Emergency Medical Procedures and Protocols, Exams of Clinical Medicine

Download Emergency Medical Procedures and Protocols and more Exams Clinical Medicine in PDF only on Docsity! NYS EMT CERTIFYING EXAM with 100% Verified Solutions |Rated A+ Providing care within the scope of practice would be considered behavior in accordance with: 1. The sovereign immunity doctrine 2. Approved protocols 3. Professional Standards 4. Institutional Standards - ✔✔Professional Standards As you lift a patient into the rear of the ambulance, a reporter recognizes the patient as a State Senator. Immediately the press demands to be told what has happened to the senator. You Should: 1. Advise the press that you are unable to comment 2. Deny the patient is the Senator 3. Tell the press your diagnosis 4. Advise the press to contact the Senator's family - ✔✔Advise the press that you are unable to comment If the patient care protocols have been revised, it is the EMS providers responsibility to 1. Attend in-service training with the agency medical director to become familiar with the new protocols 2. Continue to use the old protocols because they are already familiar 3. Begin to use the new protocols as soon as the agency receives them 4. Operate only when in direct communication with the physician - ✔✔Attend in-service training with the agency medical director to become familiar with new protocols During the Initial Assessment, you are assessing a conscious trauma patient complaining loudly of pain in the leg. You should 1. Begin to obtain the history 2. Assess the leg immediately 3. Discontinue the initial Assessment, start the Detailed Physical Exam 4. Continue with your initial assessment - ✔✔Continue with your initial assessment The overall purpose of the initial Assessment is to 1. Identify and correct life-threatening problems and set priorities 2. Ensure that the airway is open and locate breathing problems 3. Identify and treat major extremity injuries 4. Identify minor problems and provide treatment - ✔✔Identify and correct life-threatening problems and set priorities Systolic blood pressure indicates the pressure when the 1. Atria are contracting 2. Atria are relaxing 3. Ventricles are contracting 4. Ventricles are relaxing - ✔✔Ventricles are contracting In what order is the Detailed Physical Exam usually conducted on an adult patient? 1. Head, Neck, extremities, chest, pelvis, abdomen 2. Head, neck, chest, abdomen, pelvis, extremities 3. Head, neck, abdomen, chest, pelvis, extremities 4. Head, chest, abdomen, neck, pelvis, and extremities - ✔✔Head, Neck, Chest, Abdomen, Pelvis, And Extremities 4. Alveolus - ✔✔Trachea All of the following are part of the respiratory system EXCEPT the: 1. Alveoli 2. Esophagus 3. Epiglottis 4. Bronchi - ✔✔Esophagus Foreign matter is kept from entering the trachea by the A. Pharynx B. esophagus C. Uvula D. Epiglottis - ✔✔Epiglottis A stoma can be defined as 1. An artificial trachea that carries air from the pharynx into the lungs 2. An opening from the front of the throat directly into the esophagus 3. An opening from the front of the throat directly into the trachea 4. The tube that connects the pharynx to the stomach - ✔✔An opening from the from of the throat directly into the trachea A previously conscious patient with a partial airway obstruction starts to become unconscious, and the patient's "crowing" noises have stopped. The EMT should 1. Continue to treat the patient as a partial airway obstruction patient 2. Treat the patient as a complete airway obstruction patient 3. Administer oxygen by a non-rebreather mask 4. Suction the patient's pharynx - ✔✔Treat the patient as a complete airway obstruction patient You arrive at the scene of a call and find an unconscious adult victim. The initial attempt to ventilate proves unsuccessful. The NEXT step should be A. Deliver 5 abdominal thrusts B. Check carotid pulse C. Reposition the head and attempt to ventilate again D. Reposition the head and perform a finger sweep - ✔✔Reposition the head and attempt to ventilate again When taking vital signs on an unstable patient it is important to take them every 1. 2-3 mins 2. 5 mins 3. 10 mins 4. 15 mins - ✔✔5 mins -Vital signs for a stable patient is every 15 mins When you are administering mouth-to-mask ventilations without supplemental oxygen, approximately how much oxygen are you providing for the nonrebreathing patient 1. 16% 2. 18% 3. 20% 4. 21% - ✔✔16% with supplemental oxygen- 50% According to the CPR guidelines, when ventilating a non-rebreathing child (1-8 years old), how many times per minute should ventilations be performed 1. 10-15 2. 10-20 3. 15-20 4. 12-20 - ✔✔12-20 When ventilations are being performed on a victim who is suspected of having a spinal injury, the victims neck should be kept in a 1. Prone Position 2. Hyperextended position 3. Neutral position 4. Flexed position - ✔✔Neutral position The management of airway obstruction in the conscious infant includes 1. Back slaps and chest thrusts 2. Back slaps, abdominal thrusts, and chest thrusts 3. Abdominal thrusts and chest thrusts 4. Finger sweeps, back slaps, and abdominal thrusts - ✔✔Back slaps and chest thrusts The management of airway obstruction in the unconscious infant includes 1. Back slaps and chest thrusts 2. Back slaps, abdominal thrusts, and chest thrusts 3. Perform CPR and check mouth after each cycle 4. Finger sweeps, back slaps, and abdominal thrusts - ✔✔Perform CPR and check mouth after each cycle In placing the hands on a patient's sternum to perform CPR, the EMS provider should 1. Hold the fingers of the bottom hand in a fist formation and fingers on the top hand curved up 2. Fold the fingers under and make a firm fist 3. Hold the fingers outward and slightly away from the chest wall 4. Allow the fingers to curve and conform to the patients chest - ✔✔Hold the fingers outward and slightly away from the chest wall You are performing two-rescuer CPR on a child. The rescuer who has been ventilating informs you that the patient is now breathing spontaneously. What should you do? 1. Continue to provide ventilations and compressions, Since you should not stop CPR once you have begun 2. Stop compressions and place the child in the recovery position 3. Keep both hands on the sternum in order to be ready to resume compressions 4. Stop the ventilations but continue with the compressions - ✔✔Stop compressions and place the child in the recovery position When performing two-rescuer CPR, how often should the rescuer palpate the carotid artery to check for the return of a spontaneous pulse 1. Every 2 minutes 2. Every 5 minutes 3. Every 10 cycles 4. Every Minute - ✔✔Every 2 minutes Which one of the following statements concerning the performance of CPR is CORRECT? 1. Quick jabs and sudden jerking movements should be avoided when compressing the chest. 2. Quick jabs are effective in providing pulses of blood to the brain 3. 70% of the cycle should be compression and 30% of the cycle should be relaxation 4. Quick jabs produce jets of blood flow out of the heart and enhance stroke volume - ✔✔Quick jabs and sudden jerking movements should be avoided when compressing the chest Keeping the heel of the hand lightly in contact with the chest during the relaxation phase of the chest compression is important because 1. Stomach distention can be prevented 2. Correct hand position can be maintained 3. Over expansion of the chest can be avoided 4. The pressure enhances cardiac contraction - ✔✔Correct hand position can be maintained (Chest must have full recoil after each compression) While performing ventilations on an infant or a child in respiratory arrest, you should ventilate once every 1. 3-5 seconds 2. 4-6 seconds 3. 5-7 seconds 4. 6-8 seconds - ✔✔3-5 seconds To perform external cardiac compressions on a four-year-old child, you should use the 1. Tips of the fingers 2. Thumbs of both hands 3. Heel of one hand or two hands 4. Heel of your foot - ✔✔Heel of one hand or two hands The area of external cardiac compression on an infant should be 1. At the nipple line 2. One finger-width above the nipple 3. One finger-width below the nipple line 4. The upper half of the sternum - ✔✔One finger-width below the nipple line or 2-thumb encircling the chest with 2 person CPR -Child and Adult the area of external compression is center of chest between the nipples In reference to performing external cardiac compressions you should 1. Pump lightly and pump fast 2. Pump hard and pump slow 3. Pump diligently and pump slow 4. Pump hard and pump fast - ✔✔Pump hard and pump fast When checking for signs of circulation on a non-breathing adult, the pulse check should last for 1. 2-5 seconds 2. 5-10 seconds 3. 10-15 seconds 4. 15-20 seconds - ✔✔5-10 seconds -The length of a pulse and breathing checks are the same for adult, child and infants 5-10 seconds Which of the following statements regarding nasopharyngeal airways (NPA) is TRUE? 1. NPA's should be used only in the left nostril 2. NPA's should be coated with water-soluble lubricant prior to insertion 3. Venturi Mask 4. Non-rebreathing mask - ✔✔Non-rebreathing mask You are called to the home of a patient who is on physician-prescribed low-concentration oxygen, and who is NOT in acute respiratory distress. According to the NYS BLS Treatment Protocols, Which type of oxygen delivery device should you use during transport? 1. Non-rebreathing mask 2. Demand valve 3. Simple face mask 4. Nasal Cannula - ✔✔Nasal Cannula You are suctioning a trauma patient who has large blood clots present in the mouth. You should 1. Use alcohol to clear blood clots from the suction tip 2. Insert the suction tip with a vacuum on 3. Sweep the clots out of the mouth before suctioning 4. Ensure that your suction unit does not exceed 200mm Hg negative pressure - ✔✔Sweep the clots out of the mouth before suctioning A patient tells you that he was thrown against the dashboard of the car and complains of chest pain and shortness of breath. Vital Signs: BP: 96/60, P= 120, R= 22. He is cyanotic and has great difficulty talking to you. The immediate treatment for this patient t should be to 1. Immobilize the injured area with sandbags 2. Administered oxygen via nasal cannula 3. Administer high-concentration oxygen 4. Assist him in taking his nitroglycerin pill - ✔✔Administer High-Concentration Oxygen Which liter flow is inappropriate for oxygen administration via a nasal cannula? 1. 0-2 liters/min 2. 2-4 liters/min 3. 4-6 liters/min 4. 8-10 liters/min - ✔✔8-10 liters/min The maximum rate for delivering oxygen via nasal cannula is 1. 2 liters/min 2. 4 liters/min 3. 6 liters/min 4. 10 liters/min - ✔✔6 liters/min If a patient is in respiratory failure, how many ml of air should be given to a patient using a BVM with supplemental oxygen 1. 700-1000ml per ventilation over 2 seconds 2. 600-800ml per ventilation over 1-2 seconds 3. 800-1200ml per ventilation over 2 seconds 4. 400-600ml per ventilation over 1-2 seconds - ✔✔400-600ml per ventilation over 1-2 seconds -BVM w/o supplemental oxygen is 600-800ml per ventilation over 1-2 seconds According to the NYS CFR/EMT student manual, a breathing patient should not be suctioned for any longer then: 1. 5 seconds 2. 20 seconds 3. 15 seconds 4. 20 seconds - ✔✔15 seconds -Children and infants suction as briefly as possible The oxygen concentration delivered by a non-rebreathing mask with a flow rate of 10-12 liters/min is approximately 1. 60% 2. 70% 3. 80% 4. 90% - ✔✔90% Bleeding due to laceration in the neck may threaten the patient's life because: 1. It may affect the nerves of the spinal column 2. It may make the patient's blood pressure rise 3. Air may enter the blood vessel, making the patient prone to air embolism 4. Massive blood clots may form that may cause a stroke - ✔✔Air may enter the blood vessel, making the patient prone to air embolism The EMT should not attempt to control a nosebleed in a patient with a stable BP if the nose bleed is 1. Caused by exposure to high altitudes 2. A reaction to a medication 3. A result of an acute infection 4. A result of a head injury - ✔✔A result of a head injury Compressing a pressure point on an extremity will aid in controlling bleeding 1. Rapid and full 2. Slow and full 3. Rapid and shallow 4. Slow and shallow - ✔✔Rapid and shallow Which of the following are the signs of anaphylactic shock? 1. Pain in the chest, Rapid strong pulse, Pallor, Sweating 2. Decreased blood pressure, rapid strong pulse, heavy breathing 3. Decreased blood pressure, itching or burning, edema, dyspnea 4. Rapid strong pulse, increased blood pressure, Pallor, Sweating - ✔✔Decreased blood pressure, itching or bring, edema, dyspnea Which component of the blood is active in killing bacteria? 1. Hemoglobin 2. Gamma globulin 3. Platelets 4. White blood cells - ✔✔White blood cells If bleeding to an extremity does not stop with application of direct pressure and pressure dressing, the next step is to: 1. Loosely apply a tourniquet 2. Apply an occlusive dressing 3. Compress the pressure point 4. Pack the wound with dressing - ✔✔Compress the pressure point What is the recommended procedure for the transportation of a severed limb to the hospital? 1. Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb cool 2. Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb warm 3. Place the limb on ice, wrap in sterile gauze, then seal both in a plastic bag 4. Wrap the limb in sterile gauze, place on ice, then seal both in a plastic bag - ✔✔Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb cool The correct term for an open wound that has jagged skin edges is 1. Laceration 2. Abrasion 3. Incision 4. Puncture - ✔✔Laceration Nerve endings, sweat glands, and hair roots are located in which layer of the skin? 1. Dermis 2. Subcutaneous 3. Epidermis 4. Adipose - ✔✔Dermis The treatment for a trauma victim who has sustained a hip joint injury is to: 1. Apply a traction splint to the injured leg 2. Apply an air splint 3. Apply padded board splints and long spine board 4. Attempt to replace the hip into its socket - ✔✔Apply padded board splints and long spine board When checking the lower extremities of a conscious patient for paralysis, the EMS provider should first 1. Look for gross deformities and feel for crepitus 2. Feel for pedal pulses and crepitus 3. Touch the patient's feet and legs and ask patient of he/she can feel the touch 4. Stick the patient lightly with a pin to see if there is feeling - ✔✔Touch the patients feet and legs and ask the patient if he/she can feel the touch The MOST SERIOUS problem associated with an injury to a joint is that this type of injury 1. Is frequently accompanied by nerve and vascular damage 2. Often produces grotesque deformity 3. Is very difficult to assess 4. Is extremely painful - ✔✔Is frequently accompanied by nerve and vascular damage Which of the following types of splints is BEST for immobilization of mid-thigh (femur) injury? 1. Air 2. Traction 3. Pillow 4. Rigid - ✔✔Traction Which of the following statements regarding traction splinting is INCORRECT? 1. It is the splint of choice for a knee injury 2. Distal pulses should be taken before and after splinting 3. Clothing should be cut away from the injury site 4. The splint should be adjusted to size prior to applying it to the leg - ✔✔It is the splint of choice for a knee injury 3. Elevated systolic blood pressure and decreasing pulse rate 4. Decreasing systolic blood pressure and pulse rate - ✔✔Elevated systolic blood pressure and decreasing pulse rate If the spinal cord were severed at the waist, all body segments below the level of injury would MOST likely: 1. Retain motion but lose all sensation 2. Become completely paralyzed 3. Become partially paralyzed 4. Become completely paralyzed but retain sensation - ✔✔Become completely paralyzed Which of the following is a sign of traumatic brain injury? 1. Hypoperfusion (Shock) 2. Loss of Cerebrospinal Fluid (CSF) exiting the ears 3. Decreasing blood pressure 4. Cardiogenic shock - ✔✔Loss of cerebrovascular fluid (CSF) exiting the ears Two life-threatening complications which may be encounter in a patient with a cervical spinal cord injury are: 1. Paralysis of the facial muscles and of the diaphragm 2. Paralysis of the neck muscles and a ruptured diaphragm 3. Neurogenic shock and ruptured diaphragm 4. Inadequate breathing effort and neurogenic shock - ✔✔Inadequate breathing effort and neurogenic shock A woman slipped on the ice-covered sidewalk on her property. She has an injured jaw and is bleeding from laceration of the tongue. You should do all of the following EXCEPT: 1. Clear the upper respiratory passage in the first phase of patient care 2. Have suction available for use 3. Bend the patients head forward to move the tongue away from the airway 4. Prevent blood from getting into the pharynx because it may cause coughing and retching - ✔✔Bend the patients head forward to move the tongue away from the airway When treating a patient with a brain injury, it is MOST IMPORTANT to record changes in the patients: 1. Mental Status 2. Pupil reaction 3. Respiratory rate 4. Blood pressure - ✔✔Mental Status When a patient is being secured to a spinal immobilization device, which part should be secured FIRST? 1. Head 2. Torso 3. Legs 4. Neck - ✔✔Torso In rescuing a diving accident victim from a swimming pool, The EMS providers FIRST action is to: 1. Lay the victim on a flat surface immediately 2. Immobilize the victims entire spine before removing him/her from the water 3. Immobilize the victims entire spine as soon as she is removed from the water 4. Be sure that the victims neck is hyperextended - ✔✔Immobilize the victims entire spine before removing him/her from the water After establishing unresponsiveness the NEXT step in the emergency care of a patient with suspected spinal injuries is to apply 1. A short spine board to the body 2. Manual stabilization to the head 3. A long backboard to the body 4. An extrication collar around the neck - ✔✔Manual stabilization to the head Which areas of the spine are comprised of five vertebrae each? 1. Lumbar and Sacrum 2. Sacrum and Cervical 3. Cervical and coccyx 4. Thoracic and Lumbar - ✔✔Lumbar and Sacrum A 65-year-old male was involved in a two-car vehicle crash. Upon examination, he complains of chest pain upon breathing and tenderness of the sternum. Your initial care would be to 1. Stabilize to sternum 2. Position the patient on his side 3. Administer high-concentration oxygen 4. Administer the patients prescribed nitroglycerin - ✔✔Administer high-concentration oxygen Signs and symptoms of multiple broken ribs include 1. Unequal chest expansion, inadequate breathing, deformity, and pain 2. Rapid breathing, chest pain, rapid weak pulse, and cyanosis 3. Equal chest expansion, slow weak pulse, cyanosis, and chest pain 4. Slow breathing, cyanosis, chest pain, and rapid weak pulse - ✔✔Unequal chest expansion, inadequate breathing, deformity, and pain 1. Only by a patients physician 2. By deeply palpating the abdomen 3. By observing for guarding 4. By palpating for crepitation - ✔✔By observing for guarding Upon arriving at the scene of an accident, you find a victim who has bowel loops protruding through an abdominal laceration. You should cover the loops 1. And apply direct pressure 2. As you would an impaled object 3. with a dry sterile absorbent dressing 4. With a moist sterile dressing - ✔✔With a moist sterile dressing An EMS provider can assist a conscious patient in taking his/her prescribed nitroglycerin pill by seeing to it that the patient: 1. Chews it thoroughly 2. Swallows it with a glass of water 3. Places it under his/her tongue 4. Sucks on it until it dissolves - ✔✔places it under his/her tongue A car has crashed into a utility pole. The pole has cracked in half and an electrical wire has fallen across the top of the car. Upon arrival, the EMT sees three apparently uninjured people in the car. The EMT's first action should be to: 1. Set up flares around the area 2. Direct the car's occupants not to touch any metal in the car and do not attempt to get out 3. Remove the downed electrical wire with wooden implements 4. Notify the utility company of the downed electrical wires and request that the electrical current to the area be turned off immediately - ✔✔Direct the cars occupants not to touch any metal in the car An understanding of the mechanism of injury in a motor vehicle collision is important to the EMT in order to 1. Prepare the EMT to testify in court on the cause of the collision 2. Distinguish injuries the patient may have sustained that are not immediately apparent 3. Assist the police in accident investigation 4. Assist the family in reporting the accident to their insurance company - ✔✔Distinguish injuries the patient may have sustained that are not immediately apparent In the technique used to backboard the standing patient, the first step is to 1. Apply the cervical collar 2. Center the backboard 3. Manually stabilize the head of the patient 4. Slowly lower the patient - ✔✔Manually stabilize the head of the patient Which one of the following is NOT characteristics finding in a patient who is having a heart attack? 1. Nausea and vomiting 2. Weakness 3. Unequal pupils 4. Sweating - ✔✔Unequal pupils The MOST OBVIOUS indication of a paralyzed limb in a non traumatic brain injury patient is that the limb will: 1. Move if its extremity is lightly jabbed with a pin 2. Be pulseless and feel cold to the touch 3. Be cyanotic and pulseless 4. Appear loose and will lack muscle tone when it is moved by the EMS provider - ✔✔Appear loose and will lack muscle tone when it is moved by the EMS provider A woman in her late 40s has been complaining of headache and vision difficulties. On your arrival, you find that she is responsive to pain and has a droopy eyelid, unequal pupils, and slow shallow respirations. Your FIRST action should be: 1. Immobilize the patient on a long backboard 2. Administer glucose 3. Administer high-concentration oxygen 4. Assist the patient in administering her EpiPen - ✔✔Administer high-concentration oxygen In which of the following positions should a non traumatic conscious patient showing signs and symptoms of an altered mental status be transported? 1. Prone, with head elevated 2. Supine, with feet elevated 3. Laterally, with feet elevated 4. Supine, with head elevated - ✔✔Supine, with head elevated When a diabetic becomes hyperglycemic, he/she may have 1. Taken too much insulin 2. Not taken enough insulin 3. Exercised too much 4. Not eaten - ✔✔Not taken enough insulin 3. High-concentration O2, placed in position of comfort for ease of breathing 4. Low-concentration O2, Placed in position of comfort for ease of breathing - ✔✔High-concentration O2, placed in position of comfort for ease of breathing After the convulsive seizure of an epileptic has stopped, it is likely that he/she will be: 1. Excited and restless 2. Comatose 3. Vey hungry and thirsty 4. Drowsy and in need of sleep - ✔✔Drowsy and in need of sleep You are beginning to treat a patient who is actively having a seizure. The patient's teeth are tightly clenched. You should: 1. Lift the patient gently onto a soft bed and begin your assessment 2. Force a bite block between the patients teeth to prevent biting of the tongue 3. Restrain the patient with straps and cravats 4. Move dangerous objects out of the patients way to protect the patient from self-inflicted injury - ✔✔Move dangerous objects out of the patients way and attempt to protect the patient from self- inflicted injury The acronym SAMPLE is used to assist the EMT in obtaining the patient's 1. Level of consciousness 2. Family history 3. Chief complaint 4. Past medical history - ✔✔Past Medical history When examining a patient who has ingested a poison and is conscious and alert, you should be especially observant for; 1. Cyanosis 2. Respiratory difficulties 3. Rising blood pressure 4. Increased urinary output - ✔✔Respiratory difficulties The third stage of labor begins after the: A. Cervix dilates B. Baby delivers C. Contractions begin D. Placenta delivers - ✔✔Baby delivers The uterus is massaged after the placenta is delivered in order to A. Reduce pain B. Control bleeding C. Relax the mother D. Increase heart rate - ✔✔Control Bleeding If the umbilical is still pulsating following a normal delivery, the new born baby should be positioned so that it is: A. Allowed to nurse B. Kept at the level of the mothers vagina C. Kept below the level of the mothers vagina D. Kept above the level of the mothers abdomen - ✔✔Kept at the level of the mothers vagina During a breech delivery, the head has not emerged within 3 minutes. At this point, the EMT should: A. Form an airway with one or two gloved fingers that push the vaginal wall away from the infants face B. Support the infants body and provide gentle traction until the head emerges C. Place the mother in a laterally recumbent position D. Place a gloved finger inside the vagina near the umbilical cord to keep pressure off the cord - ✔✔Form an airway with one or two gloved fingers that push the vaginal wall away from the infants face While assisting at an emergency childbirth, it is important for you to remember that you should: A. Guide But Not Pull The Baby Out B. Encourage the mother to sit up between contractions C. Tell the mother to breather normally through her nose D. Tell the mother to strain with each contraction - ✔✔Guide but not pull the baby out During a delivery, if the umbilical cord is wrapped around the infants neck and you CANNOT slip it free, you should: A. Transport immediately and not cut the cord B. Ask the mother to push C. Clamp the cord immediately and cut between the clamps D. Cut the cord without clamps - ✔✔Clamp the cord immediately and cut between the clamps An adult male burn victim has full-thickness burns on his abdomen, chest and fronts of both arms. The area of the burn coverage is approximately A. 18% B. 27% When assessing the pulse of a hypothermic patient, you should check the pulse for A. 15-20 seconds B. 30-45 seconds C. 60-90 seconds D. 1-2 minutes - ✔✔30-45 seconds When caring for an alert, responsive, hypothermic patient, You should: A. Delay transport until rewarming is complete B. Move the extremities to stimulate blood flow C. Apply heat packs to the groin, axillary, and cervical regions D. Administer fluids with caffeine - ✔✔Apply heat packs to the groin, axillary, and cervical regions You respond to a call for a possible suicide. A 16 year-old female is locked in the basement. The patients mother does not know if the patient has a weapon. Your first action should be: A. Request police assistance before entering the basement B. Ask the mother to unlock the door C. Instruct the patient to unlock the door and determine if a weapon is present D. Force open the door and observe - ✔✔Request Police assistance before entering the basement If you suspect the patient is a victim of child abuse, you should: A. Confront the parents with these suspicions and inform the child welfare agency B. Document the observation on the prehospital care report (PCR) and notify the emergency room staff C. Avoid reporting these suspicions, since doing so could make you liable to a lawsuit D. Avoid reporting these suspicions in the absence of definitive proof - ✔✔Document the observation on the prehospital care report (PCR) and notify the emergency room staff For a patient with suspected spinal injury, the BEST device for moving the patient as one single unit is the: A. Wheeled stretcher B. Long Spine Board C. Reeve stretcher D. Blanket carry - ✔✔Long Spine Board At the scene of an accident, an unconscious non-breathing male patient is found trapped in a vehicle in a sitting position. Although the victim can be reached, he cannot be immediately extricated from the vehicle. Your INITIAL action to aid the patient should be to A. Manually stabilize his head and gently remove him to a flat surface B. Support him in an upright position and immobilize a short spine board C. Manually stabilize his head and establish an airway D. Apply an extrication collar and administer oxygen using a non-rebreathing mask - ✔✔Manually stabilize his head and establish an airway The operator of an emergency vehicle must remember that the NYS vehicle and traffic law grants all of the following privileges to emergency vehicles during an emergency EXCEPT: A. Passing other vehicles in a no-passing zone B. Driving the wrong way on a one-way street C. Proceeding through a red light D. Absolute right-of-way - ✔✔Absolute right of way At the scene of a vehicle extrication, which patient would be the LEAST priority A. 50 year-old female in cardiac arrest B. 20 year old needing heavy extended extraction C. 30 year-old pinned needing light tools for extrication D. 40 Year-old lightly pinned and can be removed easily - ✔✔50 Year-old female in cardiac arrest All of the following statements regarding a well-written prehospital care report (PCR) are corrected EXCEPT that this report A. Facilitates the transmission of information to the hospital staff B. Includes relevant information C. Contains the EMS provider's personal opinion of the patients socioeconomic status D. Serves as legal documentation in a court of law - ✔✔Contains the EMS providers personal opinion of the patients socioeconomic status Using the system of triage at the scene of a multiple-casualty incident, which of the following patients would present the HIGHEST priority? A. 25 year-old male with full-thickness burns to the right leg, BP- 130/92 B. 70 year-old male with a spinal injury, BP- 160/88 C. 37 year-old female with a femur injury, BP 118/80