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PARAMEDIC SCHOOL > BLOCK 3: MASS-CASUALTY > Flashcards

BLOCK 3: MASS-CASUALTY Flashcards

(59 cards)

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1
Q

multiple-casualty incident

A

any situation with more than one patient that will NOT overwhelm available resources

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2
Q

mass casualty incident

A

number of patients and severity of injuries that can overwhelm available community resources, requiring mutual aid response

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3
Q

leading authority agency over mass-casualty response in US

A

FEMA (federal emergency management agency)

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4
Q

National Incident Management System (NIMS)

A

designed to improve efficiency in managing incidents regardless of size or complexity and improve coordination

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5
Q

when did NIMS become required for all first responders

A

after 9/11

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6
Q

who implemented the NIMS system

A

president of US directed Secretary of Homeland Security

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7
Q

three important features of NIMS

A

standardization, flexibility, interoperability

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8
Q

the 4 major NIMS components

A

fundamentals and concepts
resource management
command and coordination
communications and info management

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9
Q

where does EMS provider’s role fall within the NIMS components

A

command and coordination

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10
Q

general staff of the incident command system (ICS)

A

FLOP
finance
logistics
operations
planning

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11
Q

who has overall command responsibility for the ICS

A

incident commander (IC)

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12
Q

the command functions

A

PIO (public information officer)
safety officer
liaison officer

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13
Q

what type of command system does multiagency responses use

A

unified

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14
Q

single command system

A

one person in charge, used for small incidents involving only one agency or jurisdiction

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15
Q

small-scale vs large-scale incidents where is the incident commander

A

small-scale: on fringes of a scene
large-scale: short distance from the scene

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16
Q

each transfer of command should occur as a ____

A

face-to-face exchange

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17
Q

operations section role

A

tactical operations including triage, patient treatment/transport

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18
Q

finance section role

A

documenting all expenditures at an incident for reimbursement

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19
Q

4 units of the finance section

A

time unit: recording of personnel/equipment time
procurement unit: vendor contracts
compensation/claims unit: claims and injury compensation
cost unit: collecting and reporting costs

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20
Q

logistics section role

A

for equipment (comms, facilities, food/water, fuel, lighting, medical)

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21
Q

planning section role

A

solves problems as they arise during the MCI

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22
Q

4 units in planning section

A

resources, situation, demobilization, documentation

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23
Q

which section develops the incident action plan

A

planning section

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24
Q

safety officer role

Study These Flashcards
A

monitors scenes for hazards

25
public information officer role
provides public and media with information
26
what is a joint information center
PIO's from different agencies working together
27
liaison officer role
relays info and concerns among everyone
28
what has historically been the weak point at most major incidents
communications
29
who do you check in with upon arrival at a large-scale incident
resource unit (subsection of planning section)
30
two basic questions responder sizing up scene asks themselves
what do i have? what do i need?
31
what is the rescue task force
EMS with ballistic vest and helmets can enter building of active shooter under law enforcement's guidance after an area is cleared
32
EMS/medical branch's roles
triage, treatment, transport
33
triage unit leader role
in charge of counting and prioritizing patients
34
treatment unit leader role
locate and set up treatment area with tiers for priority ensure secondary triage is performed adequate patient care assisting moving patients to transport area request supplies
35
transportation unit leader role
coordinates transportation and distribution of patients to hospitals (call to establish how many patients they can accommodate) documents transports and destinations
36
staging area manager role
locates area away from scene to stage equipment, track arrivals, and send out vehicles as needed
37
rehabilitation group leader role
establish area protecting responders from elements and situation to rest monitor responders for signs of stress defusing/debriefing team
38
extrication/rescue task force leader role
determine type of equipment and resources needed for extrication
39
morgue unit leader role
coordinate with med examiners, coroners to coordinate removal of bodies may need to create morgue area
40
open vs. closed incident
open: several casualties not yet located, search/rescue, may produce more patients closed: contained incident, all patients in one location, not expected to produce more patients than already found
41
primary vs. secondary triage
primary: rapid categorization of patients with tags secondary: sorting within treatment group and to reassess for changes
42
a complete triage assessment should take no more than ___
30 seconds
43
4 triage categories
IDME immediate (red) delayed (yellow) minimal (green) expectant (black: likely to die or dead)
44
red tag patients
immediate ABCs, head trauma, signs of shock any injured responder regardless of medical status
45
yellow tag patients
delayed multiple injuries to bones or joints including back injuries
46
green tag patients
minimal "walking wounded" contusions, abrasions, lacerations
47
black tag patients
dead or likely to die cardiac arrest or open head injury may also include patients in respiratory arrest
48
what tag is included in modified triage systems
a fifth triage category orange-tag between red and yellow (patients with prior conditions that arise)
49
4 steps in the START
1. call out for "walking wounded" - greens 2. check for breathing - if not breathing, open airway - if they don't breathe: black, if they breathe: red and place in recovery position (if over 30RR, red. if under 30RR move on) 3. check for hemodynamic status (if radial pulse is absent: red, if radial pulse present: move on) 4. check for neurologic status (if they can't follow commands: red, if they can: yellow)
50
who is the jumpSTART system for
children under 8 years old or appear to be under 100lbs
51
steps of jumpSTART triage
1. identify walking wounded (children who can't walk or follow commands taken to treatment) 2. breathing: if not breathing, check pulse. if no pulse: black, if pulse: open airway, then give 5 rescue breaths and recheck, if nothing: black 3. respirations - under 15RR or over 45RR: red, within 15-45, move on with assessment 4. distal pulse - absent: red, present: move on with assessment 5. neurological AVPU - unresponsive or incomprehensible: red, normal response: yellow
52
SALT triage acronym
sort, assess, lifesaving interventions, treatment/transport
53
SALT triage system
1. identify walking wounded to assess last 2. identify those who can't walk but have purposeful movement/follow verbal commands - second to last 3. obvious life-threatening injuries -first rapid interventions: bleeding control, opening airway (2 rescue breaths for kids), needle decompression, auto-injectors then assess airway, mental status, perfusion, respiratory status, assess if bleeding controlled
54
SALT triage different tags
black: dead and should not be moved gray: patients who are not expected to survive but may be revisited after all reds are taken care of
55
what classification must occur for triage at hazardous materials/weapons of mass destruction incident
contaminated and decontaminated patients before normal triage begins
56
hospital surge capacity
hospital plan for MCIs to accommodate overload of patients using mobile units (tents)
57
coping mechanisms for after MCIs
EAPs mental health professions peer counselors trained in CISM
58
fundamental goal of MCIs
"doing the most good for the most patients"
59
triage numbers responding to color tags
zero: black one: red two: yellow three: green

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