Chapter 38 incident command
Level _____ hazardous materials would cause irritation on contact but only mild residual injury, even without treatment. Select one: A. 1 B. 0 C. 2 D. 3
A
Command functions under the ICS include all of the following, EXCEPT: Select one: A. triage officer. B. public information officer C. liaison officer. D. safety officer.
A
During a HazMat incident, you are working in the treatment area. As patients are removed from the danger zone, you should: Select one: A. remain where you are and have the patients brought to you. B. retrieve patients from the decontamination area and begin treatment. C. perform a rapid assessment and then have them decontaminated. D. quickly decontaminate the patients and begin assessing them.
A
Which of the following statements regarding storage containers and hazardous materials is correct? Select one: A. In most cases, there is no correlation between the color of the container and the possible contents. B. Red phosphorus from a drug laboratory is found in a blue container that is clearly labeled. C. Steel utility drums are used to contain acids, bases, and other corrosive chemicals and substances. D. The Emergency Response Guidebook tells you the type and color of container used to store hazardous materials
A
Which of the following statements regarding transport of patients from a mass-casualty incident or disaster site is correct? Select one: A. Immediate-priority patients should be transported two at a time. B. Delayed-priority patients should be transported five at a time. C. Walking wounded patients should be taken to the closest hospitals. D. Patients who are in cardiac arrest should clearly be transported first.
A
The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____. Select one: A. 7, 90 lb B. 8, 100 lb C. 6, 70 lb D. 5, 50 lb
B
A supervisor who has more than seven people reporting to him or her: Select one: 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. C. should regularly report to the incident commander (IC) to inform him or her of the functions that his or her team is performing. D. 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.
B
According to the JumpSTART triage system, if a pediatric patient is not breathing, you should: Select one: A. triage him or her as expectant. B. immediately check for a pulse. C. give five rescue breaths and reassess. D. open the airway and reassess breathing.
B
According to the JumpSTART triage system, infants or children not developed enough to walk or follow commands, including children with special needs: Select one: A. are initially triaged on the basis of whether or not they have distal pulses. B. should be taken to the treatment area for immediate secondary triage. C. are the first to be transported, regardless of the severity of their injuries. D. are treated immediately in the primary triage area and then transported
B
In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency. Select one: A. 24-hour B. 72-hour C. 48-hour D. 96-hour
B
You are approaching an overturned tanker truck to assess the driver, who appears to be unconscious. 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? Select one: A. Realize that you are in the danger zone and prevent others from entering. B. Exit the area immediately and gather information for the HazMat team. C. Remain where you are and perform a visual assessment of the patient. D. Cover your face with your shirt and quickly extricate the injured driver.
B
You are triaging patients at the scene of a multiple vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should: Select one: A. move to the other patients, but reassess him in 5 minutes to determine if he is still breathing. B. tag him as immediate (red), place him in the recovery position, and move to the next patient. C. move him to the treatment area so he can receive a more comprehensive assessment of his status. D. assist his ventilations with a bag-mask device and perform a rapid scan of his entire body.
B
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? Select one: A. Patient 1, delayed (yellow); Patient 2, immediate (red); Patient 3, delayed (yellow); Patient 4, immediate (red) B. Patient 1, delayed (yellow); Patient 2, delayed (yellow); Patient 3, minimal (green); Patient 4, immediate (red) C. Patient 1, immediate (red); Patient 2, delayed (yellow); Patient 3, immediate (red); Patient 4, expectant (black) D. Patient 1, immediate (red); Patient 2, minimal (green); Patient 3, delayed (yellow); Patient 4, expectant (black)
C
General principles for approaching a potential HazMat incident include: Select one: A. parking the ambulance in a location that is upwind and downhill. B. asking for wind direction from dispatch and entering downwind. C. maintaining a safe distance and viewing the scene with binoculars. D. taking standard precautions before entering any HazMat scene.
C
Historically, the weak point at most major incidents has been: Select one: A. lack of personnel. B. accountability. C. communication. D. incident briefing.
C
The __________ area is where incoming ambulances meet and await further instructions at the scene of a mass-casualty incident. Select one: A. support B. triage C. staging D. transportation
C
In order to accomplish the goal of primary triage, it is important to: Select one: A. begin life-saving care immediately upon detecting critical injuries. B. perform a rapid assessment on all patients who appear to be unstable. C. take no more than 2 minutes to determine the patient's status. D. keep the triage assessment brief and the patient categories basic.
D
The purpose of the incident command system (ICS) is to: Select one: A. reduce overall mortality and morbidity from large-scale mass-casualty incidents and to restore key infrastructure. B. protect the public from the effects of large- and small-scale disasters and to minimize the financial impact from such incidents. C. quickly and efficiently respond to natural disasters and terrorist incidents, regardless of the complexity of the incident. D. ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources
D
Which of the following statements regarding hazardous materials is correct? Select one: A. Most hazardous materials are odorless and colorless, even when a substantial leak or spill has occurred. B. A package or truck need only contain small quantities of a hazardous chemical before it must bear a placard or label. C. Identifying the presence of a hazardous material is generally very easy because of the consistent use of placards. D. Some substances are not hazardous by themselves, but become toxic when mixed with another chemical.
D
Which of your senses can be safely used to identify a HazMat incident? Select one: A. sound and smell B. sight and touch C. smell and sight D. sight and sound
D