Chapter 39 Incident Management

After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, EXCEPT:

the recommended transport destination for each patient.

A patient in respiratory arrest at the scene of a mass-casualty incident would typically be classified as a fourth priority (black tag; expectant) patient, unless:

there are enough resources to provide care for him or her.

Burn patients without airway compromise and patients with multiple bone or joint injuries should be marked with a __________ triage at a mass-casualty incident.

yellow

You are approaching an overturned tanker truck to assess the driver, who appears to be unresponsive. As you get closer to the vehicle, you note the smell of noxious fumes and find that you are in the midst of a vapor cloud. What should you do?

Exit the area immediately and gather information for the HazMat team.

Which of the following duties or responsibilities does NOT fall within the realm of the medical branch of the incident command system?

Extrication

Which of your senses can be safely used to identify a HazMat incident?

Sight and sound

Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:

carefully assess the situation.

Historically, the weak point at most major incidents has been:

communication

A supervisor who has more than seven people reporting to him or her:

has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person.

The FIRST step in the START triage system is to:

move all walking patients to a designated area.

As a triage supervisor, you:

must not begin treatment until all patients have been triaged

Unlike a multiple-casualty incident, a natural disaster:

often requires personnel to remain on scene for several days

The development of an incident action plan is the responsibility of the:

planning section.

When victims involved in a mass-casualty incident are moved to the treatment area:

secondary triage is performed and the appropriate treatment is rendered

After recognizing that an incident involves a hazardous material, you should contact the hazardous materials team and then:

take measures to ensure the safety of yourself and others.

The _____ supervisor is responsible for notifying area hospitals and determining their availability and capabilities

Transportation

A patient who has experienced a back injury, with or without spinal cord damage, would be triage with a ____ tag during a mass-casualty incident

Yellow

Level _____ hazardous materials would cause irritation on contact but only mild residual injury, even without treatment.

1

In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.

72- hour

The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.

8; 100 lb

You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?

A 49-year-old female with diabetes and difficulty breathing

Which of the following is probably NOT a multiple-casualty incident?

A motor vehicle crash with two critically injured patients and two ambulances

According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?

Assess for bilateral radial pulses.

At a very large incident, the __________ section is responsible for managing the tactical operations usually handled by the IC on routine EMS calls.

Operations

A tour bus has overturned, resulting in numerous patients. When you arrive, you are immediately assigned to assist in the triage process. Patient 1 is a middle-aged male with respiratory distress, chest pain, and a closed deformity to his right forearm. Patient 2 is a young female who is conscious and alert, but has bilateral femur fractures and numerous abrasions to her arms and face. Patient 3 is an older woman who complains of abdominal pain and has a history of cardiovascular disease. Patient 4 is unresponsive, is not breathing, has a weak carotid pulse, and has a grossly deformed skull. What triage categories should you assign to these patients?

Patient 1: immediate (red) patient 2: delayed (yellow) patient 3: immediate (red) patient 4: expectant (black)

According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should:

assess for a distal pulse.

While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing; has bilateral radial pulses; and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:

assign him a delayed (yellow) category and continue triaging the other patients

When a rehabilitation area is established at the scene of a mass casualty incident, it should:

be in a location that prevents visualization of the scene itself.

Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:

begin some form of positive-pressure ventilation.

The term used when individual units or different organizations make independent, and often inefficient, decisions regarding an incident is called:

freelancing

Placards and labels on a storage container are intended to:

give a general idea of the hazard inside that particular container.

According to the JumpSTART triage system, if a pediatric patient is not breathing, you should:

immediately check for a pulse.

In order to accomplish the goal of primary triage, it is important to:

keep the triage assessment brief and the patient categories basic.

The function of the National Incident Management System (NIMS) is to:

prepare for, prevent, respond to, and recover from domestic incidents.

If an incident increases in scope and complexity, the IC should consider:

relinquishing command to someone with more experience.

During a HazMat incident, you are working in the treatment area. As patients are removed from the danger zone, you should:

remain where you are and have the patients brought to you.

The _____ area is where incoming ambulances meet and await further instructions at the scene of a multiple-casualty incident

staging

A critical function of the safety officer is to:

stop an emergency operation whenever a rescuer is in danger.

Command functions under the ICS include all of the following, EXCEPT:

triage officer

According to the START triage system, which of the following patients should be triaged as an immediate priority (red tag)?

unresponsive with a respiratory rate of 34 breaths/min