EMT 3-4

You respond to a call at a park where you find a 550-pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift?

• You will place two persons at the foot, one at the head, and the other to act as a safety anchor with a rope.

• They would position themselves half way up the slope to take over when you and your partner get fatigued.

• You will place two persons at the head of the stretcher, one at the foot, and one to act as a spotter.

• You place one person on each corner of the stretcher to balance the weight and share in the lifting.

Which of the following factors should be considered before lifting any patient?

• The weight of the patient.

• Communications

• Your physical limitations

• All of the above

When lifting a patient, a basic principle is to:

• rush your lift to minimize your lift time.

• know your lifting limits.

• lift with your lower back.

• extend your arms to maximize your lift.

You respond to the scene of a two vehicle T-bone vehicle collision. The driver's side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extricate the passenger by which technique?

• Move the patient out of the car as quickly as possible, in the direction of the long axis of the body.

• Take extra care to protect the passenger's neck with a KED board or short spine board because of the injury.

• Carefully move the patient using full c-spine precautions.

• Move the patient as quickly as possible so he can get to a hospital before paralysis sets in.

You are called to the scene of a patient who fell approximately 5 feet off a stepladder to the floor of a third story attic of a very old building. He is complaining of severe neck and back pain, and he has an obvious fractured ankle. You cannot get your stretcher past the first-floor stairs and your long spine board is not practical with the winding spiral staircase and the small attic access. what is the best device to safely get the patient out of the attic where he can be properly immobilized?

• Vest-type extrication device

• Stair chair

• Flexible stretcher

• Scoop stretcher

Which of the following is the EMT's primary responsibility at a secured crime scene?

• Preserving evidence

• Providing patient care

• Identifying any potential suspects encountered at the scene

• Taking notes that may be needed during court testimony

you respond to the report of an unconscious female patient. You can acquire important medical information about the patient through which of the following?

• On-call Medical Director

• Medical identification device

• Driver license

• Medical history identifier

You arrive on the scene of a 55-year-old male patient. The patient's wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?

• Explain to the wife that her husband signed a legal document refusing care, and if you intervened to help him now, you would be breaking the law.

• Provide emergency care for the patient only if his wife signs a document stating they will not sue the EMS service.

• Provide emergency care under implied consent.

• Respect his legal right to not have any treatment, regardless of how much the wife begs you to help.

Which of the following refers to the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation?

• Protocols and standing orders

• Scope of practice

• Standard of practice

• Professional standards

Your patient is a 10-year-old boy who suffered a possible fractured arm while rollerblading at a friend's house. Which of the following is the BEST way to obtain consent for treatment?

• Get consent from the patient's 15-year-old sister, who is at the scene.

• Allow the patient to consent as an emancipated minor.

• Act on implied consent.

• Call the patient's mother at work.