FISDAP OPERATIONS TEST QUESTIONS AND ANSWERS #3
Techniques for preserving evidence at a crime scene - correct answer - Don't clean the
patient or remove any blood
- Don't allow family to enter the crime scene until permission is granted from medical
examiner, law enforcement or coroner
- Preserve the chain of evidence
- Avoid disturbing the scene unless necessary for medical care
- Take one way in one way out
- Touch only what you need to touch and remember to tell police if you touch or move
anything
- Move only what is necessary to provide proper emergency care
- If the police aren't present, move the patient only if the patient is in danger or must be
move for you to provide care
- Observe and document anything unusual
- If possible, dont cut through holes in clothing from possible stabbings or bullet
- Don't cut through any knot in a rope or tie, cut away from the knot, don't cover patient
with a sheet (possible clues)
- If raped, don't wash or allow patient to wash. Ask the patient not to change clothing,
use the bathroom, or take anything by mouth
- put evidence in a paper bag not a plastic bag because plastic bags sweat
Identifying a weapon of mass destruction event - correct answer They will always large
scale casualties and MCI - Chemical Biological Radiological Nuclear Explosive
Indications for body substance isolation (standard precautions) - correct answer -
Intended to reduce transmission of infectious agents among patients and to reduce the
risk of transmission
- If a risk is present, wear appropriate PPE and disinfect/sterilize appropriately
Additional resources for an electrical emergency - correct answer - Local electric service
company
Components of START triage assessment - correct answer - 8+ years old or 100+lbs
- 30 second assessment to initially categorize patients for triage
- Based on respiratory status, perfusion status, and mental status
- Green = walking/wounded
- Yellow = delayed treatment
- Red = immediate treatment
- Black = dead or fatal injuries
Components of scene size up - correct answer - Determine if extra resources are
needed
- Take necessary standard precautions
- Evaluate the scene for safety hazards
- Determine the mechanism of injury or nature of the illness (why were you called?)
, - Determine number of patients
Maintaining scene safety - correct answer - Consider contact with all body fluids as a
hazard
- Wear examination gloves for every patient in contact with blood, infectious disease, or
other body fluids
- Consider the dispatch information
- EMT must adjust his actions and precautions as information become available
Identifying the need for additional resources at a MCI - correct answer - Mass causality
incidents place excessive demand on personnel and equipment
- Involves 3+ patients
- Make sure there is enough or more than enough rescuers with advanced life saving
skills
- Number of resources depends on number of patients
Components of primary survey - correct answer - Check for danger
- Check for a response
- Open airway
- Check breathing
- Check circulation
- Treat the steps as needed
Components of scene size up with gunshot patient - correct answer - EMT wear (in
some areas) bulletproof vests if they are in a situation that may involve
Gun violence. Police usually tell emts to avoid gun violence situations.
- Allow police to clear and secure the scene before approach the patient
Technique for approaching an unsafe scene - correct answer - If dangers threaten, stay
at a safe distance and call 911 or the local emergency number
- If the scene still is unsafe after you call, do not enter. Leave dangerous situations to
professionals like firefighters and police. Once they make the scene safe, you can offer
to help.
Body substance isolation for a patient with hepatitis - correct answer - Gloves, eyewear,
hand washing, vaccination, cleaning and disinfecting non-disposable equipment
- Know standard symptoms of Hep B (fatigue, nausea and loss of appetite, abdominal
pain, headache, fever, jaundice, dark urine) and Hep C (jaundice, fatigue, abdominal
pain in RUQ, nausea, dark urine, loss of appetite)
Identifying the need for rapid extraction - correct answer -when the scene is unsafe (fire,
hazmat, ect.)
- Altered mental status
- Inadequate respiratory rate or tidal volume
- Indications of shock
- Injuries to head, neck, chest, abdomen, and pelvis
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