Division 8
Functions of Operations Section
- Conducts tactical operations to carry out the plan - Develops the tactical objectives - Develops the organizational plan - Directs all resources
Functions of Planning Section
- Develops the action plan to accomplish the objectives - Collects and evaluates information/intelligence (law enforcement) - Maintains resource status
Functions of Administration/Finance Section
- Monitors costs related to incident - Provides accounting, procurement, time records, cost analyses
Functions of Command Section
- Sets objectives and priorities - Has overall responsibility at the incident or event
(1-5) Which number in the Five S's order does the following belong to: Safety
1
You are first on scene. Child crying in wreckage of vehicle. Rescue ETA 2 minutes. Which of the following are you obliged to do as an EMT? 1.) Stay about 12 ft back from the vehicle and make a better determination of what the situation in the vehicle is 2.) Check the scene for additional vehicles, a patients, and hazards 3.) Determine the best way to immediately remove the child from the vehicle
1 and 2
You and your partner are responding to a report of an explosion at a doctor's office. Which of the following are appropriate actions? 1.) Park well away from the building 2.) Consider the possibility of a 2nd explosion in the building 3.) Enter and search the building for victims 4.) Consider the possibility of a second explosion outside the building
1,2,4
NFPA Nine types of Technical Rescues
1. Vehicle and machinery 2. Wilderness search and rescue 3. Water/Surf/Ice/ 4. Dive 5. Trench 6. Collapse 7. Rope 8. Confined space 9. Any other rescue operation requiring specialized training
NFPA Standard 473: Four competencies for EMS providers at HazMat incidents are:
1.) Awareness 2.) Operations 3.) Technician 4.) Specialist
What are the five management functions of the ICS?
1.) Command 2.) Finance/Administration 3.) Logistics 4.) Operations 5.) Planning
3 Goals of MCI Management
1.) Do the Best for the Most 2.) Manage limited resources 3.) Avoid relocating the disaster
4 Components of the OSHA Hazard Communication Standard (HCS)
1.) Identification and ingredients 2.) First-aid and firefighting measures 3.) Handling and storage 4.) Exposure controls and personal protection
What are three offices in the Command Staff section?
1.) Liaison Officer 2.) Safety Officer 3.) Information Officer
Four requirements for FIRESCOPE
1.) Organizationally flexible 2.) Usable for day-to-day operations as well as major emergencies 3.) Standardized to allow other agencies and locations to be able to use it 4.) Cost effective
10 Fundamental steps of Patient Extrication
1.) Prepare for the rescue 2.) Size up the situation 3.) Identify and manage hazards 4.) Stabilize the vehicle prior to entry 5.) Gain access to the patient 6.) Perform a primary and secondary assessment 7.) Disentangle the patient 8.) Immobilize and extricate the patient from the vehicle 9.) Provide emergency care and transport 10.) Terminate the rescue
MCI Initial Actions - The Five S's
1.) Safety 2.) Scene size-up 3.) Send Information 4.) Set up Incident Command 5.) Start Triage
4 Essential elements to Initial Action Plan (IAP)
1.) Statement of objectives 2.) Organization 3.) Assignments to accomplish objectives 4.) Supporting material
If you suspect a terrorist incident, here are the first six steps to take
1.) summon law enforcement for coordination 2.) approach the scene uphill and upwind 3.) ask dispatcher for weather report 4.) secure a quick exit route with your partner 5..) avoid bottlenecks 6.) identify a 2nd rally point 7.) Identify a safe staging area for other EMS, fire and Police Units
When parking at an ambulance scene, you should park at least ___ feet away
100
A daytime helicopter landing zone should be at least
100 x 100 ft
A mass gathering is an assembly of ____ or more people in a single location
1000
ICS operational periods last how long>
12 hours
How long should each patient interaction last when performing triage?
15-30 seconds
(1-5) Which number in the Five S's order does the following belong to: Size up
2
The ERG (Emergency Response Guidebook) is designed to help responders get through the first ____ minutes of a hazmat incident
20
Generally, a fixed-wing resource will be used to transport patients when the receiving facility is more than ___ miles away
200
Helicopters are best used for transporting patients ___ miles away or less
200
(1-5) Which number in the Five S's order does the following belong to: Send Information
3
The number of subordinates in Span of Control ranges from ___ to ___
3 to 7
(1-5) Which number in the Five S's order does the following belong to: Set up incident command
4
A flammable solid is considered a DOT hazard class:
4
(1-5) Which number in the Five S's order does the following belong to: START Triage
5
Ideal number of subordinates for Span of Control
5
There is a moderate amount of blood on your stretcher, which is more appropriate? A: Clean and Sanitize? B: Clean and Sterilize?
A
When would branches be used in the logistics section? a.) to reduce span of control b.) to maintain unity of command c.) to place personnel with their day-to-day supervisors
A
Which of the following is more suspicious of terrorist activity? A: explosion at a place of worship B: Dozen people becoming ill at a wedding
A
You are the first to arrive at a TC MCI. There are several critical patients and a need for technical rescue to extricate victims. ASfter ensuring the scene is safe, you should next: A.) identify yourself as the scene commander and designate your location B.) request additional resources and begin treatment
A
DOT Hazard Class 2
Gases
Match the term with the applicable definition: Hazard Class 2
Gases
Which of the following would be considered a primary responsibility of first-responding EMS units at an unknown hazmat scene? a.) controlling the source of the hazmat spill b.) restricting access to the scene c.) treating contaminated patients within the scene d.) entering the scene to identify the specific hazardous material
b
Which one of the following actions is appropriate when using a helicopter on the scene of an emergency? a.) keep all rescue personnel back 10 feet from the helicopter as it lands b.) always approach the helicopter from the front and never the rear
b
Which one of the following can trigger an explosion and also act as a corrosive destroying tissue and triggering inflammation in the lungs? a.) Corrosive materials b.) Oxidizers and organic peroxides c.) flammable gases d.) flammable solids
b
Single-celled microorganisms are called:
bacteria
Three types of biological agents
bacteria (anthrax) incubation period of days viruses (smallpox) incubation period of days toxins (botulism and ricin) incubation period of minutes or hours
Explosives - Tertiary Blast
being violently thrown by explosion
aerosolized anthrax is an example of a ___ weapon
biological
Anthrax is a
biological agent
The decision to have a written or verbal IAP is made by the: a.) operations chief b.) planning section chief c.) IC
c
Upon responding to a large-scale incident, you are instructed to report to the treatment group. On arrival there you should: a.) find a patient and begin treatment b.) report to the IC c.) report to the treatment group leader d.) assess the situation and determine the most appropriate task
c
Which one of the following is an example of a blood agent? a.) Sarin Gas b.) Ricin c.) cyanide d.) capsicum spray
c
When operating an emergency vehicle with lights and sirens activated, the operator must exercise ___ for the safety of other motorists and pedestrians
due regard
What does the Safety Officer do?
ensures that the incident safety considerations are recognized, has the power to stop activity or remove people from a hazardous situation
You are the first on scene at a chemical spill. As you arrive, you notice contaminated workers leaving the building. You should:
establish a safety perimeter and have them stay in the warm zone
HazMat Indirect Pathway
exposure resulting from taking in air, water, or food that has been contaminated by hazardous vapors or substances
You have noted a diamond-shaped sign on a storage tank behind a hospital./ The top quadrant of the diamond contains the numeral "4." This means the substance stored inside the tank poses a(n)
extreme risk of fire
The ICS position that oversees the removal of patients form the wreckage is:
extrication/rescue group supervisor
An ambulance strike team is a group of ___ ambulances of the same type with common communications and a leader
five
When rescuers responding to an MCI operate outside the ICS it is known as:
freelancing
Groups have ___ responsibility while Divisions have ___ responsibility
functional; geographic
Define Due Regard
functioning in a manner that is precise, cautious, and does not injure anyone else. Also called due caution
At the scene of an MCI you encounter a five-year old pateint who has a pulse but is not breathing. You have opened the airway but they are still not breathing. What should you do next?
give the person five rescue breaths
The single best way to avoid disease transmission is:
hand washing
Any substance or material that poses an unnecessary risk to health, safety, and property is a(n)
hazardous material
Identification, isolation, and notification are the duties of
hazmat awareness responder
The blue quadrant of an NFPA diamond contains information about a substance's
health risks
Helibases differ from helispots in that:
helibases have maintenance supplies for helicopters
In regard to a biological agent being released, its persistence is referred to:
how long the agent stays in the environment
Components of Preincident Planning
identification of existing hazards, review of specific handling and safety procedures, response planning, identification of necessary specialized resources
Terrorism definition
illegal act that is dangerous to human life with intent to intimidate or coerce a government or civilian population in the furtherance of a political or social agenda
When inspecting the ambulance prior to the beginning of your shift, you notice that the left rear brake light is not working. You should:
immediately notify your supervisor and take the ambulance out of service until the light can be replaced
In a smaller incident, the person in charge of all major activities is the
incident commander
You are returning from a call when it begins to snow heavily. To increase safety you should:
increase following distance
The two most common types of mission conducted by EMS air medical operations are scene calls and
interfacility transports (IFT)
The Information Officer is responsible for:
interfacing with the press and disseminating public information
Base
location at an incident in which primary service and support activities are performed
Staging area
location or locations at an incident where incoming resources report
In an ICS the area responsible for providing support and resources is:
logistics
Which of the ICS sections is responsible for providing facilities, services, and materials for the incident?
logistics
Signs and symptoms of radiation expsoure:
loss of appetite, nausea, vomiting, fatigue, and diarrhea, low-dose fever, respiratory distress, increased excitability with higher dose
ICS Branch
management tool for the IC that can be either geographical or functional; used to keep a manageable span of control. Example: Fire breaks out at MCE there would be a fire suppression branch and a patient treatment branch
Small furniture factory. Three employees are experiencing coughing and watery eyes after one of them spilled a can of paint solvent. To find out more about the material spilled, you should locate the:
material safety data sheet
Employers must keep paperwork on all potentially hazardous substances in teh workplace. Those papers are called:
material safety data sheets
Singular Command
method of command used for incidents that are small in scope, do not involve outside agencies, and occur within a single jurisdiction
A DOT hazard class 9 indicates
miscellaneous dangerous goods
You have noted a diamond-shaped sign on a sotrage tank at a farm supply company. The bottom quadrant of the diamond contains the letter "W" witha line through it. This means:
mixing water with this substance creates a hazard
An incident that involves more than one patient and cannot be managed by the normal responding units but can be halndled by the resources of a single system is a ____ casualty incident
multiple
An incident will overwhelm the initial responding units but NOT the resources of the system is known as a(n) ___ incident
multiple-casualty
Delayed effects of radiation poisoning
nausea, vomiting, hair loss, bleeding, and hypotension
Mark 1 antidote kit reverses the effects on the nervous system and can be a used as a self-protective measure in the event of a ____ agent exposure
nerve
Miosis, copious secretions, muscle twitching, convulsions, and GI effects are symptoms of:
nerve agents
The disruption of the breakdown of acetylcholine is a common characteristic of:
nerve agents
The most common crew configuration for air medical operations in the US is:
nurse / paramedic
The concept of Unity of Command means that
one person has one supervisor
The optimal span of control is:
one to five
At the scene of an MCI you encounter a patient who is not breathing. You should first:
open the airway
Extrication, triage, treatment and transportation sectors in an MCI are part of the ___ section of ICS
operations
Rescuers trained to recognize hazards, utilize specialized equipment, and conduct technical rescue are trained to the ___ level
operations
Why is secondary triage performed?
patients' conditions change
During initial triage, rescue breaths should only be given to ___ patients
pediatric
riot-control agents
pepper spray
The diamond-shaped symbol on a transportation container suchg as a tanker truck is called a:
placard
Reasons why a pilot may cancel a request are:
poor weather conditions, mechanical failure, patient size and weight
Effective strategies for responding to a hazmat incident include:
preincident planning, recognition, security, identification, response utilizing appropriate resources, and the establishment of safety zones
Developing a plan for future possible incidents that would require a large response of units, personnel, and supervisors is called:
preplanning
In an MCI, triage is based on the principle of
providing the best care for the greatest number of patients
When performing a scene size-up for an extrication or rescue incident, it is especially important to:
quickly identify the need for additional resources
(Tag em): 17 y/o sitting in driver's seat of car. Loud, moist, gurgling sounds coming from airway. Pulse 124 and responds to loud verbal stimuli.
red
(Tag em): 37- y/o male found in roadway who responds to painful stimuli only. Irregular breathing, with slow pulse
red
(Tag em): 6 y/o male, unresponsive. Pulse 140 respirations 50.
red
(Tag em): 86 y/o male. Head wound minor bleeding. Sitting in his car and appears confused and unable to focus. Pulse 66 respirations 24
red
At the scene of an MCI you encounter a patient who is responsive to verbal stimuli, is breathing 28x minute, has a carotid pulse but no radial pulse. This patient should be tagged as:
red
In MCIs, the first patients to be transported are those tagged:
red
Patients with obvious signs and symptoms of shock will most likely be give a ___ tag during a multiple-casualty incident
red
The first and most important of the Five S's is:
safety
There are two types of glass in vehicles: ____ and ____
safety and laminated
The most important responsibility of an IC is:
safety of responders
Use the JumpSTART triage system on patients if they look like they are ___ or younger
school-age
Vehicle ignition is turned off as part of ___ the scene
securing
Explosives - Secondary Blast
shrapnel
You are able to access a patient entrapped in a motor vehicle following a collision without the use of equipment. This is known as ___ access.
simple
After giving dispatch the initial details of a multiple-casualty incident, the first responding unit should immediately:
size up the scene
The first phase of a rescue operation is:
sizing up the scene/situation
a conventional explosive spiked with radioactive material is known as
smart bomb
The number of people or elements that can be effectively managed by a single individual in an ICS is referred to as:
span of control
The individual at an MCI who ensures that ambulances are directed to the appropriate receiving hospital is the ___ officer
staging
You have been dispatched to a TC invovling two vehicles at the base of a hill. En route the police department notifies you that the hill is very icy and that the cause of the collision was most likely the ice. You should:
stop the ambulance at the top of the hill and investigate the scene on foot
The treatment an EMT would provide for a chemical or biological weapon exposure is:
supportive, including the ABCs
ICS Unit
team assigned a specific task. Often 1-2 people
It is recommended that rescue operations be supervised by someone trained at the ___ level
technician
helispots
temporary locations where helicopters can land and load and off-load personnel, equipment, and supplies.
When cutting the B Post of a vehicle be careful not cut the seat belt ____ as it is a pressurized cylinder that can explode
tensioner
Air Medical resources are most often requested by
the first responding units
virulence
the power of infection once started
Vapor pressure
the pressure exerted by a chemical against the atmosphere
(START) Patients are black tagged when
they are apneic after their airway has been manually opened
____ group is responsible for obtaining resources to ensure that all patients are transported to the appropriate hospital
transportation
During multiple-casualty incidents the who will coordinate with area hospitals?
transportation group supervisor
What area will the secondary triage be performed
treatment area
French word that means "to sort"
triage
The act of sorting patients into categories for treatment and transport based on the severity of condition is known as:
triage
____ group is responsible for the sorting and tagging of all patients according to the seriousness and extent of injuries
triage
True or false? Basic disinfection can occur with a 1:100 bleach to water mixture
true
True or false? Blast injury victims are likely to have their gas-filled organs (lungs) be damaged. A pneumothorax is a likely resulting injury
true
True or false? Blast injury victims experienced a significant MOI. This means that C-spine should be taken and the patient be treated just as if they were in a TC
true
Interaction with other agencies is well accomplished when responders use an ICS because ___ principles guide efficient management of resources and tasks
uniform
SLUDGEM (U)
urination
WMD
used by terrorists to strike at government and high-profile or high population targets; designed to create a maximum number of casualties
Tire deflation is best accomplished by pulling the ___ stems
valve
Biological agents that can be used as a terrorist weapon are ___ and toxins
viruses bacteria
Air medical missions conducted in clear weather often operate under
visual flight rules (VFR)
After transferring the patient to hospital staff, the most important thing you can do to prevent the spread of disease is to:
wash your hands
You have just learned that a chemical to which a patient was exposed is a mutagen. What effect does this chemical have?
Causes a permanent change in genetic material (DNA)
Teratongenic
Causing an increased risk that a developing embryo will have physical defects
CBRNE
Chemical, Biological, Radiological, Nuclear, Enhanced Explosive
Pulmonary agents
Choking agents. Cause irritation and destruction of the airway
The incident command post is signified on a map with a:
Circle with a "C"
Of the following, the greatest benefit of NIMS is:
it is a commonly understood way of structuring response to large-scale incidents
SLUDGEM - L
lacrimation
A window in a vehicle that has a layer of plastic, glue, or mastic between two sheets of glass is called ____ glass
laminated
Persistence
length of time an agent stays in the environment
An organizational level responsible for operations in a specified geographic area is called:
A Branch
ICS Division
A team assigned to function in a specific geographical area. Example: MCE would have the First Floor Division and Second Floor Division.
Purpose of secondary triage
A more thorough assessment of patients. Locating specific injuries and providing additional life-saving treatment. This is likely where reclassifying patients will occur
Which of the following is a specific risk associated with operating an ambulance on the highway?
It is difficult for other drivers to hear audible warnings
Triage - Green Tag
Minor. These are patients with injuries who will eventually need care but do not require immediate treatment and transport. Can last for hours.
SLUDGEM (M)
Miosis (constricted Pupils)
Match the term with the applicable definition: Hazard Class 9
Miscellaneous
DOT Hazard Class 9
Miscellaneous dangerous goods
HazMat Warm Zone
Area surrounding hot zone. Vital to preventing spread of contamination. Life-saving emergency care is performed
Which of the following will be responsible for the IAP? A.) Division Leader B.) IC C.) Section Chief D.) Branch Director
B
DOT placard that is approximately half white and half black identifies what hazard class?
Corrosives
Which of the following best describes NIMS? A.) response plan B.) communications plan C.) static system D.) set of preparedness concepts
D
Ten patients have recently been diagnosed with an unusual illness. Their symptoms are similar and all have developed within a similar time frame. These findings most likely indicate a:
Biological weapon
Bacteria viruses and toxins are examples of
Biological weapons
B-NICE
Biological, Nuclear, Incendiary, Chemical, Explosive
Vesicants
Blister agents; the primary route of entry for vesicants is through the skin.
NFPA 704 - Left Quadrant
Blue. Indicates the substance's health hazard level.0-4
Radiological Disperal Device (RDD)
Bomb laced with radiological material, also called a dirty bomb
Which one of the following items is included when checking the mechanical condition of the ambulance?
Brakes
Air operations, if activated at an incident, will be at what organizational level?
Branch
An IC has established operations in two separate geographic locations. According to NIMS terminology, the operations would be referred to as:
Branches
Which one of the following should be considered when deciding to use lights and sirens to transport a patient to the hospital? A.) Time of Day B.) Amount of traffic C.) Nature of the patient's condition
C
C-FlOP
Command Finance Logistics Operations Planning
Makeup of the typical Medical / Multiple Casualty Branch
Command Medical Communications Coordinator Rescue/Extrication Group Triage Group Treatment Group Patient Transportation Group Staging Area Manager Supply Unit Rehab Area
HazMat Hot Zone
Contamination is actually present.
Match the term with the applicable definition: Hazard Class 8
Corrosive
DOT Hazard Class 8
Corrosive Materials
Triage - Black Tag
Deceased. These patients present with no pulse and no breathing. If opening airway doesn't generate breathing, black tag.
SLUDGEM (D)
Defecation
Triage - Yellow Tag
Delayed. These patients are salvageable and do not require immediate care or transport
NIMS is overseen by:
Department of Homeland Security
Improvised nuclear device
Device that can produce an actual nuclear explosion
IF you inhale the vapors from toxic material, you have been contaminated by which exposure pathway?
Direct
Radiological Dispersal Device (RDD)
Dirty bomb. Designed to disperse radioactive material into atmosphere
Which of the following best describes operating an ambulance with due regard?
Disregarding traffic laws when necessary but considering the safety of of other drivers around you
Nerve agents
Disrupt nerve impulses while damaging body functions(breathing Cardiac output) rather than tissues.
Blood agents
Disrupt oxygen utilization at cellular levels. Cyanide is the most common
Which one of the following is a management goal for MCIs?
Do the greatest good for the largest number of patients
You should safely evaluate a TC with potential hazmat involvement from a distance using your ___ to access information on identified placards to set safety and containment zones.
ERG
You have been dispatched to a railroad yard for a "sick person." On your arrival you note that there are three individuals on the ground next to a tank car. Using binoculars to inspect the tank, you should compare the information you gather to that found in the:
Emergency Response Guide (ERG)
SLUDGEM (E)
Emesis
Match the term with the applicable definition: hazard class 1
Explosive
DOT Hazard Class 1
Explosives
FIRESCOPE
Firefighting Resources of California Organized for Potential Emergencies
Which of the following sets up the medical branch at the scene of a multiple-casualty incident?
First EMS unit on scene
Match the term with the applicable definition: Hazard Class 3
Flammable liquids
Match the term with the applicable definition: Hazard Class 4
Flammable solids
DOT Hazard Class 4
Flammable solids, spontaneously combustible materials, and dangerous when wet materials
DOT Hazard Class 3
Flammable/combustible liquids
SLUDGEM (G)
Gastrointestinal motility (overactive digestion)
3 Levels of Decontamination
Gross primary secondary
Which one of the following principles should be followed by EMT's when driving an ambulance?>
Have due regard for the safety of all others
HOTSAW
Hazards Obstacles Terrain Slope Animals Wind
Explosives - Quaternary Blast
Heat and combustion related injuries
In ICS, the individual responsible for management of the entire scene is the:
IC
Triage - Red Tag
Immediate. Patients are salvageable and in the most need of care and transport
Explosives - Primary Blast Injury
Injuries caused by a shockwave of pressure
Terrorism is different from other types of threatened or actual violence in what way?
It is carried out to further a political or social agenda through intimidation of violence
Pediatric triage system
JumpSTART
HazMat receptor
Living plant or animal that is exposed to a hazardous substance
Reasons why safety zone should be extended in an extrication assignment
Located on the round of a curve Located on the crest of a hill Poor weather conditions
Camp
Location where resources may be kept to support incident operations
helibase
Locations in or near an incident area at which helicopters may be parked, maintained, fueled, and equipped for incident operations.
By definition, an event that exceeds the capabilities of an EMS system is called a(n):
MCI
Substances stored in stationary tanks and facilities, such as at swimming pools, are marked using a voluntary marking system known as:
NFPA 704
What does NFPA stand for?
National Fire Protection Association
HazMat cold zone
Normal triage, stabilization, and treatment performed. Rescuers must shed contaminated gear before entering the cold zone
In an ICS the area responsible for developing tactical objectives is:
Operations
Match the term with the applicable definition: Hazard Class 5
Oxidizers
DOT Hazard Class 5
Oxidizers and organic peroxides
When responding to a call, which one of the following is LEAST important for an EMT to know?
Patient's ethnic Group
The best prepared responder for a multiple-casualty incident is one who is ____, ____, and ____ healthy
Physically emotionally spiritually
What is the correct order of the phases of an EMS call?
Preparation for the call, Dispatch, Responding, Caring for the patient
How should responders handle the stress of a multiple-casualty incident?
Prepare with healthy habits and participate in debriefings after the incident
Functions of Logistics Sections
Provides support to meet incident needs Provides resources and all other services needed to support the incident
Safety is a major responsibility of command staff. What are two other of its major activities?
Public Information and Liaison
Match the term with the applicable definition: Hazard Class 7
Radioactive
DOT Hazard Class 7
Radioactive materials.
NFPA 704 - Top Quadrant
Red. Flammability hazard rating. 0-4
____ group is responsible for all operations necessary to remove victims from the hazard zone and to the treatment area and should have training in vehicle and special rescue techniques
Rescue/extrication
Common signs and symptoms of Nerve Agents use what mnemonic?
SLUDGEM
Which one of the following is the first of the "Five S's" for initial actions at the scene of an MCI?
Safety
3 major activities of the command staff
Safety, Information, Liaison
SLUDGEM - S
Salivation
In a fully expanded ICS, the general staff consists of:
Section Chiefs
The phase of an ambulance call in which you complete documentation of the call is called:
Terminating the call
START stands for
Simple Triage and Rapid Transport
START Triage stands for:
Simple Triage and Rapid Treatment
NFPA 704
Standard System for the Identification of the Hazards of Materials for Emergency Response. The placards that designate what is flammable, health hazard, explosive and other
ICS Group
Team assigned to functional activities. Example: treatment group is responsible for treating patients and requesting resources from the transportation group
True or false? Before leaving the hospital, the EMT should complete the Prehospital Care Report (PCR)
True
True or false? Every incident is appropriate for an ICS
True
True or false? FIRESCOPE formalized the Incident Command System and implemented it statewide in 1980
True
Under what circumstances is it permissible for an EMT to approach a hazardous materials scene?
The EMT is trained as a hazmat technician and is wearing an SCBA
What does the Liaison Officer do?
The Liaison Officer acts as a point of contact for representatives of all agencies assisting or cooperating in the incident.
What does the Public Information Officer do?
The PIO develops accurate & complete info regarding the incident & your responses. After obtaining IC approval on all releases, this person then acts as the point of contact for the media & other governmental agencies.
True or false? NIMS is a system that provides a consistent nationwide approach for incident management and requires federal, state, tribal, and local governments to worth together before, during, and after incidents.
True
True or false? NIMS was established in 2004 by the US Department of Homeland Security?
True
True or false? The proper way to decontaminate an ambulance is to "clean up" first, and then go over the spot again to "disinfect"
True.
According to the US Department of Homeland Security and FEMA classification of ambulance resources, a basic life support ambulance with minimum of two (EMT and EMR) that is able to transport two-litter patients would be classified as:
Type 3
The DOT defines a hazardous material as:
any substance or material in a form that poses an unreasonable risk to health
Triage tags
are part of the patient's permanent medical record
Gases can cause injury by displacing oxygen to cause:
asphyxiation
Protection from Nuclear threats
Time Distance Shielding Quantity
DOT Hazard Class 6
Toxic materials and infectious substances
Match the term with the applicable definition: Hazard Class 6
Toxic substances
____ group is responsible for establishing a treatment area where patients can be treated and collected
Treatment
True or False? Two agencies sharing command functions on an emergency scene is an example of Unified Command
True
True or false? A stair chair would be better suited for a 68-y/o male complaining of SOB than a 75-y/o male who fell out of bed and is complaining of neck and back pain?
True
Which agency was responsible for creating NIMS?
US Department of Homeland Security
The FAA allows pilots to use ___ to fly day and night so long as no significant weather exists along its intended route
VFR (visual flight rules)
Weapons of mass destruction
Variety of chemical, biological, nuclear or other devices used by terrorists to strike at government or high-profile targets; designed to create a maximum number of casualties
NFPA 704 - Bottom Quadrant
White. Special hazards. OX - oxidizer W - Reacts with water SA - Simple Asphyxiate
An unresponsive patient is in a car with the doors locked and the windows up. Which one of the following actions is most appropriate when attempting to gain access to the patient? a.) use a crowbar to break the lock on the door b.) break the window opposite to the patient c.) Call for a rescue truck to forcibly remove the door
b
NFPA 704 - Right Quadrant
Yellow. "Light up the right' instability hazard. Is this substance likely to explode or react? 0-4
32 y/o male has been found unconscious in the storeroom of a cleaning supply store. Upon entering the room, you note a strong odor of bleach and find that your eyes are burning. you should: a.) find the patient and then immediately remove him from the building b.) immediately leave the building and contact a hazmat team
a
NFPA 704 system is used to mark ___ with a multicolored diamond sign a.) occupancy b.) hazardous material c.) flammable material d.) chemical material
a
On the scene of TC, which one of the following is an example of complex extrication? a.) prying the door open b.) entering through an open window c.) pulling open an unlocked door
a
Which one of the following injures or kills by disrupting the nervous system or cellular functions? a.) radioactive ,materials b.) corrosive materials c.) flammable gases d.) flammable solids
a
Which would be considered a critical element of a Daily safety check? a.) Ensuring proper function of all warning devices on ambulance b.) Inspecting the number of 4x4 bandages
a
Vector
a carrier such as animals insects or people that have a disease
NIMS is best described as:
a consistent nationwide approach in responding to events requiring coordinated public safety response
Ambulance Strike Team
a group of five ambulances of the same type with common communications and a leader
During a complex extrication, the patient should be protected from glass and metal with
a rescue blanket
A farmer was spraying pesticides and not wearing proper clothing. The farmer developed nausea, vomiting, and SOB. The poison most likely entered his body by way of:
absorption
When a chemical substance makes contact with the skin or muscous membranes, it can enter the body by way of:
absorption
Freelancing is described as:
actions taken on an emergency scene without the knowledge or permission of of the ICS
A patient spilled a toxic substance. He coughed and his eyes immediately began to water. The patient was experiencing what type of exposure?
acute
Terrorism can best be described as
an illegal act that is dangerous to human life
A multiple casualty incident is defined as:
an incident that exceeds the resources of the initial units on scene
EMS Task Force
any combination of resources within the span of control of three to seven units (such as ambulances, rescues, engines, and squads) assembled for a medical mission, with common communications and a leader (supervisor)
Devices placed on either side of the tires of a vehicle to stabilize it are called:
chocks
When communicating on the radio in an ICS emergency, the EMT should use:
clear text
Prior to completing your first call for service at the beginning of your shift you should:
complete a thorough vehicle inspection
The START triage system relies on ___ -based classification not ____ -based classificationis
condition based not injury based
NIMS definition of preparedness
continuous cycle of planning, organizing, training, equipping, exercising, evaluating, and taking corrective action in an effort to ensure effective coordination during incident response.
Medical interventions during triage should be limited to opening airways and:
controlling severe bleeding
According to NFPA standards, which one of the following would be placed on the outside of an occupancy to warn of hazardous materials? a.) DOT Placard b.) MSDS c.) Bill of Lading d.) Diamond-Shaped sign
d
All of the following are NFPA-recognized categories of technical rescue incidents except: a.) dive rescue b.) search and rescue c.) trench rescue d.) aircraft rescue
d
Biological weapons need to a..) be dispersed in an aerosol b.) enter through dermal or oral routes c.) be relatively easy to disseminate d.) all of the above
d
You arrive at a building for a medical call. The red quadrant of the NFPA sym;bol contains the number 3. This means there is a ___ fire hazard a.) no b.) minimal c.) a serious d.) a moderate
d
Vehicle maintenance checks should be performed at least ___
daily
Hazards such as toxic gas will cause:
death by causing irritation to the airway and lungs
When a chemical is absorbed through the skin or eyes, it can be called:
dermal exposure
You are IC on a TC at the end of a narrow one-way street. Your triage report notes a need for three ambulances but there is only room for one on the street. You should:
designate a staging area and load one at a time
Simple radiological device
device that disperses radioactive particles without explosion
simple radiological device
device that disperses radioactive particles without explosion
A simple homemade explosive device containing radioactive material is sometimes referred to as a(n):
dirty bomb
The incident management element that is geographical in nature is a(n)
division
Describe three general measures you can use to improve safety while driving an ambulance
drive defensively, anticipate the actions of others, leave room to react
cribbing
wooden blocks or other supportive materials placed in a box (crib) pattern to assist in stabilizing a vehicle
Step Chocks
wooden blocks or other supportive materials placed in a stair step pattern to assist in stabilizing a vehicle
(Tag em): 24 y/o female. Oriented, sitting in her car complaining of neck and abdominal pain. Pulse 82 respirations 16
yellow