Highway Safety and Vehicle Extrication

The first-arriving unit should institute "blocking" to protect the work area. Because of its size and weight, ------------preferred for this.

Fire trucks. (Limmer & O'keefe)

The most common type of rescue across the United States is

A vehicle collision where extrication of patient is required. (Limmer & O'keefe)

Who establishes command and confirm the exact location of the incident with the dispatch center

The first arriving units. (Limmer & O'keefe)

Upstream blocking of the scene can be performed by...

First arriving unit, fire apparatus can be used after arriving. (Limmer & O'keefe)

Police or EMS arriving should be positioned -----------of the initial blocking vehicle

Downstream. (Limmer & O'keefe )

To minimize congestion, units should park in --------------direction and remain in ----------if possible

Same direction and remain in single file if possible. (Limmer & O'keefe).

Command and EMS units are position ---------in the safe zone.

Downstream. (Limmer & O'keefe)

Unless a roadway is completely shut down, EMS crews should------------crossing over lanes of traffic on foot

Avoid. (Limmer & O'keefe )

The apparatus that is used to block should be positioned to create ----------to ------lanes of blockage

One and a half to two. (Limmer & O'keefe)

Responders should always exit into the ------------zone of the vehicle

Safe Zone. (Limmer & O'keefe pg 1040)

All responders should be in full protective clothing or, at a minimum,

ANSI Class 2 traffic safety vests and helmets. (Limmer & O'keefe )

To help slow oncoming traffic, ---------------or other devices should be placed to channel traffic away from the incident

Flares, traffic cones. (Limmer & O'keefe )

Cones and or flares should be placed on an angle across the road and.....

Around the site. (Limmer & O'keefe )

At night, headlights or flashing lights can temporarily blind drivers that are approaching an emergency scene, preventing them from....

Seeing emergency workers. (Limmer & O'keefe )

Emergency vehicles parked at highway incidents should turn off vehicle headlights. In addition, they should shut off any white response lighting that could --------------

blind oncoming drivers. (Limmer & O'keefe )

The best combination of lights to provide maximum visibility is:

Red/amber warning lights - on, Headlights - off, Fog lights - off, Traffic directional boards operating. (Limmer & O'keefe)

The process by which entrapped patients are res cued form vehicles, buildings, tunnels, or other places.

Extrication. (Limmer & O'keefe)

As an EMT, you are responsible for the..............component of the rescue process

Medical. (Limmer & O'keefe)

If you arrive first at a highway incident you should park----------------and establish ---------------

Park to protect the work area and establish command. (Limmer & O'keefe)

When you arrive on the scene of a vehicle crash, it is important to conduct a good------

Size up to evaluate hazards and assess the need for additional resources. (Limmer & O'keefe )

During extrication operations the best practice for EMS safety...

Wear EMS or firefighter turnout clothing. (Limmer & O'keefe)

One of the easiest ways to determine the correct PPE is to look at what other workers are doing and match....

Their level of PPE. (Limmer & O'keefe)

Good hand protection for the EMT includes wearing......................underneath firefighter's gloves or leather gloves

Disposable vinyl gloves. (Limmer & O'keefe )

An aluminized rescue blanket, a lightweight vinyl-coat paper tarpaulin, short and long spine boards can be used during extrication to

Shield and protect the patient form heat and cold. (Limmer & O'keefe )

When positioning flares you should...

Take a handful of flares and walk (carefully) toward oncoming traffic. (Limmer & O'keefe )

Flares should be positioned

Every 10 feet, if possible, to channel vehicles into an unblocked lane. (Limmer & O'keefe )

Where should you position the flares if the collision occurred on a two-lane road

Position flares in both directions. (Limmer & O'keefe )

An airbag that did not deploy should be disabled by

Disconnecting the battery then wait 2 to 3 minutes depending on the system(Limmer & O'keefe )

To prevent injury from a 5-mile-per-hour bumpers that is "loaded" the EMT you should

Never stand in front of a loaded bumper. (Limmer & O'keefe ).

When there is an electrical hazard, establish a danger zone and a safe zone. The safe zone should be sufficiently far away to ensure

That an arcing or moving wire could not possibly injure personnel. (Limmer & O'keefe)

In a collision with wires down you should park the ambulance...

Park the ambulance outside the danger zone. (Limmer & O'keefe )

In a collision with wires down you should discourage the occupants of the collision vehicle from

Leaving the wreckage. (Limmer & O'keefe)

In a collision with wires down you should not attempt to

Move downed wires. (Limmer & O'keefe)

When walking towards a collision you feel tingling sensation in your legs and lower torso, you should

Stop, turn 180 degrees and take one of two escape measures. Hop to a safe place on one foot or hop away with both feet together. (Limmer & O'keefe).

When an above ground pad-mounted electrical transformer is struck and damaged, you should..

Request power company response, Do not touch the transformer, Stand in a safe place, Keep spectators out of danger area. (Limmer & O'keefe)

Vehicle fires, when small, may be extinguished with a 15 or 20 pound class A: B: C dry chemical fire extinguisher. These fire extinguishers may be used for almost anything, Except for

Burning magnesium and other flammable metals. (Limmer & O'keef)

When there is fire in the engine compartment and the hood is fully open,

Use a fire extinguisher and sweep it back and forth(Limmer & O'keefe )

When there is fire in the engine compartment and the hood is closed tight, you should....

Let the fire burn under the closed hood and let firefighters extinguish it. (Limmer & O'keefe )

Check to see if a door can be opened or if an occupant of the vehicle can roll down a window or unlock a door. This is known as

Simple access. (Limmer & O'keefe )

When tools or equipment are used to dismantle a vehicle this process is called

Complex access. (Limmer & O'keefe)

Once you gain an entry point to a vehicle at least one EMT, who is properly dressed, should crawl inside the vehicle and immediately begin the

Primary assessment and rapid trauma assessment. (Limmer & O'keefe).

The first steps of disentanglement is

Gain access by disposing of doors and the roof. (Limmer & O'keefe )

The main job in disentanglement for the EMT is

To act as patient's advocate and be the EMT inside the vehicle. (Limmer & O'keefe).