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PC1-2 > Vol.2-Ch.1 "Scene Size Up" > Flashcards

Vol.2-Ch.1 "Scene Size Up" Flashcards

1
Q

When does scene size up begin and end?

A

It starts when you first get your dispatch call and info and continues throughout the entire call

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2
Q

Where did the term “size up” originate?

A

In fire service (they would drive past fire to see 3 sides of building before decision making)

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3
Q

What are the 5 components of scene safety?

A
  • Standard Precautions
  • Scene Safety
  • Resource Determination
  • Location of patients
  • MOI / NOI
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4
Q

What are the most common risks to health care workers?

A

HIV, HepB/C, Tuberculosis, any bacterial infection

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5
Q

What is Standard Precautions?

A

A strategy to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources

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6
Q

Minimum PPE on trucks includes: (6?)

A
  1. Hang Hygene (waterless antimicrobial hand wash or alochol based towelettes)
  2. Protective Gloves (change b/w pts and if torn/contaminated)
  3. Masks and Eyewear (Use when blood splatter or airbourne illness is expected)
  4. HEPA or N-95 Respirators (use for confirm TB pts or other airborne communicable diseases)
  5. Gowns (use when blood splatter is expected)
  6. Disposable Resuscitation Equipment
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7
Q

Where do you put contaminated items once finished with them?

A

Biohazard Bag

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8
Q

What is the most important infection control practice?

A

Hand washing (specific instructions for this on pg 5 near bottom)

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9
Q

What are common types of hazard experienced on emergency calls? (4)

A
  1. Environmental
  2. Materials
  3. Roadway Operations
  4. Violence
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10
Q

What is the order of Priority given to individuals on scene? (5)

A
  1. You
  2. Your Crew
  3. Other Personnel responding
  4. The PT(s)
  5. Bystanders
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11
Q

What are some Environmental Hazards? (5)

A
  1. Weather
  2. Terrain
  3. Water
  4. Electricity
  5. Confined Spaces
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12
Q

What is the most common environmental hazard?

A

Weather

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13
Q

What are 2 things to think of when in a hazardous terrain?

A
  1. The can be more than one movement or shift in the ground.

2. They also exist in building or sidewalks so carry a flashlight for when needed.

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14
Q

What is a simple water rescue method to remember?

A

Reach (with long pole)
Throw (flotation device)
Row (boat)
Go (water entry) (also last ditch effort if others fail)

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15
Q

When power lines are down what should you assume and do?

A

Assume lines are energized; secure a safe perimeter. (and do not allow responders to enter till power company shuts off power or isolates lines)

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16
Q

What still remains in top 3 causes of environmental death although assume to be very rare.

A

Lightning Strikes

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17
Q

OSHA defines a “confined space” as having one or more of what attributes?

A
  1. Contains or has potential to contain hazardous atmosphere
  2. Contains material able to engulf an entrant
  3. Has walls that converge inward or floors that slope downward and taper to a smaller area
  4. Contains other recognized safety hazards like unguarded machinery, exposed live wires, or heat stress
18
Q

Where are hazardous materials found?

A

Everywhere

19
Q

What are the 5 primary hazardous materials?

A
  1. Chemical
  2. Biological
  3. Radiological
  4. Nuclear
  5. Explosive
20
Q

As a paramedic student, what level training do we have for hazardous materials and what are the responibilities?

A

Awareness level; Responsible for recognizing an incident involves a hazardous material, establish incident command, and control scene till help arrives.

21
Q

What is the best tool to use for hazardous incidents? When that tool is not available what is the next best thing to do?

A

Binoculars; Use the “rule of thumb” which refers to using your thumb and backing up until the scene is contained in the parameters of your view blocked by thumb held outright

22
Q

What are the 4 “don’ts” when you approach a hazardous scene?

A
  1. Don’t rush in
  2. Don’t assume anything
  3. Don’t become a victim
  4. Don’t test a foreign substance (smell, taste, touch)
23
Q

When violence is known to be at scene what should you do and when should you go on scene?

A

Turn of lights and sirens, park a few blocks away where is cannot be seen; do not go on scene until law enforcement says it is safe to do so

24
Q

If you are in immediate physical danger should you risk yourself to stay with pt? will the law expect you to place yourself in grave danger while providing care?

A

No and No

25
Q

When on scene that is turning violent or dangerous what is one thing you want to make sure you maintain?

A

An exit route, don’t let yourself get trapped between exit and aggressor

26
Q

Should you use phrases like calm down, relax, and settle down in an escalting situation?

A

No; also do not use threats and try to continue reason with agitated person till help arrives or it becomes unsafe. At which point try to retreat to safety and with pt if possible.

27
Q

Are you allowed to defend yourself?

A

Yes, if no law enforcement is on scene and you cannot retreat to safety and you are in immediate physical danger you may defend yourself with as much force is necessary but NO MORE

28
Q

What is the most common rescue situation?

A

Motor vehicle collision on major roadway

29
Q

What is the greatest hazard while on a roadside assistance scene?

A

Traffic

30
Q

Never work a roadside scene without _____?

A

A safety vest that identifies you as an emergency worker.

31
Q

What is something to keep in mind about your vehicle when working a roadside scene?

A

Position it to protect you but do not allow the PT loading area to be exposed to traffic or be blocked by another responder’s vehicle

32
Q

What are the minimum rescue operation equipment?

A
  • Four point suspension helmets
  • Eye goggles or industrial safety glasses
  • High quality hearing protection
  • Leather work gloves
  • High top steel toed boots
  • Insulated coveralls
  • Turnout gear
33
Q

What are the minimum pt safety equipment?

A
  • Construction type hard hats
  • Eye goggles
  • Hearing and respiratory protection
  • Protective blankets
  • Protective shielding
34
Q

When should you call for additional resources?

A

ASAP; after you find out you need them

35
Q

What two functions must occur in the initial stages of any multiple casualty incident?

A

Command and Triage

36
Q

When triaging before help arrives should you stop to preform intensive care for every pt?

A

NO; perform any necessary simple live saving procedures (open airway, control bleeding) but do not stop to give any one PT extensive care until help arrives

37
Q

What is the mechanism of injury?

A

The combined strength, direction, and nature of forces that injured your PT.

38
Q

What is the index of suspicion?

A

A prediction of injuries based on the mechanism of injury

39
Q

Who is best to ask about the nature of illness, and if not available who is next best?

A

The PT themselves is the best to ask about illness but if unconscious, any family members or bystanders are next best/

40
Q

After you have your initial scene assessment what should you do?

A

Tell dispatcher what you have, need, and are doing

PC1-2 (23 decks)

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