Book 70 MCI

Question 1

There exists the constant threat for what 2 types of disasters?

Answer 1

Natural and man-made

Question 2

Book 70 is intended to establish the what?

Answer 2

Systematic deployment of resources

Question 3

Large multi-casualty incidents will overwhelm the what

Answer 3

Initial responding resources

Question 4

These predetermined emergency medical operational procedures must provide the effective tx/ tsp of multi-casualties through the principals of what?

Answer 4

“Triage” management

Question 5

The IC initial responsibilites shall assure what 4 things?

Answer 5

1. ICS system is sufficiently implemented
2. Sufficient ambulances have been requested
3. (HEAR) system has been activated
4. Sufficient dept Personel have been requested

Question 6

What is the HEAR system?

Answer 6

Hospital Emergency Administrative Radio

Question 7

What is a medical branch designed to provide?

Answer 7

Organizational system for handling any number of pt’s or an unusual geographic separation of multi-casualty incident

Question 8

How many medical groups may be established under the medical branch director?

Answer 8

1 or more

Question 9

Medical branch is not the standard medical organization used by the LAFD. It is reserved for incidents with what?

Answer 9

Unusually large number of victims
Pt are spread over a larger area
Access to the patients is separated by a great distance

Question 10

What are 2 incident types where a medical branch may be implemented?

Answer 10

Metro rail: superstation of access and egress as much as 800 ft
Airplanes: some victims treated and tsp form the runway and others from remote location

Question 11

What is the basic level established at a LAFD incident?

Answer 11

Medical GROUPS

Question 12

Who does the medical BRANCH director report to?

Answer 12

IC or operations section chief

Question 13

Who are the medical BRANCH directors subordinates?

Answer 13

Group supervisors

Question 14

What is the daliniation of branch, group, units?

Answer 14

1. Branch
2. Groups
3. Units

Question 15

Who are subordinates to the Medical GROUP supervisor?

Answer 15

Triage unit leader, treatment unit leader, medical supply coordinator, transportation unit leader

Question 16

Where should the group command location be placed?

Answer 16

In a safe area remote from triage/ treatment areas with law enforcement perimeter control

Question 17

What are the 4 treatment areas?

Answer 17

1. Immediate
2. Delayed
3. Minor
4. Morgue (consider security and remoteness)

Question 18

Who is the triage unit leader supervised by?

Answer 18

Medical group supervisor

Question 19

Who are the triage unit leaders subordinates?

Answer 19

Triage personnel, transporters/ litter bearers, and morgue manager

Question 20

What are the functions of the triage unit leader?

Answer 20

Providing triage management and movement of pt form triage area. When completed unit leader may be reassigned as needed

Question 21

What is atypical transporters rotation relief time?

Answer 21

30 minutes

Question 22

Should deceased patients be moved?

Answer 22

Do not allow unless absolutely necessary

Question 23

What shall be a paramount consideration?

Answer 23

Safety

Question 24

Who is the supervisor for the triage Personel

Answer 24

Teague unit leader

Question 25

What are the functions of the triage Personel

Answer 25

To triage pt on scene and assigne them to appropriate treatment areas

Question 26

Who supervises the morgue manager?

Answer 26

Triage unit leader

Question 27

Who is the supervisor for the treatment unit leader?

Answer 27

Medical group supervisor

Question 28

Who are the subordinates to the treatment unit leader?

Answer 28

Tx dispatch manager Immediate treatment manager Delayed treatment manager Minor treatment manager

Question 29

Who should be transported first

Answer 29

Most critical patients

Question 30

What shall be considered having each ambulance transport while transporting a immediate pt?

Answer 30

Each ambulance tsp a delayed patient with each immediate

Question 31

What is the function of a treatment dispatch manager

Answer 31

Responsible for coordinating with tsp unit/group or medical group supervisor, the transport of pt out of the treatment area (only one tx dispatch manager per medical group)

Question 32

Who can also be used under the MINOR treatment manager?

Answer 32

Volunteer personnel/ organizations (Red Cross)

Question 33

What is a treatment team composed of?

Answer 33

Paramedic, EMT-1, volunteer Personel

Question 34

Who are subordinates to the Transportation Unit Leader?

Answer 34

Medical communications coordinator Transportation recorded Ambulance staging manager

Question 35

What are the functions of a transportation unit leader?

Answer 35

Coordination of patient transportation and maintenance of records relating to patient identification, classification, transporting units ID and destination

Question 36

Who is the medical communications coordinator managed by?

Answer 36

Transportation unit leader/ group supervisor

Question 37

Who does the medical communications coordinator maintain communications with?

Answer 37

Medical alert Center (MAC)

Question 38

Who maintains record of pt’s, triage classifications, mode of tsp, hospital status, and destination?

Answer 38

Transportation Recorder

Question 39

What are the functions of the ambulance staging manager?

Answer 39

Manage the ambulance staff in area and dispatch ambulances as requested

Question 40

Who is the supervisor for the medical supply unit leader?

Answer 40

Medical group supervisor

Question 41

What are the functions to medical supply unit leader?

Answer 41

Acquire and maintain contour of appropriate medical equipment and supplies

Question 42

What are the HEART teams?

Answer 42

(Hospital teams/ hospital emergency response teams) Hospital teams that respond to the incident upon request

Question 43

Where is the MAC medical alert center located?

Answer 43

Los Angeles County USC Medical center

Question 44

How many blanket standing orders does the MAC coordinate?

Answer 44

11 blanket standing orders

Question 45

What is a standing order?

Answer 45

Policies and procedure approved by the local EMS agency for the use in situations where direct voice contact with a base hospital cannot be established or maintained

Question 46

What is the START acronym mean

Answer 46

Simple Triage and Rapid treatment

Question 47

The START plan allowed first responder to triage patients in how many seconds?

Answer 47

60 seconds or less

Question 48

What is a time consuming and often fatal mistake made in the field?

Answer 48

Triage in the field without tagging a patient

Question 49

When shall someone be considered deceased?

Answer 49

No ventilation present even after attempting to reposition the airway

Question 50

When is a pt considered immediate?

Answer 50

Ventilation present only after reposition of airway Respiratory over 30 per minute Cap refill takes over 2 seconds Pt fails to follow simple commands

Question 51

Who should be considered DELAYED?

Answer 51

Any patient who does not fit the immediate category nor the minor category

Question 52

What is the defined as a minor pt?

Answer 52

Pt are separated from the general group at the start of triage by ordering “anyone who can walk” followed by an area assignments where the pt should proceed

Question 53

What should be done with dead body personal effects?

Answer 53

Left with body at all times

Question 54

If body is covered what should be done with tag?

Answer 54

Attache another tag to the bag

Question 55

What are the colors for the perforated tear away triage tags?

Answer 55

Deceased- Black with white lettering Immediate- Red with black lettering Delayed- yellow with black lettering Minor- Green with black lettering