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Question
You respond to a 22-year-old male patient who fell while exiting the local bar. Bystanders state he drank at least 10 beers and could not keep his balance. Physical exam reveals that the patient is alert to verbal stimuli only. He has a Glasgow Coma Scale of 3, 4, 6; slurred speech; and an obvious scalp laceration to the back of his head. He is refusing treatment and transport and wants his friends to drive him home. The nearest hospital is 5 minutes away, a Level II Trauma Center is 10 minutes away, and a Level I Full Service Trauma Center is 30 minutes away. Which of these is the most appropriate facility for the patient?A) The nearest community facility
B) Level I Trauma Center
C) Level II Trauma Center
D) Nowhere, since the patient is an adult and refusing; as such, you cannot take him
Answer
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Related questions
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When disconnecting a battery cable to disrupt a vehicle's electrical system, the EMT should disconnect the:
A) positive cable from the battery.
B) negative cable from the battery.
C) positive cable from the alternator.
D) negative cable from the alternator.
Q:
If you are first on scene, what should you do first in determining where and how should you park your apparatus?
A) Establish Command and confirm the exact location of the incident with the dispatch center before parking.
B) Use apparatus to institute "downstream blocking" of the scene to protect the work area.
C) Immediately park in the same direction and in single file.
D) Provide downstream blocking if you are driving one of the larger units.
Q:
If the steering wheel must be displaced during extrication and the air bag has not deployed, which of the following actions is recommended by air bag manufacturers?
A) Firmly strike the hub of the steering wheel with a mallet to deactivate the air bag before displacing the steering wheel.
B) No action is required; only frontal impact will deploy air bags.
C) Disconnect the battery cables.
D) Secure a long backboard across the steering wheel to deflect the air bag from the patient should it deploy.
Q:
Which of the following should the EMT consider when protecting a patient during extrication?
A) Noise
B) Weather
C) Debris
D) All of the above
Q:
Under which of the following conditions are safety vests with reflective trim effective in increasing the visibility of the EMT?
A) On sunny days
B) On cloudy days
C) At night
D) All of the above
Q:
Which of the following BEST describes why it is important for the EMT to understand the extrication process?
A) To anticipate any dangerous steps in the extrication process
B) To provide direction to the rescue technicians if they appear to be making errors
C) To take over the extrication process if requested by the rescue technicians
D) All of the above
Q:
Which of the following activities should NOT occur during the scene size-up?
A) Providing airway management
B) Determining the mechanism of injury
C) Determining the extent of the patient's entrapment
D) Determining the need for additional resources
Q:
Which of the following phases of extrication comes before the other three phrases?
A) Sizing up the situation
B) Recognizing and managing hazards
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Q:
Which of the following has been shown to actually interfere with the normal grieving and healing process after a multiple-casualty incident?
A) Mental health personnel available on the scene
B) Mental health personnel available during the two months following a major incident
C) EMT engaging in psychoanalysis
D) Critical incident stress debriefing (CISD) sessions
Q:
When transporting patients from the scene of a mass-casualty incident, who should be responsible for contacting the receiving hospital?
A) Transporting EMT
B) Incident commander
C) Transportation officer
D) Triage officer
Q:
When responding to a multiple-casualty incident, staging refers to which of the following?
A) Setting up a triage center from the back of your ambulance
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You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario:
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B) Priority 1, red tag
C) Priority 2, yellow tag
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You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario:
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A) Priority 1, red tag
B) Priority 3, green tag
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C) 1
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B) HEPA mask
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Which of the following isNOT a desirable characteristic of the rehabilitation sector of a hazardous materials incident?
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A) Regional poison control center
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D) Environmental Protection Agency (EPA)
Q:
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A) Safety Data Sheets
B) Bill of lading
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D) Placard
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A) danger zone.
B) hot zone.
C) safe zone.
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Q:
Which of the following is the easiest way for an EMT to communicate with a patient with drastic hearing loss?
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B) Filter and detoxify the blood
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A) Between inhalation and exhalation
B) During exhalation only
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C) to avoid barotrauma to the lungs.
D) None of the above