WFR - Wilderness First Responder Evacuation and Litter Packaging Questions and Answers

Question 1

When constructing an improvised litter with a tarp and two long, rigid poles, what is the most effective method for creating a secure patient platform?

Accepted Answer

Folding one-third of the tarp over each pole towards the center, relying on the patient's weight and friction to secure it.

Answer

Lacing a rope through the tarp's grommets to the poles.

Answer

Placing the poles inside sleeves made by folding and sewing the short ends of the tarp.

Answer

Simply laying the tarp over the poles and placing the patient on top.

Question 2

You are leading a six-person litter carry over steep and uneven terrain. To ensure the safety of the patient and the team, which of the following is the most critical leadership action?

Accepted Answer

Assigning the person at the front right position to be the team leader who calls out commands and upcoming hazards.

Answer

Enforcing silence so rescuers can concentrate on their footing.

Answer

Rotating carriers only when they explicitly state they are tired.

Answer

Moving at the fastest possible safe pace to reduce exposure time.

Question 3

When packaging a patient with a suspected spinal injury in a litter for a long evacuation, what is the primary purpose of creating an "X" pattern with webbing straps over the patient's torso?

Accepted Answer

To prevent the patient from sliding up or down within the litter on inclines and declines.

Answer

To serve as the primary lifting points for the patient.

Answer

To provide compression to the chest in case of rib fractures.

Answer

To act as a pelvic binder for a suspected pelvic fracture.

Question 4

A member of your group has a stable, isolated, and well-splinted ankle fracture. They are non-ambulatory. Your group is strong, the weather is good, and you are 4 miles from the trailhead on a clear trail. What is the most appropriate evacuation decision?

Accepted Answer

Construct an improvised litter and begin a slow, careful carry-out with the entire group.

Answer

Send one person to run ahead for help while the rest of the group waits.

Answer

Leave the patient with a small care team and send the majority of the group for help.

Answer

Insist the patient try to walk on the splinted ankle to speed up the evacuation.

Question 5

Which of the following patient conditions presents the MOST urgent need for an immediate and rapid evacuation from a wilderness setting?

Accepted Answer

Signs and symptoms of severe hypothermia, including lethargy and cessation of shivering.

Answer

A closed, angulated tibia fracture with good distal circulation, sensation, and motion (CSM).

Answer

A large laceration on the thigh where bleeding has been controlled with a pressure dressing.

Answer

A simple shoulder dislocation in an otherwise healthy and alert individual.

Question 6

When creating a "hypothermia wrap" or "burrito" for a patient in a litter, what is the correct layering sequence, starting from the layer closest to the patient and moving outwards?

Accepted Answer

Patient in dry layers, inside a sleeping bag (insulation), with an external vapor barrier (tarp) wrapped around everything.

Answer

Patient, vapor barrier, sleeping bag (insulation), insulating pad, tarp.

Answer

Patient, sleeping bag (insulation), vapor barrier (tarp), insulating pad.

Answer

Insulating pad, patient, sleeping bag (insulation), vapor barrier (tarp).