PHTLS Scene Assessment and Safety 2

Question 1

During a multi-vehicle collision at night, which action best protects EMS providers while maintaining patient access?

Accepted Answer

Position the ambulance at an angle upstream with warning lights activated

Answer

Park directly behind the lead vehicle with lights off

Answer

Stage the ambulance at least one mile from the scene

Answer

Approach on foot first, leaving the ambulance running on the highway

Question 2

A provider arrives at a shooting scene where the suspect is reportedly still in the area. What is the correct action?

Accepted Answer

Stage at a safe location and await law enforcement clearance

Answer

Enter with a partner to provide care rapidly

Answer

Approach the patient quickly and drag them to safety

Answer

Call medical direction for guidance before any action

Question 3

Which of the following best describes 'scene size-up' in PHTLS?

Accepted Answer

A continuous process of evaluating hazards, MOI, patient count, and resources throughout the response

Answer

Estimating the number of patients and calling for backup only

Answer

A one-time assessment performed on arrival before touching the patient

Answer

Reviewing the dispatch information while en route to the scene

Question 4

At a confined-space rescue with a trapped worker, which hazard takes highest priority before entry?

Accepted Answer

Verifying atmospheric oxygen levels and toxic gas concentrations

Answer

Determining the patient's chief complaint

Answer

Estimating extrication time

Answer

Checking the patient's insurance information

Question 5

A provider is caring for a patient when bystanders become increasingly agitated and aggressive. What is the most appropriate response?

Accepted Answer

Reassess scene safety and prepare to relocate care if needed

Answer

Continue patient care and ignore the bystanders

Answer

Ask bystanders to assist with lifting the stretcher

Answer

Call for law enforcement only after violence occurs

Question 6

When approaching the scene of a structure fire with reported victims, which is the EMS provider's primary concern?

Accepted Answer

Locating the incident commander and operating within the ICS

Answer

Determining the mechanism of injury for documentation

Answer

Beginning triage immediately upon arrival

Answer

Staging near the structure for rapid patient extraction

Question 7

Which personal protective equipment is minimally required for all trauma patients?

Accepted Answer

Gloves and eye protection

Answer

Full hazmat suit and SCBA

Answer

Gloves only when bleeding is visible

Answer

N95 respirator, gown, gloves, and face shield for all patients