EMS Emergency Response & Transport 2 — Questions and Answers
Question 1: When approaching an emergency scene involving a vehicle accident, which position should the ambulance ideally be parked?
- Directly behind the crashed vehicle
- Uphill and upwind from the scene (Correct answer)
- At least 100 feet past the accident on the same side
- Perpendicular to traffic flow
Correct answer: Uphill and upwind from the scene
Parking uphill and upwind protects the crew from fuel spills and hazardous fumes that may ignite or drift toward responders.
Question 2: A patient in hemorrhagic shock is best transported in which position?
- Sitting upright at 90 degrees
- Left lateral recumbent
- Supine with legs elevated 8-12 inches (Correct answer)
- Prone position
Correct answer: Supine with legs elevated 8-12 inches
Elevating the legs in the Trendelenburg-modified position helps return venous blood to central circulation in hypovolemic shock.
Question 3: Which radio communication principle requires the sender to wait briefly before transmitting to ensure the channel is clear?
- Dead air monitoring
- Channel scanning
- Listening before keying (Correct answer)
- Frequency hopping
Correct answer: Listening before keying
Listening before keying prevents interrupting ongoing transmissions and reduces radio traffic collisions on shared channels.
Question 4: During a multi-casualty incident, which patient would be tagged BLACK (expectant) in the START triage system?
- A patient with a respiratory rate of 24 breaths per minute
- A patient who is unresponsive with no spontaneous respirations after airway repositioning (Correct answer)
- A patient with a capillary refill of 3 seconds
- A patient who cannot follow commands but is breathing
Correct answer: A patient who is unresponsive with no spontaneous respirations after airway repositioning
In START triage, patients with no respirations even after airway opening are tagged black because survival is unlikely with available resources.
Question 5: What is the maximum speed typically permitted for a non-emergency ambulance transport on an interstate highway?
- 10 mph above the posted speed limit
- Posted speed limit only (Correct answer)
- 20 mph above the posted speed limit
- 65 mph regardless of posted limit
Correct answer: Posted speed limit only
Without lights and sirens activated for a true emergency, ambulances must obey all posted speed limits like any other vehicle.
Question 6: When transferring a stable patient down a flight of stairs on a stair chair, the EMT at the bottom should be:
- Facing up the stairs, pulling the chair (Correct answer)
- Facing down the stairs, guiding the chair
- Facing the patient, lifting from the front
- Positioned to the side, steadying with one hand
Correct answer: Facing up the stairs, pulling the chair
The lower EMT faces up the stairs to see the steps, maintain control, and bear the weight load safely during descent.
Question 7: Which agency assigns a USDOT placard number that EMS crews use to identify hazardous materials during scene size-up?
- FEMA
- EPA
- DOT/PHMSA (Correct answer)
- OSHA
Correct answer: DOT/PHMSA
The U.S. Department of Transportation's Pipeline and Hazardous Materials Safety Administration (PHMSA) regulates and assigns hazmat placarding numbers.
When approaching an emergency scene involving a vehicle accident, which position should the ambulance ideally be parked?