouts, “Get your hands off​ her; she​ doesn’t need your help. She needs to be taught a lesson about her smart​ mouth.” Which of the following is the best course of​ action?

Answer 9

Leave the scene and the​ patient, and then notify police.

Question 10

What is the recognized name for the mechanism of injury in which an object pierces into the​ body?

Answer 10

Penetrating trauma

Question 11

At what point is the scene​ size-up complete?

Answer 11

at the end of the call

Question 12

You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a​ middle-aged man who appears to be unconscious. A police car pulls in behind you. You​ should:

Answer 12

wait for the police officer to assess the safety of the scene.

Question 13

At which of the following points should you begin your scene​ size-up?

Answer 13

As you approach the scene in the ambulance

Question 14

Which law of physics explains why a​ patient’s liver can be injured from the impact of his car with a​ tree?

Answer 14

Law of inertia

Question 15

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Part 1
At the scene of a vehicle collision in which there are no apparent​ hazards, which of the following guidelines should be followed for establishing a danger​ zone?

Answer 15

The danger zone should be 50 feet in all directions.

Question 16

Your​ patient, a​ 29-year-old female, was the front seat passenger in a vehicle that was struck in the​ passenger’s side door by another vehicle that ran a red light. Which of the following is most likely to have​ occurred?

Answer 16

The​ patient’s body was pushed forcefully out from under her​ head, causing injury to the cervical spine.

Question 17

When should the EMT evaluate the need for Standard​ Precautions?

Answer 17

An evaluation should be made throughout the call.

Question 18

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Part 1
When determining possible injuries suffered from a gunshot​ wound, which of the following is​ true?

Answer 18

The EMT must be aware that bullets cause damage in more than one way.

Question 19

Which of the following is true concerning the potential for violence at the scene of an EMS​ call?

Answer 19

An unusual lack of activity at the scene may signal impending violence against the EMT.