Disaster

Question 1

cutaneous anthrax signs and symptoms

Answer 1

• itchy blisters

- skin ulcer with black center

Question 2

inhaled anthrax signs and symptoms

Answer 2

Fever and chills, chest discomfort, shortness of breath, confusion or dizziness, nausea, vomiting, or stomach pains, body aches, sore throat

Question 3

Treatment for anthrax

Answer 3

TX: Fluoroquinolones (Cipro), doxycycline

Question 4

gastrointestinal anthrax signs and symptoms

Answer 4

Fever and chills, swelling of neck or neck glands, sore throat, diarrhea or bloody diarrhea, flushing (red face) and red eyes, swelling of abdomen (stomach)

Question 5

Injectable

Answer 5

Symptoms are similar to those of cutaneous anthrax, but injection anthrax can spread throughout the body faster and be harder to recognize and treat than cutaneous anthrax.

Question 6

Botulism treatment

Answer 6

Treatment: Airway management, antitoxin, elimination of toxin

Question 7

signs and symptoms of botulism

Answer 7

Signs/Symptoms: blurred vision, drooping eyelids, slurred speech, difficulty swallowing, difficulty breathing, dry mouth, n/v, and muscle weakness

Question 8

smallpox signs and symptoms

Answer 8

Discrete rash starts centrally and moves out, with pus-filled lesions
7-17 day incubation period followed by myalgia, fever, delirium, excessive bleeding, vomiting, HA, and backache

Question 9

when is smallpox no longer infectious

Answer 9

Infectious until all scabs healed over

Question 10

treatment for smallpox

Answer 10

NONE

Question 11

How does Ebola spread

Answer 11

Ebola is NOT transmitted through the air or water. It is spread via:

Direct contact (through broken skin or mucous membranes) with the blood, secretions, organs of infected people.

Direct contact with surfaces and materials (e.g. needles, bedding, clothing)

Question 12

When is a person with ebola contagious

Answer 12

Patients infected with Ebola are contagious only when showing symptoms of the virus.

Question 13

First symptoms of Ebola

Answer 13

sudden fever, fatigue, muscle pain, headaches, sore throat

Question 14

Later signs/symptoms of Ebola

Answer 14

vomiting, diarrhea, rash, stomach pain, weakness, lack of appetite

Question 15

incubation period for ebola

Answer 15

2-21 days

Question 16

Level A PPE protection

Answer 16

Level A - greatest potential for exposure to hazards exists; greatest risk for respiratory, skin and eye exposure
positive pressure, full face-piece self contained breathing apparatus
totally encapsulated chemical- and vapor-protective suit

Question 17

Level B PPE protection

Answer 17

Level B - highest level of respiratory protection, with lesser level of skin protection
positive pressure, full face-piece self contained breathing apparatus
Face shield, inner and outer chemical resistant

Question 18

Level C PPE protection

Answer 18

Level C - required when the concentration and type of airborne substances
full-face air purifying respirators
inner and outer chemical-resistant gloves

Question 19

Level D PPE protection

Answer 19

Level D - minimum protection required

gloves, face shields, goggles

Question 20

RED

Answer 20

compromise to airway
RR >30 or 120 or absent radial pulse
bleeding that needs to be controlled

Question 21

YELLOW

Answer 21

unable to walk
airway ok
RR 11 to 29
HR

Question 22

GREEN

Answer 22

?????

Question 23

BLACK

Answer 23

expected to die, move on

Question 24

what is the A in the

ABCDE

Answer 24

Airway maintenance with C-spin protection

Question 25

Inspect Airway for...

Answer 25

``` patency c-spine in neutral position facial/neck trauma tongue obstructing airway foreign bodies vomiting/secretions blood clots ```

Question 26

with is the B in ABCDE

Answer 26

Breathing with ventilation and oxygenation

Question 27

inspect breathing for

Answer 27

``` spontaneous breathing skin color chest rise and fall respiratory rate chest wall integrity distended neck veins trachea position brief auscultation of lungs auscultate heart sounds ```

Question 28

Breathing intervention

Answer 28

``` High flow oxygen Ventilate patient with 100% oxygen via bag valve mask Intubation- absent/inadequate breathing Needle thoracentesis Chest tube insertion Pericardiocentesis ```

Question 29

what is the C in the ABCDE

Answer 29

Circulation with hemorrhage control and volume replacement

Question 30

Inspect for what with C

Answer 30

``` Identify signs and sources of hemorrhage Skin color/temperature/moisture Cap refill Level of consciousness (Poor perfusion) Auscultate blood pressure Pulse rate and character Signs of cardiac tamponade ```

Question 31

if you can feel carotid pulse, SBP is >...

Answer 31

60

Question 32

if you can feel femoral pulse, SBP is >...

Answer 32

70

Question 33

if you can feel radial/pedal pulse, SBP is >...

Answer 33

80

Question 34

signs and symptoms of hypovolemic shock

Answer 34

Confusion, cool and clammy skin, tachypnea Hypotension, rapid pulse that is weak and thready, low body temperature, altered mental status, delayed cap refill, oliguria

Question 35

What is the D for in ABCDE

Answer 35

Disability (neurologic exam)

Question 36

What assessments do you do for the D in ABCDE

Answer 36

GCS pupil size, reactivity and equality sensory/motor function

Question 37

Disability interventions

Answer 37

GSC

Question 38

What is the E in ABCDE

Answer 38

Exposure/Environmental control

Question 39

Assessment of the Expose/environment

Answer 39

undress patient | examine for missed injuries

Question 40

intervention for Expose/environment

Answer 40

remove backboard apply warm blankets prevent hypothermia

Question 41

AMPLE history

Answer 41

``` Allergies Medications Past illnesses/pregnancies Last meal Events related ```

Question 42

interventions for hemothorax

Answer 42

treat hypovolemic shock - restoration of blood volume high flow oxygen prepare for chest tube insertion for decompression

Question 43

signs of Flail Chest

Answer 43

``` paradoxical chest wall movement respiratory distress hypoxia cyanosis chest pain tachycardia ```

Question 44

interventions for flail chest

Answer 44

high flow oxygen intubate/ventilate fluid resuscitation analgesia to improve ventilation

Question 45

Becks Triad

Answer 45

hypotension muffled heart sounds JVD

Question 46

treatment for cardiac tamponade

Answer 46

pericardiocentesis