(1) TB 115 - Paramedic Disaster Cache

Question 1

Paramedic Disaster Cache Boxes are carried on all two-paramedic ALS units and are to be used in the event of a _______ emergency.

Answer 1

hazardous chemical.

Question 2

The Cache Box consists of:

Answer 2

-30 Mark-I Auto-Injectors for treating NERVE AGENT exposures

-36 Amyl Nitrite Ampules (three boxes of 12 ampules each) for treating CYANIDE exposures.

Question 3

Cyanide compounds are highly toxic, causing harm by interfering with the body’s use of _______.

Answer 3

oxygen

(Amyl Nitrite is classified as an antianginal, antidote to cyanide poisoning)

Question 4

The Amyl Nitrite ampules should only be used by trained personnel, after all personnel have removed themselves from the affected area and initiated emergency decontamination (Mark-I auto-injectors and amyl nitrite ampules may be used prior to decontamination).

One or more of the following cyanide poisoning symptoms are indications for Amyl Nitrite use:

Answer 4

-Altered Level of consciousness

-Seizures

-Apnea or patients requiring assisted ventilations

Question 5

DIRECTIONS FOR TREATMENT BASED ON PORTAL OF ENTRY:

Answer 5

Question 6

What notifications shall be done for a member who is exposed while on-duty to toxic dust, fumes or vapor such as those present in the following?
-nitric acid spills
-chlorine leaks
-organic phosphate insecticides
-hallogenated hydrocarbons

Answer 6

-EMS Capt (if member is transported)

-MLU (if member is transported)

-Dept Safety Officer

Question 7

Amyl Nitrite is a controlled drug and shall be secured in the following way:

Answer 7

-Paramedic Disaster Cache will be inventoried at least daily and anytime there is a personnel change

-Inventory will consist of verifying the lock number on the cache case. This will be recorded on the daily controlled drug and key inventory form

-Whenever a lock is changed or broken, a manual count shall be conducted and recorded in the F-2 and on the daily controlled drug and key inventory form.

Question 8

How shall replacement of lost or stolen cache kits be requested?

Answer 8

F-225 to Bureau of Emergency Services with F-80

Question 9

Restock of any part of the Paramedic Disaster Cache will be done through the ________.

Answer 9

EMS Captain

(A laminated tag, with the drug expiration dates, will be attached to the exterior of the cache. As the medication nears its expiration date, a one-for-one exchange shall be done to ensure security of the medication.)

Question 10

Amyl Nitrite is useful as a TEMPORIZING measure for patients with _____ toxicity until definitive care can be provided.

The mainstay of prehospital therapy is rapid removal from the exposure site and administration of ________.

Answer 10

cyanide

high flow oxygen

Question 11

Each cache is secured in a GREY plastic box and is sealed with a ________.

Answer 11

-Small GREEN padlock seal