Chapter 37 Vehicle Extrication and Special Rescue

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Author:
hiker0001
ID:
274606
Filename:
Chapter 37 Vehicle Extrication and Special Rescue
Updated:
2014-05-16 22:23:58
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Chapter 37 Vehicle Extrication Special Rescue
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Chapter 37 Vehicle Extrication and Special Rescue
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  1. Shock-absorbing ____ may be compressed or “loaded” following a front- or rear-end collision.  They can release and injure your knees and legs.  Approach vehicles from the side.
    bumpers
  2. You should maintain at least __" clearance around side impact air bags that have not deployed.
    5
  3. You should maintain at least __" clearance around driver air bags that have not deployed.
    10
  4. You should maintain at least __" clearance around passenger-side air bags that have not deployed.
    20
  5. Use eye protection to protect your eyes from the cornstarch or ____ that is used on air bags by manufacturers.
    talc
  6. The ongoing process of information gathering and scene evaluation to determine appropriate strategies and tactics to manage an emergency.
    Size-up
  7. The ability to recognize any possible issues and act proactively to avoid a negative impact.
    Situational awareness
  8. You can evaluate the hazards and determine the number of patients by doing a ____ ____-____ of the scene.
    360° walk-around
  9. If power lines are close to a vehicle involved in a crash, instruct the patient to:
    remain in the vehicle until power is removed.
  10. An area where individuals can be exposed to sharp metal edges, broken glass, toxic substances, lethal rays, or ignition or explosion of hazardous materials.
    hot zone
  11. Ensure that the car that was in an accident is in park with the parking brake on and the ignition turned off.  The battery should also be disconnected, ____ side first, to minimize the possibility of sparks or fire.
    negative
  12. Support operations include (three things):
    • Lighting the scene
    • Establishing tool and equipment staging areas
    • Marking helicopter landing zones
  13. Trying to get to the patient as quickly and simply as possible without using any tools or breaking any glass.
    simple access
  14. ____ ____ requires special tools, such as hand, pneumatic, and hydraulic devices.  Requires special training and includes breaking windows or other means of forcible entry.
    Complex access
  15. A ____ ____ ____ is trained and on call for certain types of technical rescues.  Made up of individuals from one or more departments.  Many members of technical rescue groups are also trained as emergency medical responders (EMRs) or EMTs.
    technical rescue group
  16. The individual who has overall command of the scene in the field.
    incident commander
  17. Collapses usually involve large areas of falling dirt that weigh approximately ___ lb per cubic foot.
    100
  18. Victims with thousands of pounds of dirt on their chests cannot fully expand their lungs and may become:
    hypoxic.
  19. In a trench collapse rescue:
    -Response vehicles should be parked at least ___' from the scene.
    -All vehicles should be turned off to avoid a secondary collapse caused by vibration.
    -All road traffic should be diverted from the ___' safety area.
    500
  20. At no time should medical or rescue personnel enter a trench deeper than __′ without proper shoring in place.
    4
  21. SWAT
    special weapons and tactics
  22. Any substance that is toxic, poisonous, radioactive, flammable, or explosive and can cause injury or death with exposure.
    hazardous material
  23. The 10 phases of extrication are:
    • Preparation
    • En route to the scene
    • Arrival and scene size-up
    • Hazard control
    • Support operations
    • Gaining access
    • Emergency care
    • Removal of the patient
    • Transfer of the patient
    • Termination
  24. The ____ ____ is responsible for securing and stabilizing vehicles, providing safe entrance and access to patients, extricating patients, and protecting patients during extrication.
    rescue team
  25. The primary role of the EMT is to provide emergency care and prevent further injury to the patient. At the extrication scene, it may also include:
    A. establishing a tactical command post.
    B. gaining access and disentanglement.
    C. traffic control and maintaining order at the scene.
    D. containment and disposal of hazardous materials.
    B. gaining access and disentanglement.
    (this multiple choice question has been scrambled)
  26. What actions are necessary to protect the patient during auto extrication operations?
    A. Ventilations should be provided by use of self contained breathing apparatus (SCBA).
    B. The patient should wear the same protective clothing as the rescuer.
    C. Cover the patient with disposable, paper cot sheets.
    D. Use heavy blankets and backboards as a shield.
    D. Use heavy blankets and backboards as a shield.
    (this multiple choice question has been scrambled)
  27. Which of the following is not a reason for rescue failure according to the mnemonic 'FAILURE"?
    A. unmastered equipment
    B. lack of teamwork or experience
    C. limited access to the patient
    D. inadequate rescue skills
    C. limited access to the patient
    (this multiple choice question has been scrambled)
  28. What does the mnemonic FAILURE stand for?
    • Failure to understand the environment or underestimating it.
    • Additional medical problems not considered
    • Inadequate rescue skills
    • Lack of teamwork or experience
    • Underestimating the logistics of the incident
    • Rescue versus recovery mode not considered
    • Equipment not mastered
  29. You are standing by at the scene of a hostage situation when the incident commander advises you that one of his personnel has been shot.  The patient is lying supine in an open area and is not moving.  As the
    SWAT team escorts you to the patient, you should:
    A. grab him by the clothes and immediately move him to safety.
    B. limit your primary assessment to airway and breathing only.
    C. perform a rapid assessment and move him to a place of safety.
    D. treat only critical injuries before moving him to a safe place.
    A. grab him by the clothes and immediately move him to safety.
    (this multiple choice question has been scrambled)
  30. A 33-year-old restrained driver of a motor vehicle crash is awake and alert, complaining only of neck pain. The vehicle is stable and no hazards are present. When removing this patient from his vehicle, you should:
    A. maintain slight traction to his neck area.
    B. adequately secure him to a long backboard.
    C. use the rapid extrication technique.
    D. immobilize him with a vest-style device.
    D. immobilize him with a vest-style device.
    (this multiple choice question has been scrambled)
  31. A 50-year-old female is entrapped in her passenger car after it struck a tree.  As the rescue team is preparing to extricate her, you quickly assess her and determine that she is breathing shallowly and that her radial pulse is absent. You should:
    A. begin CPR as the rescue team begins extrication.
    B. maintain spinal stabilization as she is extricated.
    C. secure her with a short backboard or vest device.
    D. stabilize her condition before extrication begins.
    B. maintain spinal stabilization as she is extricated.
    (this multiple choice question has been scrambled)

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