Chapter 38- Vehicle Extrication And Special Rescue

Question 1

Extrication

Answer 1

The removal from entrapment or from a dangerous situation or position

Question 2

Entrapment

Answer 2

A condition in which a person is caught within a closed area with no way out or has a limb or body part trapped

Question 3

What are ems providers roles in an extrication situation?

Answer 3

Assess patients, provide immediate medical care, triage and package patients provide additional assessment and care as patients need, provide transport to the ed

Question 4

What are the 10 phases of extrication

Answer 4

1. Preparation
2. En route
3. Arrival and scene set up
4. Hazard control
5. Support operations
6. Gaining access
7. Emergency care
8. Removal of patient
9. Transfer of patient
10. Termination

Question 5

Hazardous material

Answer 5

Any substance that is toxic, poisonous, radioactive, flammable, or explosive and can cause injury or death with exposure

Question 6

Size up

Answer 6

The ongoing process on info gathering and scene evaluation to determine appropriate strategies and tactics to manage an emergency, while paying attention to hazards

Question 7

The ability to understand and react to the threats around you

Answer 7

Situational awareness

Question 8

What should you look for during your 360° walk

Answer 8

The mechanism of injury
Downed power lines
Leaking fuel
Smoke or fire
Trapped or ejected patients
Broken glass
The number of patients and vehicles involved

Question 9

Safe zone

Answer 9

The zone outside of the danger zone that doesn’t pose any threats to your well being

Question 10

Danger zone (hot zone)

Answer 10

An area where people can be exposed to sharp metal objects, glass, radiation, toxic substances, or explosions of hazardous materials

Question 11

How long can it take for a high voltage battery to de-energize

Answer 11

Up to 10 minutes

Question 12

What are support opps

Answer 12

Include lighting the scene, establishing tool and equipment staging areas, and marking helicopter landing zones

Question 13

Simple access

Answer 13

Getting a patient out quickly and simply without using any tools or force

Question 14

Complex access

Answer 14

Requires the use of special tools, such as pneumatic and or hydraulic devices

Question 15

Technical rescue situation

Answer 15

Requires specialized skills and equipment to safely enter and move around

Question 16

Technical rescue group

Answer 16

Made up of people from one or more departments in a region who are trained in on call for certain types of technical rescues

Question 17

Incident commander

Answer 17

The individual who has overall command of the scene in the field

Question 18

The location of the incident commander, or staging area

Answer 18

Command post

Question 19

How far should you park away from a cave in or trench collapse?

Answer 19

500 feet

Question 20

What depth does energetic a trench become not allowed without proper shoring (stabilization by supports)

Answer 20

4 feet

Question 21

Special weapons and tactics team (SWAT)

Answer 21

In hostage incident, barricaded subject, and snipers require the use of swat

Question 22

What pneumonic demonstrates the reasons for rescue failure?

Answer 22

FAILURE

Question 23

What does the pneumonic failure mean

Answer 23

Failure to understand the environment or under estimating it
Additional medical problems not considered
Inadequate rescue skills
Lack of teamwork or experience
Underestimating the logistics of the incident
Rescue versus recovery mode not considered
Equipment not mastered