Deck 15: Stabilisation and Transfer

Question 1

While in transit via a rotary aircraft, you have experienced pain in your ears. What will you do?

A) Move your jaw and try yawning gestures
B) Take decongestants
C) Try to insert a cotton tip applicator in the ear
D) All are correct

Answer 1

Move your jaw and try yawning gestures

Question 2

What information are you going to initially hand over using the ISBAR approach?

A) The current status of the patient
B) The identity of the patient and your role in assisting the patient
C) Assessment findings
D) Your location

Answer 2

The identity of the patient and your role in assisting the patient

Question 3

What are the benefits of properly securing or packaging the patient for transport?

A) Manages temperature
B) Ensures comfort
C) Reduces pain
D) All are correct

Answer 3

All are correct

Question 4

What should be monitored in aircraft transfers that could occur due to pressure changes?

A) Hypoxia
B) cardiac arrhythmias
C) Hyperthermia
D) None are correct

Question 5

How do you effectively establish access to circulation aspects of the patient prior to transfer:

A) Get the patient ready for blood transfusion
B) Secure two peripheral working IV lines
C) Be ready for possible ECG
D) None are correct

Question 6

In assessing the neurological status of a patient using AVPU, what does P stand for?

A) Painful head
B) Response to pain
C) Perfusion
D) All are correct

Question 7

Which of the following is considered a stressor when transporting a patient?

A) Noise
B) Vibration
C) Pressure
D) All are correct

Question 8

What is the one suggested method to ensure all information is handed over to hospital staff?

A) Use the ISOBAR approach
B) Rehearse hand-over with a team mate
C) Use the ISOBAR approach & Rehearse hand-over with a team mate
D) None are correct

Question 9

For a bariatric patient, what transport stressor should is especially important to consider while in transit?

A) Noise
B) Pressure
C) Vibration
D) None are correct

Question 10

What is the next step if peripheral IV access is difficult to secure?

A) Subcutaneous site
B) Intra-osseous access
C) Wait until the veins are hydrated
D) None are correct

Question 11

Rotary wing aircraft operating in Australia typically have an operating distance from their base of:

A) 250 km
B) 760 km
C) 500 km
D) 400 km

Question 12

Advantages of road transport over rotary wing transport include:

A) Road transport is generally unaffected by weather
B) Can accommodate multiple patients
C) Road transport is generally faster when take-off and landing times are factored in
D) All of the above

Question 13

Complications relating to ascent during aeromedical transfer include all of the following, EXCEPT:

A) Expansion of a pneumothorax
B) Decreased pressure in the cuff of an endotracheal tube
C) Abdominal pain and bloating due to expansion of gas in the gastrointestinal tract
D) Tooth pain as a result of expanding gas in a dental cavity/abscess

Question 14

You are preparing to transfer a critically ill ventilated patient and are determining the amount of oxygen that you will require for the transfer. The estimated transfer time is 1 hour and the patient has a minute volume of 6 L/min, FiO2 of 0.6 and a ventilator driving gas of 0.5 L/min. What are the oxygen requirements for the transfer, using the equation: 2 × Transport time in minutes × [(MV × FiO2) + ventilator driving gas]

A) 392 L oxygen
B) 492 L oxygen
C) 984 L oxygen
D) 784 L oxygen

Question 15

When undertaking an aeromedical transfer the crew member with the ultimate responsibility for crew safety is:

A) The most senior clinician
B) The doctor
C) All crew members have equal responsibility for crew safety
D) The pilot

Question 16

The gas law responsible relating to expansion of gases where the temperature remains constant, the volume of a given mass of gas is inversely proportional to its pressure is:

A) Henry's law
B) Charles's law
C) Boyle's law
D) Pascal's law

Question 17

You are transferring a patient who is on oxygen therapy at 8 L/min.You have available a 1,600 L tank of oxygen. At this flow rate how long will your oxygen supply last?

A) 1 hr 30 min
B) 4 hr 26 min
C) 1 hr 18 min
D) 3 hr 20 min

Question 18

For every 1000 ft (300 metre) increase in altitude the ambient temperature drops by approximately:

A) 1°C
B) 2°C
C) 3°C
D) 4°C