ANSWERS GRADED A+
✔✔List techniques to improve radio communication. Table 4-10 - ✔✔Turn radio on &
adjust volume, ensure clear frequency before speaking, to speak use "press to talk
button" an wait one second before speaking, hold microphone 2-3 inches from mouth,
address the unit you're calling and provide name of your unit, when transmitting
numbers provide both the number and individual digits, Brief and easily understood,
plain English, no code words, tone and pace should be slow, relaxed and clear, you
don't need to use excessively polite language, avoid wordiness (wastes radio time),
don't use pt's names, remain objective, NEVER use profanity, use words "affirmative"
and "negative" instead of yes and no, after finished transmitting say "over", DON'T
provide diagnosis of pt's problem, use EMS frequencies ONLY for EMS
communications
✔✔List the components which are assessed during scene size up.
page 7, 317- - ✔✔involves awareness of scene safety and big-picture awareness of
overall situation
EMT's primary job is to ensure it's as safe as possible
Gain big-picture perspective of call
Determine if it's safe to proceed
Determine if additional sources are needed
Identify initial approach to mitigate the emergency
-ensure scene safety, Determine mechanism of injury/state of illness, take standard
precautions, determine number of patients, consider additional/specialized resources
✔✔List the resources an EMT has to help identify an unknown hazardous material.
Page 54 - ✔✔Department of Transportation (DOT) Emergency Response Guidebook:
lists common hazardous materials and proper procedures of scene control and the
emergency care of pt's
Never approach any object marked with a placard or label
✔✔Describe additional resources that may be required to assist the EMS provider. pg
317, 320, 321 - ✔✔firefighters, air medical support, lifeguard, utility workers, hazardous
materials technicians, law enforcement, specialized rescue group
✔✔Discuss the importance of patient management at the scene of a crime and how the
EMT would go about moving items found at the crime scene. - ✔✔If there is evidence at
an emergency scene that a crime may have been committed, you must notify the
dispatcher immediately so that law enforcement authorities can respond. Such
circumstances should not stop you from providing lifesaving emergency medical care to
the patient; however, your safety is a priority, so you must ensure that the scene is safe
to enter.
While emergency medical care is being provided, you must be careful not to disturb the
acne of the crime any more than absolutely necessary. Notes and drawings should be
, made of the position of the patient and of the presence and position of any weapons or
other objects that may be valuable to the investigating officers. If possible, do not cut
through holes in clothing that were caused by weapons or gunshot wounds. Avoid
walking through blood and try to avoid leaving footprints in the dirt or grass at or near a
crime scene.
When a sexual assault is suspected, try to persuade the victim no to shower or clean
himseld or herself. You should confer periodically with local authorities and be aware of
their wishes regarding actions you should take at the scene of the crime. It is best if
these guidelines can be established by protocol.
At the scene of a crime an EMT shouldn't move anything unless it is absolutely
necessary to care for the patient. The most important thing is to make sure the scene is
safe for yourself before assisting the patient.
✔✔Explain some scene findings which would make the EMT think there was the
presence of a weapon of mass destruction. - ✔✔Finding webbing on windows. Hazmat
and weapons of mass destruction incidents force the Hazmat team to identify patients
as contaminated or decontaminated before the regular triage process. Contamination by
chemicals or biological weapons in a treatment area, a hospital, or trauma center could
obstruct all systems and organizations coping with the MCI or disaster. Bear in mind
that some incidents may require multiple triage areas or teams because the victims are
located far apart.
✔✔Describe the steps of the primary assessment including treatment that would need
to be taken. p 323- - ✔✔Primary goal: to identify and begin treatment of immediate or
imminent life threats.
During primary you must identify signs of life threats and immediately work to correct
them. You must form a general impression first (age, sex, level of distress). Then you
must assess the level of consciousness (unconscious, conscious w/ altered LOC,
Conscious w/ unaltered LOC). Then you must identify and treat life threats as well as
assessing the airway, breathing, and circulation. Afterwards, we would determine
priority of patient care and transport
✔✔List the order of operations when arriving on the scene and assessing a patient.
323, flow chart - ✔✔Scene size up
P - personal partner, bystanders, patient safety (PPE, helmet, jacket, gloves, etc)
E - environmental hazards (fire, snow, etc)
N - number of patients (mass casualty incident (MCI), car/plane crashes)
M - mechanism of injury or nature of illness (broken bones/fever,overdose)
A - additional resources if needed (fire-fire, electric-power dep., violence-police)
N - need for spinal motion restrictions (car accident/pt. Cant walk)
General impression: rapid identification of potentially life-threatening problems
Level of consciousness:
AVPU- awake & alert, responsive to verbal stimuli, responsive to painful stimuli,
unresponsive.
Oriented to time, place, self, & event (person, place, time, event) A/Ox4 = alert and
oriented