Chapter 8 Flashcards
Range from full service facilities handling hundreds of patients daily, to those with a few beds and limited care capabilities
Hospital
Hospitals can be comparable to a
Small city
Hospital preplans should be monitored at least _____ by the local fire department
Semi-annually
Fire codes
Code red
Code blue
Code white
Code amber
Code yellow
Code gray
Code silver
Code orange
Code triage
Code clear
Code red: Fire
Code blue: adult medical emergency
Code white: pediatric medical emergency
Code amber: infant or child abduction
Code yellow: bomb threat
Code gray: security emergency/patient elopement
Code silver: hostage situation
Code orange: hazmat/ decon needed
Code triage: external disaster
Code clear
The greatest danger for patients, hospital staff, and firefighters with an MRI machine is
The tremendous power of the magnetic
FF can be endangered with their PPE. SCBA and most firefighting tools will contain ferrous metals that will be forcibly pulled from their hands, or the firefighter can be pulled into MRI machine because of the SCBA
A fire in an operating room can be supplied with fuel from within the operating room and accelerated by the high oxygen content in the room
In operating rooms, the use of oxygen in conjunction with the ventilation system will allow a free burning fire
Most hospital fires in operating rooms involve
high energy electrosurgical units
Fires involving high energy electrosurgical units may not generate sufficient heat to
Activate the sprinkler systems within the operating room
Ventilation through the HVAC system will often be the only feasible method of smoke removal from an operating room
______ should be used in operating rooms to control and extinguish fires to minimize contamination
Portable carbon dioxide extinguishers
A critical time period for fires in the hospital is
At night
There is reduced staffing and the occupants are asleep, leading to alarm systems that may not be heard and disorientation on the part of the occupants
A facility in which the occupants are often bedridden, lacking mobility, and may suffer from dementia or Alzheimer’s disease
Nursing home
Designed to allow occupants the privacy of their own living quarters, and normally have minimal staff
Assisted living facility
_____ alarm systems can pinpoint the problem area. The bells or klaxons are sounded in a numerical pattern; when counted, these can identify on a chart the exact location of the alarm
Coded alarm systems
Occurs when the number of patients exceeds the level of stabilization and care that can normally be provided in a fast and timely manner
Mass casualty incident
Can be the result of man made or natural disaster
Communities can classify MCI at different levels
- A level 1 MCI: an incident that can be handled completely by the local agency with minimal or no outside response
- A level 2 MCI: requires significant assistance from outside agencies
Hospital notification in the event of an MCI
Level A or level 1: alerts hospitals that an incident has occurred and there is a possibility of a mass casualty
Level B or level 2: alert hospitals that a confirmed MCI has occurred and the affected hospital will be receiving patients
Level C or Level 3: alerts hospitals that an all clear has been declared, meaning the incident has been resolved or that all patients have been transported from the incident scene
Trauma centers must have a helipad for receiving patients
What are the 4 levels of trauma centers in the United States
Level 1: has a full range of specialists and equipment available at all time and must admit a minimum volume of severely injured patients annually
Level 2: works in collaboration with a level 1 center. Provides comprehensive trauma care and supplements the clinical expertise of a level 1
Level 3: does not have the same availability as level 1 & 2 specialist. But does have resources for emergency resuscitation, surgery, and intensive care. Has an agreement with level 1/2 for transfer
Level 4: provides for stabilization and treatment of severely injured patients in remote areas where no alternative care is available
______ is the basis of improvement of fire and EMS operations
Constructive criticism
In an MCI triage what are the steps
-First step is to perform a primary scan of all victims. Should be done by first arriving unit.
-Second step is used to treat those injuries where the person has a chance of survival
-Third step includes a thorough examination followed by tagging
What are the tagging classification in a MCI triage
Red tag — 1st priority — immediate transport
Yellow tag — 2nd priority — transport as soon as possible
Green tag — 3rd priority — minor/ delayed transport
White tag — 4th priority — no injury, no transport
Black tag — deceased — no transport
Church. Gothic style churches are one story buildings that can be equal to four or more stories in height
House of worship
A leading contributing factors of major fires in churches are
Delayed detection and delay in notification of the fire department
The most common cause of church fires is
Arson
