Transport Operations Flashcards
NFPA code that covers certifying ambulance operators
NFPA 1917
Basic ambulance designs
- Type I
- Type II
- Type III
Conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed
Type I
Standard van, forward-control integral cab-body ambulance
Type II
Specialty van cab with a modular ambulance body that is mounted on a cut-away van chassis
Type III
Nine phases of ambulance call
- Preparation for the call
- Dispatch
- En route
- Arrival at scene
- Transfer of the patient to the ambulance
- En route to the receiving facility
- At the receiving facility
- En route to the station
- Postrun
Suctioning units should be capable of up to ___
300 mm Hg
Mounted oxygen should have a capacity of ___
3000 L and capable of 1 to 15 L/min
Humidified oxygen should be available for runs longer than ___
1 hour
When delivering CPR, use a rolled towel to elevate the shoulders ___
3 - 4 inches
Provides a firm surface under the patient’s torso so you can give effective chest compressions
CPR board
You should be able to tilt the head of the stretcher upward to at least a ___
60° angle
Portable kit containing items that are used in the initial care of the patient
Jump kit
Vest for working in the road
ANSI Class 2 reflective vest
Why not to use road flares?
Pose additional hazards, such as ignition of flammable liquids or gases
Flashlights recommended
Two high-intensity halogen, 20,000 candle power flashlights of the recharging, battery-powered, standup type
Minimum fire extinguisher recommended
ABC, dry chem, 5-lb
When to inspect ambulance and equipment
Daily
If you are the first EMT at the scene of an MCI, ___
Quickly estimate the number of patients, and communicate that information
Where to park if there is hazardous material at the scene
Uphill and upwind
Park your vehicle with a clear ___
Departure path
If arriving after other emergency vehicles, the ambulance should be positioned ___
About 100’ beyond the scene
If you are the first vehicle to arrive on scene, you should park ___
About 100’ before the scene on the same side of the road in the fend-off position
Fend-off position
Parked at a diagonal angle with the front wheels turned away from the scene
The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment
Cleaning
The killing of pathogenic agents by directly applying a chemical made for that purpose to a surface or equipment
Disinfection
The killing of pathogenic agents by using potent means of disinfection and use of thorough application processes
High-level disinfection
A process, such as the use of heat, which removes all microbial contamination
Sterilization
Bleach ratio for cleaning stretcher
1:100 dilution
Brakes on types I and III vehicles have a ___ feel than on a type II vehicle
Heavier
The ambulance should usually stay in the ___ lane
Left
How far to stay behind vehicles
4 or 5 seconds
The safe distance between your vehicle and others around you
Cushion of safety
Always see the spotter from ___
The driver’s side mirror
The position of the vehicle on the roadway relative to the inside or outside edge of the paved surface
Road position
Hydroplaning may occur at speeds of ___
30 mph
If hydroplane occurs ___
Gradually slow down without jamming on the brakes
After driving out of water ___
Lightly tap the brakes several times until they are dry. If they have anti-lock brakes, apply steady, light pressure
If you approach a red light ___
Come to a complete stop before proceding
To signal that a second emergency vehicle is coming through the intersection ___
Use a different siren tone from the first vehicle
When entering or exiting the freeway ___
Turn off lights and sirens
Two basic types of air medical units
- Fixed wing
- Rotary wing
Generally used for interhospital patient transfers over distances greater than 200 to 250 miles
Fixed-wing aircraft
Medical evacuation
Medevac
Helicopter landing zone guidelines
- 100’ x 100’ is best
- 60’ x 60’ is the minimum
- Slope should not exceed 5 to 7 degrees
- Clear of loose debris
- No overhead or tall hazards
How to mark the landing zone
Use weighted cones, or position emergency vehicles at the corners of the zone with the headlights facing inwards to form an “X”
Flares should not be used to mark a landing zone because ___
They can become airborne and start a fire or cause an explosion
Both the approach and departure from the landing zone will be made ___
Into the wind
Helo blades are spinning
Hot
Only enter the landing zone ___
If directed by the pilot
If entering the landing zone, stay away from ___
The rear of the aircraft
Always approach a helo from the ___
Front between 10 and 2 o’clock
If you must move from one side to the other of the helo ___
Go around the front
Helo blades may dip as low as ___
4’
When approaching a helo, walk in a ___ position
Crouched
Smoking, open flames, and flares are prohibited within ___ of the helo
50’
If the helo lands on a slop, only approach from the ___ side
Downhill side
The landing zone should be ___ from the hazmat zone
Uphill and upwind
