Code Logistics
You are an EMS rescuer inside the vehicle where the Jaws of Life are being used to extricate the patient. What specific personal protective equipment should you wear?
full turnout gear, including a helmet.
What is the greatest hazard associated with incidents on the highway?
Flow of traffic
You are dispatched to a man down call. You arrive at the scene and notice a victim lying near a leaking container. The placard is hard to read from a safe distance. What would be your best course of action?
Identify the material label with binoculars and call for a hazmat team
When approaching a damaged vehicle what method would you try first to gain access to the patient?
Try opening the door with your hand - try the least invasive first!
In START triage system what is the first step of triage?
Call for all the walking wounded and tag them
When there are multiple agencies involved in commanding a disaster scene, what type of command is setup?
Unified command
What type of ambulance designs looks like a standard van?
The ambulance that looks most like a standard van is the Type II. The Type I has a truck chassis with a modular ambulance body. The Type III has a van chassis with a modular ambulance body.
The most common route of hazardous materials exposure is:
Respiratory inhalation
When inspecting your ambulance at the beginning of your shift, which piece of equipment should prioritize checking right away?
1. obstetrics kit
2. cardboard splints
3. Triage Tags
4. oxygen delivery system
oxygen delivery system -
The oxygen delivery system is critical to check as soon as you begin your shift. It is the most frequently used piece of equipment and considered essential for most calls. The other equipment is valuable, but is not as important when compared to O2. In other words, you could make do without them if they were not available.
As the first EMS unit on scene at a bus crash with multiple people injured. What should be one of your first priorities on scene?
Notify dispatch and set up the incident command system.
Daily Double
You have an incident where you have very limited access to the patient trapped in a vehicle. After your scene size up which part of the assessments should occur regardless of how trapped the patient is?
Primary assessment
When an EMS provider attempts to preserve criminal evidence that may be on clothing removed from a patient, the clothing should be placed in what?
A brown paper bag - other methods will potentially destroy the evidence. This is because the paper bag will allow the liquid (blood or other bodily fluids on the evidence) to dry at a normal rate.
You are part of a major response to an MCI caused by a dirty bomb explosion in a government building that was part of a suspected Terrorist attack. As you approach the scene, what is the most important factor you must be on the lookout for?
Secondary devices
You are called to the scene of an injured hiker and are preparing to move the patient in a basket litter over some rough terrain. What's the best techniques to use to carry the litter?
The preferred number of rescuers for carrying a litter over rough terrain is 6 to 8, with them evenly distributed on each side of the litter. Can use part of the team as spotters as well. It is also preferred to have two to three teams available if you are carrying the patient over a great distance
Which position in a MCI has the greatest likelihood of transferring the disaster scene to the hospital if they fail to do their job properly?
Med Comms/Transportation officer
During a mass casualty incident, what key information should you include in your initial radio report to the receiving hospital?
Priority, destination hospital, ETA, transport unit, principal injury.
A paramedic has been assigned as the Treatment Officer during a mass casualty incident involving a school bus crash. What are the responsibilities of this position?
The Treatment Officer is responsible for establishing and managing treatment areas, coordinating medical care within those areas, maintaining documentation, and requesting needed supplies through the logistics section.
You are called to a local warehouse for workers there that are “feeling sick”. When you arrive on scene you notice several dead animals in the parking lot. As you mention this to your partner, you see more dead animals. How does this affect your normal emergency response?
You should stay in your vehicle, move your vehicle a safe distance from scene, and call for the hazmat team.
You approach a MVC and observe two passengers in the front seat that appear unresponsive. The vehicle hit a center divide at a high rate of speed. You are able to open the doors to begin assessment on these patients. What action should be taken to assure you are working in a safe environment?
When approaching victims in a vehicle that has been in a high‐speed collision, you need to verify that safety devices such as air bags have all gone off or have been disabled so that they do not go off while you are working in the patient compartment.
Daily Double
You and your partner are working a dual paramedic ambulance. Your partner has 20 years of experience and you are a newly licensed paramedic. Your ambulance is first on scene of a Multiple Casualty Indecent, what position would you most likely be responsible for?
Triage - The first unit to arrive typically fills the role of incident commander and triage. The most experienced person takes the role of incident commander. If there are a sufficient number of patients, the next unit to arrive handles treatment.
In what situations should you consider requesting an air ambulance for a critically injured patient, and what factors influence that decision?
If using the helicopter will save more than 10 minutes in transport time for the critically injured patient, it should be called
What is the mammalian diving reflex, and how does it affect the body—especially in cold water drowning incidents?
natural survival mechanism triggered when the face is submerged in cold water. It causes the body to slow its metabolism and conserve oxygen, particularly for vital organs like the brain and heart.
What signs and symptoms are most commonly associated with a patient who has been exposed to a nerve agent?
S -salivation
L -lacrimation
U -urination
D -diarrhea
G -gastrointestinal upset
E -emesis
M -miosis/muscle twitching
Your vehicle is the first to arrive at an accident scene where fluid appears to be leaking from one of the cars. Where should you park your vehicle?
In this situation, you should park your vehicle 100 feet in front of the wreckage, attempt to be uphill and upwind. This will allow your vehicle to provide you and the patients with some protection.
You are at the scene of a mass casualty incident involving a school bus and a train. Your partner is walking around the scene and laughing. How should you respond?
They are experiencing a critical stress response. Remove them from the scene as soon as possible.