Chapter 12 - EMS Rescue Considerations

Question 1

Simply defines, a ____ is any incident where the need for patient care overwhelms the resources available.

Answer 1

MCI

Question 2

The ________ refers to the concept that trauma patients suffering from internal bleeding should be treated, packaged, and delivered to a surgeon in under an hour.

Answer 2

Golden Hour

Question 3

The _______________ is the maximum on scene time goal that EMS units strive for when caring for trauma patients.

Answer 3

Platinum Ten Minutes

Question 4

_____, a French word that means sorting, is a process of identifying the most critically injured patients that have the highest chance of survival with the appropriate medical care at a MCI.

Answer 4

Triage

Question 5

> Airway breathing difficulties
> Severe bleeding
> Reduced level of consciousness
> Large surface area burns
> Airway burns
> Shock

Answer 5

Red - Treatable Life Threatening Injures

Question 6

> These patients may or may not be able to walk on their own.
Burns (Without airway involvement)
Major fractures or joint injuries
Potential Spinal Injuries

Answer 6

Yellow - Serious but not immediate life threatening injuries

Question 7

> Minor fractures
Minor joint fractures
Minor soft tissue injuries

Answer 7

Green - Walking Wounded

Question 8

> Exposed brain tissue or decapitation
Caridac arrest
Severed trunks
Incineration

Answer 8

Black - Deceased or Mortally Wounded

Question 9

There are five types of collisions:

Answer 9

1) Head-on impact
2) Side impact
3) Rear impact
4) Rotational impact
5) Rollover

Question 10

A pinhole leak in a hydraulic hose that is under pressure can release hydraulic fluid at a speed of about ____ feet per second.

Answer 10

600 ft/s

Question 11

Rewarming a patient can be accomplished by administering:

Answer 11

> Warm IV fluids
Warm oxygen and warmed blankets (at least keep the oxygen tank warm)
Warm air, through the use of a heater/blower that resembles ventilation equipment but blows warm air into the vehicle during extrication efforts.

Question 12

Usually found in heavy machinery or very prolonged vehicle extrication incidents in rural areas or severe accidents, ____________ can occur when a patient’s limb has been trapped for over ___ minutes

Answer 12

Compartment syndrome

60 min.

Question 13

______ occur as a result of crushing pressure on certain parts of the body, typically the lower extremities that restrict blood flow to the injured areas.

Answer 13

Crush injuries

Question 14

Taking the seat as a single unit and securing it in the ambulance is considered the _________ for immobilization of children and infants

Answer 14

Safest method