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