Chapter 11: Scene Size-up

Question 1

the area around the wreckage of a vehicle collision or other incident within which special safety precautions should be taken

Answer 1

Danger Zone

Question 2

Law of Inertia

Answer 2

that a body in motion will remain in motion unless acted upon by an outside force

Question 3

What is not a consideration that should be used by the EMT in establishing the size of the danger zone?

Answer 3

amount of equipment needed

Question 4

What type of situations requires additional action by the EMT during scene size-up?

Answer 4

The sound of a barking and growling dog upon approaching the door to a residence.

Question 5

Which of the following is true concerning scene size-up?

Answer 5

The need for additional resources must be determined on both medical and trauma calls.

Question 6

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

Answer 6

Index of suspicion

Question 7

At what point should you begin your scene size-up?

Answer 7

As you approach the scene of an ambulance

Question 8

Which of the following best describes blunt-force trauma?

Answer 8

An object strikes the body but does not penetrate the body tissues.

Question 9

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

Answer 9

20

Question 10

Where should the EMT assess for injury when caring for a patient who had a 10-foot fall and landed square on his feet?

Answer 10

Femur, pelvis, ankles

Question 11

An injury caused by an object that passes through the skin or other body tissue is known as _______?

Answer 11

Penetrating trauma

Question 12

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

Answer 12

Law of inertia

Question 13

At what point is the scene size-up complete?

Answer 13

At the end of a call

Question 14

What will deliver a medium velocity impact?

Answer 14

Bullet from a handgun

Question 15

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. What is most likely to have occurred?

Answer 15

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

Question 16

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. What injuries should you have the highest level of suspicion?

Answer 16

Neck injury

Question 17

Which of the following is not determined in a scene size-up?

Answer 17

Chief complaint

Question 18

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 resources would be the LEAST important to request during the scene size-up?

Answer 18

Hazardous materials clean up crew

Question 19

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 19

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

Question 20

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 20

Gloves, gown, face mask with eye protection

Question 21

When should the EMT evaluate the need for Standard Precautions?

Answer 21

An evaluation should be made throughout the call