chapter 33 pretest
What criterion does the SALT triage system use to sort patients into priority categories?
Ability to follow commands
Which of the following is TRUE regarding the Advanced EMT's role at an MCI?
An Advanced EMT will be assigned to a specific group and then perform tasks within that group until told otherwise.
Which of the following serves as a textbook definition of a multiple-casualty incident?
Any EMS scene that places excessive demands on personnel and/or equipment
Which of the following BEST defines a multiple-casualty incident?
Any situation in which the number of patients overwhelms the capability of resources on the scene
You have responded to an airfield where a plane crashed near the grandstand during an airshow. Using the START triage system, which patient would be categorized as "immediate"?
A 44-year-old man whose legs are both amputated below the knees. He responds to painful stimuli by groaning and opening his eyes. He cannot follow commands. He is spontaneously breathing, and he has a weak, rapid radial pulse.
Which statement BEST describes the process of triage in a multiple-casualty incident?
A quick, organized, criteria-based system of prioritizing patients for treatment and transport based on the severity of their injuries
Which of the following commonly describes the communication at an MCI before establishing incident command
Chaotic
On arrival at a commuter train derailment, you have used the public address system on the ambulance to encourage the patients with minor injuries to walk to a nearby open field to congregate. You then begin to triage patients, and you come across a patient who is breathing at a rate of 20 breaths a minute, who has multiple long bone fractures, and in whom no radial pulse is detectable. What should you do?
Control any external bleeding and tag the patient red.
what is the primary task for the Advanced EMT who is the initial responder to an MCI?
Coordinate the response until more qualified individuals arrive.
An adult patient at the scene of an explosion has no respirations even after opening the airway. In START triage, this patient should be classified as:
Deceased
If you, an Advanced EMT, are the first person on scene at an MCI, what will knowing the number of patients help you to do?
Determine the necessary resources
Which of these statements concerning the role of education in injury prevention is FALSE?
Education works when it leads to changes in behavior based on the information provided.
A trauma center that can manage most types of traumatic injury 24 hours a day, 365 days a year, and can stabilize for transfer any patient that cannot be managed on scene is a Level __________ regional trauma center.
II
You are at the scene of a one-car MVC in which the sole occupant, the driver, was critically injured. He is found unresponsive, apneic, and bradycardic. What should you do first?
Initiate care.
Which level trauma facility is capable of providing some surgical care and specially trained emergency department staff to manage trauma?
Level III
Which of the following trauma facilities are usually smaller hospitals located in remote areas?
Level IV trauma facility
What distinguishes many trauma scenes from most medical calls?
Medical calls typically involve only one patient.
In which area are black-tagged patients held at an MCI?
Morgue unit
At a multiple-casualty incident, which patients would it be BEST to transport to a Level IV trauma facility?
Patients in need of stabilization
Which of the following BEST describes the age group for patients who should be triaged using the JumpSTART system?
Patients who appear to be children
Which of the following is NOT one of the lifesaving interventions provided for Priority 1 patients in SALT triage?
Rapid extrication
You are a street-level Advanced EMT who is providing backup at an MCI. Upon arrival, you are given an assignment. Which of the following would be the MOST likely assignment for an Advanced EMT at an MCI?
Staging unit
You are at the scene of a bus accident where there is one critical patient who is apneic, bradycardic, and unresponsive from head trauma and whose brain matter is showing. There are four patients who are injured and cannot walk, and six more patients with varying minor injuries. Additional EMS providers are still 15 to 20 minutes away. What should you do with the critical patient?
Tag him as black.
During your primary triage at a child care facility whose roof collapsed because of heavy snow, you are triaging a child who appears to be about five years old. He is not breathing. After you open the airway, he does not begin breathing. When you check the radial pulse, it is absent. Which of the following should you do next?
Tag the child as black and move on.
Where will you find triage tags?
The MCI kit in your ambulance
Question content area top Part 1 Which of the following statements regarding triage tags is TRUE?
The first bar code on a triage tag is usually located at the top of the tag and stays with the patient throughout his journey through treatment and transport.
At a factory explosion, what is one of the first bits of information the Advanced EMT should identify to help determine whether or not the MCI plan should be implemented?
The number of patients injured
What is a fundamental principle for the first person on the scene of an MCI serving as the incident commander?
To decrease responder confusion
What is the word applied to the process by which you prioritize the treatment and transport of patients at an MCI?
Triage
You are on the scene of a large explosion with casualties. Which unit is responsible for sorting patients and assigning the priorities for treatment and transportation?
Triage unit
You are at the scene of an MCI where there are twenty to thirty patients who have been triaged into the green category. What would be an efficient way to transport these patients to the hospital?
Use a school bus from the local high school.
You have responded to a heavily damaged elementary school following a devastating tornado. Among your patients is an approximately seven-year-old boy. He is not responsive and is not breathing. You open his airway, and he does not breathe spontaneously. You should:
deliver five rescue breaths if he has a pulse.
Each of the following is part of the Three Es of Injury Prevention EXCEPT:
enticement.
Question content area top Part 1 The person who is in charge of emergency services at a large-scale response in which an incident command system has been established is called the:
incident commander.
A Level I regional trauma center is a hospital or hospital system that is capable of:
managing any type of traumatic injury 24 hours a day, 365 days a year.
Regardless of injuries, any patient involved in a multiple-casualty incident who is able to walk on command to a designated area is categorized as ____________ when using the START triage method.
minor
All of the following are examples of technological advances that play a role in the care provided to patients within a trauma system EXCEPT:
posting photos of injuries to social media sites for consultation.
The only way to prevent deaths from severe traumatic injury is to:
prevent or reduce the severity of traumatic injuries.
All of the following have been identified by the National Highway Traffic Safety Administration as components of a comprehensive trauma care system EXCEPT:
public approval.
In closed or contained incidents such as a bus crash, radio or cell phone communication will more than likely be:
unaffected.
What is needed for effective deployment of an MCI plan in addition to effectively locating vehicles, getting enough help, providing efficient transport, and ensuring follow-up care at receiving facilities?
On-scene medical treatment
The incident command system section that operates generally only on large-scale responses and is responsible for accounting, payroll, and similar functions is the _________ section.
finance/administration