EMT: Chapter 39 [incident management]

After primary triage, the triage supervisor should communicate all of the following info to the medical branch officer, EXCEPT: A. the total number of patients that have been triaged. 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.

the recommended transport destination for each pt

A patient who has experienced a back injury, with or without spinal cord damage, would be triaged with a ___________ tag during a mass-casualty incident. A. red B. green C. black D. yellow

yellow

Burn patients without airway compromise and patients with multiple bone or joint injuries should be marked with a ______ triage at a mass-casualty incident. A. red B. yellow C. green D. black

yellow

delayed pts would be identified by using the color:

yellow

once you have performed a good scene size-up, ____________________ should be established by the most senior officer.

command

Historically, the weak point at most major incidents has been: A. accountability. B. lack of personnel. C. incident briefing. D. communication

communication

A supervisor 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 incident commander (IC) to inform him or her of the functions that his or 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 or her and regularly follow up to ensure that the tasks were carried out.

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 is NOT a sign of stress a rehabilitation supervisor is responsible for recognizing?

headache

Which of the following questions is of LEAST pertinence when the EMT is determining whether or not to declare a mass-casualty incident and activate the ICS? A. What will happen if there are more than two patients that require emergency care? B. How long will it take for additional resources to arrive at 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?

how many paramedics are able to respond to the scene and provide advanced care?

nonencapsulated protective clothing, eye protection, and a breathing device that contains an air supply fall into what level of PPE?

level B

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

level D protection

major incidents require the involvement and coordination of all of the following EXCEPT:

local and national media

facilities, food, lighting, and medical equipment are the responsibility of:

logistics section

which of the following is NOT considered a function of the finance section in the ICS?

logistics unit

some materials are so hazardous that shipping any amount of them requires a placard. which of the following is NOT considered to be one of those hazards?

low-level radioactive substances (IS: poison gases, water-reactive solids, explosives)

control zones at hazmat incidents are labeled as all of the following except:

lukewarm (ARE: cold, warm, hot)

"if you can hear my voice and are able to walk..." is said to immediately identify pts categorized as:

minimal

you are at the scene on a hazardous materials incident when your partner slips and falls, injuring his leg. he is alert and responds appropriately to your questions. his respirations are 20 breaths/min, and he has a radial pulse. what triage category does your partner fall into?

minimal

The FIRST step in the START triage system is to: A. focus on the patients who are unconscious. B. scan the area for patients with severe bleeding. C. move all walking patients to a designated area. D. get a quick head count of all the patients involved.

move all walking pts to a designated area

As a triage supervisor, you: A. must prepare patients for transport before they leave the triage area. B. must not begin treatment until all patients have been triaged. C. are responsible for providing initial treatment to all patients. D. should communicate with area hospitals regarding their capabilities.

must not begin treatment until all pts have been triaged

Unlike a mass-casualty incident, a natural disaster: A. often requires personnel to remain on scene for several days. B. exists when there are more than 100 critically injured patients. C. is typically short-lived and does not require as much manpower. D. usually does not require the ICS process.

often requires personnel to remain on scene for several days

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

operations

The development of an incident action plan is the responsibility of the: A. planning section. B. logistics section. C. operations section. D. finance section.

planning section

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. quickly decontaminate the patients and begin assessing them. C. perform a rapid assessment and then have them decontaminated. D. retrieve patients from the decontamination area and begin treatment

remain where you are and have the pts brought to you

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

secondary triage is performed and the appropriate treatment is rendered

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 or mass-casualty incident. B. Ideally, the unified command system is used for short-duration, limited incidents that require the services of a single agency from one jurisdiction. C. In a unified command system, there are separate ICs for fire, police, EMS, and any other agencies that respond to the incident. D. Under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making

Under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making

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. a 50-year-old male with an open head injury and no pulse B. a 49-year-old female with diabetes and difficulty breathing C. a 36-year-old female with back pain and numb extremities D. a 29-year-old male with bilaterally closed femur deformities

a 49-year-old female with diabetes and difficulty breathing

Which of the following is probably NOT a mass-casualty incident? A. a motor vehicle crash with two critically injured patients and two ambulances B. a loss of power to a hospital or nursing home with ventilator-dependent patients C. an apartment fire with one patient and the possibility of others trapped in the building D. a rollover crash of a school bus with eight children who have injuries of various severity

a MVC with two critically injured pts and two ambulances

pts who are dead or whose injuries are so severe that they have, at best, a minimal chance of survival, are categorized as what color?

brown

rail tank cars, intermodal tanks, and highway cargo tanks are all considered:

bulk storage containers

Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should: A. retrieve all critical patients. B. rope off the entire perimeter. C. carefully assess the situation. D. divert traffic away from the scene

carefully assess the situation

Level ___ hazardous materials would cause irritation on contact but only mild residual injury, even without treatment. A. 0 B. 1 C. 2 D. 3

1

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. 29-year-old female with a back injury and numbness and tingling in her extremities C. 31-year-old male with an open fracture of the forearm and minimal external bleeding D. 36-year-old female with an open brain injury, agonal breathing, and a slow pulse rate

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

In preparing for a disaster, EMS systems should have enough supplies for at least a ____ period of self-sufficiency. A. 24-hour B. 48-hour C. 72-hour D. 96-hour

72-hour

The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____. A. 5, 50 lb B. 6, 70 lb C. 7, 90 lb D. 8, 100 lb

8, 100 lbs

According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min? A. Administer high-flow oxygen. B. Triage the patient as delayed. C. Assess for bilateral radial pulses. D. Assess his or her neurologic status

Assess for bilateral radial pulses

minimal pts are the third priority and are identified using the color:

black

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

an incident that greatly taxes or depletes a system's available resources

clues that you may be dealing with a hazardous material include all of the following EXCEPT:

animals on the scene (IS: dead grass, discolored pavement, visible vapors/puddles)

which of the following definitions of MCI is correct?

any call that involves three or more pts

According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should: A. look for posturing. B. assess for a distal pulse. C. assess neurologic status. D. assign an immediate category.

assess for a distal pulse

While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert , and breathing; his bilateral radial pulses; and has points to his severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should: A. quickly bind his legs together to stabilize the fracture, and continue triaging. B. assign him a delayed (yellow) category and continue triaging the other patients. C. evacuate him to a designated area and assign him a minimal (green) category. D. apply high-flow oxygen, obtain baseline vital signs, and continue triaging

assign him a delayed (yellow) category and continue triaging the other pts

When a rehabilitation area is established at the scene of a mass casualty incident, it should: A. be in a location that prevents visualization of the scene itself. B. be mandated that responders participate in a defusing session. C. provide rehabilitative services to both responders and patients. D. be staffed by the treatment supervisor and at least one physician

be in a location that prevents visualization of the scene itself

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: A. begin some form of positive-pressure ventilation. B. ask a fire fighter what the patient was exposed to. C. administer 100% oxygen via a nonrebreathing mask. D. perform a rapid assessment to locate critical injuries

begin some sort of positive-pressure ventilation

Which of the following activities occurs in the warm zone? A. command B. personnel staging C. decontamination D. medical monitoring

decontamination

soap flakes, sodium hydroxide pellets, and food-grade materials are sometimes found in:

drums

The purpose of the incident command system (ICS) is to: A. reduce overall mortality and morbidity from large-scale mass-casualty incidents and to restore key infrastructure. B. ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources. C. quickly and efficiently respond to natural disasters and terrorist incidents, regardless of the complexity of the incident. D. protect the public from the effects of large- and small-scale disasters and to minimize the financial impact from such incidents

ensure responder and public safety, achieve incident management goals, and ensure the effective use of resources.

the primary duty of the triage division is to:

ensure that every pt receives an initial assessment

You are approaching an overturned tanker truck to assess the driver, who appears to be unconscious. 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. Remain where you are and perform a visual assessment of the patient. B. Cover your face with your shirt and quickly extricate the injured driver. C. Exit the area immediately and gather information for the HazMat team. D. Realize that you are in the danger zone and prevent others from entering.

exit the area immediately and gather information for the HazMat team

Which of the following duties or responsibilities does NOT fall within the realm of the medical branch of the ICS? A. triage B. transport C. treatment D. extrication

extrication

which of the following statements regarding MSDS is FALSE?

facilities are no longer required by law to have an MSDS on file for each chemical used (DO: provide basic information about chemical makeup, list potential hazards of substance, list appropriate first aid in case of an exposure)

triaged pts are primarily divided into how many categories?

four

The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called: A. freelancing. B. undermining. C. logistical chaos. D. single command

freelancing

which of the following is NOT a part of NIMS standardization?

funding (IS part: personnel training, resource classification, terminology)

Placards and labels on a storage container are intended to: A. advise responders of the appropriate neutralizing measures. B. broadly classify chemicals as being explosive or non-explosive. C. provide specific information about the chemical being carried. D. give a general idea of the hazard inside that particular container.

give a general idea of the hazard inside that particular container

in the incident command system (ICS), organizational divisions may include sections, branches, divisions and:

groups (NOT teams, platoons, squads)

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

if possible, use face-to-face communications to minimize radio traffic

a pediatric pt who is breathing 12 breaths/min would be categorized as:

immediate

when using the START triage system, a pt who is breathing faster than 30 breaths/min is triaged as:

immediate

According to the JumpSTART triage system, if a pediatric patient is not breathing, you should: A. immediately check for a pulse. B. triage him or her as expectant. C. give five rescue breaths and reassess. D. open the airway and reassess breathing

immediately check for a pulse

Which of the following statements regarding storage containers and hazardous materials is correct? A. Red phosphorus from a drug laboratory is found in a blue container that is clearly labeled. B. In most cases, there is no correlation between the color of 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 materials

in most cases, there is no correlation between the color of the container and the possible contents

which of the following is considered a priority when determining "what needs to be done" during the scene size-up?

incident stabilization (NOT rescue operations, notifying hospitals, or establishing operations)

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. keep the triage assessment brief and the patient categories basic. C. begin life-saving care immediately upon detecting critical injuries. D. perform a rapid assessment on all patients who appear to be unstable

keep the triage assessment brief and pt categories basic

which of the following statements regarding the function of the public information officer is TRUE?

positions headquarters away from the incident

The function of the National Incident Management System (NIMS) is to: A. prepare for, prevent, respond to, and recover from domestic incidents. B. facilitate a standard method of incident command for natural disasters. C. prepare for the potential of a nuclear attack against the United States. D. educate city and county governments regarding foreign terrorist attacks

prepare for, prevent, respond to, and recover from domestic incidents

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, immediate (red); Patient 2, minimal (green); Patient 3, delayed (yellow); Patient 4, expectant (black) B. Patient 1, delayed (yellow); Patient 2, immediate (red); Patient 3, delayed (yellow); Patient 4, immediate (red) C. Patient 1, immediate (red); Patient 2, delayed (yellow); Patient 3, immediate (red); Patient 4, expectant (black) D. Patient 1, delayed (yellow); Patient 2, delayed (yellow); Patient 3, minimal (green); Patient 4, immediate (red)

pt 1 - immediate (red) pt 2 - delayed (yellow) pt 3 - immediate (red) pt 4 - expectant (black)

immediate pts would be identified by using the color:

red

If an incident increases in scope and complexity, the IC should consider: A. ceasing all operations until a revised plan is established. B. maintaining responsibility for all of the command functions. C. relinquishing command to someone with more experience. D. requesting a second IC to assist him or her

reliquishing command to someone with more experience

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

the US Department of Transportation uses all of the following for hazardous identification EXCEPT:

signals (USES: placards, labels, markings)

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

some substances are not hazardous by themselves, but become toxic when mixed with another chemical

The ____ area is where incoming ambulances meet and await further instructions at the scene of a mass casualty incident. A. triage B. support C. staging D. transportation

staging

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

stop an emergency operation whenever a rescuer is in danger

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: A. assist his ventilations with a bag-mask device and perform a rapid scan of his entire body. B. move him to the treatment area so he can receive a more comprehensive assessment of his status. C. move to the other patients, but reassess him in 5 minutes to determine if he is still breathing. D. tag him as immediate (red), place him in the recovery position, and move to the next patient.

tag him as immediate (red), place him in the recovery position, and move to the next pt

After recognizing that an incident involves a hazardous material, you should contact the hazardous materials team and then: A. don standard equipment before gaining access to any patients. B. not allow anyone within 25′ to 50′ of the incident scene. C. take measures to ensure the safety of yourself and others. D. identify the chemical using the Emergency Response Guidebook.

take measures to ensure the safety of yourself and others

A patient in respiratory arrest at the scene of a mass-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. he or she has external signs of severe thoracic trauma. C. there are at least three other patients in respiratory arrest. D. there are enough resources to provide care for him or her

there are enough resources to provide care for him/her

The _______ supervisor is responsible for notifying area hospitals and determining their availability and capabilities. A. triage B. medical C. treatment D. transportation

transportation

documenting and tracking of transporting vehicles, transported pts, and facility destinations is the responsibility of the:

transportation supervisor

Command functions under the ICS include all of the following, EXCEPT: A. triage officer. B. safety officer. C. liaison officer. D. public information officer

triage officer

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

unresponsive with a respiratory rate of 34 breaths/min

Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs? A. air-reactive solids B. flammable liquids C. water-reactive solids D. nonflammable gases

water-reactive solids

what is one of the three main questions used during the scene size-up at a potential MCI?

what resources do I need?