emt chap 39
cut away all of the patient's clothing and do a rapid rinse to remove as much of the contaminating matter as they can.
A 49-year-old man has been removed from his overturned tanker, which was carrying a hazardous material. The tank ruptured and he was exposed to the material. When rescue personnel bring him to the decontamination area, they note that he is unconscious and has slow, shallow breathing. They should:
requires specialized gear designed for protection against that particular hazard.
A Level 4 hazardous material:
corrosives.
A carboy is a container that would MOST likely be used to store and transport:
has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person.
A supervisor who has more than seven people reporting to him or her:
should be taken to the treatment area for immediate secondary triage.
According to the JumpSTART triage system, infants or children not developed enough to walk or follow commands, including children with special needs:
Assess for bilateral radial pulses.
According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?
Open the airway and reassess breathing status.
According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?
the recommended transport destination for each patient.
After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, EXCEPT:
must not begin treatment until all patients have been triaged.
As a triage supervisor, you:
establish command.
As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:
designate a safety officer, but retain other command functions.
During a motor vehicle collision involving multiple patients, the incident commander would MOST likely:
begin some form of positive-pressure ventilation.
Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:
maintaining a safe distance and viewing the scene with binoculars.
General principles for approaching a potential HazMat incident include:
72-hour
In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.
fractures of multiple long bones.
Injuries or conditions that would be classified as first priority (red tag; immediate) include all of the following, EXCEPT:
agencies of different types or from different jurisdictions to communicate with each other.
Interoperability, an important feature of the NIMS, refers to the ability of:
give a general idea of the hazard inside that particular container.
Placards and labels on a storage container are intended to:
move all walking patients to a designated area.
The FIRST step in the START triage system is to:
8; 100 lb
The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.
upwind at least 100 feet from the incident.
The MOST appropriate location to park your ambulance at a HazMat incident is:
planning section.
The development of an incident action plan is the responsibility of the:
prepare for, prevent, respond to, and recover from domestic incidents.
The function of the National Incident Management System (NIMS) is to:
decontamination.
The process of removing or neutralizing and properly disposing of a hazardous material is called:
ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources.
The purpose of the incident command system (ICS) is to:
the Emergency Response Guidebook.
The reference used as a base for your initial actions at a HazMat incident is:
freelancing.
The term used when individual units or different organizations make independent, and often inefficient, decisions regarding an incident is called:
often requires personnel to remain on scene for several days.
Unlike a multiple-casualty incident, a natural disaster:
carefully assess the situation.
Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:
Extrication
Which of the following duties or responsibilities does NOT fall within the realm of the medical branch of the incident command system?
Decontamination
Which of the following is NOT a common role of the EMT at the scene of a HazMat incident?
Primary assessment
Which of the following is NOT a responsibility of the treatment supervisor?
A motor vehicle crash with two critically injured patients and two ambulances
Which of the following is probably NOT a multiple-casualty incident?
Immediate-priority patients should be transported two at a time.
Which of the following statements regarding transport of patients from a multiple-casualty incident or disaster site is correct?
Sight and sound
Which of your senses can be safely used to identify a HazMat incident?
assign him a delayed (yellow) category and continue triaging the other patients.
While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing; has bilateral radial pulses; and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:
declare a multiple-casualty incident and request additional resources.
You and your partner are the first to arrive at the scene of a motor vehicle accident. As you approach the scene, you can see multiple patients, some walking and others who are still in their vehicles. You should:
place a red tag on her and continue triaging.
You and your partner arrive at the scene where a truck has crashed into a small building, injuring eight people. You immediately request additional ambulances and begin the triage process. The first patient that you triage is a young female who is unconscious and apneic. She has an open head injury and her pulse is weak and thready. You should:
Exit the area immediately and gather information for the HazMat team.
You are approaching an overturned tanker truck to assess the driver, who appears to be unresponsive. 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?
A 49-year-old female with diabetes and difficulty breathing
You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?
remain at the scene until at least one other ambulance arrives.
You have a critically injured patient in the back of your ambulance, ready to be transported. There are other injured patients at the scene and it will be approximately 10 minutes before other ambulances will arrive. Law enforcement personnel are at the scene. You should: