EMT Chapter 38 & 39

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

yellow

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

yellow

Your work uniform is an example of what level of protection?

Level D Protection

Which of the following questions is of LEAST pertinence when the EMT is determining whether or not to declare a multiple-casualty incident and activate the incident command system?

How many paramedics are able to respond to the scene and provide advanced care?

Which of the following statements regarding hazardous materials is correct?

Some substances are not hazardous by themselves, but toxic when mixed with another chemical.

Which of the following statements regarding communications at a disaster or multiple-casualty incident is correct?

If possible, use face-to-face communications to minimize radio traffic.

You are at the scene of multiple-casualty incident when your partner slips and falls, injuring his leg. He is alert and responds appropriately to your questions. His respiration's are 20 breath/min and his radial pulses are strong. What triage category should you assign your partner?

Immediate

Which of the following statements regarding the rapid extrication technique is correct?

The rapid extraction technique is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle.

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

communications.

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

operations

In order to evaluate hazards present at the scene and determine the number of patients, you should:

perform a 360 degree walk around of the scene.

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.

Upon arriving at the scene of a law enforcement tactical situation, you should ensure your safety and then:

report to the incident commander for instructions.

When victims involved in a multiple-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.

Situational awareness is MOST accurately defined as

the ability to recognize any possible issues once you arrive at the scene and act proactively to avoid a negative impact.

When determining the exact location and position of the patient(s) in a wrecked vehicle, you and your team should routinely consider all of the following, EXCEPT:

the make and model of the vehicle.

Which of the following statements regarding storage containers and hazardous materials is correct?

In most cases, there is no correlation between the color of the container and the possible contents.

Which of the following statements regarding the unified command system is correct?

Under the unifed command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making.

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.

Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?

Water-reactive solids

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

1

Which of the following patients should be assigned an immediate (red tag) category?

22 year old male with blunt abdominal trauma, tachycardia, pallor, and diaphoresis.

Which of the following situations would require the use of a specialized rescue team?

A patient trapped in a cave or a confined space.

Which of the following MOST accurately describes a mass-casualty incident?

An incident that greatly taxes or depletes a systems available resources.

Which of the following activities occurs in the warm zones?

Decontamination

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, CP, 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.

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

be in a location that prevents visualization of the scene

Which of the following statements regarding trench rescue is correct?

ground vibration is a primary cause of secondary collapse.

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

immediately check for a pulse.

The scene size-up at a motor vehicle crash or other incident:

is an ongoing process until the incident is terminated.

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

keep the triage assessment brief and the patient categories basic.

Upon arrival at a motor vehicle crash, the EMT should:

leave only the essential warning lights activated.

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

relinquishing command to someone with more experience.

The ________ area is where incoming ambulances meet and await further instructions at the scene of a multiple-casulty incident.

staging

The EMTs role at the scene of a search and rescue attempt is to:

stand by at the command post until the person is located.

A critical function of the safety officer is to:

stop an emergency operation whenever a rescuer is in danger.

Your primary concern when arriving at the scene of a motor vehicle crash is:

surveying the area for hazards.

A patient in respiratory arrest at the scene of a multiple-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.

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

transportation

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

triage officer

The reasons for rescue failure can be recalled by the mnemonic FAILURE. According to this mneumonic, the 'U' stands for:

underestimating the logistics of the incident.