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Prehospital Emergency Care Practice Test: Basics of Gaining Access and Patient Extrication
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Avg score: 38% • Most missed: “You are providing care to the patient on top of the roof, and the fire departmen…”
Here are some tips for EMTs and paramedics when gaining access to and extricating patients: Vehicles: Stabilize the vehicle by turning off the engine, shifting to park, and placing wedges in front of and behind a wheel. If the vehicle is on its roof, support it by building box cribs under the hood and trunk. You can also place airbags under the front and rear of the vehicle. Windows: Use a spring punch on the corner of a side window to break it. Patient access: Perform patient access as soon as the vehicle is stable and any external hazards are controlled. When breaking glass, do so... Show more
Prehospital Emergency Care Practice Test: Basics of Gaining Access and Patient Extrication
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22 Questions

1. A vehicle has rolled onto its passenger side after running a red light at an intersection and striking another car. The restrained driver remains in the car, screaming in pain. To manage this scene, what should you do first?
2. The rescue captain has asked that you disconnect a car's battery to shut down all power to the vehicle completely at the scene of a one-car MVC. How should you do this safely?
3. A car has rolled several times and is on its roof. Closer inspection reveals the unrestrained driver lying in the back with the back portion of the roof collapsed. Which instruction should you give first?
4. To gain access to a patient entrapped in a car, the rescuers must use the 'jaws of life' to open the door. The EMT should recognize this situation as:
5. You are on the scene of a motor vehicle collision involving two cars. To remove the driver of the first car, rescuers must break the windshield and roll back the roof. While assisting in this operation, which pieces of personal protective equipment will afford you the best protection?
6. You are providing care to the patient on top of the roof, and the fire department has arrived to help remove the patient from his present location. As the patient is brought down the ladder, your highest priority as an EMT is:
7. A car has struck a utility pole at a high rate of speed. The male driver appears to be unresponsive and has snoring respirations. The vehicle has just been stabilized, and you have donned the appropriate personal protective equipment. What should you do next?
8. An unresponsive patient is in a car with the doors locked and the windows up. Which action is most appropriate when attempting to gain access to the patient?
9. On the scene of a motor vehicle collision, which EMT is engaged in simple extrication of the patient?
10. What is the earliest point at which you can begin considering if there are obstacles to patient extrication?
11. To gain access to a patient entrapped in a car, the rescuers must use the 'jaws of life' to open the door. The EMT should recognize this situation as:
12. On the scene of a motor vehicle collision, the driver is sitting inside the car with all windows up. When you attempt to open the doors, you find that they are locked. Given this situation, which statement made to the patient is most appropriate?
13. You have been given an order to cut through the 'B' posts of a four-door car with a trapped passenger inside. As an EMT with knowledge of vehicle extrication, which posts do you cut?
14. A vehicle has been struck in its front end by another car. The driver is entrapped, and the roof must be rolled back to allow extrication. The car has been appropriately stabilized and you are inside with the patient. The primary assessment is complete and a cervical collar applied. Rescue personnel are ready to begin cutting the vehicle. At this time, the appropriate action is to:
15. The rescue captain has asked that you disconnect a car's battery to shut down all power to the vehicle completely at the scene of a one-car MVC. How should you do this safely?
16. What is the most important initial information you receive from dispatch?
17. Which situation represents simple access to a patient?
18. A car has struck a utility pole at a high rate of speed. The male driver appears to be unresponsive and has snoring respirations. The vehicle has just been stabilized, and you have donned the appropriate personal protective equipment. What should you do next?
19. A car has rolled several times and is on its roof. Closer inspection reveals the unrestrained driver lying in the back with the back portion of the roof collapsed. Which instruction should you give first?
20. You have been dispatched to a motor vehicle collision. On scene, you find that a minivan has completely sheared off a wooden utility pole. The electrical wires are draped over the hood of the minivan and the driver, a woman in her 20s, is screaming that she is not hurt and wants to get out of the vehicle. The wires are not moving, arcing, or making any noise. Which instruction is most appropriate at this time?
21. At the scene of a motor vehicle collision, a driver is entrapped in his car after striking the back of a semi tractor-trailer at a high rate of speed. Which action would be performed first when providing stabilization of the car?
22. You have been given an order to cut through the 'B' posts of a four-door car with a trapped passenger inside. As an EMT with knowledge of vehicle extrication, which posts do you cut?

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