An effective and reliable communication system is essential to the EMT and the EMS system because: Show
D) hospitals can better prepare for the arrival of a patient. You have arrived by the side of an 82-year-old male complaining of generalized weakness. After introducing yourself, he states, "My name is Edward Burns, but everyone calls me Eddy." Which one of the following is your most appropriate response? B) "Do you want us to call you Eddy as well?" Which one of the following statements is most appropriate when
communicating with the medical facility that will receive the patient? C) "En route to your facility with a
73-year-old male complaining of dizziness." Why is using a standard format for relaying medical information to the emergency department important? A) The opportunity for forgetting important medical information decreases. A patient who was complaining of a headache is being transported to the hospital. After providing a report to the emergency department, the patient begins to seize. The seizure lasts for one
minute and then stops. At this time, you are five minutes from the hospital. After providing care for the seizure, your next action should be to: C) call the hospital and inform them of the seizure. You are returning from a call when you come across an apartment building with flames coming from several windows on the top story. You see several occupants trapped and hanging out of the windows screaming for help. Which one of the following radio transmissions is most appropriate to advise dispatch of the situation? C) "Central communications from Unit 118, how do you copy?" An advantage to asking the patient close-ended questions is a(n): A) ability to get medical information very quickly. You are assessing a patient complaining of shortness of breath. Which one of the following questions would best assist you in getting additional information about the patient's chief complaint? C) "You appear to be short of breath. Are you also having chest pain?" Throughout a radio transmission to the dispatch center, the EMT periodically uses the term "break." You should recognize this to mean he is: D) purposely pausing his transmission. Your partner accidentally uses a profane word when talking to dispatch. Which agency has the power to fine him and the ambulance service? C) Federal Communications Commission You have arrived at the scene of a medical emergency. As you enter the room where the patient is located, you note him to be sitting up and talking without difficulty. Emergency Medical Responders are on scene and providing
basic care for the patient. Which one of the following will you do first? D) Get a report from the Emergency Medical Responder. Which one of the following is the most appropriate way to contact a receiving hospital to alert them that you are en route with a patient? B) "St. Margaret's Hospital, this is BLS ambulance 17-64. How do you copy?" Your ambulance was dispatched for a patient complaining of shortness of breath at 1512. You arrived on scene at 1523 and left at 1538. You arrived at the hospital with the patient at 1557 and were back in service at 1622. Which one of the following is
true? C) Your scene time was 15 minutes. You pull up to the scene of a one-car motor-vehicle collision and find a physician treating the patient. Which one of the
following is the best way to initially communicate with the doctor? A) "Hello, we are EMTs. How can we help you, doctor?" You are treating a
two-year-old girl who fell off her bike. She is crying and will not answer any of your questions. Which one of the following would be appropriate to find out where the girl hurts?
A) Have the girl's mother ask your questions for you. Of the following, who has personal protective equipment in place? D) All of the above have personal protective equipment in place. If a scene becomes unsafe after you have entered, you should first: D) remove yourself and your crew from the scene. When should the EMT conduct an evaluation of the scene for hazards that can threaten or harm him? A) Throughout the entire call You and your partner are first on the scene of a bleacher collapse at a local raceway. As you exit the ambulance, you note several patients seated around debris from the seats. In this situation, which one of the following actions would you perform first? A) Determine the number of patients. It is nighttime and you have been dispatched for a vehicle on the shoulder of the interstate with a driver slumped over the steering wheel. When pulling up onto the scene, how should you best position the ambulance? B) Behind the car with your high-beams on For the scene of a motor-vehicle collision involving two vehicles, which one of the following actions would be most appropriate in
regards to rescuer and patient safety? D) Place flares 500 feet in each direction from the collision scene. On scene, frantic family members direct you into the basement where their 67-year-old mother has shot herself in the chest with a pistol. She is unresponsive and breathing six times a minute. The gun remains in her hand by her side. What action should you take immediately? B) Pick up the gun by the edge of the grip and carefully remove it. A young male playing hockey on an ice-covered pond has been injured and remains on the ice. As you arrive on
scene, a park ranger informs you that the ice is 12 inches thick and poses no danger of collapse. In this situation, which one of the following actions would be most appropriate? D) Place tarps on the ice to walk over to the injured player. When would an EMT enter the scene of a crime to provide care to the patient? C) When all hazards have been addressed You have been called to a bar full of intoxicated patrons for a 46-year-old man who fell off his stool, injuring his left arm. As you assess his arm, he screams in pain. Several of the patrons get angry and yell for you to give him something for pain. Someone in the back throws a bottle in your direction. What should you do next? C) Leave the scene and only return when police have made it safe to do so. Which one of the following standard precautions must the EMT take on every call? A 67-year-old male patient is experiencing chest pain. His home is located in an extremely "bad" neighborhood. There are vacant homes throughout, including the two homes to either side of the patient's residence.
Additionally, parked cars have forced you to park three houses away, making a walk necessary to get to the patient. Which one of the following actions would be most appropriate as you approach the patient's house? C) Walk single file with your partner behind you carrying the medical bag. What is the most common potential hazard an EMT faces on scene? You have been directed
to a car that struck another vehicle at a moderate rate of speed. You note deformity and starring of the windshield on the driver's side. What should you do to determine if the deformity to the windshield was caused by the driver hitting his head or by the airbags? A) Assess the patient's head. When deciding whether or not to transport a patient to the hospital using lights and sirens to the hospital, what information should carry the most weight in your decision? The "S" in SAMPLE stands for: When performing the primary assessment of a 45-year-old patient, which one of the following skin findings should concern the EMT? A 62-year-old female patient who has been working in her garden has hot, dry skin. You should recognize this as a possible sign of: You are interviewing a prospective candidate for the position of EMT with your service. During the interview, you ask the applicant to describe the purpose of the primary assessment. Which statement best describes that purpose? B) "Identify and treat life-threatening conditions." Which one of the following statements made by the EMT indicates that he has appropriately initiated the first phase of the patient assessment? C) "The scene appears to be free of hazards." While completing the secondary assessment of a diabetic patient who just had a seizure and is currently unresponsive, the patient
starts to experience another seizure. The EMT should: B) return to the airway and ensure its patency You
are by the side of a 64-year-old male patient who collapsed at home. After assessing the level of consciousness, airway, and breathing, you determine that he is unresponsive with an open airway, but not breathing. What instruction should you immediately give your partner? D) "Let's place an oral airway and start ventilations." You are instructing an Emergency Medical Responder course. One of the students asks you how the head tilt-chin lift airway maneuver works to open the airway. Your response is: A) "It opens the airway by lifting the tongue from the back of the throat."
When you are caring for a patient with either a medical complaint or traumatic injury, you should typically perform the reassessment: B) while transporting the patient to the hospital. You have completed the primary assessment on a patient who was thrown from a motorcycle, impacting his head and back on the nearby sidewalk. Finding no life threats during the primary assessment, what action should you take first when starting a secondary assessment? C) Re-evaluate the mechanism of injury. You cannot locate a radial pulse on a 42-year-old male who is alert, confused, and breathing adequately. Which one of the following should you do immediately? B) Check for the carotid pulse. The EMT recognizes that for a trauma patient who is alert and oriented, he should obtain the history during what component of patient assessment? The EMT
shows she understands the importance and reason for forming a general impression of the patient when she makes which one of the following statements? D) "Forming a general impression provides me with a rough idea of the patient's overall status." The EMT is using the OPQRST mnemonic to gather information from a patient with abdominal pain. Which one of the following patient statements is a response to the letter "P" in this memory aid? D) "It hurts worse when I take a deep breath." A patient has called 911 for abdominal pain and generalized weakness. On arrival you note that the patient's skin is a yellow-orange color. Which one of the following diseases revealed to you
during the history would best correlate to this patient's skin? Which of the following is one of the basic five rights of medication administration? Which one of the following medical emergencies would most likely result in the use of epinephrine by the EMT?
As a certified EMT, you may assist the patient in taking which one of the following prescribed medications? D) Inhalers for difficulty breathing A patient with a history of diabetes is slightly confused and irritable. According to family members, he accidentally took too much insulin this morning and did not eat breakfast. Since he is conscious with an intact gag reflex, medical command has ordered you to administer oral glucose. Which one of the following best represents the indication for the medication? B) Confusion and irritability Which one of the following is the most reliable source of information about a medication? D) Physician's Desk Reference The EMT shows she understands the difference between a metered-dose inhaler (MDI) and a small volume nebulizer (SVN) when she states: B) "The MDI provides medication with one or two of the patient's breaths; the SVN provides a continuous flow of medication until gone." Which one of the following is the best indication for the administration of oral glucose to a patient who has diabetes? After assisting a patient with her EpiPen, she states that it is much easier for her to breathe. However, her heart rate has increased from 92 to 118 beats per minute. In relation to the epinephrine, the EMT
recognizes the increased heart rate as a(n): A patient with severe chest pain hands you a bottle of nitroglycerin. After reading the label, you determine that the medication expired two months ago. You should: A) withhold the medication and transport. Which one of the following is a generic drug name? A medical direction physician gives you a radio order to
administer aspirin to a patient with chest pain. How should you respond to the order? D) "Received. I will administer 81 mg aspirin orally." You have administered Xopenex to a patient, using a small-volume nebulizer. You then notify medical direction that you have administered the drug. This is an example of which type of medical control? Which one of the following statements shows an adequate understanding of medication administration and dosages?
A) "The proper dose of a medicine should be administered unless medical command orders otherwise." After assisting a patient using his metered-dose inhaler, the patient's son asks why his father cannot take the medication in the form of a pill. Which one of the following responses is most appropriate? D) "By giving the medication directly to the lungs, the effect is more immediate." You are by the side of an alert and oriented 56-year-old male patient complaining of a pounding headache and generalized weakness. His pulse rate is 104, respirations are 18, and blood pressure is 218/110 mmHg. He has a history of high blood pressure for which he takes the anti-hypertensive Zestril. He states that he has not taken the Zestril for two weeks and hands you the container filled with the medication. Which one of the following should you do next? C) Do not administer any medication. As you approach a patient, you observe dark blood on his shirt. He appears confused, pale, and diaphoretic. Which one of the following should you do first? You believe that a patient who has been shot in the lower abdomen is bleeding internally and is in the early stage of shock. Which one of the following indicates appropriate prehospital care of this patient? B) Oxygen therapy and rapid transport to the hospital A 62-year-old female is in cardiac arrest. Which one of the following statements made by an Emergency Medical Responder would best help you decide whether to immediately use
the AED or continue with CPR? C) "She has been down for about two minutes." Which one of the following conditions could be responsible for causing
obstructive shock? C) Blood clots in the lungs An unrestrained 37-year-old female is in cardiac arrest after striking a tree head-on at a high rate of speed. Assessment reveals her to have suffered
massive blunt trauma to the chest and abdomen. The patient is quickly extricated from the vehicle and placed on a long board for immobilization. It is estimated that the patient has been in cardiac arrest for approximately 10 minutes, during which CPR was not performed. At this time, the EMT would: D) perform CPR and contact medical command for permission to use the AED. Which one of the following statements should reinforce an EMT's suspicion that a patient is in the early stages of hypovolemic shock? A) "I have had diarrhea for the past two weeks." You have been called for an elderly male patient who suddenly collapsed. On scene you find
an 82-year-old man lying on the garage floor. Assessment reveals him to be unresponsive and not breathing. Which one of the following should you do immediately? B) Check for a carotid pulse. A driver was ejected from his vehicle in a rollover-type collision.
Assessment findings include unresponsiveness and bruising to the abdominal and pelvic areas along with an open femur fracture. The patient has an open airway and is breathing at 32 times per minute. The skin is cool and clammy and the radial pulses are weak. Manual in-line spinal stabilization is being maintained. Which one of the following is the EMT's initial intervention? You are transporting an unresponsive 31-year-old female patient who suffered cardiac arrest. On scene Emergency Medical Responders (EMRs) shocked her once with the AED and she regained a pulse. She remains unresponsive and is breathing shallowly. Ventilations are being provided with a bag-valve mask. An EMR has agreed to ride to the hospital with you to provide assistance in caring for the patient. Which one of
the following instructions given to the EMR is most appropriate? D) "Leave the AED on her, even though she is breathing and has a pulse." Why is defibrillation in the first few minutes of cardiac arrest so critical? D) If cardiac arrest is not treated within the first few minutes, ventricular fibrillation will convert to asystole, a non-shockable heart rhythm. You are transporting a patient in cardiac arrest. The AED is being used and a shock has been advised. Prior to administering the shock, what should you do? A) Ensure that no rescuer is touching the stretcher. The major categories of shock include: B) hypovolemic, cardiogenic, obstructive, and distributive. At an in-service on shock, the presenter asks if anyone can tell him something about irreversible shock. Which statement made by an EMT is correct? B) "Even with treatment, if shock has reached the irreversible stage, death will result."
Which one of the following statements about the heart rhythm of ventricular fibrillation is true? D) "When a patient's heart is in ventricular fibrillation, it is unable to pump blood throughout the body." After two cardiac arrests, a large home improvement center has purchased a fully automated AED. You have been asked to provide education on its use. During an instructional
session, a student asks you what will happen when the AED indicates that a shock is indicated. Your response should be: C) "The AED will automatically shock the patient." When interviewing a patient with a medical emergency the EMT is using the technique of summary when she says?hospitals can better prepare for the arrival of a patient. When interviewing a patient with a medical emergency, the EMT is using the technique of summary when she says: "So the nausea and vomiting started two days ago."
Which of the following is an effective way to improve communication with most patients?7 Ways to Improve Communication with Patients. Assess your body language. ... . Make your interactions easier for them. ... . Show them the proper respect. ... . Have patience. ... . Monitor your mechanics. ... . Provide simple written instructions when necessary; use graphics where possible. ... . Give your patients ample time to respond or ask questions.. When interviewing a patient from another culture the EMT should keep in mind each of the following tips except?When interviewing a patient from another culture, the EMT should keep in mind each of the following tips, EXCEPT: nonverbal communications are not significant. You may be able to overcome some hostility in a violent patient if you are able to: establish a good rapport.
What would be considered an objective patient assessment finding?Examples of objective assessment include observing a client's gait , physically feeling a lump on client's leg, listening to a client's heart, tapping on the body to elicit sounds, as well as collecting or reviewing laboratory and diagnostic tests such as blood tests, urine tests, X-ray etc.
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