Ch. 47 Flashcards

1
Q

In which situation will you likely need to collaborate with an extrication team?

A) A patient is stuck on the roof of a house
B) A patient is preparing to jump off a bridge
C) A patient is floating in the middle of a lake
D) A patient is trapped in a damaged vehicle

A

D) A patient is trapped in a damaged vehicle

Page Ref: 1031

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2
Q

You pull up to the scene of a motor vehicle collision, and you note that one of the vehicles involved in the accident is a hybrid vehicle. The vehicle is crushed, and many wires are exposed. Which wires do you need to avoid touching, cutting, or breaching?

A) The red wires
B) The neon green wires
C) The bright orange wires
D) The yellow wires

A

C) The bright orange wires

Page Ref: 1035

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3
Q

You are working with a rescue team to stabilize a vehicle. Someone asks you to bring some equipment for cribbing. What type of equipment will you bring?

A) Wood, plastic, or metal pieces that can be placed under the vehicle
B) Thin wood, plastic, or metal pieces that can be used to fill gaps
C) Large timbers or pneumatic devices
D) Rope, chains, or webbing

A

A) Wood, plastic, or metal pieces that can be placed under the vehicle

Page Ref: 1036

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4
Q

You are waiting for the rescue team to stabilize a vehicle before you can access the patient. The vehicle is on its side, and the team has placed pneumatic devices around the vehicle, but the vehicle still seems unstable. What could the team do to further stabilize the vehicle?

A) Use shims
B) Use rigging materials
C) Use cribbing materials
D) Use large timbers

A

B) Use rigging materials

Page Ref: 1036

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5
Q

Rescue workers are preparing to remove the windshield and roof from a car to extricate a patient who is trapped. Before the rescue commences, which one of the following should the AEMT do FIRST?

A) Cover the patient with a heavy tarp for protection.
B) Wet the car down with a fire hose to prevent an accidental fire.
C) Explain to the patient what is taking place.
D) Lock all four doors and roll up the windows.

A

C) Explain to the patient what is taking place.

Page Ref: 1037

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6
Q

You have been dispatched to a motor-vehicle collision. On-scene, you find that a minivan has completely sheared a wooden utility pole. The electrical wires are draped over the hood of the minivan and the driver, a woman in her 20s, is screaming that she is not hurt and wants to get out of the vehicle. Further observation of the wires reveals that they are not moving, arcing, or making any noise. Which one of the following instructions is MOST appropriate at this time?

A) “You need to remain still and calm in your seat and do not touch anything in the car.”
B) “Carefully get out of the car and shuffle away with small steps while keeping your feet together.”
C) “I need you to jump clear of the car and shuffle away in small steps keeping your feet together.”
D) “The electrical wires are not charged anymore, but stay where you are until the fire department gets here.”

A

A) “You need to remain still and calm in your seat and do not touch anything in the car.”

Page Ref: 1035

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7
Q

You are on the scene of a motor-vehicle collision involving two cars. To remove the driver of the first car, rescuers must break the windshield and roll back the roof. While they are performing this operation, which of the following sets of personal protective equipment will afford the AEMT the BEST protection?

A) Helmet, goggles, turnout gear, leather gloves, and steel-toed boots
B) Goggles, latex exam gloves, steel-toed boots, and fluorescent vest
C) Sunglasses, steel-toed boots, and fluorescent identification vest
D) Latex exam gloves, fluorescent identification vest, and helmet

A

A) Helmet, goggles, turnout gear, leather gloves, and steel-toed boots

Page Ref: 1030

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8
Q

You are participating in the rescue of a couple who was lost during a hike in rugged terrain. The husband has been severely injured and needs to be carried back to the rescue vehicle. What equipment will you use to transport the patient?

A) A Stokes basket
B) A stretcher
C) A long backboard
D) A Nomex sling

A

A) A Stokes basket

Page Ref: 1032

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9
Q

The rescue team has been working to free an entrapped patient. You are finally able to access the patient and plan to remain in place providing medical care while the extraction team completes their work. What type of hearing protection will you select at this time?

A) Semi-insert ear plugs that are used with a headband
B) You do not need hearing protection in this case
C) Noise-canceling ear muffs that are worn over the ears
D) Ear plugs that are inserted directly into the ear canal

A

D) Ear plugs that are inserted directly into the ear canal

Page Ref: 1030

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10
Q

You are on scene participating in a high-angle rescue. What type of helmet is most appropriate for this scene?

A) Compact fire-fighting helmet
B) Hard hat
C) Kayaking helmet
D) Climbing helmet

A

D) Climbing helmet

Page Ref: 1030

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11
Q

An unresponsive patient is trapped in a hybrid car. What type of body protection will you select while caring for the patient during extraction?

A) Light jacket with identifying letters
B) Overalls
C) Extrication jumpsuit
D) Leather jacket

A

C) Extrication jumpsuit

Page Ref: 1030

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12
Q

A vehicle was struck on the side by another car and flipped. The car is now laying on its side, and it has been stabilized by shoring to the bottom and top of the vehicle. The driver and two children in the backseat are trapped. What is likely the easiest access point to reach the children?

A) Through the back window
B) Through the windshield
C) Through a side window
D) Through a back door

A

A) Through the back window

Page Ref: 1036-1037

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13
Q

You are on the scene of a car that hit a tree head on. The patient has a laceration to his forehead and a deformity to his left forearm. The car is a hybrid that runs on traditional as well as hydrogen gas. There is moderate front-end damage to the vehicle, but the airbags did not deploy. The patient was wearing a seatbelt. Which one of the following instructions is MOST appropriate in this situation?

A) “Let us deactivate the airbags by turning the engine off.”
B) “We will need to puncture the hydrogen tank to prevent an explosion.”
C) “Place a flare near the oil spill so that no one slips.”
D) “I need to have the battery cables disconnected.”

A

D) “I need to have the battery cables disconnected.”

Page Ref: 1035

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14
Q

Once access to the patient is obtained, if a potential spine injury is suspected, what should you immediately do?

A) Don suitable PPE
B) Stabilize the patient’s head and neck
C) Determine how to manage surrounding hazards
D) Order mode of transport

A

B) Stabilize the patient’s head and neck

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15
Q

At the scene of a motor-vehicle collision, a driver is entrapped in his hybrid car after striking the back of a truck at a high rate of speed. Which action would be performed FIRST when providing stabilization of the car?

A) Placing the transmission in “park”
B) Shutting off the engine
C) Setting the parking brake
D) Disconnecting the battery

A

A) Placing the transmission in “park”

Page Ref: 1035

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16
Q

A vehicle has rolled onto its passenger side after running a red light at an intersection and striking another car. The restrained driver remains in the car, screaming in pain. To manage this scene, which one of the following should you do FIRST?

A) Stabilize the vehicle.
B) Hold manual inline stabilization.
C) Remove the roof.
D) Determine vital signs.

A

A) Stabilize the vehicle.

Page Ref: 1036

17
Q

When sizing up the scene of an incident, which of the following will BEST assist you in making critical decisions about needed equipment extrication and resources?

A) Windshield survey
B) Resource assessment
C) PPE survey
D) Hazardous potential assessment

A

A) Windshield survey

Page Ref: 1034

18
Q

Which phase of the rescue operation involves determining the safest possible way to access the patient while ensuring your own safety?

A) Phase one
B) Phase two
C) Phase three
D) Phase four

A

C) Phase three

Page Ref: 1031

19
Q

The AEMT understands the importance of evaluating the mechanism of injury when he states:

A) “The mechanism of injury is useful in determining the exact injuries the patient has sustained.”
B) “The mechanism of injury can be used to guide your assessment and treatment of the patient.”
C) “The mechanism of injury is a useful tool in determining if the patient’s outcome will be good or bad.”
D) “Evaluating the mechanism of injury is important since it determines whether emergency transport to the hospital is needed.”

A

B) “The mechanism of injury can be used to guide your assessment and treatment of the patient.”

Page Ref: 1034

20
Q

If you are floating in swift water, what is the best position to place yourself in order to reduce your risk of becoming pinned?

A) On your left side with your face pointed upward and your right arm over your head
B) On your back with your feet flexed against the current
C) On your back with your feet held at the surface and pointing downstream
D) In whatever position you feel provides you the best support

A

C) On your back with your feet held at the surface and pointing downstream

Page Ref: 1033

21
Q

Once the patient is extricated from the vehicle, your focus at the scene should be on:

A) determining surrounding hazards.
B) ordering transport.
C) continuing care and patient packaging for transport.
D) determining measures of care.

A

C) continuing care and patient packaging for transport.

Page Ref: 1032

22
Q

What is the role of the Advanced EMT once patient access is safely established?

A) To only listen to the extraction team and do what they say
B) To provide assistance with offering the necessary tools as required
C) To assess and provide treatment until the patient can be transported
D) To wait until the patient is fully extracted and then begin the assessment

A

C) To assess and provide treatment until the patient can be transported

Page Ref: 1031

23
Q

What type of extraction tool is best to use to open hoods, trunks, and doors?

A) Striking
B) Prying
C) Cutting
D) Pneumatic

A

B) Prying

Page Ref: 1038

24
Q

The crow bar is known as what type of extraction tool?

A) Striking
B) Prying
C) Cutting
D) Pneumatic

A

B) Prying

Page Ref: 1038

25
Q

What type of power-driven hydraulic tool is used for both pushing and pulling?

A) Spreaders
B) Shears
C) Pedal cutters
D) Extension rams

A

A) Spreaders

Page Ref: 1038

26
Q

What type of power-driven hydraulic tool is used only for pushing operations?

A) Spreaders
B) Shears
C) Pedal cutters
D) Extension rams

A

D) Extension rams

Page Ref: 1038

27
Q

If extrication is required manually within a limited space, what tool might be best utilized?

A) The Porta-power
B) Select snipping tools
C) Hydraulic ram
D) The Halligan tool

A

A) The Porta-power

Page Ref: 1038

28
Q

When planning to disentangle a patient, whose responsibility is it to focus the team on a safe operation when other rescuers lose sight of the “big picture”?

A) The entire team
B) Fire and rescue supervisor
C) The Advanced EMT
D) The physician

A

C) The Advanced EMT

Page Ref: 1037

29
Q

If you arrive on the scene to find a patient in calm water, what do you do first?

A) Assess the patient’s condition.
B) Inquire as to what type of help has been called.
C) Throw a flotation device with a line attached.
D) Swim out to the patient.

A

C) Throw a flotation device with a line attached.

Page Ref: 1033

30
Q

Which of the following terms means “filling void spaces to prevent the movement of the vehicle”?

A) Rigging
B) Cribbing
C) Extricating
D) Disentangling

A

B) Cribbing

Page Ref: 1036