APEx Safety and Transport Fundamentals

An adult patient comes into the ER after sustaining injuries from a fall from 20 feet. You notice bruising around their umbilicus. The patient refuses any further testing and says they want nothing else invasive performed. What is the next best thing for you to do?

An aircraft has made an emergency landing in a dense mountainous area for an apparent chip light. The flight team pulls out their topographical maps in an attempt to identify landmarks and their current location. When using a topographical map, the crew knows that identifying any noticeable landmarks or mountain tops that could help them with navigation is essential. Based on this, how would they identify the altitude of the highest feature on the map?

A “sterile cockpit” refers to which phase of flight?

A 6-year-old is complaining of increasing dyspnea, nonproductive cough, and fever. The mother states the patient has a loud “barking cough.” Current vitals: BP 78/38, HR 146, RR 36, SpO₂ 92% on room air.  Based on your assessment, what would your initial diagnosis be for this patient?

A base receives a complaint that the pilot always chooses a landing zone (LZ) that is different from what the incident commander has assigned. How should this be handled?

A long-range fixed-wing patient transport would be classified as?

A patient is scuba diving in a local lake and descends to 132 feet below the surface. At this point in the descent, they are experiencing how many atmospheres?

A pilot says the team will have marginal weather throughout the day. Then the pilot accepts a flight a few hours later. What resource can be utilized when the flight crewmember refuses to go on the flight?

A proper verbal report must be provided when transferring or assuming care of a patient. To ensure an effective and concise report, the acronym SBAR is often utilized. What does SBAR stand for?

According to CAMTS standards, the flight team must respond within how many minutes from the initial time of a call to departure?

According to CAMTS, what are the local, daytime, non-mountainous weather minimums?

All of the following are required qualifications for the rotor wing pilot-in-command (PIC) EXCEPT?

Ambulance operators must have an emergency vehicle operations course (EVOC) how often?

Driving records need to be checked on all emergency vehicle operators at what time interval?

During the morning briefing, the pilot states that current conditions are “1,000 and 3”. What would this mean to the flight crew?

Federal aviation administration (FAA) guidelines state that an aeromedical program may only fly?

Flicker vertigo can cause seizures to occur at what hertz (Hz) range?

Halon fire extinguishers are rated for what type(s) of fires?

How many live intubations in each age group does CAMTS require upon initial training?

How should your flight suit fit to provide space of insulation per CAMTS standards?

In 1985 Congress enacted COBRA; legislation requiring that the:

Per the 11th edition CAMTS guidelines, who is responsible for search and rescue in a crash situation?

The crew is traveling on a freeway during an interfacility transfer. The speed limit is currently 70 miles per hour. During the transfer, the vehicle gets a flat tire. The crew member can safely maneuver the ambulance to the shoulder of the freeway and stop. Dispatch is notified of the breakdown and the need for another ambulance to rendezvous with the crew to complete the transfer. While waiting for the other ambulance to arrive, one crew member begins to place emergency flares behind the vehicle. How many feet behind the ambulance should the first flare be placed?

The ELT is activated with an impact exceeding?

The flight crew has decided to take a local ground paramedic with them from a scene flight. What are the most critical instructions given to the paramedic?

The flight crew has just experienced a crash landing of the aircraft, and the pilot has asked them to exit the aircraft. What should they take with them?

The flight crew has landed at a mass casualty incident and is the only medical crew on site. Incident command has been established. What is the flight crew’s priority?

The flight crew has landed at an LZ of an ATV accident.  The EMS crew advises that they will need to transport the crew to the patient location, which is approximately one mile into the woods. They grab their equipment and their portable radio to stay in contact with the pilot and the local EMS dispatch. What type of system is being used to communicate with the pilot and dispatch center when using the portable radio?

The flight crew is asked to respond to the scene of a pediatric trauma in an outlying area. The nearest available EMS unit is 45 minutes from the patient. The pilot is expressing concerns over taking this call due to the weather. Who has the final say when turning down a mission?

The flight crew is being transported to a receiving facility via ground ambulance due to the facility not having an available helipad. During the 10-mile trip, the ambulance is involved in a minor accident. Of the following options, which would be the safest location for the crew to meet?

The flight crew’s shift just began and they received in briefing that they have marginal visual flight rules (VFR) weather. Approximately two hours later, they are toned for a scene flight. They are given a distance and heading of 20 miles and 280 degrees. The pilot says that the current weather conditions are 800′ and 1 mile. What is the best response?

The flight team is being transported by ambulance from the helipad to the receiving facility. The local area has seen massive amounts of rain over the past 48 hours. During transport, the ambulance comes to an intersection that is flooded with fast moving water that is covering the roadway. What is the next best option?

The four elements required to prove negligence include ________, breach, causation, and damages.

The priority post-crash, after a safe exit from the aircraft, is?

The proper shutdown procedure for most aeromedical aircraft would be in what priority?

The scene safety assessment includes monitoring all of the following elements EXCEPT?

The standards governing patient care as a critical care transport team member are best described as what?

The transport of two patients concurrently requires all the following except:

The flight crew has responded to a mass causality event with 30 patients after a bus crash. There is a patient that cannot follow commands and demonstrating ataxia. You note a thready palpable radial pulse, with spontaneous respirations at 26 breaths per minute. Based on the START system, what would this patient be triaged as?

The flight team has experienced a rotor-wing crash in a desolate mountainside and extreme weather.  The pilot is believed to be dead, and your partner is unresponsive.  The two biggest killers in the outdoors are:

What is the emergency transmit frequency?

What is the most common cause for a patient to file a complaint against the transport team?

What is the new emergency transmit frequency that utilizes 800 MHz technology and satellite tracking?

What is the pitot tube on an aircraft used for?

What protective clothing does CAMTS require that is pertinent to safe operations?

What type of radio system uses a single channel for transmission?

When exiting the aircraft after an emergency, the flight team should initially meet at which clock position relative to the nose of the aircraft?

When keying up a radio that has a repeater system, it is essential to:

Which of the following will best increase the chance of survivability of the crew after a crash?

Which type of fire extinguisher is used inside the aircraft in the air medical environment?

While transporting a patient in the back of an ambulance using lights and sirens, what is the biggest danger to the crew, and the patient, during the transport?

Why is it essential for air medical companies to provide outreach education to its customers?

Why is it essential for air medical companies to provide outreach education to its customers?

With regards to the critical incident stress debriefing (CISD) process, it is essential to know that:

You are transferring a 5-year-old pediatric trauma patient for emergent abdominal surgery. Which of the following would be considered an Emergency Medical Treatment and Labor Act (EMTALA) violation?