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48 Cards in this Set
- Front
- Back
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The DOT has issued specifications for what classifications of ambulances?
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Type I, Type II, and Type III
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What supplies should be carried in an ambulance in order to address patient infection control, comfort, and protection?
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(2) pillows
(4) pillowcases (2) spare sheets (4) blankets (6) disposable emesis (vomit) bags or basins (2) boxes of facial tissues Disposal bedpan, urinal, and toilet paper (1) package of drinking cups (1) package of wet wipes (4) liters of sterile water or saline (4) soft restraining devices (one for each extremity) Packages of large and small red biohazard bags (1) package of large yellow bags for linen and garbage EPA-registered intermediate-level disinfectant (can kill TB) EPA-registered low-level disinfectant A blood spill kit containing an empty plastic spray bottle with lines at the 1:100 level, a plastic bottle of water, and a plastic bottle of bleach. Eye shields for every crew member Sharps container Drug box (ALS only) Disposable vinyl or other synthetic gloves -- 1 box each size N-95 or HEPA respirator for each crew member |
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What supplies should be carried in an ambulance in order to address initial and focused assessment needs?
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Airways
Suction Infection control Stethoscope Pocket mask w/ one-way valve and oxygen inlet BVM Oxygen and oxygen delivery devices BP cuff Bandages and dressings Occlusive dressings AED Rigid cervical collars Scissors Blankets Pulse oximiter Thermometer and hypothermia thermometer Pen light |
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What supplies should be carried in an ambulance in order to address transfer of patients?
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Wheeled ambulance stretcher that can be set in Fowler's, supine, or Trendelenburg position.
Reeves stretcher Stair chair Scoop/ortho stretcher Stokes/basket stretcher Child safety seat |
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What supplies should be carried in an ambulance in order to address airway maintenance, ventilation, and resuscitation?
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Oropharyngeal airways of all sizes
Soft rubber nasopharyngeal airways sizes 14 through 30 Two pocket face masks w/ one-way valves and filters Three manually operated, self-refilling bag-valve-mask units (infant, child, adult) |
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What supplies should be carried in an ambulance in order to address oxygen therapy and suction
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Fixed oxygen delivery system
(2) portable oxygen delivery systems with at least 350 liter capacity Spare D, E, or Jumbo D oxygen cylinders with an intact test seal (6) adult and (4) pediatric nonrebreather masks (6) adult and (4) pediatric nasal cannulas (1) FROPVD (1) Automatic transport ventilator (optional) (1) plastic colorful or comic cup for administering blow-by oxygen to a child Fixed suction system capable to provide 30 liters per minute of airflow, with a vacuum of at least 300 mmhg, fitted with a nonkinking tube and a Yankauer tip Assorted suction catheters |
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What supplies should be carried in an ambulance in order to address cardiac resuscitation?
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Spine board
AED Mechanical CPR compressor AKA thumper (optional) |
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What supplies should be carried in an ambulance in order to address immobilization of suspected bone injuries?
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Adult and pediatric traction splints
Padded board splints Variety of other splints Tongue depressors Triangular bandages Several rolls of self-adhering roller bandage Six chemical cold packs Two long spine boards Rigid cervical collars in variety of sizes One KED board or similar Six 9"x2" web straps for securing patients to carrying devices Head immobilizer device |
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What supplies should be carried in an ambulance in order to address wound care and treatment of shock?
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Sterile gauze pads (2"x2" and 4"x4")
5"x9" combine dressings Sterile universal dressings (multitrauma dressings) approx. 10"x36" Self-adhering roller bandages in 4" and 6" width x 5 yards Occlusive dressings Aluminum foil Sterile burn sheets or a burn kit Adhesive strip bandages (big and little band-aids) Hypoallergenic adhesive tape (1" and 3" rolls) Large safety pins Bandage scissors PASG Aluminum blankets |
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What supplies should be carried in an ambulance in order to address childbirth?
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Several pairs of sterile surgical gloves
Four umbilical cord clamps or umbilical tape One pair of sterile surgical scissors One rubber bulb syringe (3 oz) (12) 4"x4" gauze pads (4) pairs of sterile disposable gloves Five towels One baby blanket Infant swaddler Sanitary napkins (2) large plastic bags (2) stockinette infant caps (2) surgical gowns (2) surgical caps (2) surgical masks (2) pairs of goggles or eye shields |
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What supplies should be carried in an ambulance in order to address poisoning, chemical burns, and diabetic emergencies?
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Drinking water
Activated charcoal Paper cups Eye irrigation equipment Constriction bands Blood glucose meter Instant glucose paste |
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What other miscellaneous equipment should an ambulance carry?
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The most current Emergency Response Guidebook
Binoculars Clipboard and documentation forms Ring cutter Portable radio Multiple-casualty incident management logs Triage tags and destination logs Command vests Tarps in red, green, black, and yellow Disposable Tyvek jumpsuits Flares Jumper cables Turnout gear for each member Floodlight Sports drink Center punch Glas-master or flathead ax Small sledgehammer and other tools for gaining access Wheel chocks Utility rope Stuffed animal |
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What are the steps in inspecting an ambulance, engine-off, in quarters?
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Inspect the body
Inspect the wheels and tires Inspect windows and mirrors Check the operation of every door and latches and locks Inspect the components of the cooling system Check fluids Check battery Inspect interior Test the horn Test the siren Check seat belts Adjust driver's seat Check fuel level |
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What are the steps in inspecting an ambulance after starting the engine?
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Check all indicators for problems
Check gauges for proper operation Test brakes Test parking brake Turn steering wheel from side to side Check operation of wipers Turn on warning lights, have your partner check each light Test all other lights Check heating and AC Check transmission fluid Test communications equipment |
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What are the steps in inspecting patient compartment supplies and equipment?
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Check the interior of the compartment for damage and contamination
Check treatment supplies Complete inspection report Clean the ambulance |
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An EMD is responsible to carry out what four tasks?
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Interrogate the caller and assign a priority to the call
Provide prearrival instructions to callers and information to crews Dispatch and coordinate EMS resources Coordinate with other public safety agencies |
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What questions will an EMD ask a caller?
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What is the exact location of the patient?
What is your call back number? What's the problem? How old is the patient? What's the patient's gender? Is the patient conscious? Is the patient breathing? |
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What questions will an EMD ask a caller in the case of a motor vehicle collision?
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How many and what kinds of vehicles are involved?
How many people do you think are injured? Do the victims appear trapped? What is the exact location of the collision? Is traffic moving? How many lanes are open? How far is traffic backed up? Are any vehicles on fire? Are any vehicles leaking fuel? Are any electrical wires down? Do any vehicles appear unstable? Are any vehicles on their side or top? Does a truck appear to be carrying hazardous cargo? |
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What characteristics must you fulfill in order to be a safe ambulance operator?
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You must be physically fit
You must be mentally fit You must be able to perform under stress You must have a positive attitude about your ability as a driver You must be tolerant of other drivers |
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What are some typical laws regarding ambulance operators?
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Operator must have a valid license
Operator must have completed training program Operator must drive like any other vehicle when off-duty or not responding to a call |
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What are some privileges that most states give emergency vehicle operators?
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Operator may park the vehicle anywhere as long as it's not hurting people or property
Operator may proceed past stop signals and signs Operator may exceed the posted speed limit, safely Operator may pass vehicles in no-passing zones Operator may break other rules with discretion -- the rules vary from state to state. The operator must ALWAYS be safe about it, though. |
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What are some pitfalls of using the siren?
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The siren can stress out patients and worsen their condition
The siren can hamper the driver's abilities to drive safely The siren can cause hearing loss |
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What are some basic guidelines to follow regarding siren use?
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Use the siren sparingly, and only when you must
Never assume that motorists will hear your siren Always assume that some motorists will ignore your siren Be prepared for erratic maneuvers on the part of other drivers Do not engage siren when you're close behind another vehicle Never use the siren to scare somebody These same guidelines apply to the horn |
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When should you turn your ambulance's headlights on?
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Whenever you're driving
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When should you engage all of your ambulance's emergency lights?
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When you're in emergency response mode
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What are some factors that affect the likelihood of an ambulance collision?
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Time of day
Day of the week Weather Road maintenance and construction Railroads Bridges and tunnels Schools and school buses |
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What can an ambulance driver do when it becomes apparent that they will be delayed in reaching a sick or injured person?
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Choose an alternative route
Request support from other units |
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If there is fire or fumes at the scene of a collision, how far away should you park the ambulance?
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At least 100'
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If there is no fire or fumes at the scene of a collision, how far away from the wreckage should you park your ambulance?
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At least 50'
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Where should you position your ambulance if you're the first unit on the scene of a collision?
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In front of the wreckage to put your unit between traffic and the scene with lights flashing
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Where should you position your ambulance if the collision scene has already been secured by other emergency units?
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Beyond the wreckage
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Where would you position your ambulance if you're the first unit arriving at the scene of a railroad car derailment?
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Park uphill and upwind if possible, and at least 100' away. Be cautious due to possibility of explosion and presence of hazardous materials
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Explication
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* Interpreting the meaning of a text
* Often involves annotating or documenting (i.e. recording) the interpretation |
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Where would you position your ambulance if you're the first to arrive on the scene of a domestic violence call?
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Park at a staging area out of sight of the scene
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What lights can actually attract drunk or tired drivers?
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Revolving red beacons
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What are the four steps involved in transferring a patient to the ambulance?
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Select the proper patient-carrying device
Package the patient for transfer Move the patient to the ambulance Load the patient into the ambulance |
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What steps are involved in transferring the patient to emergency department staff?
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1) If patient is non-critical, check first what is to be done with the patient. You may leave a medic with the patient in the patient compartment while the other goes into the ER and determines what to do.
2) Assist emergency department staff as needed and provide a verbal report 3) Prepare the prehospital care report as soon as you're done with patient-care activities 4) Transfer patient's personal effects 5) Obtain release from the hospital |
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What steps do you take in preparing the ambulance for the next call?
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Clean the patient compartment
Prepare respiratory equipment for service Replace expendable items Exchange equipment based on local policy Make up the ambulance cot |
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What steps must you take when returning to quarters and preparing for your next call?
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1) Radio the EMD and let him/her know you're returning to quarters
2) Air the ambulance if necessary 3) Refuel the ambulance |
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What tasks should you undertake in quarters after a call?
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1) Place badly contaminated linens in a biohazard container and noncontaminated linens in a hamper
2) Clean any equipment that touched the patient 3) Clean and disinfect used nondisposable respiratory-assist equipment 4) Clean and sanitize the patient compartment 5) Prepare yourself for service 6) Replace expendable items 7) Replace or refill oxygen cylinders 8) Replace patient-care equipment 9) Carry out post-operation vehicle maintenance procedures 10) Clean the vehicle 11) Complete any paperwork |
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In what cases might you call for air rescue?
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1) To speed transport to a distant trauma center or specialty facility
2) When extrication of a high-priority patient is prolonged and air transport can speed transport 3) When a patient must be rescued from a remote location that can only be reached by helicopter 4) Other medical reasons |
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Describe the required landing zone (LZ) for a helicopter
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100'x100' with a slope of less than 8º
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What components of the landing zone (LZ) should you describe to the air rescue service before they arrive?
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Terrain
Major landmarks Estimated distance to nearest town Other pertinent information |
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When should you walk around the tail rotor area of a helicopter?
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Never!
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When should you approach a helicopter?
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Only when escorted by helicopter crew.
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What are the five phases of an ambulance call?
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Preparing for the call
Dispatch and responding Transferring patient to the ambulance Transporting the patient Terminating the call |
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Who do you notify when responding to a call?
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Dispatch
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What is the minimum number of EMTs or Paramedics to stay in the patient compartment?
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1 (2 preferred)
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