EMT CHAPTER 4

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While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:

use the mobile radio in the ambulance to contact dispatch.

Which of the following incidents does NOT require a report to be filed with local authorities?
A) animal bites
B) cardiac arrest
C) spousal abuse
D) gunshot wounds

b.

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should

allow him time to think about the question and respond to it

When communicating information over the radio, you should

A) use the words "affirmative" and "negative" instead of "yes" or "no."
B) use the patient's name only when communicating with the hospital.
C) respond professionally by saying "please" and "thank you."
D) limit any single transmission to 60 seconds or less and use 10 codes.

a.

Which of the following is NOT a function of the Federal Communications Commission (FCC)?

A) maintaining communications equipment on the ambulance
B) monitoring all radio traffic and conducting field spot checks
C) licensing base stations and assigning appropriate radio call signs
D) allocating specific radio frequencies for use by EMS providers

a.

You are interviewing a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate to say?

A) "This is nothing to worry about. Please try to stay calm. The physician at the hospital will probably not find any signs of a heart problem."
B) "It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow."
C) "We need to take you to the ED stat. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?"
D) "I notice that you are a retired paramedic, so I'm sure you will understand all of the things that we will be doing to you."

b.

You are transporting a 54-year-old male in cardiac arrest. An EMR is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital?

Have the driver contact dispatch and relay the patient information to the hospital

When providing a patient report via radio, you should protect the patient's privacy by

not disclosing the name

Calming and reassuring an anxious patient can be facilitated by

maintaining eye contact with the patient whenever possible.

Which of the following statements regarding communication with a child is MOST correct?
A) Unlike adults, children cannot see through lies or deceptions.
B) Most children are intrigued by strangers wearing uniforms.
C) Give the child minimal information to avoid scaring him or her.
D) Standing over a child often increases his or her level of anxiety.

D.

While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should

use the mobile radio in the ambulance to contact dispatch.

During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT

discouraging the caller from providing care until the EMS unit arrives

Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:

complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.

A patient's refusal for EMS treatment and/or transport must be

an informed refusal

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do

Follow locally established protocols or standing orders

The official transfer of patient care does not occur until the EMT

gives an oral report to the emergency room physician or nurse

Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a

base station.

You are transporting a 54-year-old male in cardiac arrest. An EMR is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital

Have the driver contact dispatch and relay the patient information to the hospital

In what manner should you act and speak with a patient?
A) calm and confident
B) loud and official
C) authoritative
D) passive

a.

Which of the following statements regarding a "dedicated line" is MOST correct?

It is a constantly open line of communication that cannot be accessed by outside users.

Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:

ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.

As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should

respond only after giving a verbal patient report to a nurse or physician.

A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency

repeater

Two-way communication that requires the EMT to "push to talk" and "release to listen" describes what mode of communication?

simplex

Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:
A) placing yourself in a position to ensure that the patient can see your lips.
B) shining a light on your face when you are in a darkened environment.
C) elevating the tone of your voice and exaggerating word pronunciation.
D) providing pen and paper if the patient prefers to write his or her response.

c.

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:

advise the physician that the order is unclear and ask for clarification

a 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him

"Do you have any heart problems or take any medications?"

After receiving online orders from medical control to perform a patient care intervention, you should

repeat the order to med control word for word

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should

consider asking the father to hold the child so you can assess him while your partner tries to calm the mother

You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should

document this on your patient care report and advise the emergency department staff of what the child's parents told you

After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should

draw a single horizontal line through the error, initial it, and write the correct data next to it.

Which of the following statements regarding standing orders is MOST correct?

Standing orders should be followed when physician contact is not possible

After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT:
A) the number of patients involved in the incident.
B) other agencies that are responding to the scene.
C) the time at which your unit was dispatched.
D) the general geographic location of the incident.

D.

Information included in a radio report to the receiving hospital should include all of the following, EXCEPT:
A) your perception of the severity of the problem.
B) a brief summary of the care you provided.
C) a brief history of the patient's current problem.
D) a preliminary diagnosis of the patient's problem.

D.

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