Ch 37 Transport Operations Flashcards
Air ambulances
Fixed-wing and rotary wing (helicopter) aircrafts that have been modified for medical care; used to evacuate and transport patients with life-threatening injuries
Ambulance
A specialized vehicle used to transport the sick and injured
Blind spots
Areas of the road that are blocked from your view by your vehicle or mirrors
CPR board
A device that provides a firm surface under a patient’s torso
Cushion of safety
Keeping a safe distance between your vehicle and any vehicle around you
Decontaminate
To remove or neutralize radiation, chemicals, or other hazardous material from clothing, equipment, vehicles and personnel
Disinfection
The killing of pathogenic agents by direct application of chemicals
First-responder vehicles
Specialized vehicles used to transport EMS equipment and personnel to emergency scenes
High-level disinfection
The filling of pathogenic agents by using potent means of disinfection
Hydroplaning
Occurs when the tires of a vehicle are lifted off the road as a result of water, making the vehicle feel as if it is floating
Jump kit
A portable kit containing items that are used in the initial care of patients; “5-minute kit”
Mobile data terminal
MDT; The EMT in the passenger seat should operate in order to limit potential “necessary” distractions that could lead to any accidents
Hearse
Was the vehicle used most often as an ambulance after the late 1800s, because it was one of the only available vehicles that could allow a person to lie down
Ambulance designs today are based on
The NFPA 1917 Standard for Automotive Ambulances and suggestions from industry and EMS personnel
The modern ambulance has the following features
Diver’s compartment
Patient compartment that can accommodate 2 EMTs and typically 2 supine patients, where at least one can receive CPR during transport
Equipment and supplies to provide medical care, to safeguard personnel and patients from hazardous conditions and to carry out light extrication
2-way radio communications
Design and construction that ensure maximum safety and comfort
First responders such as _____ and _____ are often the first to arrive on scene
Law enforcement and firefighters
Type I ambulance design
Conventional truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis if needed
Type II ambulance design
Standard van, forward-control integral cab-body ambulance
Type III ambulance design
Specialty van cab with a modular ambulance body that is mounted on a cut away van chassis
Phases of an ambulance call
Preparation for the call Dispatch En Route Arrival on scene Transfer of the patient to the ambulance En route to the receiving facility (transport) At the receiving facility (Delivery) En route to the station Postrun
Store equipment and supplies in the ambulance based on _____
How urgently and often they are used
Ex: Place ventilation, O2, airway mgmt equipment within reach at the head of the primary stretcher
Warning lights and a PA system
Are required on licensed certified ambulances
Standardized equipment and supplies allow for
quick equipment exchanges with other ambulances and emergency departments, which saves time in patient transfer
Basic supplies
Disposable gloves and sharps, airway and ventilation equipment, basic would care, splinting supplies, childbirth supplies, AED, Patient transfer equipment, communication equipment, etc.
Airway management equipment that should be carried includes
Oropharyngeal airway
Nasopharyngeal airway
Equipment for advanced airway proceedures
O2 on an ambulance
An O2 unit with a capacity of 3,000 L of O2 should be mounted in the ambulance
There should be one portable (min 500L capacity) and one installed on board
Must be secured by fixed clasps or housing to prevent accidental damage or from the object becoming a projectile
Required PPE
ANSI 2 reflective vest face shields turnout gear helmets with face shields or safety goggles safety shoes or boots gloves etc.
required equipment for work areas
Warning devices hat flash or have reflectors
two high-intensity halogen 20,000 flashlights
Fire extinguisher, type ABC, dry chemical, 5-lb minimum
Hard hats or helmets
Portable floodlights
For every emergency request, the dispatcher should gather and record the following
Nature of the call
Name, present location, call back number
Location of patients
Number of patients and some idea of the severity of their conditions
Any special problems or pertinent info about hazards
En route or response phase is the most dangerous for responders because
Crashes between motor vehicles and emergency vehicles cause many serious injuries among EMS personnel
If you are the first to arrive at the scene of a MCI, you should
Size up the scene; inform dispatch you have arrived and give a brief report of what you see, any unexpected situations and do not enter if there are any hazards to you
The main objective of directing traffic is
To warn other drivers, to prevent additional crashes, and to keep vehicles moving in an orderly manner
Equipment and supplies that are carried on an ambulance should be stored:
according to the urgency and frequency of their use
A medical transport helicopter is incoming and you are responsible for setting up the landing zone (LZ). You should:
use weighted cones to mark all four corners of the LZ
A type _____ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed
Type I
T/F hazardous materials gear is NOT a type of common safety equipment carried on the ambulance
True
During the transport phase of an ambulance call, it is MOST important to:
converse with the patient and provide reassurance
T/F regularly using the siren as much as possible is a general guidelines for safe ambulance driving
False
Hydroplaning of the ambulance on wet roads would MOST likely occur at speeds of greater than _____ mph
30 mph
Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:
observe the scene for safety hazards
T/F EMTs should use a police escort when they are unfamiliar with the location, but the police officer knows the area
True
Maintaining a cushion of safety when operating an ambulance means:
keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors’ blind spots
The MOST common and usually the most serious ambulance crashes occur at:
intersections
The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called:
Cleaning
The use of lights and siren on an ambulance:
signifies a request for other drivers to yield the right of way
When approaching a helicopter, whether the rotor blades are moving or not, you should:
never duck under the body or the tail boom because the pilot cannot see you in these areas.
When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:
position the ambulance upwind.
While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should:
stop and wait until the warning lights stop flashing
You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should:
advise the dispatcher that you are out of service and to send another unit.
