Exam 43: Gaining Access and Patient Extrication

A vehicle has rolled onto its passenger side after running a red light at an intersection and striking another car. The restrained driver remains in the car, screaming in pain. To manage this scene, which one of the following should you do first?

An elderly patient has fallen in her home and activated the 911 system by pressing a medical alarm worn around her neck. On arrival you can see the patient on the floor, but she cannot come to the door to open it to let you in. In this situation, your best course of action is to:

You have been dispatched to a motor vehicle collision. On scene you find that a minivan has completely sheared a wooden utility pole. The electrical wires are draped over the hood of the minivan and the driver, a woman in her 20s, is screaming that she is not hurt and wants to get out of the vehicle. The wires are not moving, arcing, or making any noise. What instruction is most appropriate at this time?

You have been given an order to cut through the "C" posts of a car with a trapped passenger. As an EMT with knowledge of vehicle extrication, you cut the posts located at which areas of the roof?

Which one of the following situations represents simple access to a patient?

To gain access to a patient entrapped in a car, the rescuers must use the "jaws of life" to open the door. The EMT should recognize this situation as:

On the scene of a motor vehicle collision, which one of the following EMTs is engaged in simple extrication of the patient?

A midsize car has been struck by a small delivery truck and sustained moderate damage to the front passenger area. The car is on its tires, and wood chocks have been placed under the undercarriage of the car. The air bags did not deploy. Which one of the following is the next step in this rescue?

You are on the scene of a motor vehicle collision involving two cars. To remove the driver of the first car, rescuers must break the windshield and roll back the roof. While he is assisting in this operation, which of the following pieces of personal protective equipment will afford him the best protection?

Rescue workers are preparing to remove the windshield and roof from a car to extricate a patient who is trapped. Before the rescue commences, which of the following should the EMT do first?

A car has rolled several times and is on its roof. Closer inspection reveals the unrestrained driver lying in her back with the back portion of the roof collapsed. At this time, what instruction should you give first?

A roofer on top of a two-story house called 911 after experiencing chest pain and dizziness. You are providing care to the patient on top of the roof and the fire department has arrived to help remove the patient from his present location. As the patient is brought down the ladder, your highest priority as an EMT is:

A car has struck a utility pole at a high rate of speed. The male driver appears to be unresponsive with snoring respirations. The vehicle has just been stabilized, and you have donned the appropriate personal protective equipment. Which one of the following should you do next?

At the scene of a motor vehicle collision, a driver is entrapped in his car after striking the back of a truck at a high rate of speed. Which action would be performed first when providing stabilization of the car?

You have just arrived on the scene of a motor vehicle collision where a car rolled several times at a high rate of speed. The car is on its wheels with the restrained driver still in his seat. After ensuring that the scene is safe and gaining access to the patient, which of the following should you do immediately?

The rescue captain has asked that you disconnect a car's battery to shut down all power to the vehicle completely. How should you do this safely?

You are on the scene of a car that hit a tree head on. The patient has a laceration to his forehead and a deformity to his left forearm. The car is a hybrid that runs on traditional as well as hydrogen gas. There is moderate front-end damage to the vehicle, but the air bags did not deploy. The patient was wearing a seat belt. What instruction is most appropriate in this situation?

An unresponsive patient is in a car with the doors locked and the windows up. Which one of the following actions is most appropriate when attempting to gain access to the patient?

On the scene of a motor vehicle collision, the driver is sitting inside the car with all windows up. When you attempt to open the doors, you find that they are locked. Given this situation, which one of the following statements made to the patient is most appropriate?

You are on scene of a serious motor vehicle collision. As the officer in charge, which one of the following instructions for other rescuers is most appropriate?