CH. 37 Flashcards
Answers to Assessment in Action Questions
Answers to Assessment in Action Questions
1. Answer: D National Research Council of the National Academy of Sciences
2. Answer: B Drive faster than the posted speed limit.
3. Answer: C cushion of safety.
4. Answer: D Stress
5. Answer: C en route
6. Answer: C Ask for additional resources.
7. Answer: B 4
8. Answer: A uphill and upwind.
9. Answer: Because lights and sirens can exacerbate anxiety, using them with a patient having chest pain is not always the best option. However, when weighing the risks versus the benefits for this patient, it may be in her best interest to transport her with lights and sirens to the closest, most appropriate facility depending on traffic, distance and road conditions. She is borderline hypotensive, complaining of severe pain, and tachycardic with an irregular pulse, and has labored respirations that are a little fast. All of these factors together create a potentially unstable patient who needs access to advanced care quickly. Consider consulting medical control for advice about use of lights and sirens on a particular call depending on your local protocol.
10. Answer:
• The area should be a hard or grassy level surface that measures 100 feet × 100 feet (recommended) and no less than 60 feet × 60 feet. If the site is not level, the flight crew must be notified of the steepness and direction of the slope.
• The area must be cleared of any loose debris that could become airborne and strike the helicopter or the patient and crew; this includes branches, trash bins, flares, caution tape, and medical equipment and supplies.
• You must survey the immediate area for any overhead or tall hazards such as power lines or telephone cables, antennas, and tall or leaning trees. The presence of these must be relayed immediately to the flight crew because an alternative landing site may be required. The flight crew may request that the hazard be marked or illuminated by weighted cones or by positioning an emergency vehicle with its lights turned on next to or under the potential hazard.
• To mark the landing site, use weighted cones or position emergency vehicles at the corners of the landing zone with headlights facing inward to form an X. This procedure is essential during night landings as well. Never use caution tape or ask people to mark the site. The use of flares is also not recommended, because not only can they become airborne, but they also have the potential to start a fire or cause an explosion.
• Move all nonessential people and vehicles to a safe distance outside of the landing zone.
• If the wind is strong, radio to the flight crew the direction of the wind. They may request that you create some form of wind directional device to aid their approach. A bed sheet tightly secured to a tree or pole may be used to help the crew determine wind direction and strength. Never use tape.
