Section 9 super test

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

A. freelancing. Correct B. undermining. C. single command. D. logistical chaos.

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

A. logistics section. B. finance section. C. operations section. D. planning section. Correct

The FIRST step in the START triage system is to:

A. move all walking patients to a designated area. Correct B. scan the area for patients with severe bleeding. C. focus on the patients who are unconscious. D. get a quick head count of all the patients involved.

As a triage supervisor, you:

A. must prepare patients for transport before they leave the triage area. B. should communicate with area hospitals regarding their capabilities. C. are responsible for providing initial treatment to all patients. D. must not begin treatment until all patients have been triaged. Correct

Unlike a multiple-casualty incident, a natural disaster:

A. often requires personnel to remain on scene for several days. Correct B. is typically short-lived and does not require as much manpower. C. exists when there are more than 100 critically injured patients. D. usually does not require the incident command system process.

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

A. retrieve all critical patients. B. rope off the entire perimeter. C. carefully assess the situation. Correct D. divert traffic away from the scene.

Secondary Containment

An engineered method to control spilled or released product if the main containment vessel fails.

Which of the following is a feature of a good disaster plan? It is specific to the geographical location. It has been practiced in mock disasters. It is based on the availability of resources in a particular area. All of the above

All of the above

Which of the following is a function of the rehabilitation sector in a hazardous materials incident? Providing for hydration of rescue crews Taking baseline vital signs before rescuers enter the operations area Performing medical assessment of rescue crews All of the above

All of the above

Hazardous Materials (HazMat)

An incident in which a hazardous material is no longer properly contained and isolated

In which of the following zones is the EMT expected to be staged at the scene of a hazardous materials incident? Warm zone Hot zone Cold zone Ground zero

Cold zone

Which of the following is NOT an acceptable way of attempting to identify a hazardous material? Checking the material safety data sheet Collecting a sample of the material for laboratory analysis Asking the driver of the tractor-trailer truck involved in the incident Using binoculars to obtain information from the placard on a container

Collecting a sample of the material for laboratory analysis

Which of the following is a principle of effective incident command? Command is most effective when one person is responsible for not more than six other people. The command location must not be revealed to anyone on the scene. Police, fire, and EMS must establish separate command locations. None of the above

Command is most effective when one person is responsible for not more than six other people.

Which of the following is NOT a responsibility of an EMT at the scene of a hazardous materials emergency? Rehabilitating the hazmat team Decontaminating injured victims Treating injured patients Staying in the cold zone

Decontaminating injured victims

Which of the following is NOT a mechanism of decontamination from hazardous materials? Disinfecting Disposing Deodorizing Emulsifying

Deodorizing

Name the process that removes the biological (etiological) contamination hazards as it destroys microorganisms and their toxins. Dilution Emulsification Disinfection Absorption

Disinfection

Which of the following actions may need to be taken by the EMT when treating and transporting a patient who was exposed to, and contaminated by, a hazardous material? Wearing heavy cloth gloves Disposing of patient care equipment such as blood-pressure cuffs and backboards Wearing a gown, mask, and goggles to prevent secondary contamination Placing towels on the floor of the ambulance to soak up contaminated runoff water

Disposing of patient care equipment such as blood-pressure cuffs and backboards

Freight Bills

The shipping papers used for transport of chemicals along roads and highways. Also referred to as bills of lading.

Where is the decon corridor located where patients, personnel, and equipment are econtaminated? Hot zone Cold zone Warm zone Cool zone

Warm zone

Disaster plans are a predefined set of instructions that should be written to address the events that are conceivable for a particular location and which other three parts? Written, multijurisdictional, and rehearsed Well publicized, multijurisdictional, and rehearsed Well publicized, realistic, and rehearsed Written, realistic, and rehearsed

Well publicized, realistic, and rehearsed

What source will provide first aid information about hazardous materials for employees at a work site? Material Safety Data Sheet Bill of lading Shipping manifest Placard

Material Safety Data Sheet

You are on the scene of a church bus roll-over collision. There are 30 passengers involved. As triage officer, which one of the following patients should you assign the highest priority? A 30-year-old man with multiple lower extremity fractures who is awake, has a strong radial pulse, and is complaining of severe pain A 35-year-old pregnant woman with a cut on her head, neck pain, and numbness and tingling in her arms A 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side An unresponsive 9-year-old male with an open skull fracture who is in cardiac arrest

A 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side

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

A. 6; 70 lb B. 8; 100 lb Correct C. 5; 50 lb D. 7; 90 lb

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:

A. begin some form of positive-pressure ventilation. Correct B. perform a rapid assessment to locate critical injuries. C. ask a firefighter what the patient was exposed to. D. administer high-flow oxygen via a nonrebreathing mask.

In which of the following settings should the EMT be alert to the possibility of hazardous materials emergencies? Manufacturing industries Farm service agencies Shipping ports All of the above

All of the above

When seeking expert advice on how to proceed at a hazardous materials incident, which of the following information is important to provide? The amount of the substance involved Your level of EMS certification Your background in chemistry Both A and B

The amount of the substance involved

Transportation Area

The area in a mass-casualty incident where ambulances and crews are organized to transport patients from the treatment area to receiving hospitals.

When several agencies work independently but cooperatively, rather than one agency exercising control over the others, this is called:0/1 pts Unified command. Single incident command. ICS. NIMS.

Unified command.

You are on the scene of a mass-casualty incident in which the grandstand at a race track has collapsed. As the triage officer, you have encountered a 14-year-old male whose leg has been amputated above the knee. He is responsive to verbal stimuli, and he has an open airway, shallow rapid breathing, and a weak, rapid carotid pulse. This patient would be classified as a Priority ________ for treatment and transport. 2 3 1 4

1

ICS systems recognize that the manageable span of control is: 6 people. 12 people. 18 people. 24 people.

6 people.

Nation Incident Management System (NIMS)

A Department of Homeland Security system designed to enable federal, state, and local governments and private-sector and nongovernmental organizations to effectively and efficiently prepare for, prevent, respond to, and recover from domestic incidents, regardless of cause, size, or complexity, including acts of catastrophic terrorism.

Medical Incident Management

A branch of operations in a unified command system, whose three designated sector positions are triage, treatment, and transport.

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

A. 24-hour B. 48-hour C. 72-hour Correct D. 96-hour

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

A. Smell and sight B. Sight and touch C. Sight and sound Correct D. Sound and smel

Placards and labels on a storage container are intended to:

A. give a general idea of the hazard inside that particular container. Correct B. advise responders of the appropriate neutralizing measures. C. provide specific information about the chemical being carried. D. broadly classify chemicals as being explosive or nonexplosive.

Which of the following should be considered during the scene size-up of a hazardous materials emergency? The properties and potential dangers of the substance Identification of the substance All of the above

All of the above

Chemical Transportation Emergency Center (CHEMTREC)

An agency that assists emergency personnel in identifying and handling hazardous materials transport incidents.

EMS operations generally include the Mobile command center and what other six areas? Extrication, Staging, Logistics, Triage, Operations, and Transportation Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation Extrication, Staging, Triage, Air operations, Transportation, and Rehabilitation

Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation

Johnny is an EMT with a local ambulance service. As part of his job, he is trained to recognize the existence of a potentially dangerous scene involving hazardous materials and know when to request a hazmat response. Johnny's level of hazardous materials training is at the _______ level. First Responder Awareness First Responder Operations Hazardous Materials Technician Hazardous Materials Specialist

First Responder Awareness

Soraya is an EMT who volunteers for a local fire department. On the scene of a hazardous materials incident, she helps prevent the incident from becoming larger and ensures bystanders remain safe. Soraya's level of hazardous materials training is at the ________ level. First Responder Awareness First Responder Operations Hazardous Materials Technician Hazardous Materials Specialist

First Responder Operations

An area near a hazardous materials incident that is upwind from the incident and on higher ground is a good location for a: Danger zone. Hot zone. Safe zone. Treatment zone.

Safe zone.

Termination of Command

The end of the incident command structure when an incident draws to a close.

Incident Commander (IC)

The overall leader of the incident command system to whom commanders or leaders of incident command system divisions report.

Demobilization

The process of directing responders to return to their facilities when work at a disaster or mass-casualty incident has finished, at least for those particular responders.

You are called to a garden center where four shoppers have collapsed after a section of shelving fell and dumped hazardous products on the floor. When you arrive on the scene, you should: Think hazmat, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response. Think hazmat, dress in a Tyvek suit, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response. Secure the scene quickly, triage each patient, and move to fresh air. Think hazmat, dress in a Tyvek suit, access the scene to identify the spilled product, secure the MSDS sheets, and remove victims to fresh air.

Think hazmat, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response.

Which of the following personal protective items must be used by EMS personnel caring for patients in a hazardous materials emergency? Structural firefighting gear HEPA mask Chemical permeable gloves Tyvek or other chemical impermeable coveralls

Tyvek or other chemical impermeable coveralls

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. A 50-year-old male with an open head injury and no pulse B. A 36-year-old female with back pain and numb extremities C. A 49-year-old female with diabetes and difficulty breathing Correct D. A 29-year-old male with bilaterally closed femur deformities

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

A. A rollover crash of a school bus with eight children who have injuries of varying severity B. A motor vehicle crash with two critically injured patients and two ambulances Correct C. An apartment fire with one patient and the possibility of others trapped in the building D. A loss of power to a hospital or nursing home with ventilator-dependent patients

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

A. Assess his or her neurologic status. B. Administer high-flow oxygen. C. Assess for bilateral radial pulses. Correct D. Triage the patient as delayed.

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?

A. Cover your face with your shirt and quickly extricate the injured driver. B. Exit the area immediately and gather information for the HazMat team. Correct C. Realize that you are in the danger zone and prevent others from entering. D. Remain where you are and perform a visual assessment of the patient.

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

A. Transport B. Triage C. Extrication Correct D. Treatment

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

A. educate city and county governments regarding foreign terrorist attacks. B. facilitate a standard method of incident command for natural disasters. C. prepare for the potential of a nuclear attack against the United States. D. prepare for, prevent, respond to, and recover from domestic incidents. Correct

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:

A. evacuate him to a designated area and assign him a minimal (green) category. B. assign him a delayed (yellow) category and continue triaging the other patients. Correct C. quickly bind his legs together to stabilize the fracture, and continue triaging. D. apply high-flow oxygen, obtain baseline vital signs, and continue triaging.

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

A. is more beneficial to the overall effort than a supervisor with fewer personnel because his or her team can accomplish more tasks. B. has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person. Correct C. should assign a specific task to each person reporting to him or her and regularly follow up to ensure that the tasks were carried out. D. should regularly report to the incident commander (IC) to inform him or her of the functions that his or her team is performing.

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

A. the total number of patients that have been triaged. B. the recommended transport destination for each patient. Correct C. recommendations for movement to the treatment area. D. the number of patients in each triage category.

You are just leaving the scene of a multiple-casualty incident with two Priority 1 patients. Which of the following is appropriate regarding communication? Allow the transportation sector officer to notify the receiving facility. Notify the receiving facility by radio of the nature of the patients' injuries. Notify the receiving hospital by cellular phone of the nature of the patients' injuries. Have dispatch relay your patient reports to the receiving facility.

Allow the transportation sector officer to notify the receiving facility.

Joint Information Center

An area designated by the incident commander, or a designee, in which public information officers from multiple agencies disseminate information about the incident.

What constitutes a multiple-casualty incident (MCI)? An event that unfolds over a long period of time and requires federal, state, and local response An incident with 3 to 15 patients that the service handles without calling for additional resources An event that places a great demand on EMS equipment and personnel resources Any event that requires additional ambulances to adequately transport the patients from the scene

An event that places a great demand on EMS equipment and personnel resources

You are beginning triage at the scene of a mass-casualty incident in which a commuter train has derailed. Which of the following should you do first? Do a quick pulse check on al l patients at the scene. Identify al l Priority 1 patients. Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building. Check the airway status of al l patients who do not appear to be moving.

Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building.

To respond to a hazardous materials incident, the EMT should be trained at which of the four levels? Operations Specialist Technician Awareness

Awareness

At 0330, you responded to the scene of an overturned tanker truck. What organization could you contact to obtain information about the liquid the truck is carrying? The regional poison control center CHEMTREC CHEM-CALL Environmental Protection Agency

CHEMTREC

_______________ is the response agency, established in Washington, DC, as a service of the Chemical Manufacturers Association, that can provide either you or your dispatcher with information about the hazardous material and contact the shipper to provide you with information about the material. OSHA CHEMTREC HAZMART EPA

CHEMTREC

The senior EMT on the first ambulance that arrived on a scene with multiple patients should assume which of the following roles until relieved by a senior official? Transport sector supervisor Commander of the entire incident Triage sector supervisor Commander of the medical aspect of the scene

Commander of the medical aspect of the scene

As it pertains to hazardous materials, the Occupational Safety and Health Administration requires employers to: Train employees to handle any type of hazardous materials incident. Document the appropriate level of training for each employee. Have knowledge of all hazardous materials on the premises. Ensure there is at least one person on-site trained at the technician level.

Document the appropriate level of training for each employee.

You are an EMT on the scene of a mass-casualty incident in which there are 50 patients from a bus roll-over. Incident command has been established and EMS, law enforcement, and rescue sectors are established. You have just discovered that one of the bus passengers was carrying a suspicious package that is now leaking a white powdery substance. Which of the following entities should you contact about this? Incident commander EMS sector officer Rescue sector officer Dispatch

EMS sector officer

Which of the following is a resource for specific actions to be taken by personnel dealing with a hazardous materials incident? Medical protocols Emergency response guidebook Medical dictionary Food and Drug Administration toll-free hotline

Emergency response guidebook

You are called to a local hardware store for a male patient complaining of difficulty breathing. As you pull into the parking lot you notice several people in front of the building coughing and in obvious distress. What would be an appropriate course of action at this point? Locate the patient for whom you were requested and begin treatment while another ambulance is en route for the other patients. Request a hazardous materials incident response and begin treating all patients displaying respiratory difficulties. Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response. Move the people with respiratory difficulties to a distant corner of the parking lot and set up a treatment sector.

Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response.

Carboys

Glass, plastic, or steel containers, ranging in volume from 5 to 15 gallons.

Andrea is an EMS supervisor with a combined EMS/Fire department. On the scene of a hazardous materials incident, she uses her knowledge of hazardous materials to support the activities of other responders and manage the scene. Andrea's level of hazardous materials training is at the _________ level. First Responder Awareness First Responder Operations Hazardous Materials Technician Hazardous Materials Specialist

Hazardous Materials Specialist

Eduardo is an EMT with a major metropolitan fire department. He is assigned to a station within an industrial complex. On the scene of a hazardous materials incident, Eduardo functions on a team where he plugs a leaking drum. Eduardo's level of hazardous materials training is at the ________ level. First Responder Awareness First Responder Operations Hazardous Materials Technician Hazardous Materials Specialist

Hazardous Materials Technician

Rescue Supervisor

In incident command, the person appointed to determine the type of equipment and resources needed for a situation involving extrication or special rescue; also called the extrication officer.

Liaison Officer

In incident command, the person who relays information, concerns, and requests among responding agencies.

Morgue Supervisor

In incident command, the person who works with area medical examiners, coroners, and law enforcement agencies to coordinate the disposition of dead victims.

Finance

In incident command, the position in an incident responsible for accounting of all expenditures.

Operations

In incident command, the position that carries out the orders of the commander to help resolve the incident.

Command

In incident command,the position that oversees the incident, establishes the objectives and priorities, and from there develops a response plan.

Which of the following is the most common type of multiple-casualty incident that EMS providers will respond to? Outbreaks of influenza Motor vehicle collisions Structure fires Hazardous materials incidents

Motor vehicle collisions

Which of the following agencies have developed regulations for dealing with hazardous materials emergencies OSHA and EPA DOT and FCC NAEMT and NHTSA NHTSA and NRC

OSHA and EPA

Signs that identify the hazardous material contained within a transport vehicle are called: Indicators. Placards. Panels. Warnings.

Placards.

Cylinders

Portable, compressed gas containers used to hold liquids and gases. Uninsulated compassed gas cylinders are used to store substances such as nitrogen, argon, helium, and oxygen. They have a range of sizes and internal pressures.

Using START triage guidelines, a patient on the scene of a mass-causality incident who has no pulse is deemed a _______ patient. Priority 0 Priority 1 Priority 2 Priority 3

Priority 0

Using START triage guidelines, a patient on the scene of a mass-causality incident who is not breathing initially, but begins breathing when the airway is open, is deemed a _______ patient. Priority 0 Priority 1 Priority 2 Priority 3

Priority 1

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you have 5 patients. Your closest unit is 30 minutes away. Please triage this patient based on this scenario: Patient #1 is a 16-year-old female with the following vital signs: respirations 28, pulse 132, and altered mental status with cool clammy skin. Priority 3, green tag Priority 4, black tag Priority 1, red tag Priority 2, yellow tag

Priority 1, red tag

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Please triage this patient based on this scenario. Patient #4 is a 13-year-old female with the following vital signs: respirations 8, pulse 124, and nonresponsive with blood from the ears and nose. Priority 3, green tag Priority 4, black tag Priority 1, red tag Priority 2, yellow tag

Priority 1, red tag

Using START triage guidelines, a patient on the scene of a mass-causality incident who is alert and has a capillary refill time of less than 2 seconds is deemed a _______ patient. Priority 0 Priority 1 Priority 2 Priority 3

Priority 3

With START triage, when you arrive on the scene you ask all the patients who can walk to move to one area. These patients are categorized as:0/1 pts Yellow tagged. Priority 3 walking wounded. Red tagged. Priority 4 walking wounded.

Priority 3 walking wounded.

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Please triage this patient based on this scenario: Patient #2 is an 8-year-old male with the following vital signs: respirations 10, pulse 102, and alert mental status with warm dry skin. Priority 1, red tag Priority 3, green tag Priority 2, yellow tag Priority 4, black tag

Priority 3, green tag

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Please triage this patient based on this scenario: Patient #5 is a 17-year-old male with the following vital signs: respirations 18, pulse 104, alert, crying, and wanting his mother; he is ambulatory. Priority 2, yellow tag Priority 3, green tag Priority 4, black tag

Priority 3, green tag

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Please triage this patient based on this scenario: Patient #3 is a 38-year-old female with the following vital signs: respirations 0, pulse 0, and non responsive. Priority 4, black tag Priority 1, red tag Priority 2, yellow tag Priority 3, green tag

Priority 4, black tag

Which of the following is NOT the role of the first arriving EMT at the scene of a possible hazardous materials emergency? Requesting special resources to respond Recognizing a hazardous materials emergency Establishing a safe zone Rescuing any victims still in the area of the spill

Rescuing any victims still in the area of the spill

Simple Triage and Rapid Treatment (START) is a system that relies on some simple commands and what three physiologic parameters? Respiration, pain, and mental status Circulation, sensory, and motor status Respiration, sensory, and motor status Respiration, pulse, and mental status

Respiration, pulse, and mental status

Placards

Signage required to be placed on all four sides of highway transport vehicles, vehicles, railroad tank cars, and other forms of hazardous materials transportation; the sign identifies the hazardous contents of the vehicle, using a standardization system with 10 3/4-inch diamond-shaped indicators.

When grossly decontaminating a patient who is not wearing personal protective equipment in a hazardous materials incident, which of the following techniques should be used? Taking a low-pressure decontamination shower Scrubbing with a long-handled brush Sponging with a dilute solution of water and white vinegar Using a high pressure water jet system

Taking a low-pressure decontamination shower

Decontamination

The process of removing or neutralizing and properly disposing of hazardous materials from equipment, patients, and rescue personnel.

When transporting patients from the scene of a mass-casualty incident, who should be responsible for contacting the receiving hospital? The transporting EMT The incident commander The transportation officer The triage officer

The transportation officer

Who is the person that is in charge of tracking the patient's final destination? Treatment officer Staging officer Transportation officer Incident commander

Transportation officer

You are on the scene of a riot following a decision in a controversial court case. A large group of people have set fire to vehicles, broken windows, and assaulted people in the area. Which of the following would be the BEST method of incident command? Singular command by EMS Singular command by fire service Unified command Singular command by law enforcement

Unified command

You are in charge of your department's personnel at the scene of a mass-casualty incident. As the incident progresses, you request additional resources and a neighboring department assists you. As part of this department's response, a battalion chief responds to oversee operations. At the command post, you and the battalion chief work together to manage the incident. This cooperative management effort is known as: Dual command. Redundant command. Unified command. Incident command.

Unified command.

Which of the following are desirable characteristics of the "safe or cold zone" in a hazardous materials incident? Upwind, uphill from the spill Upwind, on the same level as the spill tDownwind, uphill from the spill Downwind, downhill from the spill

Upwind, on the same level as the spill

When responding to a multiple-casualty incident, staging refers to which of the following? Setting up a triage center from the back of your ambulance Staying on station until called upon to receive a patient Keeping a log of al l patients transported Waiting in a designated location until called upon by the designated sector officer

Waiting in a designated location until called upon by the designated sector officer