Disaster Flashcards
Who determines threat level?
department of homeland security
mass casualty incidents
any incident that causes a large incident of casualties to the extent that resources become scarce
who provides resources for mass casualty incidents
department of homeland security-federal
office of emergency management-state & local (coordinates intragency relief)
What is federally mandated
incident command system
what is used by local police, personalized by hospital & coordinated by a person?
hospital incident command system
What does the incident command center do
coordinates supplies, is the center of operations, coordinates personnel, supplies, is responsible for identifying hazardous substances & appropriate use of PPE, responsible for determining when mci has ended
Threat levels
imminent-severe, activate ics
elevated-increased security & screening
sunset provision-specific threats with an expiration date instead of continuous alert
How do you mitigate risks
must preplan & consider scenarios ex-tornado shelter
activation response r/t eop
the eop activation response of a health care facility defines where, how and when the response is initiated
after action report
critiques all parties involved both immediately and at a later date
What information is on a disaster tag
numbered and includes triage priority, name, address, age, location, description of injury, meds/treatment given.The tag is placed on person and the number & name is placed in a log.
demobilization response
deactivation of the response so that resources are not exhausted
immediate/what color/priority number
1/red/injuries are life threatening but survivable
examples of immediate
sucking chest wound, airway obstruction r/t mechanical cause, shock, hemothorax, incomplete amputations, tension pneumothorax, open fractures of long bones, 2nd & 3rd degree burns of 15-40% of total body area
Delayed/what color/priority number
2/yellow/injuries are significant and require care but can wait hours
examples of delayed
stable abdominal wounds without evidence of significant hemorrage, soft tissue injuries, maxillofacial wounds w/o airway compromise, vascular injuries w/ adequate circulation, genitourinary tract disruption, fractures requiring open reduction, debridement, external fixation, most eye and cns injuries
minimal/what color/priority number
3/green/injuries are minor & can be delayed hours or days. This group should be moved away from general area. Walking wounded
examples of minimal
upper extremity fractures, minor burns, sprains, small lacerations w/o significant bleeding, behavioral disorders & psychological disturbances
expectant/what color/priority
4/black/injuries are extensive and survival is unlikely. Should be moved away from general area & comfort care should be given.
examples of expectant
unresponsive, penetrating head wounds, burns in excess of 60%, seizures/vomiting after radiation exposure,profound shock, no pulse etc
PPE/level A
highest level of respiratory, skin, eye, and mucous membrane protection is required. Includes a self-contained breathing apparatus, fully encapsulating suit, chemical resistant gloves & boots
PPE/level B
highest level of respiratory protection but lesser level of skin & eye protection that A. Includes scba but not vapor tight clothes
PPE/level C
requires air-purified respirator w filters. Chemical resistant coverall w/splash hood, chem resistant gloves & boots
PPE/level D
typical work uniform
