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EMS Operations
Final Exam
Which of the following documents details the regulation regarding ambulance design? DOT KK 1822E specs Which of the following best describes peak load? The highest volume of calls at a given time When is a spotter used? When you are moving the unit in reverse Most state rules regarding ambulance supplies tend to regulate which of the following types of standards? Minimum Which of the following refers to the equipment and supplies required on every ambulance? Essential equipment Which of the following items would not typically be seen on a vehicle/equipment checklist? Crew members' appearance rating Which of the following best describes the danger in using an escort to or from? A gap can open between the vehicles, which can confuse drivers and cause a collision How often should a thorough check of equipment on the ambulance be made? Beginning of every shift Which of the following was identified by data from New York State as the most common type of crash involving a ambulance? Lateral impact at a controlled intersection with no weather issues Acceptable landing zone size and condition? 100 ft. X 100ft , Flat as possible, Little/no slop
You have been dispatched to assist a BLS unit on a size about 10 miles outside of town. Its a 55 y/o female involved in a single-vehicle crash. Her BP is 90/60, HR 120, RR 20. She has multiple significant injuries. You are 15 min by ground to a Level 1 Trauma center. That center does have a heli. What's your best action? Don't call a helicopter, bc by the time it would arrive you would almost already be at the hospital. Which of the following pieces of info should an EMT/Paramedic on the scene be able to convey to the incoming helicopter? A description of well-known landmarks Which of the following is the general rule for setting up the dimensions of a helicopter landing zone? 100 feet × 100 feet What type of flight rules can be characterized by the pilot(s) relying almost exclusively on line of sight? Visual flight rules Which of the following refers to the type of ambulance with a standard van chassis? Type II Which of the following configuration(s) have been used for a critical care transport team? All of the answers are correct Which of the following factors should you allow to determine your driving speed when responding on a call? Due regard, not letting external factors cause you to become reckless What is the most common flight team configuration for air transport systems? Paramedic/nurse Fixed-wing aircraft are typically used for transports exceeding which distance in miles? 100 What is the most commonly utilized aircraft for aeromedical transport systems? Rotor wing What is the name of the organization charged by Congress to investigate every civil aviation accident in the United States and significant accidents in the other modes of transportation? National Transportation Safety Board When are you allowed to approach a helicopter? When you are signaled by one of the crew members
Erika is a new Paramedic at a local EMS service. She was taught to always wear gloves while attempting IV access on a patient. During a call, her Paramedic Training Officer (who has 20 years experience) says, Nah, dont worry about wearing gloves. Thats just what they teach ya in school! " This would be an example of. Cognitive dissonance Moving ambulances around to certain geographical areas based on the call volume of a given area during that exact time of day. System Status Management Which of the following factors would be least influential in determining the appropriateness of transporting a patient by fixed or rotor wing aircraft? The mechanism by which the flight will be paid for Situational awareness can be defined as: Being aware of what is happening around you A fatality to an emergency worker that occurs during the course of responding to, training for, or providing service to the public is called a: Line-of-duty death A 24 year old male patient is entrapped in a vehicle following a serious motor vehicle collision. It appears that it will take at least 30 minutes to extricate the patient from the vehicle. His vehicle has rolled down an embankment which is making access to the patient very difficult. Several supervisors and paramedics collaborate and form a gameplan on how to safelymanage this patient while the fire department extricates him. This is a good example of the EMS personnel utilizing Humanware Which industry first developed and implemented CRM? Airlines A rookie firefighter who is exposed to aggressive hazing during his first year of active duty will most likely. Fail to openly communicate during a serious event. An organizations culture is heavily influenced by the stories associated with past events, future plans, and. Personal behaviors What is the name given to a state of mental tension that exists when a person simultaneously holds or hears ideas, attitudes, or beliefs that are psychologically inconsistent or contradictory? Cognitive dissonance
Which of the following best describes the role of the safety officer in the incident management system? Monitor all on-scene actions for potential hazards What is your top priority at a multiple-casualty incident? Question options: Life safety For which of the following purposes was the Incident Command System designed? To control, direct, and coordinate resources Which of the following types of command would be best to implement in a multijurisdictional incident? Unified Which of the following is the only acceptable technique for airway management during triage? Manual airway opening Which of the following best describes scene size-up? A quick assessment of the incident type and any immediately obvious hazards Which of the following provider levels should be trained in triage techniques? All levels When transferring command, which of the following must be done? A face-to-face transfer The key to smooth, safe rescue operations is: Standard operating procedures Which of the following is the most common type of rescue? Motor vehicle collisions Which of the following should be standard personal protective equipment on all ambulances for rescue operations? Helmets meeting NFPA standards In which of the following locations would you find a firewall in an automobile? Between the engine compartment and the passenger compartment Which of the following types of gloves is the best suited for rescue operations? Leather You are on the scene of a bus rollover on a rural interstate. A person states that he is a volunteer at an out-of- state fire department and that the worst patient is over there. He
How long should it take you to triage one patient during an MCI? Less than 30 seconds Any substance which may pose an unreasonable risk to the health and safety of operating or emergency personnel Hazardous material Which of the following is TRUE of MCI drills? All agencies should drill, and never say, It will never happen here. Which of the following is not an effect of placing blame for an incident? Creation of a just culture Removing a patient exposed to a hazardous material from the hot zone and removing his clothing and jewelry best describes which method of decontamination? Isolation Which of the following is used to identify hazardous materials in transit? DOT placards The standard litter for rough terrain evacuation is a: Stokes basket When do high-performance teams work best? When members have a collective understanding of the situation What determines if a team succeeds or fails? How the team manages conflict On arrival at the scene of a small manufacturing plant, a worker runs out of the building and grabs you. You note she is covered in a substance that is emitting vapors. At this point you have received: Secondary contamination Patients requiring rescue benefit the most when there is a proper balance of and. Medical care and mechanical rescue skill How does a good team leader build a strong team? By encouraging members to understand each other's roles, responsibilities, weaknesses, etc. When staging resources for a hazardous materials incident, the best location is: Uphill and upwind
In CRM, authority can be: Questioned Which of the following is one of the greatest threats to rescuers entering a confined space? Oxygen-deficient atmosphere The temperature at which a liquid becomes a gas is known as the: Boiling point Unless specially trained, EMS personnel operate in which of the following zones of a hazardous materials incident? Green As you approach the scene of a motor vehicle collision, you realize that there is a tanker truck involved and that it has tipped over. Which of the following actions is appropriate? Stop a safe distance away, use binoculars to locate any placards on the tanker, Which of the following is used to identify hazardous materials in fixed facilities? NFPA 704 system You are awaiting removal of a patient from a trench in which he is buried in dirt up to his nipple line. Which of the following is the greatest risk for this patient? Asphyxiation All EMS personnel need to be trained to which of the following levels of hazardous materials training? Awareness An incident involving which of the following types of vehicles may result in a hazardous materials incident? All Which of the following types of radiation can be stopped by paper, clothing, or intact skin, but are harmful if ingested or inhaled? Alpha Which of the following is the most common route of exposure to hazardous materials? Inhalation Which of the following is a toxic gas that results from incomplete combustion and may be found in confined spaces? Carbon monoxide
You have arrived at the scene of a vacant building for a report of a man down. The odors and activity at the scene lead you to suspect that this is a clandestine drug lab. Which of the following is the best course of action? Immediately leave the area without locating the patient and notify dispatch of a possible hazardous Which of the following best describes the EMS staffing situation in rural areas? Volunteers may lack experience, even after several years of volunteering. You have responded to the parking lot of a high school for an assault. On arrival, there is a crowd of 20 to 25 emotional juveniles standing around the scene. Which of the following is the best way to protect yourself? Monitor the activity of the crowd and retreat if the situation escalates. You are on the scene of a single-vehicle rollover collision in which the two teenage occupants were ejected. Both patients are seriously injured. Yours is the only transporting vehicle on the scene and you are the only paramedic, but there are two volunteer emts and two first responders on the scene. Helicopter transport is not available. There is a small community hospital 23 miles away but a larger level II regional trauma center 40 miles away. The closest BLS transporting unit is 18 miles away. Which of the following is the best transport decision? Transport both patients in one unit to the regional trauma center.q When you are caring for a patient in a crowd situation, which of the following should alert you to potential danger? A rapid increase in the size of the crowd You are transporting a patient with a gunshot wound to the hospital and are being accompanied in the patient compartment by a police officer. Just before going into cardiac arrest, the patient says, It was Joey. Joey did this to me. The patient cannot be resuscitated and is pronounced dead in the emergency department. Which of the following is TRUE regarding the patient's dying declaration? You should record the patient's statement verbatim in your prehospital care report. Which of the following spreads radioactive contamination through conventional explosives? Dirty bomb When should a hot wash occur? Immediately after the scene Which of the following guidelines should paramedics follow to protect themselves from physical violence? Retreat from the scene if threatened, even if it means leaving the patient behind. The focus of a PIA is on:
Learning lessons to apply to future incidents. The focus of a PIA is on: Learning You are on the scene of a patient with a gunshot wound to the chest. Which of the following describes the best action for dealing with the victims shirt? Cut around any bullet holes and give the shirt to police at the scene. Which of the following is not a characteristic of an effective follower? Blames personal mistakes on the team Which of the following is the weapon of choice for terrorists worldwide? Nuclear weapons Which of the following is classified as a biotoxin? Sulfur mustard In which of the following environments is the risk of exposure to a chemical agent greatest? At a fireworks gathering in an open field on a calm evening Which of the following statements is true about being a good follower? It may be more difficult to be an effective follower than an effective leader. Which of the following procedures is used to prevent farm machinery from being accidentally Lock-out/tag-out Mindlessness is like: Operating on remote control. In order to achieve complete electrical shut down of a vehicle, what must be done? Remove or cut the battery cables Which of the following is in a Mark I kit? Atropine and praloxidime Which of the following is a chemical nerve agent? GD Which of the following is NOT a typical indication of exposure to a chemical nerve agent? Hot, dry skin The main objective of terrorist acts is to:
EMS
Operations
FINAL EXAM
(Exam Elaborations
questions and Answers
