EMERGENCY MEDICAL RESPONSE

Question 1

EMERGENCY MEDICAL SYSTEM CORE. 1 0 6 0 . 1 0 1

Answer 1

The cadet will identify the structure and function of the Emergency Medical System
(EMS) and identify the role various components play in providing emergency
medical care.

Question 2

♦ The EMS system is a coordinated arrangement of resources, personnel,
equipment, and facilities organized to respond to medical emergencies
regardless of the cause

Answer 2

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Question 3

♦ The EMS system covers a full spectrum from prevention through
rehabilitation

Answer 3

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Question 4

♦ Providers, levels of service, and capabilities may vary from county to county

Answer 4

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Question 5

♦ Common components of the EMS system and the sequence in which they
work together to render aid, and ensure public safety include:

Answer 5

Next

Question 6

• Emergency Medical Dispatchers

Answer 6

• Emergency Medical Dispatchers (EMD) manages 9-1-1 and other
emergency calls, and dispatches appropriate medical or rescue response
personnel (police, fire, ambulance, etc.) to the scene

Question 7

• Basic Life Support (BLS)

Answer 7

 Basic first aid – Individuals and bystanders with minimal training in
basic first aid
 First Responders – Public safety employees trained in basic first aid
and intended to be first on scene to render assistance
 Emergency Medical Technician (EMT Basic) – provides immediate
medical treatment and stabilization of airway for patients and
assistance to advance life support providers when available

Question 8

• Advanced Life Support (ALS)

Answer 8

 Emergency Medical Technician Intermediate (EMT-I) – these
individuals, while not as highly trained as paramedics, are trained in
defibrillation, breathing support methods, and are also trained in
establishing intravenous lines for delivery of fluids
 Paramedics – trained in advanced cardiac life support, EKG
interpretation, and are certified to establish intravenous lines and
administer medications under the direction of medical control. They
are also trained in advanced airway maintenance techniques such as
endotracheal intubation.
 Air Ambulance – an aircraft used for emergency medical assistance in
situations where a traditional ambulance cannot reach the scene easily
or quickly enough. Medical crew usually consists of a nurse and
paramedic.
• Four agencies provide air ambulance service in Utah; Air Med,
Life Flight, Classic Air, Eagle Air

Question 9

• Hospital/Emergency Care Facilities

Answer 9

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Question 10

• Other resources such as hazardous materials teams (HAZMAT), rape
crisis and domestic violence centers, poison control centers, language
translator services, utility companies, the American Red Cross, etc.

Answer 10

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Question 11

LAW ENFORCEMENT DUTIES CORE. 1 0 6 0 .1 0 2

Answer 11

The cadet will list the primary responsibilities of a peace officer at a medical
emergency.

Question 12

The cadet will list the primary responsibilities of a peace officer at a medical
emergency.

Answer 12

♦ Do not move an injured person unless in immediate danger
♦ Open the airway
♦ Stop severe bleeding
♦ Perform CPR
♦ Operate an AED (automated external defibrillator)
♦ As EMS personnel arrive on scene, law enforcement should continue to
protect the scene and begin investigation of the incident

Question 13

PERSONAL PROTECTION CORE. 1 0 6 0 . 1 0 3
The cadet will list precautions peace officers should take to ensure their own personal
safety when responding to a medical emergency.

Answer 13

♦ During an emergency response to a scene due care should always be utilized.
For law enforcement, less than 1% of the time, officers arriving on a scene
made a critical difference in the way the call was handled. This is used to
reiterate that law enforcement needs to respond safely and with due care.
♦ When arriving on scene, check for scene safety before approaching and take
steps to ensure the scene does not become worse
♦ Practice Body Substance Isolation (BSI) utilizing protective equipment such
as medical gloves, mask, and safety glasses when working on patients

Question 14

CI VI L LIABI L ITY CORE. 1 0 6 0 . 1 0 4

Answer 14

The cadet will identify conditions a peace officer is protected from liability when
providing emergency medical services.

Question 15

The cadet will identify conditions a peace officer is protected from liability when
providing emergency medical services.

Answer 15

♦ An officer is protected as long as they do not operate beyond the scope of
training and the action taken was done with reasonableness

Question 16

AIRCRAFT LANDING ZONE CORE. 1 0 6 0 . 1 0 5

Answer 16

The cadet will list the information needed to request an air ambulance, demonstrate
how to communicate with the pilot, and how to properly secure a landing zone.

Question 17

♦ The decision to request an air ambulance will generally be made by
emergency medical personnel on scene unless in a remote area

Answer 17

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Question 18

♦ Criteria for requesting an air ambulance

Answer 18

• Patient has injuries or medical condition requiring transport for emergency
care
• Depending on departmental protocol, it may be necessary to get supervisor
approval

Question 19

♦ When requesting an air ambulance, the following information is necessary:

Answer 19

• Number of patients and condition of each patient
• Special circumstance such as a hoist recovery or a difficult access
situation
• Mechanism of Injury (MOI)
• Relate the need for specialty care

Question 20

♦ Securing a landing zone

Answer 20

• Landing zone size should be 100’x 100’, as level as possible, and secured
from traffic and pedestrians
• Area needs to be free of debris and garbage that will become airborne in
the rotor wash
• All potential hazards such as trees, light poles, buildings, and overhead
wires should be communicated to the pilot
• Landing zone supervisors need to know the hand signals to communicate
with the pilot during landing and takeoff (they are considered the eyes on
the ground for the pilot)

Question 21

♦ Radio Communications with aircraft

Answer 21

• The person in charge of the landing zone is the person who will
communicate with the aircraft via the radio
• Dispatch usually assigns the channel that is used to communicate with the
aircraft

Question 22

PATIENT TRIAGE CORE. 1 0 6 0 . 1 0 6

Answer 22

The cadet will define the triage system and list the priority categories used in triage
on a mass casualty incident (MCI).

Question 23

♦ An officer may respond to a mass injury/casualty incident and may need to
decide who needs emergency care most and who can wait until additional help
arrives. This process of setting priorities is called triage.

Answer 23

• Triage Categories
 1st priority (immediate care needed): victims with life-threatening
injuries who cannot wait for help, e.g., breathing difficulties,
uncontrolled or severe bleeding, decreased mental status
 2nd priority (urgent care needed): victims with injuries that need care
very soon, but may be able to wait for help, e.g., major or multiple
painful, swollen, deformed extremities or back injuries
 3rd priority (delayed care): those with minor injuries, who can walk,
e.g., minor soft tissue injuries or minor painful, swollen, and deformed
extremities
 4th priority (no care needed): those who cannot be saved, i.e.,
obviously dead or with a very low likelihood of survival