Chapter 30 Flashcards

1
Q

Explain the Platinum Ten concept

A

In order to enhance the Golden Hour

- Remove Patient from vehicle/entanglement and be enroute to a trauma centre within 10 minutes of our arrival on scene

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2
Q

List the practical Applications of ParaTech

A

Trench Rescue
Building Collapse
Vehicle stabilization
Lifting

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3
Q

List the Types of Collisions

A
Head on
T-Bone
Rear-End
Rotational
Roll Over
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4
Q

Safety can be divided into which categories of priority

A

Rescue Personnel Safety
Scene Safety
Patient Safety

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5
Q

What must take place during the Golden Hour?

A
Notification
Dispatch
Response
Scene Stabilization
Vehicle Stabilization
Patient Extrication
Patient Packaging 
Patient Transport 
Stabilization in the Emergency Room 
Surgical Intervention
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6
Q

What are the two types of glass found in automobiles?

A

Safety Glass

Tempered Glass

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7
Q

Explain the 5-10-20 Rule

A

Rescuers must stay
5” away from Side air bags
10” away from driver air bag
20” away from passenger air bags

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8
Q

What are the Hybrid vehicle Emergency Procedures

A
Hybrid vehicle identification
Vehicle stabilization
Access to passenger compartment
Turn key to OFF position and remove from ignition
Check that the Green light goes out
Disconnect the 12v battery
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9
Q

What are the rules of thumb for wooden cribbing

A

Finished height cannot be > 3x working length of the timbers
Flat level base
Crib as you go
Do not place body part between crib and vehicle

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10
Q

What belongs in the cold zone?

A
All other operations established here:
Fire Command
Tool staging
Personnel Staging
Apparatus placement

-General public kept outside the cold zone

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11
Q

Define the Hot zone

A

Location where the extrication is taking place and the hazards exist

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12
Q

Whats should be placed in the warm zone?

A

Hydraulic pumps
essential tools
Parts removed from vehicles
Charged handline

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13
Q

How big is the Outer circle?

A

3-5m in diameter around the inner circle.

Influenced by topography and traffic hazards

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14
Q

What factors influence Inner Circle size?

A

Number of patients
Degree of entrapment/ extrication needs
Number, conditon and size of vehicles
Other hazardous conditions

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15
Q

What is looked for within the Outer circle

A

Hazards
Victims
Other potential problems
They can/Should also question bystanders

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16
Q

What questions should be asked during a size up?

A
What HAS happened
What IS happening
What RESOURCES are needed
What is LIKELY to happen
What HAZARDS need to be mitigated
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17
Q

List the components of Rescue Personnel Safety

A
Position responding unit in a manner to protect the crew from traffic
Always wear full PPE
Eye protection
Gloves
Fire helmet
Traffic safety vest
Full Duty gear
18
Q

List the components of Scene Safety

A

Hazard controls (fluids, Elec, weather etc)
Have handline at the ready
Have fire extinguisher ready
Traffic control
Crowd control
Control of other agencies (police, ems, epcor)

19
Q

What needs to be assessed in the size up?

A

Number and condition of vehicles
number of patients
extrication needs
Hazardous conditions

20
Q

List the types of framework

A

Uni-body
Full Frame
Space Frame

21
Q

What are the Three Compartments in a vehicle

A

Engine Compartment
Passenger Compartment
Storage/Cargo Compartment

22
Q

List the steps of scene management

A
Arrival
- Establish command
- Initial scene overview
Size up
- Inner/outer circle
Incident Action Plan
- Establish zones(Hot/war/cold/tool staging)
-Initiate Extrication
23
Q

Define Displacement

A

Re aligning, adjustment or re-positioning of existing major parts

24
Q

Disentanglement can include what operations?

A

Displacement
Distortion
Severance
Disassembly

25
Q

Explain Distortion

A

The bending of the sheet metal or any components of the vehicle

26
Q

Explain Disassembly

A

As defined, it is the physical act of taking apart vehicle components

27
Q

Explain Severance

A

The physical act of removing parts of the vehicle

28
Q

Why should air be left in the tires?

A

EPS Investigations of tire pressures

Towing

29
Q

List the types of tools used in Extrication

A
Striking tools
Prying Tools
Cutting Tools
Pushing/Pulling Tools
Supporting Tools
30
Q

Tools can be powered by any of which methods?

A
Manual
Electrical
Pneumatic
Hydraulic
Gas-powered
31
Q

List the types of Striking Tools

A
Sledge Hammers
Mauls, Picks
Axes, mallets
Hammers
Punches
Chisels
32
Q

List the types of Prying tools

A
Crow bar
Halagen
Pry Bar
Claw tool
Pry axe
Flat bar
33
Q

List the types of cutting tools

A

Chopping tools
Snipping tools
Saws
Knives

34
Q

List the types of Pushing/Pulling tools

A
Jack all
Rescue winch
Air lifting bags
Holmatro
- spreaders
-ram
-combi tool
35
Q

List the types of Supporting tools

A
Air struts
Wood cribbing
Step Chucks
Wedges
Chains
Ropes
Webbing
Anchor slings
Jack All
come-along
36
Q

What are the principle parts of the air strut

A
The piston
The barrel
Collar
Base plate
Tip
Valve
37
Q

What are Rescue Incidents

A

Involve the removal and treatment of victims from situations involving natural elements, structural collapse, elevation differences, or any other situation not considered to be an extrication incident

38
Q

What are Extrication incidents

A

Involve the removal and treatment of victims who are trapped by some type of man-made machinery or equipment

39
Q

What factors should be noted upon arrival/approach

A

Potential traffic hazards
Numbers, types, and positions of vehicles involved
Fire potential and possibility of hazardous material involvement
Utilities involved
Need for additional resources
Priority to position initial responding unit to protect the scene and responders so assessment and assistance can be initiated

40
Q

List the components of Patient Safety

A

Protect the patient from further harm by stabilizing the scene, and vehicles involved
cover the patient as needed
Someone should stay with the patient because of all the noise of extrication ( hearing protection may be offered if feasible)
Being covered will only add to the stress of the patient. Provide the patient with comfort and perform a complete primary survey