Deck 43: Gaining Access and Patient Extrication

Question 1

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) Cover the patient with a heavy tarp for protection.
B) Explain to the patient what is taking place.
C) Lock all four doors and roll up the windows.
D) Wet the car down with a fire hose to prevent an accidental fire.

Answer 1

B

Question 2

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?

A) Carefully deploy the air bags.
B) Extricate the patient.
C) Forcibly open the trunk.
D) Release air from the tires.

Answer 2

D

Question 3

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?

A) Sunglasses, steel-toed boots, and fluorescent identification vest
B) Latex exam gloves, fluorescent identification vest, and helmet
C) Helmet, goggles, turnout gear, leather gloves, and steel-toed boots
D) Goggles, latex exam gloves, steel-toed boots, and fluorescent vest

Answer 3

C

Question 4

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?

A) Perform a jaw-thrust airway maneuver.
B) Place a tarp over some spilled antifreeze.
C) Take manual spinal stabilization.
D) Apply a cervical collar to his neck.

Question 5

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?

A) Break the window opposite the patient with a spring-loaded punch.
B) Use a crowbar to break the lock on the door.
C) Call for a rescue truck to forcibly remove a door.
D) Break the window by striking it with a crowbar.

Question 6

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?

A) Setting the parking brake
B) Disconnecting the battery
C) Shutting off the engine
D) Placing the transmission in "park"

Question 7

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

A) Unlocking a car door by breaking the window using a screwdriver
B) Forcing entry into a house
C) Climbing stairs to gain access to a patient on a porch
D) Extrication of a patient from a car after removing one door

Question 8

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) "Let's forcibly remove the back door."
B) "We need to take the weight off of the posts."
C) "Let's open the doors and use them for support."
D) "We need to climb in to assess the patient."

Question 9

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) safety of the patient.
B) providing patient care.
C) your personal safety.
D) safety of the other rescuers.

Question 10

A vehicle has been struck in its front end by another car. The driver is entrapped and the roof must be rolled back to allow extrication. The car has been appropriately stabilized and you are inside with the patient. The primary assessment is complete and a cervical collar applied. Rescue personnel are ready to begin cutting the vehicle. At this time, the appropriate action is to:

A) place a tarp over the patient.
B) remove the windshield.
C) apply a short vest-type extrication device.
D) stabilize the vehicle.

Question 11

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?

A) "I need you to jump clear of the car and shuffle away in small steps keeping your feet together."
B) "You need to remain still and calm in your seat and do not touch anything in the car."
C) "Carefully get out of the car and shuffle away with small steps while keeping your feet together."
D) "The electrical wires are not charged anymore, but stay where you are until the fire department gets here."

Question 12

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

A) The EMT removing the patient from the car
B) The EMT entering the car to open the patient's airway
C) The EMT stabilizing the car to prevent it from moving
D) The EMT monitoring the scene for safety hazards

Question 13

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?

A) "Place a flare near the oil spill so that no one slips."
B) "I need to have the battery cables disconnected."
C) "Let's deactivate the air bags by turning the engine off."
D) "We will need to puncture the hydrogen tank to prevent an explosion."

Question 14

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:

A) use a crowbar to pry open a window or door.
B) contact a locksmith to pick the locks on the front door.
C) open the storm door in the front and kick open the front door.
D) break a window in a room away from where the patient is located.

Question 15

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?

A) "Let's make sure to put cones around the cars."
B) "We need to route passing traffic no more than 20 feet around the scene."
C) "Park the ambulance downhill to make movement of the patient easier."
D) "Let's stop all traffic and reroute it to alternative roadways."

Question 16

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?

A) Determine injury or injuries.
B) Remove the roof.
C) Stabilize the vehicle.
D) Hold manual in-line stabilization.

Question 17

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?

A) Establish a plan to extricate the patient.
B) Remove pieces of broken glass from around the patient.
C) Cover the patient and force the door open.
D) Provide manual in-line spinal stabilization.

Question 18

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?

A) "Very carefully, with as little movement as possible, please roll down the window."
B) "Without moving your head or neck, please try to unlock the door."
C) "Please remain still. I am calling for the rescue truck to remove the door of your car."
D) "Please shield your eyes. I am going to break the window so we can open the door."

Question 19

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:

A) complex access.
B) rapid extrication.
C) simple access.
D) hydraulic stabilization.

Question 20

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?

A) Remove the negative battery cable first.
B) Cut the positive battery cable, and then remove the negative cable.
C) Disconnect the positive battery cable first.
D) Remove the negative and positive cables simultaneously.

Question 21

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?

A) Rear
B) Top
C) Front
D) Middle