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Chap 38 Vehicle Extrication & Special Rescue

Terms in this set (37)

Access
Gaining entry to an enclosed area & reaching a patient
Command Post
The location of the incident commander at the scene of an emergency & where command, coordination, control, & communication & centralized
Complex Access
Entry that requires special tools & training & includes the use of force
Danger Zone (Hot Zone)
An area where people can be exposed to hazards such as electric wires, sharp metal edges, broken glass, toxic substances, radiation, or fire
Entrapment
To be caught (trapped) within a vehicle, room, or container with no way out or to have a limb or other body part trapped
Extrication
Removal of a patient from entrapment or dangerous situation or position, such as removal from a wrecked vehicle, industrial incident, or collapsed building
Hazardous Materials
Any substances that are toxic, poisonous, radioactive, flammable, or explosive & cause injury or death with exposure
Incident Commander
The individual who has all command of the incident in the field
Safe Zone
An area of protection providing safety from the danger zone (hot zone)
Self-Contained Breathing Apparatus (SCBA)
Respirator with independent air supply used by firefighters to enter toxic & otherwise dangerous atmospheres
Simple Access
Access that is easily achieved without the use of tools or force
Size-Up
The ongoing process of information gathering & scene evaluation to determine appropriate strategies & tactics to manage an emergency
Special Weapons & Tactics Team (SWAT)
A specialized law enforcement tactical unit
Structure Fire
A fire in a house, apartment building, office, school, plant, warehouse, or other building
Tactical Situation
A hostage, robbery, or other situation in which armed conflict is threatened or shots have been fired & the threat of violence remains
Technical Rescue Group
A team of emergency responders from one or more departments in a region who are trained & on call for certain types of technical rescue
Technical Rescue Situation
A rescue that requires special technical skills & equipment in one of many specialized rescue areas, such as technical rope rescue, cave rescue, & dive rescue
A 19 year old female has just been extricated from her severely damaged car. She is on a long backboard & has been moved to a place of safety. As your partner maintains manual stabilization of her head, you perform a rapid assessment. The patient is unresponsive, has slow & shallow respirations, & has bilaterally closed femur deformities. You should:
A) Obtain baseline vital signs & transport at once
B) Direct your partner to begin ventilatory assistance
C) Stabilize her legs with long board splints
D) Apply oxygen via a nonrebreathing mask
B) Direct your partner to begin ventilatory assistance
A 33 year old restrained driver of a motor vehicle crash is awake & alert, complaining only of neck pain & left leg pain. The vehicle is stable & no hazards are present. When removing this patient from his vehicle, you should:
A) Apply a full leg splint prior to extrication
B) Use the rapid extrication technique
C) Maintain slight traction to his neck area
D) Immobilize him with a vest-style device
D) Immobilize him with a vest-style device
At a scene with downed electrical lines, the EMT should:
A) Relocate the danger (hot) zone away from the patient
B) Remain outside the danger (hot) zone
C) Enter the danger (hot) zone for patient removal only
D) Stabilize the patient in the danger (hot) zone
B) Remain outside the danger (hot) zone
Extrication is defined as:
A) Removal from a dangerous situation or position
B) Dismantling an automobile to remove a victim
C) Immobilizing a patient before moving him/her
D) Using heavy equipment to access a patient
A) Removal from a dangerous situation or position
If a technical rescue team is required at the scene, but is not present when you arrive, you should:
A) Have fire personnel initiate the rescue process if they are at the scene
B) Remain with your ambulance until the rescue team arrives at the scene
C) Don personal protective equipment & begin the rescue process
D) Check with the incident commander to ensure that the team is en route
D) Check with the incident commander to ensure that the team is en route
Once entrance & access to the patient have been provided, you should:
A) Perform a primary assessment
B) Allow extrication to commence
C) Administer high-flow oxygen
D) Begin treating his/her injuries
A) Perform a primary assessment
Returning the emergency unit to service is part of the:
A) Hazard-control phase
B) Support base
C) Termination phase
D) Transfer phase
C) Termination phase
The EMT's responsibility during search-&-rescue operations is to:
A) Wait at the staging area until the patient is located
B) Assume medical command
C) Assist in the search on foot
D) Direct other incoming EMS units
A) Wait at the staging area until the patient is located
The rescue team is in the process of extricating a 40 year old male from his truck. The patient's wife, who was uninjured in the crash, is calmly observing the extrication & asks you if her husband will be all right. You should:
A) Ensure that she is in a safe area, away from the scene
B) Allow her to talk to her husband during the extrication
C) Ask her follow-up questions about the details of the crash
D) Allow her to observe the extrication & keep her calm
A) Ensure that she is in a safe area, away from the scene
The use of special tools to remove an entrapped patient from a vehicle is known as:
A) Complex access
B) Vehicle stabilization
C) Incident management
D) Simple access
A) Complex access
Trench collapses usually involves large areas of falling dirt that weigh approximately ___ per cubic foot.
A) 100 lb
B) 150 lb
C) 200 lb
D) 50 lb
A) 100 lb
Upon arrival at a search-&-rescue incident, the EMS crew should:
A) Prepare the equipment to carry to the patient
B) Split up & request a search grid
C) Begin searching the patient
D) Provide the incident commander with the crew's names & certification level(s)
A) Prepare the equipment to carry to the patient
Upon arrival at a trench rescue operation, you should:
A) Park at least 500 feet from the incident
B) Assist with the rescue operation
C) Park as close to the incident as possible
D) Determine if rescuers are operating safely
A) Park at least 500 feet from the incident
Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car & two have been ejected from their vehicle. You should:
A) Immediately request additional resources
B) Call medical control for further direction
C) Begin triage to determine injury severity
D) Request law enforcement for traffic control
A) Immediately request additional resources
When functioning at the scene of a motor vehicle crash in which a patient will require complex extrication, you should enter the vehicle & provide care to the patient:
A) Only if the patient has experienced a major injury
B) After rescue personnel have cut the battery cables
C) Only after you believe the vehicle has been stabilized
D) After receiving approval from the incident commander
D) After receiving approval from the incident commander
When removing a critically injured patient from his/her vehicle, you should:
A) Remove him/her using a short backboard
B) Move him/her in one fast, continuous step
C) Protect the cervical spine during the entire process
D) Release c-spine control to facilitate rapid removal
C) Protect the cervical spine during the entire process
While staged at the scene of a structure fire, the EMT should:
A) Remain with the ambulance
B) Stay with the incident commander
C) Assess firefighters for signs of fatigue
D) Locate the safety officer
A) Remain with the ambulance
You are attempting to gain access to a patient who was injured when his truck struck another vehicle from behind. The patient is conscious & alert, but is screaming in pain. You try to open the door, but it is locked. You should:
A) Request the rescue team to extricate him
B) Ask the patient if he can unlock the door
C) Use a pry bar to attempt to open the door
D) Break the window & unlock the door
B) Ask the patient if he can unlock the door
You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot. The patient is lying supine in an open area & is not moving. As the SWAT team escorts you to the patient, you should:
A) Limit your primary assessment to airway & breathing only
B) Grab him by the clothes & immediately move him to safety
C) Perform a rapid assessment & move him to a place of safety
D) Treat only critical injuries before moving him to a safe place
B) Grab him by the clothes & immediately move him to safety
You arrive at an accident scene to find an alternative-fuel vehicle leaking an unknown substance. You should immediately:
A) Disconnect the car battery
B) Search the vehicle for occupants
C) Apply retardant to the leaking fuel
D) Call for additional resources & keep bystanders away from the vehicle
D) Call for additional resources & keep bystanders away from the vehicle
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