EMT Chapter 38 Transport Operations

If you properly assess and stabilize a patient at the scene, driving to the hospital with excessive speed:

A. will decrease the driver's reaction time.

B. is often necessary if the patient is critical.

C. increases the patient's chance for survival.

D. is allowable according to state law.

A. will decrease the driver's reaction time

Which of the following statements regarding the use of the warning lights and siren on the ambulance is correct?

A. If the patient is stable, you may use the warning lights without the siren.

B. It is generally acceptable to increase your speed if lights and siren are in use.

C. If it is necessary to use the siren, you should tell the patient beforehand.

D. Warning lights and siren should be avoided, even if the patient is unstable.

C. If it is necessary to use the siren, you should tell the patient beforehand

A portable oxygen cylinder should have a minimum capacity of ____ of oxygen.

A. 1,000 L

B. 250 L

C. 750 L

D. 500 L

D. 500 L

Phases of an ambulance call include all of the following activities, except:

A. checking equipment on the ambulance.

B. emergency care provided at the scene.

C. transport of the patient to the hospital.

D. transferring the patient to the ambulance.

B. emergency care provided at the scene

Minimum staffing in the patient compartment of a basic life support (BLS) ambulance includes:

A. an EMT and a paramedic.

B. at least one EMT.

C. at least two EMTs.

D. an EMT and an AEMT.

B. at least one EMT

When transporting a patient who is secured to a backboard, it is important to:

A. place a folded towel or blanket under the patient's head.

B. place deceleration straps over the patient's shoulders.

C. routinely elevate the head of the backboard 12″.

D. use at least eight straps to secure the patient to the board.

B. place deceleration straps over the patient's shoulders

When a helicopter must land on a grade (uneven ground), you should:

A. attempt to approach the aircraft from behind.

B. approach the aircraft from the downhill side.

C. move the patient to the aircraft as soon as it lands.

D. approach the aircraft from the uphill side

B. approach the aircraft from the downhill side

When approaching a helicopter, whether the rotor blades are moving or not, you should:

A. never duck under the body or the tail boom because the pilot cannot see you in these areas.

B. approach the aircraft from the side because this will make it easier for you to access the aircraft doors.

C. carefully approach the aircraft from the rear unless a crew member instructs you to do otherwise.

D. remember that the main rotor blade is flexible and can dip as low as 5′ to 6′ from the ground.

A. never duck under the body or the tail boom because the pilot cannot see you in these areas

When being tailgated by another vehicle while responding to an emergency call, you should:

A. increase your speed to create more distance.

B. slam on the brakes to frighten the tailgater.

C. slow down and allow the driver to pass you.

D. stop the ambulance and confront the driver.

C. slow down and allow the driver to pass you

You have just delivered a major trauma patient to the hospital. Shortly after departing the hospital, dispatch advises you of another call. The back of the ambulance is contaminated with bloody dressings and is in disarray, and you are in need of airway equipment and numerous other supplies. You should:

A. proceed to the call, functioning only as an emergency medical responder.

B. advise the dispatcher that you are out of service and to send another unit.

C. quickly proceed to the call and clean and restock the ambulance afterwards.

D. have your partner quickly clean the ambulance as you proceed to the call.

B. advise the dispatcher that you are out of service and to send another unit

After assessing your patient, you determine that his condition is stable. You provide the appropriate treatment and then load him into the ambulance. While en route to the hospital, you should:

A. use your lights and siren but drive slowly and defensively.

B. keep your emergency lights on but avoid using the siren.

C. drive slowly and remain in the far left-hand lane, if possible.

D. turn your emergency lights off and obey all traffic laws.

D. turn your emergency lights off and obey all traffic laws

In which of the following situations would the EMTs most likely utilize a police escort?

A. The EMTs are transporting a critical pediatric patient through traffic.

B. The EMTs are unfamiliar with the location, but the police officer is familiar with the location.

C. The weather is treacherous, and there are numerous roads washed out.

D. The call is dispatched as an unresponsive patient with CPR in progress.

B. The EMTs are unfamiliar with the location, but the police officer is familiar with the location

The least practical place to store a portable oxygen cylinder is:

A. inside the jump kit.

B. on the ambulance stretcher.

C. near the side or rear door.

D. in the driver's compartment.

D. in the driver's compartment

While using lights and siren, most state laws permit an ambulance to:

A. carefully exceed the posted speed limit.

B. disregard all traffic control signals.

C. drive as fast as the department allows.

D. proceed through red lights without stopping.

A. carefully exceed the posted speed limit

Minimum airway and ventilation equipment that should be carried on every ambulance include all of the following, except:

A. various sizes of oral and nasal airways.

B. Combitubes, or laryngeal mask airways.

C. mounted and portable suctioning units.

D. adult and pediatric bag-valve masks

B. combitubes, or laryngeal mask airways

Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:

A. observe the scene for safety hazards.

B. quickly gain access to the patient.

C. carefully assess the mechanism of injury.

D. determine if additional units are needed.

A. observe the scene for safety hazards

The main objective of traffic control at the scene of a motor vehicle crash is to:

A. warn oncoming traffic and prevent another crash.

B. prevent curious onlookers from observing the scene.

C. get oncoming traffic past the scene as soon as possible.

D. facilitate a route for the media to access the scene

A. warn oncoming traffic and prevent another crash

Upon returning to your station following a run, you should disinfect the ambulance as needed. Disinfection is most accurately defined as:

A. destroying pathogenic agents by using potent disinfection means.

B. killing pathogenic agents with a chemical made for that purpose.

C. removing dirt, dust, blood, or other grossly visible contaminants.

D. using heat as a means of removing all microbial contaminants.

B. killing pathogenic agents with a chemical made for that purpose

As soon as you leave the hospital and are en route back to your station, you should inform the dispatcher:

A. that you are prepared for another call.

B. about the patient's clinical condition.

C. of the name of the accepting physician.

D. whether you are back in service.

D. whether you are back in service

Characteristics of a safe ambulance operator include:

A. a positive attitude about the ability to tolerate other drivers.

B. realizing that lights and siren will be effective traffic tools.

C. an offensive attitude about driving during an emergency call.

D. the ability to operate an ambulance at a high rate of speed.

A. a positive attitude about the ability to tolerate other drivers

When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:

A. park downhill from the scene.

B. quickly gain access to the patient.

C. ask the driver to exit the vehicle.

D. position the ambulance upwind.

D. position the ambulance upwind

General guidelines for safe ambulance driving include all of the following, except:

A. regularly using the siren as much as possible.

B. avoiding one-way streets whenever possible.

C. avoiding routes with heavy traffic congestion.

D. assuming that other drivers will not see you.

A. regularly using the siren as much as possible

A disposable oxygen humidifier should be considered for ambulance services that often transport patients for ___ hour(s) or more.

A. 4

B. 2

C. 1

D. 3

C. 1

If hydroplaning of the ambulance occurs, the driver should:

A. gradually slow down without jamming on the brakes.

B. quickly jerk the steering wheel.

C. slowly move the steering wheel back and forth.

D. slowly pump the brakes until he or she regains vehicle control.

A. gradually slow down without jamming on the brakes

When driving an ambulance on a multilane highway in emergency mode, you should:

A. remain in the extreme left-hand lane.

B. remain in the extreme right-hand lane.

C. drive in the center lane of the highway.

D. pass other drivers on the right side

A. remain in the extreme left-hand lane

It is 10:30 pm, and you have requested air medical transport for a critically injured patient. When you arrive at the designated landing zone, you should:

A. survey the area for power lines or other hazards.

B. provide the flight crew with a patient status update.

C. mark the landing site using personnel with flashlights.

D. mark the proposed landing area with road flares.

A. survey the area for power lines or other hazards

If you could only take two pieces of equipment with you to a patient's side, you should choose the:

A. cervical collar and long backboard.

B. BVM and portable oxygen.

C. AED and portable suction unit.

D. oral airways and sterile dressings.

C. AED and portable suction unit

While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should:

A. slowly and carefully pass the bus on the left side.

B. stop and wait until the warning lights stop flashing.

C. back up and take an alternate route to the scene.

D. pass the bus only after all the children have exited.

B. stop and wiat until the warning lights stop flashing

Which of the following is an example of regional equipment or supplies?

A. Oral glucose

B. Inhaled bronchodilator

C. DuoDote Auto-Injector

D. Vacuum splint

C. DuoDote Auto-Injector

When parking your ambulance at the scene of a motor vehicle crash, you should position the ambulance:

A. alongside the scene to rapidly access the patient(s).

B. 100′ past the scene on the same side of the road.

C. 50′ before the scene on the same side of the road.

D. 50′ past the scene on the opposite side of the road.

B. 100' past the scene on the same side of the road

Equipment and supplies that are carried on an ambulance should be stored:

A. as directed by the EMS system's medical director.

B. in locked or secured cabinets to prevent theft.

C. according to the urgency and frequency of their use.

D. based on recommendations of the health department.

C. according to the urgency and frequency of their use

A medical transport helicopter is incoming, and you are responsible for setting up the landing zone (LZ). You should:

A. use yellow caution tape to mark off the LZ perimeter.

B. use weighted cones to mark all four corners of the LZ.

C. ask bystanders to stand at all four corners of the LZ.

D. place four flares 100 feet apart in an "X" pattern.

B. use weighted cones to mark all four cournes of the LZ

The purpose of a jump kit is to:

A. facilitate defibrillation within 5 to 10 minutes after making patient contact.

B. contain anything that you might need during the first 5 minutes of patient care.

C. carry advanced life support equipment approved by the EMS medical director.

D. manage a critically injured patient until he or she is loaded into the ambulance.

B. contain anything that you might need during the first 5 minutes of patient care.

Common safety equipment carried on the ambulance includes all of the following, except:

A. face shields.

B. safety goggles.

C. turnout gear.

D. hazardous materials gear.

D. hazardous materials gear

Aggressive ambulance driving might have a negative effect on other motorists because:

A. they might become enraged and attempt to run you off the road.

B. they move to the right or drive as close to the curb as possible.

C. it might not allow for their reaction time to respond to your vehicle.

D. they often freeze when they see the lights in the rearview mirror.

C it might not allow for thier reaction time to respond to your vehicle

The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment is called:

A. cleaning.

B. sterilization.

C. disinfection.

D. high-level disinfection.

A. cleaning

Regardless of where portable and mounted oxygen cylinders are stored in the ambulance, they must:

A. hold a minimum capacity of 1,500 L of oxygen.

B. be easily identifiable by their bright green color.

C. undergo hydrostatic testing on a weekly basis.

D. be capable of delivering oxygen at 1 to 15 L/min.

D. be capable of delivering oxygen at 1 to 15 L/min

The six-pointed Star of Life emblem identifies vehicles that:

A. are equipped with supplies to manage a mass-casualty situation.

B. have complied with state regulations for ambulance certification.

C. are staffed by a minimum of one certified advanced EMT (AEMT).

D. meet federal specifications as licensed or certified ambulances.

D. meet federal specifications as licensed or certified ambulances

For every emergency request, the dispatcher should routinely gather and record all of the following information, except the:

A. patient's medical history.

B. location of the patient(s).

C. caller's phone number.

D. nature of the call.

A. patient's medical history

Common activities that occur while you and your partner are en route to the scene of an emergency call include all of the following, except:

A. apprising the medical director of the nature of the call.

B. assigning tasks to each member of the response team.

C. obtaining additional information from the dispatcher.

D. fastening your seatbelts before the ambulance departs.

A. apprising the medical director of the nature of the call