EMT chapter 39
Your work uniform is example of what level protection
Level D protection
During a motor vehicle collision involving multiple patients, commander would most likely
Designate a safety officer,but retain other command functions
You're out at a scene of a multiple casually incident when your partner slips and falls, injuries his leg. He's alert and responsive to really to your questions. Respirations are 20 breaths per minute and his radio pulses are strong. What triage Category should you sign your partner.
Immediate
After recognizing that a incident involves a hazardous material, you should contact the hazardous materials team and then
Take measures to ensure the safety of yourself and others
The reference used as a base for your initial actions at a hazmat incident is
The emergency response notebook
Historically the weak point at most major incidents has been
communication
General principles for approaching a potential hazmat incident include
maintaining a safe distance and viewing the scene with binoculars.
Unlike a multiple-casualty incident, a natural disaster:
often requires personnel to remain on scene for several days.
A Level 4 hazardous material:
requires specialized gear designed for protection against that particular hazard.
A patient who has a back injury, with/without spinal cord damage, would be triaged with a _____ tag during a mass-causality incident
Yellow
In preparing for a disaster, EMS systems: should I have enough supplies for at least a ______ period of self sufficiency
72 hours
Which of the following patients should be assigned an immigrate category ? A 22 year old male with blunt abdominal trauma,tachycardia, pallor, and diaphoresis B 29 female with back injury and numbness and tingling in extremities C 31 male with an open fracture of the foreman and Minimal external bleeding D 36 female with open head injury, Avondale breathing slow pulse rate
A 22 male with blunt abdominal trauma, tachycardia ,pallor, and diaphoresis
Which of the following is NOT a responsibility of the treatment supervisor A primary assessment B secondary triage C patient packaging D communication with the medical branch director
A Primary assessment
Development of an incident action is the responsiblity of the A planning section B logistics section C operation section D finance option
A planning section
Command functions under the command system include all of the following EXCEPT A triage officer B safety officer C liaison officer D public info officer
A triage officer
According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/mins
Assess for bilateral radial pulses
At a very large incident, the __________ section is responsible for managing the tactical operations usually handled by the IC on routine EMS calls. A logistics B operations C planning D finance
B Operations
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? A 50-year-old male with an open head injury and no pulse B 49-year-old female diabetes and difficulty breathing C a 36-year-old female back pain and numb extremities D 29-year-old male with bilateral closed femur deformities
B a 49-year-old female with diabetes and difficulty breathing
According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/minute you should: A look for posturing B assess for a distal pulse C assess neurological status D assign an immediate category
B assess for a distal pulse
The purpose of the incident command system is to: A reduce overall morality and morbidity from large scale mass casualty incident interest or key infrastructure B ensure responder, public safety, achieve incident management goals, and ensure the effective use of resources C quickly and effectively respond to natural disasters and terrorists incidents, regardless of the complexity of the Incident D protect the public from the effects of large and small scale disasters to minimize the financial impact for such incidents
B ensure responder, public safety, achieve incident management goals, and ensure the use of effective resources
Injuries or conditions that would be classified as first priority include all the following except A severe medical problems B fracture of multiple long bones C any airway or Breathing difficulty D uncontrolled or severe hemorrhage
B fractures of multiple long Bones
Which of the following statements regarding transport of patients from a mass causality incident or disaster site is correct A delayed priority patients should be 5 at a time B immediate priority should be 2 at a time C walking wounded should be taken to the closest hospital D patients who are in cardiac arrest should be transported first
B immediate priority should be 2 at a time
Which do the following statements regarding storage containers and hazardous materials is corrects A red phosphorus from a. Drug lab is found in a blue container that is clearly labeled B in most cases, there is no correlation between color and the container and the possible contents C steel utility drums are used to contain acids,bases,and other corrosive chemicals and substances D the emergency response guidebook tells you the type and color of container used to store hazardous material
B no correlation
A critical function of the safety officer is to: A determine most effective approach to extricate a victim B stop an emergency operation whenever a rescuer is endanger C monitor emergency responders for signs of stress and anxiety D brief responders during demobilization phase of an incident
B stop an emergency operation whenever a rescuer is in danger.
After primary triage, the triage supervisor should communicate all the following information to the medical branch officer, except A the total number of patient that have been triage B the recommended transport destination for each patient C recommendations for movement to the treatment area D the number of patients that are in each triage category
B the recommended transport destination that are in each triage category
Which of the following activities occur in the warm zone A command B personnel staging C decontamination D medical monitoring
C decontamination
A supervisory who has more than seven people reporting to him or her: A is more beneficial to the overall effort than a supervisor with fewer personnel because his or her team can accomplish more tasks B should regularly report to the IC to inform him/her team is performing C has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person D should assign a specific task to each person reporting to him/her and regularly follow up to ensure that the tasks are carried out
C has exceeded an effective span of control and should divide tasks and delegate the supervision of some tasks to another person
Which of the following questions is of the least pertinence for the EMT is determining whether or not to clear the multiple casualty incident activate the incident command system yet A what will happen if there are no more than two patients that require emergency care B how long will it take for additional resources to arrive the scene once requested C how many paramedics are able to respond to the scene and provide advanced care D how many seriously injured patients can be effectively cared for in my ambulance
C paramedics able to respond and provide advanced care
A carboy is a container that would MOST likely be used to store and transport:
Corrosives
When someone is in an accident and exposed to hazardous material, brought into the decontamination area they take notice he is unconscious, and has slow shallow breathing. They should
Cut away all the patients clothing and do a rapid rinse to Eminem as much contamination as they can
Which of the following duties or responsibilities does NOT fall in the realm of the medical branch of incident command system A triage B transport C treatment D extrication
D extrication
Which of the following statements regarding the unified command system is correct A the unified command system is one in which one person is in charge, even if multiple agencies respond to a disaster/ mass casualty incident B ideally, unified command system is used for short time, limited incidents that require services of a single agency from one jurisdiction C uniformed command system, there are separate IC's for fire,police,EMS, and all other agencies that respond to the incident D under unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making.
D under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making
The process of removing or neutralizing improperly disposing of a hazardous material is called
Decontamination
According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing
Open the airway and reassess breathing status.
When a rehabilitation area is established at the scene of a mass casualty incident, it should:
be in a location that prevents visualization of the scene itself.
As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:
establish command.
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.
Which of your senses can be safely used to identify a HazMat incident? A sight and sound B sound and smell C smell and sight D sight and touch
sight and sound
You are triaging patients at the scene of a multiple vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should:
tag him as immediate (red), place him in the recovery position, and move to the next patient.
The ______ supervisor is responsible for notifying area hospitals, and determining their availability and capabilities
transportation
