AEMT Chapter 33

During your primary triage at a child care facility whose roof collapsed because of heavy​ snow, you are triaging a child who appears to be about five years old. He is not breathing. After you open the​ airway, he does not begin breathing. When you check the radial​ pulse, it is absent. Which of the following should you do​ next? Question content area bottom Part 1 A. Begin chest compressions at a ratio of 30 compressions to two ventilations. B. Check the pupils for size and reactivity. C. Give four rescue breaths. D. Tag the child as black and move on.

D. Tag the child as black and move on.

What is the word applied to the process by which you prioritize the treatment and transport of patients at an​ MCI? Question content area bottom Part 1 A. START triage system B. Sorting C. Sector management D. Triage

D. Triage

To which of the following is an Advanced EMT LEAST likely to be assigned upon arrival to an​ MCI? Question content area bottom Part 1 A. Triage unit B. Transportation unit C. Treatment unit D. ​Finance/administration section

D. ​Finance/administration section

Which is the CORRECT term applied for an​ on-scene situation in which the number of patients exceeds the capabilities and resources of the EMS​ system? Question content area bottom Part 1 A. Disaster B. Medical catastrophic incident C. JumpSTART triage system D. ​Multiple-casualty incident

D. ​Multiple-casualty incident

In an urban​ environment, which of the following would MOST likely qualify as a​ multiple-casualty incident? Question content area bottom Part 1 A. A large gas main explosion causes massive fires that quickly consume several buildings. B. A shooting incident involves four patients with gunshot​ wounds, including the shooter who is shot when police apprehend him. C. A​ multiple-car collision causes several injuries and two fatalities. D. Two construction workers fall to their deaths.

A. A large gas main explosion causes massive fires that quickly consume several buildings.

You are at the scene of a motorcycle crash where the sole rider left the road and struck a tree. The patient was not wearing a​ helmet, and you note a​ large, depressed skull fracture. The rider is​ unresponsive, apneic,​ hypotensive, and bradycardic. Your partner tells you that he does not think the patient will live. What should you​ do? Question content area bottom Part 1 A. Initiate care. B. Withhold care until the patient arrests. C. Do not attempt​ care, just transport. D. Contact medical control for guidance.

A. Initiate care.

You are at the scene of a​ one-car MVC in which the sole​ occupant, the​ driver, was critically injured. He is found​ unresponsive, apneic, and bradycardic. What should you do​ first? Question content area bottom Part 1 A. Initiate care. B. Contact medical control for guidance. C. Call the coroner to the scene. D. Withhold care until he arrests.

A. Initiate care.

Which of the following trauma center levels is capable of providing some surgical care and specially trained emergency department staff to manage trauma with a focus on stabilization of the trauma patient and transfer to a​ higher-level center? Question content area bottom Part 1 A. Level III B. Level II C. Level I D. Level IV

A. Level III

What distinguishes many trauma scenes from most medical​ calls? Question content area bottom Part 1 A. Medical calls typically involve only one patient. B. Trauma scenes are more straightforward to assess and manage. C. Medical calls are typically more resource intensive. D. Trauma scenes are life threatening.

A. Medical calls typically involve only one patient.

In which area are​ black-tagged patients held at an​ MCI? Question content area bottom Part 1 A. Morgue unit B. Treatment unit C. Logistics section D. Staging area

A. Morgue unit

Which of the following BEST describes the age group for patients who should be triaged using the JumpSTART​ system? Question content area bottom Part 1 A. Patients who appear to be children B. Toddlers and preschoolers only C. Adults and elderly patients D. ​Infants, toddlers, and preschoolers

A. Patients who appear to be children

In the public health approach to injury​ prevention, what is​ implemented, evaluated, and shared in the fourth​ step? Question content area bottom Part 1 A. The prevention plan B. The capabilities of the local EMS agency C. The effectiveness of medical control D. The EMS budget for the new year

A. The prevention plan

What is a fundamental principle for the first person on the scene of an MCI serving as the incident​ commander? Question content area bottom Part 1 A. To decrease responder confusion B. To demonstrate that EMS responders are effective leaders C. To establish EMS as the lead agency D. To cement the position of EMS into NIMS

A. To decrease responder confusion

Which of these statements BEST describes the relationship of triage to other actions and processes that occur during an​ MCI? Question content area bottom Part 1 A. Triage is one of the first actions because it affects the deployment of other processes. B. Triage is performed when patients reach the staging area so that the correct hospital destination can be selected. C. Triage is performed after initial treatment and stabilization to prevent delays in transport. D. Triage is performed as patients are loaded into ambulances for transport to determine whether they need basic life support or ALS transport.

A. Triage is one of the first actions because it affects the deployment of other processes.

You are at the scene of an MCI where there are twenty to thirty patients who have been triaged into the green category. What would be an efficient way to transport these patients to the​ hospital? Question content area bottom Part 1 A. Use a school bus from the local high school. B. Place four patients in each ambulance. C. Place two patients in each ambulance. D. Ask these patients to find their own way to the hospital.

A. Use a school bus from the local high school.

The only way to prevent deaths from severe traumatic injury is​ to: Question content area bottom Part 1 A. prevent or reduce the severity of traumatic injuries. B. create more trauma centers. C. decrease transport times. D. increase the number of surgeons.

A. prevent or reduce the severity of traumatic injuries.

Which of these findings would result in a patient at an MCI being categorized as​ yellow? Question content area bottom Part 1 A. Capillary refill of less than two​ seconds, unable to follow commands B. Breathing less than 30 times per​ minute, radial pulse​ present, able to follow commands C. Not breathing but begins breathing once the airway is open D. Absent radial​ pulse, spontaneous breathing

B. Breathing less than 30 times per​ minute, radial pulse​ present, able to follow commands

A trauma center that can manage most types of traumatic injury 24 hours a​ day, 365 days a​ year, and can stabilize for transfer any patient that cannot be managed on scene is a Level​ __________ regional trauma center. Question content area bottom Part 1 A. I B. II C. III D. IV

B. II

Each of the following is part of the Three Es of Injury Prevention​ EXCEPT: Question content area bottom Part 1 A. education. B. enticement. C. engineering. D. enforcement.

B. enticement.

Which of the following serves as a textbook definition of a​ multiple-casualty incident? Question content area bottom Part 1 A. Situation that requires extensive rescue​ efforts, such as an entrapment B. Two or more critically injured patients C. Any EMS scene that places excessive demands on personnel​ and/or equipment D. Requirement for two or more ambulances

C. Any EMS scene that places excessive demands on personnel​ and/or equipment

Which statement BEST describes the use of the black category in a triage​ situation? Question content area bottom Part 1 A. Patients who refuse treatment on scene B. Patients who have minor injuries and do not need immediate care C. Patients who are deceased or who are expected to die because they cannot maintain their airway or breathing D. Patients who have immediate threats to​ life, including rapid​ respirations, poor​ perfusion, and altered mental status

C. Patients who are deceased or who are expected to die because they cannot maintain their airway or breathing

Where will you find triage​ tags? Question content area bottom Part 1 A. In the staging area B. At incident command C. The MCI kit in your ambulance D. In the logistics section

C. The MCI kit in your ambulance

A Level I regional trauma center is a hospital or hospital system that is capable​ of: Question content area bottom Part 1 A. providing some surgical capability and specially trained emergency department staff with a focus on stabilizing patients for transfer to​ higher-level centers. B. managing most traumatic injuries 24 hours a​ day, 365 days a​ year, and stabilizing patients that cannot be managed for transfer to a​ higher-level center. C. managing any type of traumatic injury 24 hours a​ day, 365 days a year. D. stabilizing patients injured in remote areas for transfer to​ higher-level trauma centers.

C. managing any type of traumatic injury 24 hours a​ day, 365 days a year.

Regardless of​ injuries, any patient involved in a​ multiple-casualty incident who is able to walk on command to a designated area is categorized as​ ____________ when using the START triage method. Question content area bottom Part 1 A. delayed B. immediate C. minor D. expectant

C. minor

Which of the following is TRUE regarding the Advanced​ EMT's role at an​ MCI? Question content area bottom Part 1 A. An Advanced EMT will be assigned to a specific group and then perform tasks within that group until told otherwise. B. An Advanced EMT will triage patients but not provide treatment in order to expedite transport. C. An Advanced EMT should expect to provide​ triage, treatment, and transport simultaneously at an MCI. D. An Advanced EMT will be left to choose which aspect of patient care must be addressed.

A. An Advanced EMT will be assigned to a specific group and then perform tasks within that group until told otherwise.

After lifesaving interventions are performed in the SALT triage​ algorithm, what must be assessed​ NEXT? Question content area bottom Part 1 A. Breathing B. Likelihood to survive given current resources C. Minor injuries D. Ability to walk

A. Breathing

What is the primary task for the Advanced EMT who is the initial responder to an​ MCI? Question content area bottom Part 1 A. Coordinate the response until more qualified individuals arrive. B. Deny care to patient unlikely to survive. C. Triage patients and begin transporting the most critical. D. Prevent later responders from seizing command.

A. Coordinate the response until more qualified individuals arrive.

An adult patient at the scene of an explosion has no respirations even after opening the airway. In START​ triage, this patient should be classified​ as: Question content area bottom Part 1 A. Deceased B. Minor C. Immediate D. Delayed

A. Deceased

You are doing a standby at a local amateur dirt track race when a car flips over and the debris of the car lands in the grandstands. As you approach the​ area, a man and a child are walking toward you. The man has a bleeding head wound to which he has applied pressure with a piece of clothing. The boy has an obvious deformity of his shoulder. What is the correct triage category for these​ patients? Question content area bottom Part 1 A. Green for both the adult and the child B. Green for the​ adult, yellow for the child C. Yellow for both the adult and the child D. Yellow for the​ adult, green for the child

A. Green for both the adult and the child

Which of these principles is used in MCIs to enhance the clarity of​ communications? Question content area bottom Part 1 A. Use plain​ English, such as​ "Meet in the parking lot of the Methodist church at the corner of 21st Street and Martin Luther King​ Street." B. Use only cellular phone communications. C. Use cryptic terms that are less likely to be understood by the public and the​ media, such as​ "Code 99 for a priority​ one." D. Adhere to radio​ codes, such as​ "signal 8" or ​"10-​20."

A. Use plain​ English, such as​ "Meet in the parking lot of the Methodist church at the corner of 21st Street and Martin Luther King​ Street."

You are the first EMS provider to arrive on scene after an explosion at the finish line of a local marathon. You begin triaging the wounded and come across a​ 12-year-old girl with open fractures to both lower legs. Her respiration rate is 28 breaths per​ minute, and her capillary refill time is less than two seconds. She is able to answer your questions and follow simple commands when asked. What color would you tag this​ patient? Question content area bottom Part 1 A. Yellow B. Green C. Red D. Black

A. Yellow

All of the following have been identified by the National Highway Traffic Safety Administration as components of a comprehensive trauma care system​ EXCEPT: Question content area bottom Part 1 A. public approval. B. research. C. leadership. D. professional resources.

A. public approval.

On arrival at a commuter train​ derailment, you have used the public address system on the ambulance to encourage the patients with minor injuries to walk to a nearby open field to congregate. You then begin to triage​ patients, and you come across a patient who is breathing at a rate of 20 breaths a​ minute, who has multiple long bone​ fractures, and in whom no radial pulse is detectable. What should you​ do? Question content area bottom Part 1 A. Tag the patient with a black tag and move on. B. Control any external bleeding and tag the patient red. C. Tag the patient with a yellow tag and evaluate the​ patient's mental status. D. Tell the patient to go to the location with the walking wounded patients.

B. Control any external bleeding and tag the patient red.

You are at the scene of a​ large-scale MCI. After separating the walking wounded from the more seriously injured​ patients, you triage a patient who has obvious penetrating injuries. She is​ unresponsive, with respirations of 20 breaths per minute and severe bleeding from a​ lower-extremity wound. You are able to control the bleeding with a tourniquet.​ Afterward, you detect a capillary refill time of four seconds. To which triage category should you assign this​ patient? Question content area bottom Part 1 A. Delayed​ (green) B. Immediate​ (red) C. Expectant​ (black) D. Minor​ (yellow)

B. Immediate​ (red)

For an organized public health approach to injury​ prevention, which of the following is NOT one of the recommended​ steps? Question content area bottom Part 1 A. Define the problem to be addressed. B. Increase the number of EMS services in rural communities. C. Identify risk and protective factors. D. Develop prevention strategies.

B. Increase the number of EMS services in rural communities.

The process of gathering data relative to the local incidence and prevalence of injuries and incorporating that information into improving a trauma system is what component of a trauma​ system? Question content area bottom Part 1 A. Informatics B. Information management C. Trauma registry D. Research and development

B. Information management

To what level of trauma center should the Advanced EMT transport a critically injured and unstable trauma​ patient, assuming that these facilities are all within the same transport time from their current​ location? Question content area bottom Part 1 A. Level II B. Level I C. Level III D. Level IV

B. Level I

Which level trauma facility is capable of providing some surgical care and specially trained emergency department staff to manage​ trauma? Question content area bottom Part 1 A. Level IV B. Level III C. Level II D. Level V

B. Level III

Which of the following trauma facilities are usually smaller hospitals located in remote​ areas? Question content area bottom Part 1 A. Level V trauma facility B. Level IV trauma facility C. Level III community trauma center D. Level II area trauma center

B. Level IV trauma facility

You arrive at an incident in which a school bus transporting a high school football team exited the freeway after a tire blowout and rolled over multiple times. Upon​ arrival, you see many students walking around the​ bus, with several still in the bus. What should you do first as the triage process is​ initiated? Question content area bottom Part 1 A. Begin making your way through the patients. Ask any patient who cannot walk on his own to raise his hand and keep it up until someone arrives to take him away from the bus. B. Loudly​ announce, using a PA system if​ possible, that anyone who is capable of walking should assemble at a location you designate. C. Assess each patient you come to and assign each to the​ green, red,​ yellow, or black​ category, placing a triage tag on each patient. D. Instruct​ patients, using a PA system if​ possible, that patients with minor injuries need to assist patients with more severe injuries in walking to the green triage area.

B. Loudly​ announce, using a PA system if​ possible, that anyone who is capable of walking should assemble at a location you designate.

When assisting your partner during triage assessment by providing the triage​ tags, where should you​ stand? Question content area bottom Part 1 A. In front of your​ partner, facing away from the patient B. In front of your​ partner, facing the patient C. Behind your​ partner, facing the patient D. Behind your​ partner, facing away from the patient

C. Behind your​ partner, facing the patient

You are assigned to the transport unit at an MCI. What is the MOST critical aspect of radio communication for you and your​ partner? Question content area bottom Part 1 A. Communication with the​ on-scene medical direction B. Communication with the receiving hospital C. Communication with the staging unit leader D. Communication with incident command

C. Communication with the staging unit leader

If​ you, an Advanced​ EMT, are the first person on scene at an​ MCI, what will knowing the number of patients help you to​ do? Question content area bottom Part 1 A. Begin to treat the worst patients B. Estimate the costs of incident response C. Determine the necessary resources D. Begin triage of patients.

C. Determine the necessary resources

What is the key to reducing trauma morbidity and mortality in the United​ States? Question content area bottom Part 1 A. Developing​ helicopter-based EMS systems in rural communities B. Using an Advanced EMT and paramedic medical crew configuration within EMS systems C. Developing organized trauma systems D. Ensuring that 90 percent of the​ nation's population is within 10 minutes of an EMS service

C. Developing organized trauma systems

Which of these statements concerning the role of education in injury prevention is​ FALSE? Question content area bottom Part 1 A. Education is a passive strategy for injury prevention. B. An example of education is EMS professionals teaching proper child safety seat use. C. Education works when it leads to changes in behavior based on the information provided. D. The target audience must be receptive to the information being delivered.

C. Education works when it leads to changes in behavior based on the information provided.

If an EMS unit is the first to respond to a​ multiple-casualty incident, which role does the MOST senior Advanced EMT immediately​ assume? Question content area bottom Part 1 A. Scene leader B. Section coordinator C. Incident commander D. Ground chief

C. Incident commander

You are an Advanced EMT who works full time in a large urban area and a volunteer EMS provider for a small outlying volunteer department. Why would a car accident with five people injured be a larger MCI event while you are working as a volunteer than it would be in the urban EMS system in which you also​ work? Question content area bottom Part 1 A. The general lack of trauma exposure leaves the EMS providers unprepared for a traumatic event. B. Rural EMS systems are farther from the Level I regional trauma center and therefore have a lower threshold for implementing an MCI plan. C. Larger urban systems often have more resources readily available. D. Volunteer systems are inadequately trained for trauma patients.

C. Larger urban systems often have more resources readily available.

To what level designation of trauma center would you preferably transport patient with a severe traumatic brain injury who also has significant​ intra-abdominal injuries? Question content area bottom Part 1 A. Level II B. Level III C. Level I D. Level IV

C. Level I

The integration of Advanced EMT​ providers, local emergency​ departments, and trauma centers into a comprehensive trauma system is what component of a comprehensive trauma care​ system, as outlined in the​ NHTSA's Trauma System Agenda for the​ Future? Question content area bottom Part 1 A. Minimum trauma system requirements B. Trauma integration C. Professional resources D. Scope of practice requirements

C. Professional resources

Which of the following is NOT one of the lifesaving interventions provided for Priority 1 patients in SALT​ triage? Question content area bottom Part 1 A. Manual opening of the airway B. ​Auto-injector medications C. Rapid extrication D. Major hemorrhage control

C. Rapid extrication

You are summoned to the local industrial park for an​ explosion, with reportedly twenty to thirty employees injured. Given your current​ location, you arrive on scene within minutes before the arrival of police or firefighters. You see a building engulfed in flames and​ bluish-green smoke coming from the windows and doors. What should you do​ first? Question content area bottom Part 1 A. Enter the building on the lowest level to rescue any victims. B. Start the triage of patients lying on the ground outside the building. C. Remain a safe distance away until you are cleared to enter. D. Stage yourself downwind from the building until you are told to enter the scene.

C. Remain a safe distance away until you are cleared to enter.

Which statement regarding a patient with a black triage tag is​ TRUE? Question content area bottom Part 1 A. That patient is dead. B. That patient will die in the next five minutes. C. That patient is expected not to survive. D. That patient has refused treatment.

C. That patient is expected not to survive.

If an incident response for EMS involves the basic incident command system​ organization, then which of the following is​ TRUE? Question content area bottom Part 1 A. A morgue unit is also necessary. B. The incident requires the concerted response of multiple agencies. C. The incident involves a singular command. D. Beneath the operations section chief there will also be an EMS branch director.

C. The incident involves a singular command.

At a factory​ explosion, what is one of the first bits of information the Advanced EMT should identify to help determine whether or not the MCI plan should be​ implemented? Question content area bottom Part 1 A. How many fire departments are within a​ 10-mile radius of the event B. The distance of the incident from the closest hospital C. The number of patients injured D. Whether or not helicopter EMS is available

C. The number of patients injured

The incident command system section that operates generally only on​ large-scale responses and is responsible for​ accounting, payroll, and similar functions is the​ _________ section. Question content area bottom Part 1 A. logistics B. operations C. ​finance/administration D. planning

C. ​finance/administration

When using the JumpSTART triage​ system, which of the following BEST describes when a patient is categorized as red based on the respiratory​ rate? Question content area bottom Part 1 A. Respiratory rate less than 30 breaths per minute or greater than 60 breaths per minute B. Respirations greater than 45 breaths per minute C. Respirations greater than 30 breaths per minute D. Respirations less than 15 breaths per minute or greater than 45 breaths per minute

D. Respirations less than 15 breaths per minute or greater than 45 breaths per minute

Singular command is a term that is typically associated with which type of​ incident? Question content area bottom Part 1 A. All incidents where only one agency assumes command of the incident B. Larger incidents when multiple agencies assume command of the incident C. Incidents involving one patient when one agency assumes command of the incident D. Smaller incidents when one agency assumes command of the incident

D. Smaller incidents when one agency assumes command of the incident

You are at the scene of a bus accident where there is one critical patient who is​ apneic, bradycardic, and unresponsive from head trauma and whose brain matter is showing. There are four patients who are injured and cannot​ walk, and six more patients with varying minor injuries. Additional EMS providers are still 15 to 20 minutes away. What should you do with the critical​ patient? Question content area bottom Part 1 A. Tag him as red. B. Tag him as yellow. C. Tag him as green. D. Tag him as black.

D. Tag him as black.

Which of the following statements regarding triage tags is​ TRUE? Question content area bottom Part 1 A. As you collect​ tags, you should hand them off to the liaison officer when you get to a dozen or so. B. Both of the bar codes on a triage tags need to stay with the patient. C. Place the​ torn-off portion of a tag in a small plastic baggie and then tie it to the​ patient's wrist or ankle. D. The first bar code on a triage tag is usually located at the top of the tag and stays with the patient throughout his journey through treatment and transport.

D. The first bar code on a triage tag is usually located at the top of the tag and stays with the patient throughout his journey through treatment and transport.

You are on the scene of a large explosion with casualties. Which unit is responsible for sorting patients and assigning the priorities for treatment and​ transportation? Question content area bottom Part 1 A. Logistics section B. Treatment unit C. Transportation unit D. Triage unit

D. Triage unit

In which type of incident would unified command be MOST​ appropriate? Question content area bottom Part 1 A. When an incident involves only EMS B. When an incident involves only​ fire/rescue C. When there are more than three patients at a scene D. When different services or jurisdictions are involved

D. When different services or jurisdictions are involved

What is one management goal that would be found during an MCI that would likely NOT be a concern at an isolated event in which just one person is​ injured? Question content area bottom Part 1 A. HIPAA requirements B. What the destination facility will be C. What is the certification level of the EMS provider in the back of the ambulance D. Where to stage incoming ambulances

D. Where to stage incoming ambulances

For the purposes of​ triage, which description BEST matches the population for whom JumpSTART is​ intended? Question content area bottom Part 1 A. anyone who appears to be an adult or geriatric patient B. anyone who appears to be older than the age of 16 years C. anyone who appears to be younger than 65 years old D. anyone who appears to be a child

D. anyone who appears to be a child

Trauma scenes can be chaotic unless​ they: Question content area bottom Part 1 A. are​ multiple-casualty incidents. B. require an incident command system. C. involve fewer than five patients. D. are appropriately managed.

D. are appropriately managed.

You have responded to a heavily damaged elementary school following a devastating tornado. Among your patients is an approximately​ seven-year-old boy. He is not responsive and is not breathing. You open his​ airway, and he does not breathe spontaneously. You​ should: Question content area bottom Part 1 A. begin chest compressions. B. deliver five rescue breaths whether or not he has a pulse. C. categorize the patient as deceased. D. deliver five rescue breaths if he has a pulse.

D. deliver five rescue breaths if he has a pulse.

In closed or contained incidents such as a bus​ crash, radio or cell phone communication will more than likely​ be: Question content area bottom Part 1 A. unreliable. B. expensive. C. impossible. D. unaffected.

D. unaffected.

Which of the following patients is MOST likely to be transported to a Level I regional trauma center during the early stages of an​ MCI? Question content area bottom Part 1 A. ​72-year-old male with moderate​ partial-thickness burns who is screaming in pain B. ​16-year-old female crushed beneath a collapsed wall with profound shock and no breathing C. ​Two-year-old male with multiple abrasions and lacerations D. ​38-year-old female with an impaled object in her abdomen

D. ​38-year-old female with an impaled object in her abdomen

Which of the following MOST clearly demonstrates an inefficient response to an MCI by the Advanced​ EMT? Question content area bottom Part 1 A. At the scene of a nursing home fire with multiple​ casualties, the transport unit leader instructs all ambulances to stage in the parking lot of shopping center two blocks away. When an ambulance is requested by the transport​ unit, it is to enter the nursing home parking lot on the north end to access the treatment and transport area and leave the parking lot on the south end. B. On the scene of a hurricane in a coastal town where there has been structural devastation and there are multiple​ casualties, the transport unit leader directs all patients to be transported to the closest Level I regional trauma center. C. At the scene of an industrial explosion where the shift manager reports that 150 people were​ working, with 135 currently accounted for and​ uninjured, the EMS branch director requests ten ambulances. Eight patients are later accounted​ for, with varying severity of​ injury, and there are seven fatalities. D. At the scene of an interstate highway bridge collapse into a​ river, the incident commander orders all EMS operations to take place at the top of the​ riverbank, 100 yards from the collapsed section of the bridge.

B. On the scene of a hurricane in a coastal town where there has been structural devastation and there are multiple​ casualties, the transport unit leader directs all patients to be transported to the closest Level I regional trauma center.

You are a​ street-level Advanced EMT who is providing backup at an MCI. Upon​ arrival, you are given an assignment. Which of the following would be the MOST likely assignment for an Advanced EMT at an​ MCI? Question content area bottom Part 1 A. Public information unit B. Staging unit C. Logistics section D. Communications unit

B. Staging unit

You and your partner are first on the scene of a​ multiple-casualty incident. After establishing the safety of the scene and calling for additional​ resources, you and your partner begin to triage. While your partner calls for the injured to go to​ him, you begin moving among the injured and first come to a​ mid-30s female patient who is not breathing and has multiple significant open wounds and fractures. After you reposition her​ airway, she still does not resume respirations. What is your next​ action? Question content area bottom Part 1 A. Initiate ventilations and check for a pulse. B. Tag her and move on. C. Initiate a​ large-bore IV. D. Check for bleeding that requires intervention.

B. Tag her and move on.

Which statement BEST describes the purpose of​ triage? Question content area bottom Part 1 A. To treat the​ youngest, healthiest patients first B. To do the most good for the greatest number of patients C. To treat all patients as they are discovered D. To find and treat all of a​ patient's injuries before moving her

B. To do the most good for the greatest number of patients

During a Fourth of July family celebration at a nearby​ river, the boat in which many of the participants were riding struck a large piece of wood floating in the​ water, resulting in a breach to the bow of the​ boat, which sank rapidly. During your response time to the​ scene, what other emergency service should also be immediately dispatched to the scene to help mitigate this​ situation? Question content area bottom Part 1 A. Lifeguards from the local Red Cross chapter B. Water rescue from the fire department C. Helicopter EMS from the next county over D. A K9 unit from the local law enforcement agency

B. Water rescue from the fire department

The person who is in charge of emergency services at a​ large-scale response in which an incident command system has been established is called​ the: Question content area bottom Part 1 A. EMS branch director. B. incident commander. C. operations section chief. D. staging unit leader.

B. incident commander.

All of the following are examples of technological advances that play a role in the care provided to patients within a trauma system​ EXCEPT: Question content area bottom Part 1 A. wireless​ E-911 systems. B. posting photos of injuries to social media sites for consultation. C. automatic collision notification systems. D. global positioning systems.

B. posting photos of injuries to social media sites for consultation.

What is needed for effective deployment of an MCI plan in addition to effectively locating​ vehicles, getting enough​ help, providing efficient​ transport, and ensuring​ follow-up care at receiving​ facilities? Question content area bottom Part 1 A. Media coverage B. ​On-scene medical treatment C. Public participation D. ​On-scene presence of the​ city's mayor

B. ​On-scene medical treatment

At a​ multiple-casualty incident, which patients would it be BEST to transport to a Level IV trauma​ facility? Question content area bottom Part 1 A. Patients in need of specialized trauma care B. Patients with injuries incompatible with life C. Patients who are unlikely to survive D. Patients in need of stabilization

D. Patients in need of stabilization

What criterion does the SALT triage system use to sort patients into priority​ categories? Question content area bottom Part 1 A. Visible injuries B. Airway patency C. Respiratory and heart rates D. Ability to follow commands

D. Ability to follow commands

Which of the following BEST defines a​ multiple-casualty incident? Question content area bottom Part 1 A. A situation that is spread out over two or more jurisdictions B. A​ large-scale disaster involving massive loss of property and life C. Any event in which there are more than three patients D. Any situation in which the number of patients overwhelms the capability of resources on the scene

D. Any situation in which the number of patients overwhelms the capability of resources on the scene

You have responded to an airfield where a plane crashed near the grandstand during an airshow. Using the START triage​ system, which patient would be categorized as​ "immediate"? Question content area bottom Part 1 A. A​ 37-year-old woman who is awake and able to follow​ commands, and who has​ full-thickness burns to both lower extremities below the knees. B. A​ 17-year-old boy who is awake and can follow simple​ commands, and who has a profusely bleeding laceration of the right arm. You are able to control bleeding with direct​ pressure, and a bystander then takes over direct pressure. The patient has a radial pulse of 112 beats per minute in the uninjured extremity. C. A​ 15-year-old girl who has obvious head trauma and is unresponsive. She is not breathing. Spontaneous breathing does not resume when the airway is opened. D. A​ 44-year-old man whose legs are both amputated below the knees. He responds to painful stimuli by groaning and opening his eyes. He cannot follow commands. He is spontaneously​ breathing, and he has a​ weak, rapid radial pulse.

D. A​ 44-year-old man whose legs are both amputated below the knees. He responds to painful stimuli by groaning and opening his eyes. He cannot follow commands. He is spontaneously​ breathing, and he has a​ weak, rapid radial pulse.

Which statement BEST describes the process of triage in a​ multiple-casualty incident? Question content area bottom Part 1 A. A process of determining which patients meet criteria for transport to a Level I regional trauma center B. A process of ensuring that women and children receive treatment and transport first C. A system of thoroughly evaluating and providing comprehensive treatment at the scene for the most seriously injured patients D. A​ quick, organized,​ criteria-based system of prioritizing patients for treatment and transport based on the severity of their injuries

D. A​ quick, organized,​ criteria-based system of prioritizing patients for treatment and transport based on the severity of their injuries

Which of the following commonly describes the communication at an MCI before establishing incident​ command? Question content area bottom Part 1 A. Streamlined B. Absent C. Easy D. Chaotic

D. Chaotic

What is NOT a part of successfully mitigating a​ multiple-casualty incident? Question content area bottom Part 1 A. Staging vehicles B. Transporting patients C. choosing locations for the triage and treatment areas D. Giving palliative care to patients not expected to survive

D. Giving palliative care to patients not expected to survive

There has been a large explosion of undetermined origin in a residential neighborhood. Dozens of homes in the area have been damaged. The incident commander instructs triage and treatment areas to be established in a church parking lot six blocks away. Which of the following is LEAST likely to have an adverse impact on triage and​ transport? Question content area bottom Part 1 A. Having an exact count of the number of victims B. Underestimating the number of victims C. Determining only the number of critically injured patients D. Overestimating the number of victims

D. Overestimating the number of victims