FISDAP Operations EMT What is your priority as the incident commander at a mass casualty incident? - ✔Monitor incident organization. You are the first ambulance to arrive on the scene of a school bus rollover. The fire department has stabilized the bus. What should you do? - ✔Have your partner begin triaging patients. A 43 year old male complains of a stiff neck, persistent cough, and fever for the past week. He states he has been in and out of homeless shelters for the past 5 months. What should you do? - ✔Use gloves, gown, and HEPA mask. What is your major concern when performing a scene size up? - ✔Safety of your crew. You are the first to arrive at a scene of an industrial complex. You witness people running out of one buildings with rags over their mouths. An older gentleman falls clutching his chest. What should you do? - ✔Establish a safety zone and and evaluate what additional resources are needed. Your patient has a laceration to the face which aerosolizes blood each time the patient exhales. What items of personal protective equipment would you choose for this situation? - ✔Gloves, goggles, mask and gown Which of the following has ultimate responsibility for the patient care aspects of an EMS system? - ✔Medical director. When gaining access to the driver in a vehicular collision, what is the access of choice? - ✔Door You arrive at motor vehicle collision involving two cars and four patients. There is no entrapment and the scene is safe. Which command system should be utilized? ✔Singular command What additional resources would you need at a motor vehicle accident with a trapped 22 year old female? - ✔Rescue Squad and the Fire Department. Which of the following is NOT necessary during an ambulance inspection? - ✔Checking the ambulance with the engine off when evaluating guages, brakes, and warning lights. Which of the following statements is TRUE concerning protection by the good Samaritan laws? - ✔The purpose of the good Samaritan laws is to protect people trying to help in an emergency.
When you are caring for more than one trauma patient at a time, when should you change your gloves? - ✔For each new patient A 26 year old female jumped from the second floor of her house. She states she was getting away from her abusive husband. What should you do? - ✔Determine if the scene is safe. Which process is LEAST used by EMS to ensure that equipment is clean? ✔Sterilization Your unit is the first on scene at a mass casualty incident. What should you do? - ✔Set up a command post and start triage. When should you check and restock any missing inventory on your vehicle? - ✔At the beginning of your shift. What is the most common route of hazardous materials exposure? - ✔Inhalation during your radio report to the hospital, which of the following pieces of information should not be relayed? - ✔Patient's name An 27 year old male suffered a partial amputation of his foot in a farming accident. Bleeding is controlled. He is alert and oriented but refuses treatment. He speaks directly with online medical control but still refuses treatment and transportation. What should you do? - ✔Carefully obtain and document the patient's refusal. On-scene safety of EMS providers is the responsibility of whom? - ✔All crew members. A patient is trapped in a car with side to side rocking. What should you do? - ✔Stabilize the car How should you dispose of dressings and bandages that are saturated with blood? ✔In a red bag with a bio hazard seal A 22 year old female is HIV positive. She complains of left arm pain. What type of BSI should you use? - ✔Gloves only A patient with AIDS vomited blood during transport. How should you disinfect your ambulance? - ✔Using universal precautions, spray a bleach-based cleaning solution and carefully wipe down the stretcher. What is a hazardous, odorless gas resulting from incomplete combustion? - ✔Carbon monoxide
You arrive at an extrication scene and need to stabilize a vehicle in an upright position. Using four step chocks, you place - ✔two behind the front tires and two in front of the rear tires. Which of the following is the primary reason for changing gloves between contact with one patient and the next? - ✔To prevent spreading infection to the next patient. During an air medical transport, you should always approach the helicopter: - ✔From the side of the aircraft. Besides checking patient care equipment, you need to check the entire ambulance unit, including - ✔fuel, lights, fluid levels and tires. After receiving an order from medical direction what should you do? - ✔Repeat the order back word for word. A motor vehicle collided with an electrical pole resulting in downed power lines. A large crowd has gathered around the accident. Whom should you call for support? - ✔Local Power Company and State Police You respond to a call at a residence with a known bed bug infestation. What should you do? - ✔Wear a protective suit. How should materials with blood or body fluids present be considered? ✔Contaminated and potentially infectious. Which of the following is NOT a reason for an emergency move? - ✔Your patient tells you they can't feel their legs. While treating a patient at a HAZMAT scene what must you remember? - ✔Patients in critical condition may die if you delay transport for full decontamination. You can treat an unconscious patient under what type of consent? - ✔Implied consent You are the senior EMT at the scene of a MCI. What is your primary responsibility? ✔As an incident command officer until relieved. What is mandatory of victims of hazardous material exposure? - ✔They need to be decontaminated before moving them out of the hot zone. For which of the following patients should you call air rescue? - ✔A 26 year old male with a coup contrecoup head injury and dilated pupils.
You arrive at the scene of a motor vehicle collision. There is no fire, leaking fluid, or fumes. How far from the wreckage should you park? - ✔50 feet What is an example of defensive driving? - ✔Reducing speed in hazardous road conditions. Which of the following is the most common type of rescue across the United States? ✔Vehicle rescue In a situation where the DNR documentation is not available, you should - ✔Attempt resuscitation. When you arrive to the scene of a car crash and realize there are multiple patients what should you do? - ✔Call for additional EMS assistance. You and your partner arrive on scene of a motor vehicle collision with smoke coming from the engine. What is your primary concern? - ✔Your own safety. Which of the following statements is NOT true regarding the transfer of the patient to the ambulance? - ✔The best position for transport is always sitting up. While extricating a patient at the scene of an accident you notice gas leaking from the patient's vehicle, what should you do? - ✔Attempt to rapidly extricate the patient. Which of the following is the EMT's primary responsibility at a crime scene? - ✔His or her own safety. At a mass gathering several hundred people suddenly began to experience severe salivation, lacrimation, urination, and vomiting. What should you do? - ✔Set up a command post and ensure scene safety. What patient would NOT be triaged as a red? - ✔A patient with a 4 inch thigh laceration. Where should you position your vehicle at a motor vehicle collision on the highway? ✔In front of the patient's vehicle What are TWO patient care issues to address at HAZMAT incidents?. - ✔Mechanism of trauma and injuries from exposure to hazardous substances A 54 year old man refuses your care and treatment despite his wife's pleas. He refuses to sign a refusal of care form. Now he is telling you to leave his house immediately. ✔Leave the scene after asking his wife to sign the refusal form as a witness.
A car rolled down an embankment and landed on its roof. There is an unconscious person inside the vehicle. What should you do? - ✔Stabilize the inverted vehicle. While driving an emergency response vehicle, when should you exercise due regard for others? - ✔At all times. A patient is trapped in a car which has rolled down an embankment. What should you do? - ✔Stabilize the vehicle. While responding to an emergency call using lights and sirens what should you do? ✔Drive with due regard to state traffic laws. You are at the scene of a shooting. Police have the room secured but are unsure of where the shooter is. They request that you see if the patient is dead. What should you do? - ✔Ask your partner to scan for danger while you examine the patient What are established interventions that can be performed without calling medical direction? - ✔Standing orders The termination of resuscitation efforts in the pre-hospital setting is based on which one of the following? - ✔Medical Director's instruction You are treating a patient who has potentially been exposed to a hazardous material. Prior to transporting your patient, you must call the hospital to inform them of your arrival and the situation. What else must you do prior to transport? - ✔Ensure that the patient has been decontaminated. You respond to a call when you see a stopped school bus with its red lights flashing. What should you do? - ✔Stop and proceed only after the flashing lights are off. Which sector coordinates operations with the staging officer and routes patients to the hospital? - ✔Transportation A 4 year old male is showing signs of hypovolemic shock. The parents advise you to transport the child to the family doctor's office just down the street. What should you do? - ✔Convince the parents that the child may need a higher level of care than the doctor's office can provide. When you arrive on the scene of a patient who has recently deceased, the family is divided about whether you should start resuscitation. There is a valid DNR. You should ✔If in doubt, begin resuscitation. In the Incident Management System, what is the Liaison Officer is responsible for? ✔Coordinating all operations involving outside agencies.
Who is the initial Incident Commander of an EMS incident? - ✔First Senior EMS provider on the scene. You will be on scene for more than 10 minutes because you must wait for an extrication team. To whom should you report the delay? - ✔The receiving hospital.