Chapter 38 Flashcards
vehicle safety systems:
can become hazards after a collision: … can release and injure you
air bags fill on impact and quickly deflate–> Located in the steering wheel and passenger dash.
Nondeployed airbags pose a risk; therefore, maintain appropriate clearance.
Use appropriate protective gear to reduce the risk of eye or lung irritation from the … or …in air bags.
“loaded” bumper; cornstarch; talc
…is the removal from entrapment or a dangerous situation or position.
You may provide care as extrication goes on around you.
…is a condition in which a person is caught within a closed area with no way out or has a limb or other body part trapped.
Extrication; Entrapment
EMS personnel are responsible for: Assessing and providing medical care … and ... patients Providing additional assessment and care as needed once patients are removed Providing transport to the ED
triaging; packaging;
The rescue team is responsible for:
… and … the vehicle
Providing … and access to the patients
… any patients
securing; stabilizing; safe entrance; extricating
Law enforcement is responsible for:
Controlling …
Maintaining … at the scene
Establishing and maintaining a … Firefighters are responsible for:
… and preventing … Ensuring scene safety
Removing …
traffic; order; perimeter; extinguishing fire; ignition; spilled fuel
Position the ambulance to block the scene from …
Put on PPE and look for … before exiting your vehicle.
Make sure the scene is properly marked and protected.
Size-up is the ongoing process of scene assessment to determine strategies and tactics to manage an emergency.
oncoming traffic; passing cars;
… is the ability to recognize possible issues and act proactively to avoid a negative impact.
During a 360-degree walk around, identify:
Mechanism of injury
…or ….patients
The number of patients and vehicles involved
Safety concerns
Situational awareness; trapped; ejected;
While looking at the vehicle, note damage.
Bent …
Imprints in the …
… patient
Check windshield for a … of shattered glass.
Document your findings.
Maintain a high index of suspicion.
Evaluate the need for additional resources.
steering wheel
dashboard
unrestrained
spider-web pattern
Other potential hazards Look for spilled … and other flammables. ... or ... ..., ..., … Crashes that occur on ... ...
fuel; electrical short; damaged battery rain; sleet; snow hills violence
Coordinate your efforts with rescue teams and law enforcement.
Communicate with the …
Communicate with the … as soon as you arrive.
You may enter the vehicle to provide patient care when approved by the incident commander.
rescue team; incident commander;
… are a common hazard at vehicle crash scenes.
Never attempt to move them.
Instruct the patient to remain in the vehicle until power is ….
Remain in the … zone, outside of the … zone.
downed electrical lines; shut off; safe; hot
Bystanders and family can create hazards.
The vehicle can also be a hazard.
Unstable vehicle (on its … or …)
Ensure that the car is in “…” with the parking brake set and the ignition …
side; roof; “park”; turned off
Alternative fuel vehicles:
Powered by … and …/… hybrids, or fuels such as …, …, …, or …
electricity; electricity/gasoline; propane; natural gas; methanol; hydrogen
Support operations include:
… the scene
Establishing tool and equipment …
Marking helicopter ….
Fire and rescue personnel will work together on these functions.
Ensure vehicle is stable and hazards are eliminated or controlled.
Method to gain access depends on situation.
lighting;
staging areas
landing zones
Considerations: Is patient in a … or other structure? Is vehicle or structure ...? Hazards present? Vehicle ...? On what type of surface? Is it apt to … or ...?
vehicle; damaged; position; roll; tip
… may be needed to remove a patient who needs resuscitation.
Keep the patient safe.
A … can protect from flying glass or other objects.
Talk to the patient and explain what is happening.
Rapid extrication; heavy, nonflammable blanket;
…:
Access the patient without using tools or breaking glass.
Try all door handles or roll down the windows before using complex access.
Simple access
Complex access requires special tools
…, …, and … rescue tools
hand; pneumatic; hydraulic rescue
Coordinate with rescue personnel to determine the best removal route.
Determine the …of extrication.
Determine the …to best protect the patient.
Determine how you will move the patient.
Your input is essential so that patient is protected from further harm.
Often you will be placed in the vehicle with the patient.
Be sure to wear proper PPE.
urgency; position
Once the patient is free, perform a ….
Ensure that the spine is manually stabilized.
Move the patient in a series of controlled steps.
primary assessment
…involves returning emergency units to service.
All equipment used on the scene must be checked.
Check and clean the ambulance, replacing used supplies.
Complete all necessary reports.
Termination
Sometimes a patient can only be reached by special teams. Specialized team skills include: … rescue … rescue ... and ...rescue ... rescue
cave; confined space; cross-field; trail; dive
Specialized team skills (cont’d): … rescue ... search and rescue ...-, ...-, and ...-climbing .../ … rescue … Special weapons and tactics (SWAT) … rescue … rescue … and ... rescue … rescue
mine; missing person; mountain; rock; ice; ski/snow; structural collapse technical rope trench water; small craft white-water
When you arrive, you will be directed or led to the ….
Set up your equipment at the staging area.
Perform assessment and initiate care as soon as the rescue team brings the patient to you.
Packaging and carrying the patient back to the ambulance requires a …effort.
staging area; joint
