Chapter 39: Incident Management

Which of the following patients should be assigned an immediate (red tag) category? a. 22-year-old male with blunt abdominal trauma, tachycardia, pallor, and diaphoresis b. 31 -year-old male with an open fracture of the forearm and minimal external bleeding c. 29-year-old female with a back injury and numbness and tingling in her extremities d. 36-year-old female with an open head injury, agonal breathing, and a slow pulse rate

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

During a HazMat incident, you are working in the treatment area. As patients are removed from the danger zone, you should: 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. remain where you are and have the patients brought to you.

When victims involved in a multiple-casualty incident are moved to the treatment area: a. secondary triage is performed and the appropriate treatment is rendered. b. all uninjured patients are placed in a holding area and closely observed. c. they will be rapidly assessed and prioritized according to their injuries. d. definitive care is provided and preparations for transport will be made.

a. secondary triage is performed and the appropriate treatment is rendered.

The _______________ area is where incoming ambulances meet and await further instructions at the scene of a multiple-casualty incident. a. staging b. support c. transportation d. triage

a. staging

Command functions under the incident command system include all of the following, EXCEPT: a. triage officer. b. liaison officer. c. safety officer. d. public information officer

a. triage officer.

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. a. yellow b. black c. green d. red

a. yellow

Which of the following statements regarding communications at a disaster or multiple-casualty incident is correct? a. When possible, all communication should occur via two-way radio. b. Each command group should utilize a separate radio frequency. c. If possible, use face-to-face communications to minimize radio traffic. d. Ten-codes or signals should be used when communicating via radio.

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

Your work uniform is an example of what level of protection? a. Level B protection b. Level C protection c. Level D protection d. Level A protection

c. Level D protection

In order to accomplish the goal of primary triage, it is important to: a. take no more than 2 minutes to determine the patient's status. b. perform a rapid assessment on all patients who appear to be unstable. c. keep the triage assessment brief and the patient categories basic. d. begin life-saving care immediately upon detecting critical injuries.

c. keep the triage assessment brief and the patient categories basic.

The _______________ supervisor is responsible for notifying area hospitals and determining their availability and capabilities. a. treatment b. medical c. transportation d. triage

c. transportation

Which of the following MOST accurately describes a mass-casualty incident? a. An incident where patients have been exposed to hazardous materials b. An incident that greatly taxes or depletes a system's available resources c. An incident in which at least half of the patients are critically injured d. An incident that involves more than five critically injured or ill patients

b. An incident that greatly taxes or depletes a system's available resources

Which of the following statements regarding hazardous materials is correct? a. A package or truck need only contain small quantities of a hazardous chemical before it must bear a placard or label. b. Some substances are not hazardous by themselves, but become toxic when mixed with another chemical. c. Most hazardous materials are odorless and colorless, even when a substantial leak or spill has occurred. d. Identifying the presence of a hazardous material is generally very easy because of the consistent use of placards.

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

According to the START triage system, which of the following patients should be triaged as an immediate priority (red tag)? a. Conscious with a respiratory rate of 24 breaths/min b. Unresponsive with a respiratory rate of 34 breaths/min c. Apneic, despite manually opening the airway d. Conscious, in severe pain, with radial pulses present

b. Unresponsive with a respiratory rate of 34 breaths/min

Historically, the weak point at most major incidents has been: a. incident briefing. b. communications. c. accountability. d. lack of personnel.

b. communications.

Which of the following activities occurs in the warm zone? a. Personnel staging b. Medical monitoring c. Command d. Decontamination

d. 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, 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? a. Patient 1, delayed (yellow); Patient 2, delayed (yellow); Patient 3, minimal (green); Patient 4, immediate (red) b. Patient 1, delayed (yellow); Patient 2, immediate (red); Patient 3, delayed (yellow); Patient 4, immediate (red) c. Patient 1, immediate (red); Patient 2, minimal (green); Patient 3, delayed (yellow); Patient 4, expectant (black) d. Patient 1, immediate (red); Patient 2, delayed (yellow); Patient 3, immediate (red); Patient 4, expectant (black)

d. Patient 1, immediate (red); Patient 2, delayed (yellow); Patient 3, immediate (red); Patient 4, expectant (black)

Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs? a. Flammable liquids b. Air-reactive solids c. Nonflammable gases d. Water-reactive solids

d. Water-reactive solids

At a very large incident, the _______________ section is responsible for managing the tactical operations usually handled by the incident commander on routine EMS calls. a. planning b. finance c. logistics d. operations

d. operations

A critical function of the safety officer is to: a. monitor emergency responders for signs of stress and anxiety. b. determine the most efficient approach to extricate a victim. c. brief responders during the demobilization phase of an incident. d. stop an emergency operation whenever a rescuer is in danger.

d. stop an emergency operation whenever a rescuer is in danger.

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: a. he or she has signs of an injury to the cervical spine. b. there are at least three other patients in respiratory arrest. c. he or she has external signs of severe thoracic trauma. d. there are enough resources to provide care for him or her.

d. there are enough resources to provide care for him or her.