ECare - Chapter 37 (Hazardous Materials, Multiple-Casualty Incidents, and Incident Management) Flashcards Preview

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Flashcards in ECare - Chapter 37 (Hazardous Materials, Multiple-Casualty Incidents, and Incident Management) Deck (29):
1

hazardous material

any substance in a form that poses an unreasonable risk to health, safety, and property when transported in commerce or kept in storage

2

responsibilities of the EMT

recognize a hazmat incident exists, calling in appropriate resources, controlling the scene, and identifying the substance

3

hot zone

area immediately surrounding a hazmat incident; extends far enough to prevent adverse effects outside the zone

4

warm zone

area where personnel and equipment decontamination and hot zone support take place; it includes control points for the access corridor and, thus, assists in reducing the spread of contamination

5

cold zone

area where Incident Command post and support functions are located

6

secondary contamination

when a contaminated person makes contact with someone who previously was "clean"

7

rehabilitation

in cold zone, used to monitor hazmat team members

8

decontamination

chemical/physical process that reduces/prevents spread of contamination rom persons to equipment; removal of hazardous substances from employees and their equipment to the extent necessary to preclude foreseeable health effects

9

decontamination corridor location

warm zone

10

gross decontamination

removal of chemical alteration of the majority of the contaminant

11

secondary decontamination

alteration or removal of most of the residual product contamination

12

mechanisms for decontamination

emulsification, chemical reaction, disinfection, dilution, absorption/adsorption, removal, disposal

13

National Incident Management System (NIMS)

management system used by federal, state, and local governments to manage emergencies in the US

14

incident Command System (ICS)

subset of NIMS designed for management of MCIs

15

Command

the first on the scene to establish order and initiate the ICS

16

single incident command

command organization where a single agency controls all resources and operations

17

unfied command

command organization where many agencies work independently but cooperatively

18

Incident Command

person(s) who assume overall direction of a large-scale incident

19

triage

the process of quickly assessing pts at a MCI and assigning each a priority for receiving treatment

20

Priority 1

Treatable Life-Threatening Illnesses or Injuries: airway/breathing difficulties, severe bleeding, decreased mental status, severe medical probs shock, burns

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Priority 2

Serious but Not Life-Threatening Illnesses or Injuries: Pts who have burns without airway problems, major/many bone/joint injuries, back injuries with/without spinal cord damage

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Priority 3

Walking Wounded: pts with minor musculoskeletal injuries or minor soft-tissue injuries

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Priority 4

Dead or Fatally Injured: exposed brain matter, cardiac arrest, decapitation, severed trunk incineration

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START triage

Respiration, Pulse, Mental Status; should take no more than 30 sec

25

Questions for START triage

If pts can walk, they are green (priority 3)

not breathing before and after opening airway - black (priority 0)

not breathing but is after opening airway with more than 30 breaths/min - red (priority 1)

not breathing but is after opening airway with less than 30 breaths/min - check pulse

breathing, no pulse - red (priority 1)

breathing, pulse, good skin signs, and cap refill - check mental status

unresponsive, not breathing, no pulse - black (priority 0)

alert - yellow (priority 2)

altered - red (priority 1)

after, reassess priority 3s

26

treatments during START triage

open an airway/insert OPA, apply pressure to bleeding, elevate an extremity

27

triage area

area where secondary triage takes place

28

staging area

area where ambulances are parked and other resources are held

29

surge capacity

measurable representation of ability to manage a sudden influx of pts; dependent on a well-functioning incident management system and the variables of space, supplies, staff, and others

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