Chapter 48 Flashcards
(30 cards)
According to the JumpSTART triage system, if an infant or child is not breathing, you should:
immediately assess for a pulse.
categorize the patient as expectant.
manually open the patient’s airway.
deliver five rescue breaths.
immediately assess for a pulse.
If a disaster situation requires a morgue unit leader, it is most important for the person who is assigned that function to:
leave all of the dead victims in their original locations until a coroner or mortician is at the scene.
work directly with law enforcement officials to positively identify the deceased as soon as possible.
be aware that some mass-casualty incidents involving numerous fatalities may be crime scenes.
quickly remove the bodies from the scene, even if a storage and removal plan has not been established.
be aware that some mass-casualty incidents involving numerous fatalities may be crime scenes.
Multiple-casualty equipment and supplies needed for airway control include:
dressings and bandages.
supplemental oxygen.
oral and nasal airways.
large-bore IV catheters.
oral and nasal airways.
Communicating with area hospitals to determine their capabilities and resources is a responsibility of the:
individual paramedic.
transportation unit leader.
treatment unit leader.
chief medical officer.
transportation unit leader.
Which of the following statements regarding the rehabilitation group is correct?
In addition to meeting the responders’ needs for rest, fluids, and food, the rehabilitation officer must be prepared to conduct a defusing session if a responder shows signs of stress.
The primary purpose of the rehabilitation section is to conduct brief physical examinations on all responders before they actively engage in functions that are required by the incident.
Victims of a major incident who are not physically injured should report to the rehabilitation section for food, water, rest, protection from the elements, and psychological support.
Ideally, the rehabilitation section should be located within view of the scene so that responders can return to the incident quickly if they are requested to do so by a section officer.
In addition to meeting the responders’ needs for rest, fluids, and food, the rehabilitation officer must be prepared to conduct a defusing session if a responder shows signs of stress.
You are caring for a patient with non–life-threatening injuries in the treatment section of a multiple-casualty incident when you are approached by several TV reporters who are seeking details regarding the incident. You should:
provide a brief overview of the current situation.
firmly tell the reporters to leave the scene immediately.
direct the reporters to the public information officer.
ignore the reporters’ questions and continue patient care.
direct the reporters to the public information officer.
When functioning at the scene of a major incident, communication should:
incorporate signals for privacy purposes.
be face-to-face to minimize radio traffic.
involve the use of codes to limit air time.
occur via radio to keep everyone updated.
be face-to-face to minimize radio traffic.
Because extrication and rescue can be medically complex:
anyone who requires extrication or rescue should be triaged and receive basic lifesaving care before being extricated or rescued.
the position of extrication or rescue officer should always be assumed by an experienced EMT or paramedic.
the officers responsible for these functions usually function under a specialty branch of the incident command system.
no lengthy extrication or rescue operation should commence until an emergency physician is present at the scene.
the officers responsible for these functions usually function under a specialty branch of the incident command system.
According to the START triage system, a nonbreathing patient should be triaged as immediate if:
they do not respond to two rescue breaths.
the airway is completely blocked by swelling.
a manual airway maneuver restores breathing.
they are in need of immediate intubation.
a manual airway maneuver restores breathing.
Using the incident command system provides a modular organizational structure that:
requires a uniform approach to any major incident.
is overseen by the most experienced paramedic.
remains static in all incidents involving mass casualties.
depends on the size and complexity of the incident.
depends on the size and complexity of the incident.
The National Incident Management System standard incident command structures are based on:
an incident command system, multiagency coordination systems, and public information systems.
a single command system, cooperation between state and local governments, and a mechanism to warn the public.
U.S. military oversight, coordination among multiple public and private agencies, and a warning system.
a unified command system, multijurisdictional cooperation, and continuous public education.
an incident command system, multiagency coordination systems, and public information systems.
Which of the following events would most likely cause an open, or uncontained, multiple-casualty incident?
Tornado
Two-car collision
Small explosion
Bus wreck
Tornado
During an incident involving an explosion, you determine that two critically injured patients should be transported to a trauma center by air. After stabilizing the patients’ conditions to the best of your ability, you should:
notify the transportation supervisor and request that they establish a landing zone.
contact the incident commander and request permission to utilize air transport.
request air transport immediately and determine where you will land the helicopter.
call the receiving trauma center and update them on the patients’ conditions.
notify the transportation supervisor and request that they establish a landing zone.
Broadly speaking, the finance section chief is responsible for:
tracking all personnel overtime and ensuring that they are compensated.
predetermining how much a major incident would affect the system’s finances.
documenting all expenditures at an incident and seeking reimbursement.
determining what impact the incident will have on the economy of the affected area.
documenting all expenditures at an incident and seeking reimbursement.
In contrast to primary triage, secondary triage:
involves initial placement of triage tags.
is performed in the treatment area.
requires a more rapid assessment.
is typically performed by a physician.
is performed in the treatment area.
If an emergency physician is present at the scene of a mass-casualty incident, they would be most likely to:
establish an area that protects responders from the elements of the situation.
assume control over complex rescuer operations.
transport patients to receiving medical facilities.
make initial and secondary triage decisions.
make initial and secondary triage decisions.
An individual’s span of control:
is the degree of responsibility assigned by a higher authority.
should be self-assigned and dependent on the incident size.
limits their autonomy to delegate tasks to another person.
represents the number of personnel who report to them.
represents the number of personnel who report to them.
Which of the following duties is a main responsibility of the incident commander?
Establishing strategic objectives and priorities
Working with environmental health specialists
Managing tactical operations at the scene
Authorizing medical treatment interventions
Establishing strategic objectives and priorities
Upon arriving at the scene of a multiple vehicle crash, you call for additional resources and begin triaging patients using the START triage system. The first patient you assess is a young male who is unconscious and apneic. After manually opening his airway, you note that he starts breathing shallowly. You should:
place a yellow tag on him and continue triage.
secure his airway with an endotracheal tube.
categorize him as an immediate patient.
assess the rate and quality of his radial pulse.
categorize him as an immediate patient.
Prior to implementing any plans or operations at the scene of a multiple-casualty incident, you should first:
move any unnecessary personnel away from the area.
make sure the assigned safety officer is present.
notify your supervisor or the incident commander.
acquire the assistance of at least seven other rescuers.
notify your supervisor or the incident commander.
Which of the following interventions would most likely be performed while triaging patients with the SALT method?
Intravenous fluid boluses
Needle chest decompression
Complex fracture stabilization
Supplemental oxygen therapy
Needle chest decompression
Upon arriving at the scene of a major incident, you can clearly see that there are numerous patients, some of whom are receiving care and others of whom are walking around unattended. You should:
report to the staging area for further instructions.
notify dispatch and request air medical transport.
move the walking patients to a separate area.
immediately triage the unattended patients.
report to the staging area for further instructions.
When sizing up the scene of a multiple-casualty incident, it is most important to:
request a hazmat team.
request additional help.
determine what caused the incident.
assess for hazards.
assess for hazards.
During an incident involving a building collapse, a paramedic is assigned eight rescuers to function under his authority. However, as the incident progresses, the paramedic finds that he is unable to effectively manage the personnel assigned to him. He should:
release half of the rescuers assigned to him and instruct them to report directly to the incident commander.
send two of the rescuers to the triage section since this is where they will most likely be needed.
divide tasks and delegate supervision of some tasks to one or more of the rescuers assigned to him.
transfer authority to one of the rescuers assigned to him and then follow that person’s directions.
divide tasks and delegate supervision of some tasks to one or more of the rescuers assigned to him.
