EMS Operations – Flashcards
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Regarding ambulance warning devices, which of the following statements is NOT true? The large lights on the outermost corners of the ambulance box should blink alternately. In most states it is illegal to drive at night with only one headlight. The use of strobes is controversial. Four-way flashers should not be used as emergency lights.
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The large lights on the outermost corners of the ambulance box should blink alternately.
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You are responding at emergency status to a vehicle collision in your ambulance. As you approach an intersection with a red light in your direction, you approach cautiously, come to a complete stop at the intersection, ensure all other drivers can see you, and slowly ease your way through the intersection. These actions describe your abilities to: ensure your right to proceed through a red light due to the established emergency. predict the travel path of other drivers who have the right-of-way. follow state laws regarding emergency vehicle operations. proceed with due regard for the safety of all drivers on the road.
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Proceed with due regard for the safety of all drivers on the road.
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Which of the following is the correct order of operations when transferring a stable patient from his or her house to the ambulance? Package the patient for transport, select the proper patient-carrying device, move the patient to the ambulance, and load the patient into the ambulance. Select the proper patient-carrying device, package the patient for transport, move the patient to the ambulance, and load the patient into the ambulance. Package the patient for transport, move the patient to the ambulance, select the proper patient-carrying device, and load the patient into the ambulance. Select the proper patient-carrying device, move the patient to the ambulance, package the patient for transport, and load the patient into the ambulance.
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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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Which of the following should be checked with the vehicle engine turned off? Battery Dash-mounted gauges Windshield wiper operation Warning lights
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Battery
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Which of the following is optional equipment? Lubricating jelly Disinfectant solution Infant oxygen masks Flashlights
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Infant oxygen masks
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The U.S. Department of Transportation has issued specifications for all of the following types of ambulances except: Type IV. Type II. Type III. Type I.
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Type IV.
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The medical acronym EMD stands for which of the following? Emergency Medical Director Emergency Medical Driver Emergency Medical Dispatch Emergency Medical Doctor
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Emergency Medical Dispatch
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Which of the following is the primary reason why ambulances should have two oxygen supply systems? To have a backup system in the event of failure of the primary system To provide oxygen to two patients at one time To provide oxygen to the patient in the event of vehicle breakdown To ensure a supply of oxygen for long-distance transports
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To provide oxygen to two patients at one time
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Failure to formally transfer the patient to medical staff in the emergency department could place the EMT in danger of being held liable for: patient endangerment. false imprisonment. unlawful consent. abandonment.
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abandonment.
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Which of the following contributes MOST significantly to the occurrence of ambulance crashes? Time of day Speed of the vehicle Weather conditions Size of the vehicle
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Speed of the vehicle
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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. inexperienced younger privately employed experienced
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inexperienced
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Which phase of an ambulance call is characterized by receiving a report from the off-going shift and checking the functionality of equipment? Preparing for the ambulance call Terminating the call Transferring the patient to the ambulance Receiving and responding to a call
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Preparing for the ambulance call
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A patient-carrying device should have at least ________ straps to hold the patient securely. 3 5 2 1
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3
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You have transported a stable patient with complaints of having abdominal pain for the last three weeks to the hospital. On arrival, you notice the emergency department is very busy and there are no empty beds to be found. You have attempted to get the attention of a hospital staff member to transfer the patient, but all are currently helping other patients. Your partner tells you to take the patient to the waiting room and leave him since the dispatcher of your service is holding several serious calls. What could possibly happen to you if you leave the patient in this fashion? Nothing, provided that your supervisor authorizes this action. Nothing; there are other people who are in need of an ambulance. You could possibly be charged with false imprisonment. You could possibly be charged with abandonment.
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You could possibly be charged with abandonment.
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Transporting a patient to the hospital against his will could place the EMT in danger of being held liable for: assault and battery. unlawful consent. kidnapping. false imprisonment.
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false imprisonment.
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Regarding the use of emergency sirens, which of the following is false? Ambulance operators are not affected by siren noise. The sound of the siren may increase the patient's anxiety. EMTs should assume that other drivers cannot hear the siren. Dense shrubbery may block the sound of the siren.
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Ambulance operators are not affected by siren noise.
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The process of combining the patient and patient-carrying device into a unit ready for moving and transporting the patient is called: loading. packaging. wrapping. immobilizing.
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packaging.
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Which of the following is NOT a responsibility of the Emergency Medical Dispatcher? Coordinating with other public safety agencies Providing medical direction to the responding units Providing emergency instructions to the caller Prioritizing calls that come in
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Providing medical direction to the responding units
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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? As soon as you get back to the station and notify your dispatch center you are in quarters As soon as your partner completes the patient care report and you are restocking the supplies used during the call As soon as you put the stretcher back in the ambulance with a clean sheet and you notify your dispatch center you are available After your partner completes all required paperwork and you have the ambulance completely cleaned and restocked
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After your partner completes all required paperwork and you have the ambulance completely cleaned and restocked
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When responding to an emergency in an authorized vehicle while functioning as an EMT for an authorized emergency service, the actions you take while driving are: covered by your service's insurance carrier. not likely to result in an investigation in the event of a collision. allowable, provided you do not exceed 15 mph above the posted speed limit. subject to laws that govern all drivers.
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subject to laws that govern all drivers.
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Which of the following fluids is NOT checked by an EMT? Oil Coolant Transmission Hydraulic
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Hydraulic
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Which of the following transport positions is indicated for the patient in shock? Left lateral recumbent Legs raised 8 to 12 inches Recumbent Sitting
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Legs raised 8 to 12 inches
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What is an appropriate-sized landing zone for a helicopter? 100 feet by 100 feet 50 feet by 50 feet 75 feet by 75 feet 25 feet by 25 feet
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100 feet by 100 feet
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Most state statutes allow an emergency vehicle operator to do which of the following on emergency calls? Be exempt from liability in the event of a collision Drive around lowered cross-arms at a railroad crossing Pass a stopped school bus with its red flashers on Exceed posted speed limits if life and property are not endangered
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Exceed posted speed limits if life and property are not endangered
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Operators of emergency vehicles must drive with the safety of others in mind. This is known as driving: with emergency privilege. as a public servant. with due regard. defensively.
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with due regard.
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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? Notify the victim's family of the incident. Provide the caller with information on local hospitals. Determine the location of the shooter. Ask the caller for her phone number.
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Ask the caller for her phone number.
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Which of the following is a purpose for carrying sterilized aluminum foil on an ambulance? To control major arterial bleeding To keep a newborn warm To care for amputated parts None of these
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To keep a newborn warm
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You respond to a major automobile collision involving multiple patients. Which of the following patients would receive Priority 1 transport? 6-year-old with lower leg fracture and normal vital signs 68-year-old with mild respiratory distress and seat belt burns 25-year-old with abdominal bruising and signs of shock 45-year-old with no vital signs
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NOT 45-year-old with no vital signs
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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. Type I Type III Medium-duty Type II
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NOT Type III
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Which of the following is true concerning disinfection? A solution of 1 part household bleach to 100 parts water is an effective disinfectant for health care purposes. High level disinfection destroys all sources of infection. A low-level disinfectant will kill germs on ambulance floors and walls. All of these
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A low-level disinfectant will kill germs on ambulance floors and walls.
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Which of the following is NOT essential equipment on an ambulance? Pediatric oxygen administration devices Portable oxygen tanks Portable suction unit Automatic transport ventilator
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Automatic transport ventilator
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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. 150 to 200 50 to 100 100 to 150 200 to 250
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50 to 100
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Chemical cold packs are carried on the ambulance for treatment of which of the following? Musculoskeletal injuries Seizures Snake bites Abdominal pain
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Musculoskeletal injuries
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Full immobilization of a trauma patient, including placing a cervical collar and securing the patient to a backboard, should take place at which of the following points in time? Before moving the patient to the ambulance After checking for cervical range of motion Before the primary assessment En route to the hospital
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Before moving the patient to the ambulance
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Occlusive dressings must be carried on an ambulance to treat which of the following injuries? Tension pneumothorax Impaled object in the eye Open pneumothorax Amputations
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Open pneumothorax
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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: there is a safe area beyond the damaged vehicles. you are nearest to the command post for easy communications with the incident commander. there is a fire truck between you and oncoming traffic. there is a safe area between the damaged vehicles and traffic behind the scene.
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there is a safe area beyond the damaged vehicles.
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The KKK standards deal with: training and education of field personnel. ambulance safety and design. air evacuation of trauma victims. minimum standard medical protocols.
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ambulance safety and design.
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Inexperienced drivers tend to ________ when they hear a siren approaching. pull to the left speed up pull to the right stop
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speed up
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Which of the following statements is true regarding helicopter transport? Pressure changes do not affect equipment such as PASG, ET tubes, and so on. Helicopter transport is relatively inexpensive. Most treatment should be done prior to loading the patient. Patient care is seldom affected during the flight.
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Most treatment should be done prior to loading the patient.
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Which of the following situations may warrant the use of helicopter transport from the scene to a medical facility? The patient is located in a remote area. The distance to the medical facility is 15 minutes away. The patient is in cardiac arrest. The patient may go into shock shortly.
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The patient is located in a remote area.
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Police escorts of ambulances driving at emergency status are typically discouraged because: ambulances do not move as fast as police cruisers. drivers who pull over for the police officer often pull back in front of the ambulance. police officers are not accustomed to driving an ambulance. there is no guarantee that the police officer knows where the call is located.
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drivers who pull over for the police officer often pull back in front of the ambulance.
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A study of emergency collisions demonstrated that the majority of collisions occurred at intersections. at night. during turning. during inclement weather.
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at intersections.
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At which point should you complete your patient care report (PCR)? At the end of your shift As soon as you are free from patient duties En route to the hospital As soon as you arrive at the hospital
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As soon as you are free from patient duties