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The MOST difficult part of any rescue is:
the simultaneous coordination of rescue and treatment
Which of the following situations does NOT depict a technical rescue?
Moving a 180-pound man from his living room to the ambulance
Recognizing hazards, securing the scene, and calling for appropriate assistance are characteristic of the ______________ level of technical rescue.
Access to a patient and the initiation of treatment can begin only after the:
scene has been made safe
When providing treatment to a patient while he or she is being rescued, it is MOST important to:
follow the orders of the person in charge of the rescue
If you believe that your assigned task at a rescue incident may be unsafe, it would be MOST appropriate for you to:
bring your concern to the attention of the safety officer
Which of the following is NOT a reason for an unnecessarily difficult or failed rescue attempt?
Not considering the issue of recovery versus rescue mode
With regard to rescue, it is MOST important for the paramedic to:
be able to understand and identify potential hazards and determine whether it is safe to gain access to the patient.
The MOST effective way of preparing your department to respond to a technical rescue incident is to:
train with fire departments and special rescue teams in your area
If your department has its own technical rescue team:
technical rescue protocols should be established.
Immediately upon arriving at the scene involving a technical rescue situation:
a rapid and accurate scene size-up must be conducted.
The size of the rescue area is dependent MOSTLY upon the:
potential hazards that exist.
In addition to identifying and evaluating any hazards, scene stabilization typically involves all of the following components, EXCEPT:
determining if air transport is available
Which of the following statements regarding the hot zone at a rescue scene is correct?
The hot zone immediately surrounds the dangers of the rescue site and is only accessible by entry and rescue teams.
After the warm zone has been established:
it should be demarcated with orange police or fire line tape.
After stabilizing the scene, you must next:
get access to the patient and determine his or her degree of entrapment.
Once the patient has been disentangled, your primary focus should be to:
safely remove the patient
The only time a patient should be moved prior to completion of initial care, assessment, stabilization, and treatment is when:
the patient's or responder's life is in immediate danger.
Packaging a patient is MOST accurately defined as:
preparing the patient for movement as a unit.
Which of the following statements regarding patient transport is correct?
Air transport would be appropriate if the patient is critical or if the scene is far removed from the closest appropriate hospital.
Which of the following items of information is typically NOT obtained by the dispatcher prior to sending rescue units to the scene?
The patient's medical history
The scope and magnitude of a rescue incident:
should be reassessed frequently.
Which of the following statements regarding utility hazards at the scene of a rescue operation is correct?
Utility hazards can be above or below the ground
Which of the following items of personal protective equipment is NOT always required when performing a water rescue?
A handheld global positioning system is MOST useful in _____________ rescue incidents
Immediate implementation of an incident management system is critical because:
many technical rescue incidents become complex and require a large number of assisting units and personnel.
The single MOST important process to ensure ongoing rescuer safety at a technical rescue incident is:
the accountability system
Once you have succeeded in establishing verbal contact with a man who is in the process of being rescued, it is MOST important to:
remain in contact with him
Which of the following statements regarding vehicle air bags is correct?
Air bags can deploy any time after an accident and must be deactivated even if the vehicle's power supply has been disconnected.
In a four-door vehicle, the B posts are located:
between the front and rear doors.
In contrast to a platform vehicle frame, a unibody frame:
combines the vehicle body and frame into a single component
Which of the following statements regarding vehicle stabilization is correct?
Vehicles that are positioned upright on all four wheels should be stabilized.
After a vehicle has been properly stabilized, the simplest way to gain access to a crash victim is to:
attempt to open the least damaged door.
If you must break a window to gain access to a patient trapped in his or her vehicle, you should:
ensure that the patient and all rescuers are protected properly.
e a jammed door-locking mechanism, even in a door that appears to be badly damaged?
Release the locking mechanism and then pull on the inside and outside door handles at the same time
When heavy extrication tools are required to force a damaged door open, you should:
avoid trying to force a door open if the patient is leaning against it
During extrication of a seriously injured patient from his or her crashed vehicle, it is MOST important to:
provide emergency care while extrication is in progress if it is safe to do so
After gaining access to a patient with extrication procedures, the next step involves:
removing parts of the vehicle that are trapping the patient
A patient would MOST likely become trapped between the driver's seat and steering wheel following a:
The preferred initial method for disentangling a patient who is trapped between the seat and steering wheel involves
trying to slide the seat back on its track.
Which of the following statements regarding windshield removal is correct?
When the windshield is struck with a center punch, a small break occurs but the structure of the glass remains intact.
The objective of dash displacement is to:
lift the dash up and move it forward.
Prior to displacing a dash, you should anticipate that rescue personnel will FIRST:
tie the doors in an open position so they do not move
When removing a vehicle's roof, you must FIRST:
remove all glass to prevent it from falling on the patient.
Unique dangers associated with confined spaces include:
Which of the following gases is commonly found in swamps and sewers; is colorless, toxic, and flammable; and is released when bacteria break down organic matter in the absence of oxygen?
_______________ binds to red blood cells and prevents them from transporting oxygen to all parts of the body.
_______________ is characterized by a pungent odor, and, because it is lighter than air, rises to the upper atmospheric level in confined spaces.
On any call involving a confined space rescue, you should
assume that the environment is immediately dangerous to life and health.
As the first responding unit to arrive at the scene of a confined space rescue, what is the MOST important information to share with the technical rescue team when they arrive?
Whether the incident has changed significantly since your arrival
Trench rescues are MOST often required when:
an earth excavation collapses and entraps a person.
Which of the following factors would be the LEAST likely to cause a secondary collapse during a trench rescue incident?
Excessive environmental heat
Which of the following statements regarding an EMS provider's role during a trench rescue is correct?
EMS providers should attempt to make contact with the patient, but should not enter the trench and attempt rescue.
The FIRST step in assuming the self-rescue position if suddenly immersed in fast-moving water involves:
rolling into a face-up arched position with the lower back higher than the feet.
If you are caught in cold water and there are no personnel available to rescue you, you should:
keep your face above water, protect your head, and assume a position that minimizes body heat loss.
Which of the following statements regarding cold water submersion is NOT correct?
Water that is colder than 70°F will cause a marked increase in oxygen demand.
Water that is colder than 70°F will cause a marked increase in oxygen demand.
people who attempt to drive their vehicles across a flooded bridge.
Your initial attempt to rescue a person from the water should involve:
reaching out to the victim using any readily available object
As soon as you reach an unresponsive victim who is floating in the water, you should:
turn the patient supine without manipulating his or her head or neck.
In contrast to low-angle rope rescues, high-angle rescues:
involve situations where the slope of the ground is greater than 45° and rescuers or patients are dependent on a life safety rope.
Descending on a fixed rope from a severe angle is called:
In rescues that involve lengthy entrapment in a confined space, especially with cave-ins and trench rescues, the paramedic should be especially concerned about the potential for:
Pain in a patient who is being rescued should initially be treated with all of the following, EXCEPT:
Which of the following medications would be the LEAST likely to cause hypotension?
You arrive at the scene of a motor vehicle crash in which a small passenger car struck a power pole at a high rate of speed. As you size up the scene, you can see that the driver is severely entrapped in his car and is screaming in pain. The fire department is en route to the scene with extrication equipment. You should:
stay away from the car until the absence of any utility hazards is confirmed.
You and your partner are the first to arrive at a rollover vehicle crash. The vehicle apparently rolled several times and ended up on all four wheels on a slight incline. The driver is still in the vehicle, but does not appear to be entrapped. You should:
place cribbing in the front and back of all four wheels.
The rescue team has just removed the door from a badly damaged car. The patient, a young woman, is pinned between the steering wheel and driver's seat. You should:
perform a primary assessment, attempt to treat any life-threatening injuries, and remain with the patient as she is being disentangled.
A late-model sport utility vehicle struck a tree head-on. You are able to gain access to the driver, who was the sole occupant, through the passenger-side door. The patient appears to be unconscious and has blood bubbling from his mouth when he breathes. Upon entering the vehicle, it is MOST important for you to:
recall that if the air bags did not deploy during the collision, they could still do so and may severely injure you.
A 7-year-old child was playing near a large pile of sand when the ground underneath him collapsed. You can hear him crying and asking for his mother. Until the technical rescue team arrives at the scene, you should
maintain verbal contact with the child, but avoid going near the edge of the trench.
A 29-year-old man was pulled from icy water after being submerged for approximately 10 minutes. He is unresponsive, apneic, and pulseless. He does not appear to have any injuries. The MOST appropriate treatment for this patient involves:
protecting his spine, initiating resuscitative measures, removing his wet clothing and applying warm blankets, and transporting to the hospital.
You are dispatched to a local lake for a possible drowning. When you arrive, you can see a young woman floating face down in the water, approximately 20 feet from the bank. Witnesses state that they heard her scream, and then found her in her present condition. After you and your partner safely swim to the patient, you should FIRST:
roll her face up as a single unit while manually stabilizing her head and neck
A frantic woman called 9-1-1 after her father, a 77-year-old man with Alzheimer disease, wandered off into a wooded area near her home. When you arrive at the scene, the woman tells you that she is not sure in which direction her father headed. What should you do?
Remain with the daughter and immediately request a search and rescue team.
You are assessing an injured hiker and determine that his pelvis is unstable and painful to palpation. The patient is located at the top of a large mountain, and the local rescue helicopter is on another mission and is unable to respond. Assuming you have the appropriate equipment, the MOST effective way of moving this patient is to
secure the patient in a full-body vacuum mattress, place the mattress in a Stokes basket, and utilize at least four people to move him down the mountain.
A police officer was shot when he attempted to serve a warrant to a known criminal. The shooter is still inside the residence, which is surrounded by SWAT team members. You have provided initial treatment, have loaded the officer into the ambulance, and are ready to depart. Your next action should be to:
confirm with the incident commander that it is safe to exit.
You and your partner are standing by at the scene of a residential fire when you hear that a badly burned man has been located by fire fighters on the side of the house opposite your ambulance. You should
stay where you are and have fire fighters bring the patient to you
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