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FISDAP operations NS1 Unit 5 Chapter 10 Fire academy 1 flash
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A patient is found unresponsive A) Extremity lift
in his small bathroom. He is not
breathing and is sitting in the When moving any patient, you should do so in the safest, most
corner. Two EMTs are able to efficient way possible. If a patient is in a narrow space (ie, small
reach him, but they are unable bathroom, narrow hallway)
to stand side by side. He and you and your partner cannot stand side by side to perform a
appears to weigh about 150 direct ground lift, the extremity lift would be the most practical
pounds and there is no evidence way of moving him or her.
that he has been injured. Which One EMT would lift by the arms and the other by the legs; the
of the following would be the patient could then be moved to a larger working area. Two EMTs
quickest and MOST practical should be able to safely lift a
way of moving him out of the 150-pound patient. A long backboard would clearly not work in
bathroom? the case of a narrow or small space because there would be
A) Extremity lift little room to the patient's left or
B) Long backboard right to slide the board underneath him or her. A stair chair would
C) Direct ground lift also likely not be possible, or practical, because of such a
D) Stair chair device confined space.
,A 52-year-old woman crashed A) perform a primary assessment and provide any life-saving
her minivan into a tree. She is care before extrication.
pinned at the legs by the
steering wheel and is Unless there is an immediate threat of fire, explosion, or other
semiconscious. After gaining danger, you should perform a primary assessment and begin any
access to the patient, you life-saving care as soon as
should: you have gained access to the patient. If you wait to do this until
A) perform a primary after the patient has been disentangled, it may be too late; the
assessment and provide any life- patient may already be dead.
saving care before extrication. After you have assessed the patient and treated any immediate
B) immediately apply high-flow threats to life, allow extrication to commence. Once the patient
oxygen to the patient and allow has been freed from the
extrication to begin. vehicle, continue any lifesaving care and perform a rapid head-
C) rapidly assess her from head to -toe assessment to identify and treat other life- threatening
to toe, obtain vital signs, and injuries. Another EMT can
apply a cervical collar. obtain vital signs as you rapidly assess the patient. Prepare for
D) have the fire department immediate transport after the rapid head-to-toe assessment has
disentangle the patient and been performed and spinal
quickly remove her from the car. precautions have been taken (if indicated).
When arriving at the scene of a D) Turn your headlights off, but keep the emergency lights on.
motor vehicle crash at night, you
determine that the safest place Emergency operations on the highway at night can be especially
to park the ambulance is in a dangerous for responders; it is important to position emergency
direction that vehicles correctly, while at
faces oncoming traffic. What the same time ensuring visibility for oncoming traffic without
should you do? blinding them. First of all, road flares near an automobile crash
A) Position road flares around are dangerous because leaking
the front of the ambulance. fluids , such as gasoline, may not be immediately apparent;
B) Turn all emergency lighting safety triangles are safer. If your emergency vehicle is facing
off to avoid blinding the traffic. oncoming traffic, you should keep
C) Turn the high-beam your emergency lights on, but turn your headlights off. Bright
headlights on to alert oncoming lights, such as high-beam headlights, can effectively blind and
traffic. disorient an oncoming driver,
D) Turn your headlights off, but and could cause them to crash into the scene.
keep the emergency lights on.
D) Scoop stretcher
A 72-year-old woman fell and
Of the options listed, the scoop stretcher, also called an
has a hip injury. She is on the
orthopaedic stretcher or split litter, would be the most
second floor of her home.
appropriate to use. The scoop stretcher is
Which of the following devices
contoured and allows for the placement of straps to secure the
should you use to
patient; it also allows you to place padding around and under
move her down the flight of
the patient. The long backboard,
stairs
unlike the scoop stretcher, is flat; therefore, the patient can slide
A) Stair chair
from side to side or top to bottom, even when straps are placed.
B) Long backboard
The wheeled ambulance
C) Wheeled stretcher
stretcher is top heavy and is not safe for patient movement down
D) Scoop stretcher
a flight of stairs or across rough terrain. Because the patient has a
hip injury, the stair chair would not be appropriate to use.
, B) be brief, concise, and factual.
A radio report should be brief, concise, and factual. It should
include the patient's age and sex, his or her chief complaint,
When calling in your radio
associated assessment findings,
report to the receiving hospital,
vital signs, treatment that you provided, and the patient's
you should:
response to your treatment. Avoid speculative statements
A) include the patient's name.
regarding the patient's condition; report
B) be brief, concise, and factual.
only what you know to be fact. Longer radio reports should be
C) give your report only to a
broken into 30-second increments; after 30 seconds, pause and
physician.
ensure the listener heard
D) break your report into 60-
your previous traffic. The patient's name is not vital to your
second increments.
report; thus, there is no need to disclose it. Unless you are
requesting medical direction, it is
acceptable, and routine practice, to give your report to a
registered nurse.
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At the scene of a mass-casualty D) assign the bystander a simple, non-patient-care task.
incident, you notice a bystander
who is emotionally upset. An One of the most effective ways to reduce stress in a bystander at
appropriate action to take the scene of a mass-casualty incident is to assign the bystander a
would be to: task that is not related to
A) tell the bystander to leave patient care. This may involve assisting other bystanders who are
the scene at once. having difficulties as well or providing water to the rescuers. An
B) have the bystander assist you obviously distressed
with patient care. bystander should not simply be sent away from the scene, but
C) notify the police and have should be looked at as a patient as well. Clearly, if the bystander
the bystander removed. becomes aggressive or violent,
D) assign the bystander a law enforcement personnel should get involved.
simple, non-patient-care task.
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Upon arriving at a mass-casualty B) report to the treatment officer for further instructions.
incident, the EMT is assigned to
the treatment area. Upon Organized operations at the scene of a mass-casualty incident
completion of duties in the are crucial in order to achieve the best possible outcome and
treatment area, the maximize the number of lives
EMT should: saved. When the EMT is given an assignment, he or she should
A) notify the incident complete the assignment and then return to the individual who
commander and return to gave the assignment for
service. further instructions. Self-assigning at the scene (freelancing) is
B) report to the treatment dangerous and can compromise the effectiveness of the overall
officer for further instructions. operation.
C) report to the transportation
area to assist with transport.
D) report to the triage section to
check for remaining patients.
, A patient injured his arm and C) legal, but unethical.
asks to be transported to a
specific hospital because he has The EMT's actions in this case are not illegal; he cannot go to jail
been there before. The EMT for making such comments. However, his actions are clearly
states that he does unethical and unprofessional,
not feel the doctors there are and could lead to allegations of slander by the physician; this
competent and recommends a would be a civil case, not a criminal one. You must not allow your
different hospital. The EMT's personal feelings to influence
behavior is: a patient's decision as to who treats him or her, or where he or
A) legal and ethical. she is treated.
B) ethical, but illegal.
C) legal, but unethical.
D) illegal and unethical.
D) assess the woman and determine if she wishes to be treated
and transported.
You arrive at the scene of an 80-
You must obtain consent from any mentally competent adult
year-old woman who is weak
patient prior to initiating treatment. Just because the patient is 80
and lightheaded. Her son, who
years old does not mean that
called 911, is present and asks
she does not have decision-making capacity. Also, just because
you to transport
her son wants her to be transported does not mean that she
his mother to the hospital. You
agrees with this request. Ask her
should:
if she wishes to be treated and transported to the hospital. If she
A) advise the son that he can
does, then you have obtained consent and should proceed
probably drive his mother to the
accordingly. If she does not, you
hospital.
should determine if she has decision-making capacity--that is,
B) comply with the son's request
whether she is mentally competent. If she is determined to have
and transport the woman to the
decision-making capacity,
hospital.
then you cannot legally treat or transport her. If she does not
C) take the woman's vital signs
have decision-making capacity (eg, she is confused, she is under
and apply supplemental oxygen
the influence of drugs or
if necessary.
alcohol), then you may treat and transport under the law of
D) assess the woman and
implied consent. It is not the EMT's decision to determine, let
determine if she wishes to be
alone recommend, that a patient be
treated and transported.
taken to the hospital via privately owned vehicle (POV}. If the
patient requests EMS treatment and transport, you are legally
obligated to do so.
When using the power lift to lift C) ensure that you lift with your palms facing up.
a stretcher, you should:
A) maintain a slight inward curve To achieve the best grip and to avoid injury to your wrists, you
to your back. should lift a stretcher, backboard, or other carrying device with
B) bend at the waist and keep your palms facing up. Do not
your back straight bend at the waist; rather, bend at the knees and keep your back
C) ensure that you lift with your in a straight, locked-in position.
palms facing up.
D) maintain a slight outward
curve to your back.