Study Barn

A. Position him/her self to get out of the squad quickly

B. Position the squad for easy access

C. Position the squad to protect the scene

D. Position the squad a block away and walk up to the scene

Scene safety should be the number one concern for any emergency responder to any scene. By positioning the squad in a way to block the scene from traffic which might not be paying attention then all responders can work with in the scene safely. Ease of access to the vehicle is of concern but not at the risk of scene safety.

A. Scene arrival notification

B. Dispatch information

C. Scene size up

D. Report to receiving facility

A scene size up allows for several things 1) lets other responding companies know what to expect once they arrive on scene. 2) Allows for an upgrading or downgrading of the assignment. 3) lets dispatch know what to expect in adding extra resources.

A. Continuity of care

B. Quantum of care

C. Prime directive

D. Quality transfer of care

Giving a report to the receiving facility's staff allows for continuity of care and continued care. This not only allows for a more speedy response by the receiving facility but eliminates unneeded repeated assessments and evaluations.

A. 55 year male with an isolated lower leg fracture secondary to stepping in a hole at a construction site

B. 55 year male with multiple bee stings with no complaints of shortness of breath, difficulty swallowing or hives

C. 55 year male status post fall from standing complaining of ankle swelling and contusion to left elbow.

D. 55 year male high speed motor cycle accident vs. a cement highway barrier

The high speed motor cycle mechanism is perhaps the highest degree of concern in this question. The other mechanisms do not have the potential of multiple organ systems being involved. The bee stings, while they are painful, present little risk of being ground transported or even left home to follow their physicians directions if there are no signs of anaphylaxis.

A. Over head obstructions

B. Type of surface, road way, gravel or field

C. High tension power lines a quarter of a mile from the LZ

D. All of the above

Any obstructions which would interfere with the approach and departure of the aircraft are very important. Power lines are especially critical as they are impossible to see from the air so the air medical crew will rely on the personnel on the ground to point that information out. Type of surface is important to anticipate dust, grass or other debris which will become airborne during landing. High tension power lines which are in the area are equally important as they may be in the approach or departure pattern.

A. When the patient requires life saving interventions

B. Never, no matter how sick the patient is they must be decontaminated

C. Anytime the EMS commander deems it acceptable

D. Only minor exposure patients only

It is never acceptable to skip the decontamination; the risk of exposure of the EMS crew and other health care providers is too great to allow patients to by-pass decon. Most decon teams are capable of handling life threats as the patient is going through the decontamination process.