Ch. 36 – EMS Operations – Flashcards

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What is the exact location of the patient? What is your call-back number? What's the problem? Patient's age/sex/consciousness/breathing?
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Questions the EMD should ask are:
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school buses with their red lights blinking
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Ambulances are allowed to pass other vehicles in no-passing zones except for
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life- or limb-threatening emergencies
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You should save the use of lights and siren for
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Excessive speed increases the probability of a collision Speed increases stopping distance, reducing the chance of avoiding a hazardous situation
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You should drive with these facts in mind:
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in a true emergency; with DUE REGARD for the safety of others
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Most laws excuse you from obeying certain traffic laws only _______ and only ________
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Day of the week Time of day Weather Road maintenance and construction Railroads Bridges & tunnels Schools & school buses
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An ambulance response can be affected by several factors:
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Keep unnecessary units and people off the highway Avoid crossovers unless a turn can be completed without obstructing traffic If yours is the first unit on scene Wear your PPE (safety vest & helmet) Place cones/flares & reduce emergency lighting Unit placement is important
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Tips for improving the safety of highway operations include:
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upstream; downstream; unblocked from egress from the scene
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Fire trucks should be parked _______ from an incident and ambulances should be parked ________ and _______
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greater the risk
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The more vehicles and people gathered, the
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other responders
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EMS workers should match the level of protection being worn by
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Select the proper patient-carrying device Package the patient for transfer Move the patient to the ambulance Load the patient into the ambulance
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Transfer to the ambulance is accomplished in 4 steps, regardless of complexity:
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expedience and function
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Packaging the severely ill/injured patient is a balance between
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Chest, hip/waist, lower extremities
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A patient-carrying device should have a minimum of three straps at what levels?
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Continue your assessment Secure the stretcher in place in the ambulance Position and secure the patient Adjust the security straps Prepare for respiratory/cardiac complications Loosen constricting clothing Load a relative/friend who must accompany the patient Load personal effects Talk to your patient Avoid letting patients sit on the bench/airway seat
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Activities required to prepare the patient for transport once in the ambulance includes:
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they are in the operator compartment and cannot interfere with patient care
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If allowed by policy, a friend/relative may ride in the ambulance if
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can be done en route
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If the patient is high-priority, most of the preparation steps
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Notify the hospital Continue to provide emergency care as required Use safe practices during transport Compile additional patient information Continue assessment and monitor vital signs Notify the receiving facility of patient assessment & management information and your ETA
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Activities to complete en route to the hospital
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Is it really necessary to transport this patient with lights and sirens on? aka running "hot"
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Probably the most important safety consideration is:
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5%
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In most EMS systems, true emergencies needing a "hot" ride to the hospital constitute less than __ of transports
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Check first to see what is to be done with the patient in a routine admissions situation or when the condition is not life-threatening Assist emergency department staff as required and provide a verbal report As soon as you are free from patient-care activities, prepare the PCR Transfer the patient's personal effects Obtain your release from the hospital
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The steps of the patient transfer to the emergency department staff include:
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being making the ambulance ready to respond to another call
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When still at the hospital, the ambulance crew should
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Quickly clean patient compartment while taking appropriate Standard Precautions Prepare respiratory equipment for service Replace expendable items Exchange equipment according to your local policy Make up the ambulance cot
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You should do the following to prepare for your next patient:
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Raise to high-level position if possible Place unsoiled blankets/pillows on clean service Put soiled linens in appropriate receptable Clean with EPA-approved low-level disinfectant unless there is blood which should be cleaned with a 1:100 bleach/water solution Make the bed Buckle straps & tuck in excess straps Raise rails & foot rest
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Making up a wheeled ambulance stretch includes
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Radio the EMD Air the ambulance if necessary Refuel the ambulance
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Activities to do en route to quarters
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Place badly contaminated linens in a biohazard container Clean any equipment that touched the patient as necessary Clean/disinfect used nondisposable respiratory-assist & inhalation therapy equipment Clean/sanitize patient compartment Prepare yourself for service Replace expendable items Replace/refill oxygen Replace patient-care equipment Carry out post-operation vehicle maintenance as required Clean the vehicle Complete your paperwork
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Activities to do while in quarters
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to speed transport to a distant trauma center when extrication is prolonged and air rescue can speed transport when patient must be rescued from a remote location
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Operational reasons for air transport include:
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in shock with a GCS of less than 10 with a head injury and altered mental status with chest trauma and respiratory distress with penetrating injuries to the body cavity with amputation proximal to hand/foot with extensive burns with a serious mechanism of injury who is post-cardiac arrest with a pulse
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Medical reasons for air rescue for patients who are high priority for rapid transport include a patient:
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terrain, major landmarks, estimated distance to nearest town, other pertinent information
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Describe the landing zone to the air rescue service by the
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100 ft; 200 ft
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Keep all traffic ___ from a helicopter and don't smoke within ___ from an aircraft
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tail rotor
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Stay clear of the ______ section of the helicopter at all times
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a crouch
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Always approach a helicopter in ________ when the rotor is moving
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downhill
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Approach the aircraft from the _______ side when a helicopter is parked on a hillside
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To create a physical barrier between traffic and the scene
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Your ambulance is the first emergency vehicle to arrive at the scene of a motor vehicle collision. How should you position your​ ambulance?
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100 ft x 100 ft on a ground that has a slope of less than 8 degrees and the approach/departure path should be clear of loose things and marked with one flare in an upwind position
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A helicopter landing zone should be
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In a seated position
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How will a patient with difficulty breathing likely prefer to be​ transported?
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Exceeding the posted speed limit
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Which of the following is allowed of EMTs driving an emergency ambulance in MOST​ states?
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Fixed suction unit
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What is typically a part of the​ on-board, permanently mounted equipment in the​ ambulance?
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The facility that is capable of caring for the patient is 45 minutes away by ground NOT that the weather is too bad for ground transportation
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Which of the following is a legitimate reason for requesting air medical transport of a critical​ patient?
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Obtain a signature from the hospital staff member who accepts patient care NOT speak directly to the accepting physician
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Which of the following is the BEST way to confirm that patient care has been transferred appropriately at the receiving​ hospital?
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Complete your written​ report, and leave a copy at the emergency department before you go.
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What action is taken on arriving at the receiving hospital​ facility?
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wear eye and hearing protection
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When you are assigned to assist with a medical helicopter landing at a​ scene you should always
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optional equipment
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An infant oxygen mask is ________ on an ambulance
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To keep a newborn warm
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What is the purpose for carrying sterilized aluminum foil on an​ ambulance?
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intersections
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A study of emergency collisions demonstrated that the majority of collisions occurred at
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there is a safe area beyond the damaged vehicles
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When arriving at the location of a motor vehicle collision on an interstate​ highway, you should position the ambulance so​ that
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Select the proper​ patient-carrying device, package the patient for​ transport, move the patient to the​ ambulance, and load the patient into the ambulance.
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What is the correct order of operations when transferring a stable patient from his or her house to the​ ambulance?
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As soon as you are free from patient duties
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At which point should you complete your patient care report​ (PCR)?
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at the same time
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Lights on the box of the ambulance should blink
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drivers who pull over for the police officer often pull back in front of the ambulance.
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Police escorts of ambulances driving at emergency status are typically discouraged​ because
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Legs raised 8-12 inches
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Which of the following transport positions is indicated for the patient in​ shock?
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potential risks of making the patient's condition worse.
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When deciding whether or not to drive to the hospital with lights and siren activated for any​ patient, the driver should​ consider
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medium-duty
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Because of the extra equipment now placed on ambulances for specialty​ rescue, advanced life​ support, and hazardous materials​ operations, their gross vehicle weight has been easily exceeded in some communities. This has necessitated introduction of a​ ________ truck chassis built for rugged durability and large storage and work areas.
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Most treatment should be done prior to loading the patient
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What statement is true regarding helicopter​ transport?
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oil, coolant, windshield wiper, brake, and transmission
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Ambulance fluids the EMT should check are:
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inexperienced
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Tests have shown that​ ________ ambulance operators tend to speed up by 10 to 15 miles per hour when the siren is sounding.
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After your partner completes all required paperwork and you have the ambulance completely cleaned and restocked
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You have transported a patient to the emergency department and are in the process of cleaning the ambulance while your partner is completing all required paperwork. At what point is the final phase of an ambulance call​ complete?
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100
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Safety studies have shown that drivers of other vehicles do not usually see or hear ambulances or other emergency vehicles until they are within​ ________ feet of it.
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Provide prearrival medical instructions to the caller or ?? Determine the location of the shooter??
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While staffing an emergency services dispatch​ center, an Emergency Medical Dispatcher​ (EMD) receives a call from someone who is very upset and screaming that her friend was just shot. Which of the following would the EMD need to do in this​ situation?
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Speed of the vehicle
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What MOST significantly to the occurrence of ambulance​ crashes?
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ambulance safety and design
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The KKK standards deal​ with
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neither lights nor siren activated
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After responding to the scene of a patient complaining of difficulty​ breathing, you and your partner determine that the​ patient's condition is not life threatening based on a thorough assessment. You should transport the patient to an appropriate medical facility​ with
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