EMR Final Exam with 100% correct
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Define scene size-up - ANS General overview of the incident and its surroundings
What can you determine from a scene size-up? - ANS The safety of the scene
The type of incident
the mechanism of injury
need for additional resources
When does your scene size up begin? - ANS BEFORE you arrive at the scene of an
emergency
What information should your dispatcher have obtained? - ANS The location of the incident
the main problem what type of incident
number of people involved
any safety issues at the scene
What environmental factors should you consider responding to the scene - ANS Time of day
day of the week
weather conditions
How should you notify medical dispatch you come across a medical emergency - ANS Use a
two-way radio -if you do not have a two-way radio use the cellular phone or send someone to
call for help
What information should be relayed to others about the scene? - ANS Location of the
incident
the main problem or type of incident
number of people involved
any safety issues at the scene
What are two important factors in the parking your vehicle at a scene? - ANS Help secure the
scene
minimize traffic blockage
As you approach the scene you should scan the area for what? - ANS Determine the extent
of the incident
the possible number of people injured
the presence of possible hazards
,Are hazards visible, invisible, or both - ANS Both
List some examples of visible hazards - ANS Downed electric wires
traffic
spilled gasoline
unstable buildings
a crime scene
weather
crowds
Ice
Slopes
List some invisible hazards - ANS Electricity
biologic hazards
hazardous material
poisonous fumes
What are two things to keep in mind when working with confined spaces, farm silos, industrial
tanks, and below ground pits - ANS The possibility that they contain poisonous gases or lack
enough oxygen to support life
Hazardous material placards on vehicles may indicate the presence of what? - ANS
Chemical hazards
Learning what will help you anticipate certain injuries - ANS MOI and NOI
As you should with all scenes, before entering the scene you should have what? - ANS
Standard precaution
Additional resources include what - ANS EMS units
law-enforcement
traffic control
fire department
utility company
wrecker operators
During your initial report to dispatch what are some things you should tell them - ANS
Where do most blood vessels and nerves lie - ANS Close to the bones, especially around
major joints
What should you check after splinting a limb - ANS Circulation and sensation
, Where should you feel a pulse on an extremity - ANS you should feel the pulse distal to the
point of injury
Where should you check if the patient has an upper extremity injury for pulse - ANS The
radial pulse
Where should you check if the patient has a lower extremity injury for pulse - ANS The tibial
pulse (posterior ankle)
Where can you test capillary refill - ANS in the toe or finger of an injured limb
How do you perform capillary refill - ANS Press firmly on the tip of the nail which causes the
nailbed to turn white. Release the pressure in the normal pink color should return by the time it
takes to say capillary refill.
If the pink color does not return in this two second interval, what is it considered - ANS
delayed or absent, and indicates a circulation problem
When can you not test capillary refill - ANS A cold environment
What is a good indication the patient has sensation - ANS The patient's ability to fill your light
touch on the fingers or toes
Where do you check sensation in the hands - ANS Check sensation by lightly touching the
tips of the index and little fingers
Where do you check sensation in the feet - ANS Check the tip of the big toe in the top of the
foot
if you suspect a hand or foot is injured, Should the patient move it - ANS No
What should you do when the injury is between the hand in the body or the foot in the body for
movement - ANS Have the patient flex the foot or the injured limb, have the patient open and
close their fist
What is evidence of a possible limb injury - ANS Open wound, deformity, swelling, or bruising
Define triage - ANS The sorting of patients into groups according to their need for medical
treatment
Triage is a French word for what - ANS Casualty sorting
What does START triage stand for - ANS Simple triage and rapid treatment
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