Module Four Unit Two

Question 1

What percentage of missions are prehospital taskings in Australasia?

Answer 1

10-30%

Question 2

What are the key management principles for retrieval teams? (6)

Answer 2

Maximise tissue oxygenation
Ensure airway patency - early
Manage obstructive causes of shock
Preserve patients’ blood volume with good haemorrhage control, gentle handling to promote clot formation, and haemostat resuscitation
Provide early, adequate analgesia
Organise appropriate triage disposition

Question 3

Describe key points to note in the HEMS environment when approaching a scene.

Answer 3

H - hazards - aviation, scene
E - emergency services on scene - Ambo resources and other services
M - mechanism
S - scene geography - position of casualties, safe access and exit

Question 4

Who are the lead safety authority following vehicle accidents?

Answer 4

Fire and Rescue

Question 5

Describe the rapid assessment of the trauma patient.

Answer 5

Airway with cervical spine control
Breathing with control of ventilation
Circulation with management of external haemorrhage
Disability
Exposure/environment
Variations: C-ABCDE and MARCH - massive haemorrhage, airway, respiration, circulation, head injury/hypothermia

Question 6

What is the key safety concern in a car vs car accident?

Answer 6

Fire.

Question 7

What is the key safety concern in a partial rollover?

Answer 7

Vehicle stability

Question 8

What should you do if you are first on the scene to a scaffold collapse?

Answer 8

Wait for Fire and Rescue

Question 9

What should you do in the event that a car has struck a building?

Answer 9

Wait for Fire and Rescue
Extricate patients to continue treatment elsewhere

Question 10

What are the key safety concerns in a car vs truck accident?

Answer 10

Wait for Police and Fire and Rescue
Check the hazard plate on the tanker - “E” means dangerous cargo and evacuation should occur
Consider declaring major incident and request hazardous incident teams

Question 11

What are some key safety methods around helicopters?

Answer 11

Appropriate attire - helmet and ear protection
Approach heli from front between 10 and 2 o’clock
If on slope, approach from side with the most clearance between the rotor blades and the ground
Make eye contact and wait for thumbs up