EC Chp 11 Scene Size Up

Question 1

Scene the size up

Answer 1

Steps taken approaching the scene of an emergency. Noting MOI and NOI

Question 2

When within sight of the scene

Answer 2

- look for clues indicating 
  hazardous materials 
- look for victims
- look for smoke
- look for broken utility poles
- be alert for persons walking
- watch for the signals of police

Question 3

Danger zone

Answer 3

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

Question 4

When there are no apparent hazards…

Answer 4

consider the danger zone to extend at least 50ft in all directions of the wreckage

Question 5

When fuel has been spilled how large is the danger zone?

Answer 5

extend it to a minimum of 100ft in all directions

Question 6

When a vehicle is on fire how large is the danger zone?

Answer 6

extend it to a minimum of 100ft in all directions

Question 7

What to evaluate for threat of violence?

Answer 7

• Fighting or loud noises
• weapons visible or in use
• signs of alcohol or other drug
  use
• unusal silence
• knowledge of prior violence

Question 8

When wires are down how far is the danger zone?

Answer 8

the ambulance should be parked at least one full span of wires away from the poles to which broken wires are attached.

Question 9

When hazardous material is invloved

Answer 9

check the emergency response guidebook (ERG) for suggestions on where to park. varies from 50ft to 2000ft. however always park upwind

Question 10

BSI stands for?

Answer 10

Body Substance Isolation, Gloves, glasses, gowns

Question 11

Mechanism of injury

Answer 11

force or forces that may have caused injury

• understanding forces can predict injury patterns
• can be very useful in predicting injuries associated with a MVC

Question 12

Up and over collisions cause damage to what?

Answer 12

head, neck, chest and abdominal injuries

Question 13

Down and under collisions cause what type of damage

Answer 13

Knee, hip and leg injuries

Question 14

the 3 collisions in a MVC?

Answer 14

1. vehicle striking an object
2. patients body striking the interior of the vehicle
3. Organs of the patient strike the surfaces within the body

Question 15

Rear end collisions most common injuries?

Answer 15

Neck(most common), head, chest. and whiplash

Question 16

side impact collision (broadside or T-bone) injuries?

Answer 16

head and neck, chest, abdomen, pelvis, thighs

Question 17

Rollover collisions

Answer 17

most serious because of the potential for multiple impacts. Also frequently cause ejection

Question 18

what happens with Rotational impact collisions?

Answer 18

cars that are struck then spin and often causes subsequent impacts.

Question 19

Severe Fall heights for adult?

Answer 19

greater than 20ft

Question 20

severe fall for a child under age 15?

Answer 20

greater than 10ft or more than 2-3 times the child’s height.

Question 21

Low Velocity penetrating trauma items?

Answer 21

those propelled by hand such as knives

Question 22

Medium Velocity wounds are usually caused by?

Answer 22

Damage directly from projectile with pressure related damage or cavation
Ex. handguns and shotguns or fully propelled arrows

Question 23

High Velocity wounds caused by?

Answer 23

high powered or assault rifle

Question 24

blunt force trauma

Answer 24

injury caused by blow that strikes body but does not penetrate skin or body tissues
- signs are subtle and easily over looked

Question 25

Index of Suspicion

Answer 25

awareness that there may be injuries based on MOI

Question 26

NOI Information can be obtained from ?

Answer 26

• The Patient
• Family members or bystanders
• The Scene itself

Question 27

NOI Information can be obtained from ?

Answer 27

• The Patient
• Family members or
  bystanders
• The Scene itself