Emc103 (Chapter 38: Transport Operations (pre q))

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A type _____ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed.

 

II

 

III

 

IV

 

I

I

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

 

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

 

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

 

have complied with state regulations for ambulance certification.

 

meet federal specifications as licensed or certified ambulances.

meet federal specifications as licensed or certified ambulancesc

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

 

emergency care provided at the scene.

 

transferring the patient to the ambulance.

 

transport of the patient to the hospital.

 

checking equipment on the ambulance.

emergency care provided at the scene

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

 

according to the urgency and frequency of their use.

 

in locked or secured cabinets to prevent theft.

 

based on recommendations of the health department.

 

as directed by the EMS system's medical director.

according to the urgency and frequency of their use

Other than personal safety equipment, which of the following should be the most readily accessible item in the back of an ambulance?

 

Long bone splinting device

 

Bleeding control supplies

 

Emergency childbirth kit

 

Stethoscope and penlight

Bleeding control supplies

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

 

Oral glucose

 

DuoDote Auto-Injector

 

Vacuum splint

 

Inhaled bronchodilator

DuoDote Auto-Injector

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

 

various sizes of oral and nasal airways.

 

Combitubes, or laryngeal mask airways.

 

adult and pediatric bag-valve masks.

 

mounted and portable suctioning units.

Combitubes, or laryngeal mask airways

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

 

in the driver's compartment.

 

on the ambulance stretcher.

 

inside the jump kit.

 

near the side or rear door.

in the driver's compartment

Portable and mounted suction units must be powerful enough to generate a vacuum of at least ____ mm Hg when the tubing is clamped.

 

400

 

300

 

200

 

100

300

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

 

750 L

 

250 L

 

1,000 L

 

500 L

500 L

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

 

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

 

be easily identifiable by their bright green color.

 

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

 

undergo hydrostatic testing on a weekly basis.

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

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

 

2

 

1

 

4

 

3

1

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

 

cervical collar and long backboard.

 

AED and portable suction unit.

 

oral airways and sterile dressings.

 

BVM and portable oxygen.

AED and portable suction unit

The purpose of a jump kit is to:

 

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

 

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

 

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

 

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

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:

 

hazardous materials gear.

 

turnout gear.

 

face shields.

 

safety goggles.

hazardous materials gear

When working at the scene of a motor vehicle crash at night, you should not use:

 

road flares.

 

reflective vests.

 

intermittent flashing devices.

 

portable floodlights.

road flares

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

 

an EMT and a paramedic.

 

at least two EMTs.

 

at least one EMT.

 

an EMT and an AEMT.

at least one EMT.

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

 

caller's phone number.

 

location of the patient(s).

 

patient's medical history.

 

nature of the call.

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:

 

apprising the medical director of the nature of the call.

 

assigning tasks to each member of the response team.

 

obtaining additional information from the dispatcher.

 

fastening your seatbelts before the ambulance departs.

apprising the medical director of the nature of the call

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

 

carefully assess the mechanism of injury.

 

quickly gain access to the patient.

 

observe the scene for safety hazards.

 

determine if additional units are needed.

observe the scene for safety hazards

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

 

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

 

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

 

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

 

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

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

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:

 

quickly gain access to the patient.

 

park downhill from the scene.

 

ask the driver to exit the vehicle.

 

position the ambulance upwind.

position the ambulance upwind

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

 

facilitate a route for the media to access the scene.

 

warn oncoming traffic and prevent another crash.

 

prevent curious onlookers from observing the scene.

 

get oncoming traffic past the scene as soon as possible.

warn oncoming traffic and prevent another crash

When transporting a patient to the hospital, you should:

 

be safe and get the patient to the hospital in the shortest practical time.

 

generally exceed the posted speed limit by 10 to 20 mph.

 

place the patient on a long backboard, even if no trauma is involved.

 

secure the patient to the ambulance stretcher with at least two straps.

be safe and get the patient to the hospital in the shortest practical time

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

 

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

 

routinely elevate the head of the backboard 12″.

 

place deceleration straps over the patient's shoulders.

 

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

place deceleration straps over the patient's shoulders

During the transport phase of an ambulance call, it is most important to:

 

reassess unstable patients at least every 15 minutes.

 

reassess the patient only if he or she deteriorates.

 

complete the run form before arrival at the hospital.

 

converse with the patient and provide reassurance.

converse with the patient and provide reassurance

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

 

about the patient's clinical condition.

 

that you are prepared for another call.

 

whether you are back in service.

 

of the name of the accepting physician.

whether you are back in service.

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:

 

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

 

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

 

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

 

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

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

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

 

disinfection.

 

cleaning.

 

high-level disinfection.

 

sterilization.

cleaning

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

 

using heat as a means of removing all microbial contaminants.

 

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

 

destroying pathogenic agents by using potent disinfection means.

 

killing pathogenic agents with a chemical made for that purpose.

killing pathogenic agents with a chemical made for that purpose

Characteristics of a safe ambulance operator include:

 

realizing that lights and siren will be effective traffic tools.

 

a positive attitude about the ability to tolerate other drivers.

 

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

 

an offensive attitude about driving during an emergency call.

a positive attitude about the ability to tolerate other drivers

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

 

drive in the center lane of the highway.

 

pass other drivers on the right side.

 

remain in the extreme left-hand lane.

 

remain in the extreme right-hand lane.

remain in the extreme left-hand lane

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:

 

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

 

keep your emergency lights on but avoid using the siren.

 

turn your emergency lights off and obey all traffic laws.

 

use your lights and siren but drive slowly and defensively.

turn your emergency lights off and obey all traffic laws

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

 

assuming that other drivers will not see you.

 

regularly using the siren as much as possible.

 

avoiding routes with heavy traffic congestion.

 

avoiding one-way streets whenever possible.

regularly using the siren as much as possible

Upon arriving at the scene of a major motor vehicle crash at night, you find that the safest place to park your ambulance is in a direction that is facing oncoming traffic. You should:

 

turn your headlights off.

 

quickly access the patient.

 

turn all warning lights off.

 

place a flare near the crash.

turn your headlights off.

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

 

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

 

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

 

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

 

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

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

You are en route to an emergency call when you approach a slow-moving vehicle on a two-way road. You can see oncoming traffic in the other lane. The driver has his windows up and does not realize that you are behind him. You should:

 

quickly pass the vehicle on the left side.

 

use your public address system to alert the driver.

 

remain at a safe distance until it is safe to pass.

 

pass the driver on the right-hand shoulder.

remain at a safe distance until it is safe to pass

Maintaining a cushion of safety when operating an ambulance means:

 

driving at the posted speed limit, regardless of the patient's condition, and routinely using your lights and siren when driving on a freeway.

 

driving about 2 to 3 seconds behind any vehicles in front of you and exceeding the posted speed limit by no more than 20 to 25 mph.

 

keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors' blind spots.

 

remaining in the far right-hand lane when transporting a critical patient and refraining from passing other motorists on the left side.

keeping a safe distance between your ambulance and the vehicles in front of you and remaining aware of vehicles potentially hiding in your mirrors' blind spots

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

 

stop the ambulance and confront the driver.

 

slow down and allow the driver to pass you.

 

increase your speed to create more distance.

 

slam on the brakes to frighten the tailgater.

slow down and allow the driver to pass you

The use of lights and siren on an ambulance:

 

legally gives the emergency vehicle operator the right of way.

 

is required any time a patient is being transported to the hospital.

 

allows other drivers to hear and see you from a great distance.

 

signifies a request for other drivers to yield the right of way.

signifies a request for other drivers to yield the right of way

If hydroplaning of the ambulance occurs, the driver should:

 

quickly jerk the steering wheel.

 

gradually slow down without jamming on the brakes.

 

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

 

slowly move the steering wheel back and forth.

gradually slow down without jamming on the brakes

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

 

drive as fast as the department allows.

 

disregard all traffic control signals.

 

proceed through red lights without stopping.

 

carefully exceed the posted speed limit.

carefully exceed the posted speed limit.

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:

 

back up and take an alternate route to the scene.

 

slowly and carefully pass the bus on the left side.

 

pass the bus only after all the children have exited.

 

stop and wait until the warning lights stop flashing.

stop and wait until the warning lights stop flashing

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

 

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

 

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

 

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

 

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

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

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

 

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

 

The EMTs are transporting a critical pediatric patient through traffic.

 

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

 

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

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

The most common and usually the most serious ambulance crashes occur at:

 

stop lights.

 

stop signs.

 

railroad crossings.

 

intersections.

intersections

Your unit and a fire department vehicle are responding to the scene of a patient in cardiac arrest. As you approach an intersection that is highly congested, you should:

 

advise the fire department vehicle to follow you closely.

 

use a different siren tone than the fire department vehicle.

 

ask the fire department vehicle to remain 1,000′ behind you.

 

turn off your lights and siren and proceed with safety.

use a different siren tone than the fire department vehicle

In general, medevac helicopters should be utilized when:

 

ground transport to the hospital exceeds 30 to 45 minutes, even if the patient's present condition is stable.

 

ground transport would leave your service area without an ambulance for greater than 30 minutes.

 

a patient has a time-dependent injury or illness, and traffic conditions would cause a significant delay in definitive care.

 

a patient has been in cardiac arrest for more than 15 minutes and has not responded to CPR and defibrillation.

a patient has a time-dependent injury or illness, and traffic conditions would cause a significant delay in definitive care

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:

 

provide the flight crew with a patient status update.

 

survey the area for power lines or other hazards.

 

mark the landing site using personnel with flashlights.

 

mark the proposed landing area with road flares.

survey the area for power lines or other hazards.

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

 

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

 

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

 

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

 

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

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

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

 

attempt to approach the aircraft from behind.

 

approach the aircraft from the uphill side.

 

approach the aircraft from the downhill side.

 

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

approach the aircraft from the downhill side

Typically, medevac helicopters fly at speeds between:

 

150 and 200 mph.

 

100 and 120 mph.

 

120 and 140 mph.

 

130 and 150 mph.

130 and 150 mph.

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

 

use yellow caution tape to mark off the LZ perimeter.

 

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

 

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

 

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

use weighted cones to mark all four corners of the LZ