Immediately focus your attention only on him. Assess his wife first but then return to him once you have confirmed that she is non-emergent.ĭ. Radio for additional unit and have your partner assess him while you check on his wife.Ĭ. You note that he is out of breath, sweaty, and holding his chest. When you arrive, her husband greets you at the front door. A 77 year-old female complains of chest pain. Which of the following provides the best protection against bloodborne pathogens?ĭ. You are called to the scene of a multiple-vehicle collision at which several patients are injured and bleeding. Approach the truck to identify the placard.
#SIZEUP PICTURES DRIVER#
Use your intercom to ask the driver to come to the ambulance.Ĭ. Your partner nots that he sees hazardous materials placards on the truck. Your unit arrives first at the scene of a tractor-trailer motor vehicle crash. Which of the following would be the appropriate place to park an ambulance if you were responding to a hazardous materials scene that involved gases or fumes?ĭ. To designate the area where special safety precautions should be taken. To ensure that the traffic will be rerouted around the wreckage. To designate the area where special safety precautions should be taken.ĭ. To establish the area where the fire department will be operating.Ĭ. To require additional equipment to be dispatched to the scene.ī. What is the purpose for establishing a danger zone while working a motor vehicle crash scene?Ī.
These components of size-up can initially be assessed from the relatively safety of the emergency response vehicle ( Box 30-1).Which of the following scenes would require you to be extra vigilant?Ī. The components of scene size-up require simultaneous assessment and include the review of dispatch information, identification of the number of patients, identification of mechanism of injury or nature of illness, resource determination, standard precautions determination, and assessment of scene safety. Just as a scene is dynamic, aspects of the size-up should be reevaluated over the course of an incident. The hazardous materials team will have a different focus and perspective during size-up than the first arriving advanced life support unit. Many scenes evolve even after the first unit has arrived, and various specialty units have different perspectives on the size-up of the same scene. The purpose of scene size-up is to expeditiously ensure that there is a safe scene on which to provide care, and that the proper resources are summoned to the scene according to the number of patients and their specific care needs. Scene size-up is a multifaceted process that occurs before and immediately upon arrival at the scene, prior to executing any other activities. A successful EMS physician in active field operations assesses the scene, acts on this assessment, and mitigates danger prior to the provision of any patient care or evaluation. Consequently, the physician is subject to the unique environmental dangers associated with patient care in the field that often contributed to, or are a result of, the patient’s injury or illness. The physician is given the opportunity to see the scene as a reflection of the general health of the patient, or as a first-hand account of mechanism of injury. Patients in the field are seen at first in parallel rather than in series. They many times initially perform the functions their triage nurse otherwise would, in a deliberate and expedited fashion. EMS physicians transport themselves to the scene, rather than the scene being brought to them as in standard medical practice. Practicing emergency medicine in the prehospital setting is rife with opportunities, special considerations, and perils not encountered routinely in the hospital emergency department.
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