Chapter 36 Transport Operations

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Chapter 36 Transport Operations
2014-05-14 16:49:56
Chapter 36 Transport Operations

Chapter 36 Transport Operations
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  1. Horse-drawn ambulances were used in major U.S. cities in the late ____.
  2. U.S. hospitals started their own ambulance services in the ____.
  3. The first motor-powered ambulance was introduced in ____.  For decades afterwards, the ____ was most often used as an ambulance because it was the only vehicle with enough room for a person to lie down.
    • 1906
    • hearse
  4. ____-____ vehicles respond initially to a scene with personnel and equipment to treat the sick and injured until an ambulance can arrive.
  5. The ____ __ ____ emblem identifies vehicles as ambulances, and is often affixed to the sides, rear, and roof.
    Star of Life®
  6. An ambulance call has nine phases, which include:
    • Preparation
    • Dispatch
    • En route
    • Arrival at scene
    • Transfer of patient to ambulance
    • En route to receiving facility (transport)
    • At receiving facility (delivery)
    • En route to station
    • Postrun
  7. The ____ phase involves making sure equipment and supplies are in their proper places and ready for use.
  8. Place items needed for life-threatening conditions within easy reach, at the:
    head of the primary stretcher.
  9. Place items for cardiac care, external bleeding control, and monitoring blood pressure at the:
    side of the stretcher.
  10. An ambulance should carry at least ___ L of oxygen.
  11. An ambulance should be equipped with one mounted oxygen unit containing ____ L of oxygen.
  12. A ____ ____ provides a firm surface under the patient’s torso and establishes an appropriate degree of head tilt.
    CPR board
  13. A primary wheeled ambulance stretcher should allow __ degrees semi-sitting position and __ to __ degrees Trendelenburg’s position (feet elevated __ to __ inches) for airway care and treatment of shock.
    • 60
    • 10 to 15
    • 6 to 10
  14. A primary wheeled ambulance stretcher should have at least ____ restraining devices for the patient.
  15. “5-minute kit”: Anything needed in the first 5 minutes with the patient, except for the AED.
    The jump kit
  16. What is the most important piece of information in the dispatch phase?
    The exact location of the patient
  17. What is the most dangerous phase?
    en route
  18. Park ___ feet before or past a crash scene to create a barrier between you and traffic.
  19. The process of removing dirt, dust, blood, or other visible contaminants from a surface or equipment.
  20. The killing of pathogenic agents by directly applying a chemical made for that purpose to a surface or equipment.
  21. The killing of pathogenic agents by the use
    of potent means of disinfection.
    High-level disinfection
  22. A process, such as the use of heat, that removes all microbial contamination.
  23. Clean the stretcher with an EPA-registered germicidal/virucidal solution or bleach and water at 1:___ dilution.
  24. The first rule of safe driving in an emergency vehicle is that ____ does not save lives; good care does.
  25. In a multi-lane highway, stay in the extreme ____-hand lane, allowing other motorists to move over to the right lane when they see or hear you approach.
  26. If a motorist yields the right-of-way, the emergency vehicle operator should attempt to establish ____ ____ with the other driver.
    eye contact
  27. Look at the direction of the other vehicle’s ____ ____ to get an early indication of which way it will turn.
    front tires
  28. Three blind spots around the ambulance:
    • Mirror creates a blind spot in front of driver
    • Rear of vehicle cannot be seen fully through the mirror
    • Side of the vehicle
  29. Scan your mirrors frequently for any new hazards, and use a ____ and predetermined hand signals when backing up an ambulance.
  30. ____ ____ causes drivers to drive faster in the presence of sirens, due to increased anxiety.
    Siren syndrome
  31. Awareness of emergency vehicle ____ and  ____ improve the driver’s ability to maneuver and judge distance.
    • size
    • weight
  32. To keep the ambulance in the proper lane when turning a corner, enter ____ in the lane (to the outside) and exit ____ (to the inside).
    • high
    • low
  33. The weight of the ambulance is unevenly distributed, which makes it more prone to:
    roll over.
  34. At speeds of greater than 30 mph, a tire may be lifted off the road as water “piles up” under it; the vehicle may then feel as if it is floating.
  35. At speeds of greater than __ mph, a tire may be lifted off the road as water “piles up” under it; the vehicle may then feel as if it is floating.
  36. Motor vehicle crashes are the single largest source of ____ against EMS personnel and services.
  37. An emergency vehicle is never allowed to pass a:
    school bus that has stopped to load or unload children and is displaying its flashing red lights or extended “stop arm.”
  38. Use of warning lights and siren is governed by three basic principles:
    • The unit must be on a true emergency call to the best of your knowledge.
    • Both audible and visual warning devices must be used simultaneously.
    • The unit must be operated with due regard for the safety of all others.
  39. ____ crashes are the most common and usually the most serious type of collision in which ambulances are involved.
  40. If you are on an urgent call and cannot wait for traffic lights to change, you should still:
    come to a momentary stop at the light.
  41. Shut down emergency lights and sirens until you have reached the far left lane when traveling on ____.
  42. It is unlawful for an emergency vehicle to exceed the speed limit in ____ ____ regardless of the condition of the patient.
    school zones
  43. Fixed-wing units are used for inter-hospital patient transfers over distances greater than ___ to ___ miles.
    100 to 150
  44. ____-____ units (helicopters) are more efficient for shorter distances.
  45. Medical evacuation (____) is performed exclusively by helicopters.
  46. An appropriate site for a landing zone should be a hard or grassy level surface between:
    • 60 × 60 and 100 × 100 feet
    • 100 x 100 feet (recommended)
  47. A ____ ____ tightly secured to a tree or pole can be used to help the crew determine the wind direction and strength during medivac.   Never use tape.
    bed sheet
  48. The most important rule is to keep a safe distance from the aircraft whenever it is on the ground and “____,” which means when the helicopter blades are spinning.
  49. Never approach the helicopter from the ____, even if it is not running.
  50. When you approach a helicopter, walk in a ____ position.
  51. Smoking, open lights or flames, and flares are prohibited within __ feet of the aircraft at all times.
  52. If it is necessary for a helicopter to land on uneven ground, use extra caution.  The main rotor blade will be closer to the ground on the uphill side.  Approach the aircraft from the  ____ side only or as directed by the flight crew.
  53. Most helicopter services are limited to flying at ____ feet above sea level.
  54. Medivac helicopters fly between ___ and ___ mph.
    130 and 150
  55. Typical medivac flights cost between $____ and $____, whereas ambulance transport costs $___ to $____.
    • $8,000 and $10,000
    • $400 to $1,000
  56. During the ____ phase, the team should review dispatch information and assign specific initial duties and scene management tasks to each team member.
    en route
  57. The ____ is the most overused piece of equipment on the ambulance.
  58. The ____-____ ____ ____ is the most visible, effective warning device for clearing traffic in front of the vehicle.
    high-beam flasher unit
  59. The federal specifications that cover basic ambulance design are known as:
    KKK-A -1822F, 2008.
  60. New equipment should be placed on an ambulance only after proper instruction on its use and consulting with the:
    medical director.
  61. Extrication equipment carried on the ambulance includes all of the following except:
    A. a rescue blanket.
    B. duct tape.
    C. a high-angle rope harness.
    D. a spring-load center punch.
    C. a high-angle rope harness.
    (this multiple choice question has been scrambled)
  62. A type I ambulance is mounted on a ____ like chassis.
  63. Type II ambulances are built using a ____ type chassis.
  64. A type ___ is ambulance is mounted on a cut-a-way van chassis.
  65. You are dispatched to a residence for a patient with chest pain; however, you are unfamiliar with the address and cannot find the location in your map book. A nearby police officer radios you and tells you that he knows how to get to the scene. You should:
    A. follow the police officer in emergency mode until you get near the scene.
    B. ask the dispatcher to call the residence and obtain driving directions.
    C. turn off your lights and carefully follow the police officer to the scene.
    D. keep your lights on and ask the police officer to guide you to the scene.
    C. turn off your lights and carefully follow the police officer to the scene.
    (this multiple choice question has been scrambled)