Exam 5 Flashcards
Whatistheminimumnumberofsafetypinsforeachtriangularbandageona
basiclifesupportambulance?
Three
Fortonsillarandflexiblesuctioncatheters,
whattwosizerangesshouldbe
equippedonabasiclifesupportambulance?
6F−10F;12F−16F
Whichreferenceisrecommendedforeverybasiclifesupportambulance?
Hazardous Material Guide
Whatcolorshouldbiohazardbagsbe?
Red
Alights-and sirenresponse
toanemergencycallisappropriate
when: A. lossoflifeorlimbispossible. B. nosafetyconcernsarevisible. C. trafficisheavy. D. morethanonevehicleresponds.
A
Moststatesallowanemergencyvehicleoperatortodoallofthe
followingEXCEPT: A. passaschoolbuswhoselightsareflashing. B. passothervehiclesinano-passingzone. C. proceedpastredlights. D. exceedthespeedlimits.
A
Toalertavehicleimmediatelyinfrontoftheambulancetoclear
theway,thebestthingadrivercanusuallydoisto:
A. turnonthesiren.
B. usethepublicaddresssystem.
C. usethehorn.
D. usetheflashers.
C
Whichlightsshouldnotbeusedasemergencylights?
A. Strobes
B. Rotatinglights
C. Four-wayflashers
C
Thesafestbackingupoftheambulanceisperformedwhen:
A. backupalarmsareoperational.
B. backuplightsarelit.
C. thedriver’smirrorsareproperlyadjusted.
D. thedriverhasaspotter.
D
Acommondangerwhenanambulancefollowsanescortvehicleis:
A. losingcontactwiththeescort.
B. creatingadditionalstressforthepatient.
C. confusionfortheemergencydispatchers.
D. followingtheescorttooclosely.
D
Thefirstemergencyvehicleonthesceneatacarwreckshould
park:
A. offtheroad.
B. onthesideofthecrashawayfromtraffic.
C. inawaythatblocksthewreckage.
D. ascloseaspossibletothewreckage.
C
Thefourstepsoftransferringapatienttoanambulanceinclude
selectingtheproperpatient-carryingdevice,packagingthe
patient,movingthepatienttotheambulance,
and:
A. informingdispatch.
B. contactingthehospital.
C. loadingthepatientintotheambulance.
D. performinganongoingassessment.
C
Thefourstepsoftransferringapatienttoan
ambulanceinclude
selectingtheproperpatient-carryingdevice,packagingthe
patient,movingthepatienttotheambulance,
and loadingthepatientintotheambulance.
Ifthepatientislikelytodevelopcardiacarrest,positionashort
spineboardorCPRboardunderneaththe
patient’smattress:
A. priortoinitiatingtransport.
B. ifthepatient’svitalsignsdeteriorate.
C. aftertransporthasbegun.
D. atthefirstsignofarrest.
A
Atthereceivingfacility,failuretotransfercareofthepatientto
hospitalstaffcouldresultinchargesof:
Accosting
Anambulancerunisnotoveruntil:
A. careofthepatienthasbeentransferred.
B. thePCRisfiled.
C. thevehicleisreadyforthenextresponse.
D. thevehiclehasreturnedtobase.
C
Whentheambulanceisreadytoreturnto quarters,thefirststepshouldbe to: A. informthedispatcher. B. completethelogentry. C. refuelthevehicle. D. checkthelightsandsiren.
A
Whencleaningambulancesurfacesthatwereincontactwith bloodorbodyfluids,use: A. ahigh-pressurehose. B. aninfraredlamp. C. soapandwater. D. anEPA-approvedgermicide.
D
Thefirststepofcleaninganyequipmentthattouchedthepatientisto: A. hoseitdown. B. sprayitwithagermicide. C. immerseitinsoapandwater. D. brushitclean.
D
Anoperationalreasontorequestairrescueis:
A. aGlasgowComaScalescoreoflessthan13.
B. prolongedextrication.
C. aheadinjurywithalteredmentalstatus.
D. apenetratinginjurytothebodycavity.
B
Ifyouhavetosetupahelicopterlandingzone,
itsminimum
sizeshouldbe:
100by100feet.
TheAmericanCollegeofSurgeonsisoneoftheorganizationsthathascreateda
listofrecommendedsuppliesfor .
Ambulances
Allemergencyvehicleoperatorsmust
demonstrate___ forthesafetyofthepublicwhen
drivingtheirvehicles.
Due regard
Anambulanceapproachingastoppedschool
busshouldwaituntilthebus’s flashingredlightsare
Turned off
Thebestplacementforthespeakerofan
ambulancesirenisinthevehicle’s
Grill
Most accidents involving ambulances occur on
Dry clear roads during daylight and in intersections
sequenceofoperationsrequiredtoreadythe
Patient to be moved
Packaging
Minimum of __ straps on stretcher
3
Theunconsciouspatientwhoisnotsuspectedofhavingaspinalinjuryshouldbe
shiftedintothe__ positiononceonboardtheambulance.
Recovery
Theminimumstaffingforthepatient
compartmentofanambulanceis
consideredtobe .
1 EMT
Ifapatient’spersonaleffectshavebeentransported,theEMTmayneedtogeta___
fromemergencydepartmentpersonnel
Written receipt
Theambulanceenginemustberunningif
coolantlevelsaretobeproperlychecked.
False
Ifapatientislikelytodevelopcardiacarrestduringtransport,placea___underthemattressbeforebeginningthetrip.
shortspineboard
What solution used to clean up blood
1:100 bleach/water
What ambulance most used
Type 1
Two components of ambulance readiness
Vehicle (driver) and equipment (crew leader)
Vehicle should be easily seen from __ degrees in
emergency response mode.
360°
To speed transport to distant trauma center, When extrication of high-priority patient is prolonged
and air rescue can speed transport, When patient must be rescued from remote location
Operational reasons
Call air rescue with GCS
10
A __ response means using lights and siren
Hot
Area of contamination or danger=
Decontamination corridor=
Where equipment and emergency rescuers are
staged=
Hot zone
Warm zone
Cold zone
Decontaminate people in the
Warm zone
▪ Residual product contamination ▪ More thorough
Secondary decontamination
Decontamination for patients not wearing P P E: Receive __ water rinse, starting at the head.
2- to 5-minute
NIMS is in charge of
Command
Senior person on first-arriving E M S will assume
Incident Command
• Foundation of system is speed, simplicity, consistency of application • Simple commands to patients • Patient evaluation based on R P M
START triage
Only three treatments provided during S T A R T triage
– Open an airway and insert an oropharyngeal airway.
– Apply pressure to bleeding.
– Elevate an extremity.
If pulse less than __ check pulse
30
If respirations more than __, priority 1
30
Not breathing and attempts to open airway do not start
breathing
Priority 4
Breathing, no radial pulse
Priority 1
Alert=
Altered mental status=
Priority 2
Priority 1
SALT triage
• Sort • Assess • Lifesaving Interventions • Treatment/Transport
Severe injuries who are likely to survive with
treatment
Immediate (color code red)
Serious injuries but are not tagged as Immediate
Delayed (color code yellow)
– Unlikely to survive given the available resources
– Receive treatment only after Immediate patients have
been moved forward
Expectant (color code gray)
performed at a patient collection point
or triage area
Secondary triage
arranges transport of patients
from the scene to the hospital
Transportation supervisor
The biggest problem in most
H A Z M A T incidents is
identifying the offending substance
You want to block scene
Upstream
How long is blockage
One and a half to two lanes
Position ambulances, command vehicles, and other
units
downstream from crash
Responders should always exit into the
safe zone
In close proximity to fires, emergency responder should
approach vehicle at a
45-degree angle (not head-on)
15- or 20-pound class A:B:C dry chemical fire extinguisher extinguishes almost anything burning.
Small fire
Utilize 4 × 4 wood blocks to build crib box if
Vehicle on its roof
Steps one and two: disentanglement
gain access by disposing of doors
and the roof
Step three: Disentanglement
disentangle occupants by displacing the front
end
Groups or individuals whose terrorist activities are
directed their own government or population
Domestic Terrorism
Groups or individuals whose terrorist activities are foreign
based and/or directed by countries or groups outside the targeted country or whose activities cross national
boundaries.
International Terrorism
principal
targets of terrorist attacks.
Emergency Medical Responders
Recognizing O T T O signs may help protect against
secondary attack.
– Occupancy or location – Type of event – Timing of event – On-scene warning signs
Anniversary dates of previous attacks
April 19
Caused by lack of oxygen in atmosphere
Asphyxiation
Results from any violent event
Psychological harm
Secondary and either at the scene or some time after
the event
Psychological harm
Systemic effects
Chemical harm
Sudden demand upon public health infrastructure
with no apparent explanation
Public health emergency
▪ Potential or actual point of origin located ▪ Attempts made to prevent or minimize damage and spread
Focused emergency
What is an exposure?
Dose or the concentration of the agent multiplied by
time
Four major routes of entry
Absorption, ingestion, injection, inhalation
– Material is present where it does not belong
– Material that is harmful to persons, animals, or the
environment
contamination
occurs when a substance is taken into the body through one of the routes
Exposure
Movement of a substance through a surface or, on
a molecular level, through intact materials
Permeation
Agents classified as poisons
Etiologic harm