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33 Cards in this Set

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What are the ten basic types of specialty rescue teams?
Vehicle rescue

Water rescue

Ice rescue

High-angle rescue

Hazardous materials response

Trench rescue

Dive rescue

Back country or Wilderness rescue

Farm rescue

Confined space rescue
What are the ten phases of a vehicle rescue?
Preparing for the rescue

Sizing up the situation

Recognizing and managing hazards

Stabilizing the vehicle prior to entering

Gaining access to the patient

Providing initial patient assessment and a rapid trauma exam

Disentangling the patient

Immobilizing and extricating the patient from the vehicle

Providing a detailed physical exam, ongoing assessment, treatment, and transport

Terminating the rescue
When do you size-up hazards and call for extra help?
Approaching the scene and on the scene BEFORE patient care begins
How do you get a low-priority patient out of a wrecked car?
Have rescue personnel force open doors, remove the roof, displace the front end of the vehicle, and extract using a KED device or similar
How do you get a high-priority patient out of a wrecked car?
Rapid extrication. No KED.
What special considerations should an EMT take in regards to deployed airbags?
1) Wear protective gloves and eyewear to avoid irritation

2) Look underneath the airbags to gather more clues regarding mechanism of injury
What is a loaded bumper, and what should you do with it?
A loaded bumper is a bumper whose shock absorption mechanisms are compressed and stuck that way. Do NOT stand near them! If the loaded bumper disengages and hits you it could easily break your legs.
What unsafe act contributes most to collision scene injuries?
Failure to wear protective gear during rescue operations
What factors, acts, and omissions can increase the potential for an emt to be injured at a collision site?
Careless attitude toward personal safety

Lack of skill in tool use

Physical problems that impede strenuous effort

Failure to eliminate or control hazards

Failure to select the proper tool for the task

Using unsafe tools

Failure to recognize mechanisms of injury and unsafe surroundings

Lifting heavy objects improperly

Deactivating safety devices

Failure to wear high-visibility clothing

Failure to realize that hybrid vehicles may make no noise when running but not moving
Why should an EMT wear a reflective vest at the scene of an accident or rescue?
So he doesn't get killed by a car
What's a good way to gauge what level of PPE you should be wearing?
Look at what other workers are doing in that industry and match them. Construction sites call for a hard hat or helmet. On the highway you should have a helmet and safety vest. At an extrication, you should wear full turnout gear.
What items can be used to protect a patient?
Aluminized rescue blanket -- protection from weather and some flying particles

Lightweight tarp -- protection from weather

Wool blanket -- protection from cold (always cover w/ an aluminized blanket to shield from glass)

Short and long spine boards -- protection from tools and debris

Hard hats, safety goggles, and other PPE
What guidelines should you follow when deploying flares?
Avoid spilled fuel, dry vegetation, and other combustibles

Do not throw flares out of moving vehicles

Position a few flares at the edge of the danger zone as soon as the ambulance is parked

Take a handful of flares and walk toward oncoming traffic

Position flares every 10 feet to channel vehicles into an unblocked lane

If the collision has occurred on a two lane road, position flares in both directions

Never use a flare as a traffic wand -- that can hurt you very seriously
How do you determine the distance of the farthest warning device from a collision?
Find out the posted speed. Take the stopping distance for that speed and add the speed limit to that. That's how many feet. Example:

20 MPH
Stopping distance is 50 ft

So, 50+20=70 ft
What are the stopping distances for different speeds?
20 mph = 50 ft
30 mph = 75 ft
40 mph = 125 ft
50 mph = 175 ft
60 mph = 275 ft
70 mph = 375 ft
In the case of an electrical hazard, who is allowed to cross from the safe zone into the danger zone?
Only personnel responsible for controlling the hazard, such as rescue personnel or power company personnel
What steps do you take when you come upon downed power lines?
Park the ambulance outside the danger zone

Be sure that the vehicle is contacting ANY sagging conductors BEFORE exiting the vehicle

Order spectators back and secure perimeter with perimeter tape

Discourage occupants of vehicles from leaving wreckage

Prohibit traffic flow through danger zone

Do not attempt to move downed wires

Stand in a safe place until power company neutralizes the hazard
What is ground gradient?
A phenomenon in wet conditions that allows you to feel the electrical current as you approach the danger zone, increasing in intensity as you approach the conductor. If you feel tingling, get out of there.
If you feel tingling in your feet when near a downed power line, what do you do?
Either hop away on one foot (seriously), or shuffle away NEVER letting either foot ever leave the ground.
What do you do if you come upon a broken utility pole and the wires are intact?
Park ambulance outside the danger zone

Notify dispatch

Stay outside danger zone until power company rep can shut off power

Keep people out of the danger zone
What do you do if you come upon a damaged pad-mounted transformer?
Request an immediate power company response

Do not touch the transformer case or a vehicle touching it

Stay out of the danger zone until the threat is neutralized

Keep spectators away
For small vehicle fires, what can you do as an EMT?
If you have a class A:B:C fire extinguisher, odds are that you can put it out.
For large vehicle fires, what can you do as an EMT?
Call the fire department.
What do you do if you decide to put out an engine compartment fire (or a fire in the trunk)?
Get your back to the wind (fire extinguishers contain irritants that you don't want to inhale)

Aim at base of fire and extinguish in short bursts

If compartment is only partially open, don't open it wider

If compartment is completely closed, leave it alone and extricate passengers using emergency moves. The firewall should protect you.
What do you do if you decide to put out a fire in the passenger compartment?
Spray extinguisher in very short bursts directly onto flame
Should you ever try to put a fire out underneath a vehicle?
You can try... but it may be an exercise in futility.
Should you ever stand directly in front of a truck wheel when there's a fire?
No! It could blow up and mess you up
If, for some reason, you feel the need to disconnect the power source of a car, what do you do?
Disconnect the GROUND cable. This one won't spark. But don't do it in most cases. It will kill the electric windows, locks, seats, etc.
When should you consider a vehicle unstable?
Always, if patients need to be extricated
How do you stabilize a vehicle on its wheels?
Turn off engine

Put car in park

Remove keys

Set parking brake

Place a step chock underneath each side of the vehicle, and one under the front or back (3 total)

If significant "tool work" is to be done, deflate all tires by pulling valve stems from their casings. DO NOT SLASH TIRES! Tell police if you deflate tires to make the investigation go more smoothly.
Should you ever kneel on both knees while placing cribbing?
No! Always squat so you can dive away from the vehicle if necessary.
What do you do to a door before climbing inside?
Tie it open
If you find a car on its side, how do you proceed?
Stabilize it on its side before attempting access