HAZMAT, MCI, Incident Management Flashcards Preview

EMT Test 5 > HAZMAT, MCI, Incident Management > Flashcards

Flashcards in HAZMAT, MCI, Incident Management Deck (49):
1

What Are Hazardous Materials?

• “Any substance or material in a form which poses an unreasonable risk to health, safety, and property when transported in commerce.”—U.S. Department of Transportation (DOT)

2

Levels of Training

• First Responder Awareness (no minimum)
• First Responder Operations (8 hours)
• Hazardous Materials Technician (24 hours)
• Hazardous Materials Specialist (24 additional hours)

3

Responsibilities of the EMT**

• Recognize hazmat incident
• Control scene
• Establish danger zone and safe zone
• Attempt to identify substance

4

Identify Hazardous Material**

• Signs, labels, placards
– Binoculars from safe distance
– NFPA 704 system placards
– Diamond-shaped DOT labels
• Other sources
– MSDS, bill of lading, invoice, manifest
– Interview workers

5

Identify Hazardous Material

• Get expert advice
about next actions
– Dispatcher
– Hazardous materials expert
– Emergency Response Guidebook
• Get expert advice about next actions
– CHEMTREC (800-424-9300)
– CHEM-TEL (800-255-3924)
– State/federal radiation control authorities
– Regional poison control center

6

Control Zones********

• Hot zone
– Area of contamination or danger
• Warm zone
– Area immediately adjacent to hot zone
• Cold zone
– Area immediately adjacent to warm zone
– Where equipment and emergency rescuers are staged

7

Treatment Area*****

• Rehabilitation operations
– Located in cold zone
– Protected from weather
– Large enough to accommodate multiplerescue crews
– Easily accessible to EMS units

8

Treatment Area

• Care of injured and contaminated patients
– Decontaminate in warm zone
– Treat in cold zone
• Phases of decontamination
– Gross decontamination
– Secondary decontamination

9

Treatment Area***

don't see deodor

• Mechanisms for decontamination
– Emulsification
– Chemical reaction
– Disinfection
– Dilution
– Absorption or adsorption
– Removal
– Disposal

10

Treatment Area

• Decontamination procedures
– Victims wearing PPE
– Victims not wearing PPE

11

Multiple-Casualty
Incident Operations

• Know local disaster plan
– Written to address events conceivable for particular location
– Well publicized
– Realistic
– Rehearsed

12

Incident Command System

• National Incident Management System (NIMS)
Command
-Operations
-Planning
-Logistics
-Finance

13

Communications

• On arrival, give brief report and request necessary resources
• Incident commander only person to converse with communications center, disseminates information to others
• Have face-to-face conversations among command staff whenever possible

14

EMS Branch Functions
Under Command Structure

• Mobile command center
• Extrication
• Staging area
• Triage area
• Treatment area
• Transportation area
• Rehabilitation area

15

Triage******

• Goal: afford greatest number of people greatest chance of survival
• Prioritizing patients
– Priority 1: Treatable life-threatening illness or injury
– Priority 2: Serious but not life-threatening illness or injury
– Priority 3: Walking wounded
– Priority 4 (sometimes called Priority 0): Dead or fatally injured

16

START Triage********

• Simple Triage and Rapid Treatment
• Foundation of system is speed, simplicity, consistency of application
• Simple commands to patients
• Patient evaluation based on RPM
– Respiration
– Pulse
– Mental status

17

START Triage********

• Able to walk?
– Yes: Priority 3
– No: Check respirations
• Respirations present?
– Yes and >30/minute: Priority 1
– Yes and <30/minute: Check pulse
– No: Position airway; recheck respirations
– Still no respirations: Priority 4 (or 0)

18

START Triage page 1028 flow****

• Good pulse?
– Unresponsive, not breathing, no pulse: Priority
4 (or 0)
– Breathing, no apparent pulse: Priority 1
– Breathing, pulse, good skin signs, capillary
refill: Check mental status
• Good mental status?
– Alert: Priority 2
– Altered mental status: Priority 1

19

Patient Identification*****

• Color code patients by priority
– Priority 1: Red
– Priority 2: Yellow
– Priority 3: Green
– Priority 4: Black

20

Transportation
and Staging Logistics

• Triaged and treated patients next transported using priority system
• Ambulances stage in designated area to await direction and patients
• Receiving facilities contacted early to determine capabilities and update on expected patient counts

21

Psychological
Aspects of MCIs

• Caring, honest demeanor can reassure patient
• Do not attempt to psychoanalyze person’s distress
• “Psychological first aid” may be necessary on the scene of MCI

22

Chapter Review

• Be suspicious. Many hazmat incidents start out as routine EMS calls.
• Remember the Hot Zone-Warm Zone-Cold Zone.
• Patients who have been decontaminated still have some contamination.

23

Chapter Review

• Use your MCI plan and procedure at small incidents and larger ones will be easier when they occur.
• Learn and practice START triage
essentials.
• Be alert for signs of stress and seek help as necessary.

24

Remember

• A hazardous materials response requires specialized training and resources.
Common responsibilities of initial
responders must be identification of the incident, scene control, and activation of appropriate resources.

25

Remember

• Scene safety is highest priority; when possible, use scene clues, product information, and specific resources to identify hazardous materials.
• Decontamination prevents the spread of a hazardous material. EMTs are commonly involved in various levels of this process.

26

Remember

• Multiple-casualty incident overwhelms resources of responding units. When this
occurs, organization is the most important priority.
• NIMS and its incident command system provide organization resources and structure to improve management of large-scale incidents.
• Triage allows EMTs to prioritize care and transport of patients when resources are
limited.

27

What are hazardous materials

....

28

levels of training

don't worry about testing hours

29

Responsibilities of the EMT**

1 hazmat team in tampa...
rely on EMS to give some info

30

vehicle should have placard on all 4 sides

NFPA system - fixed placards 39-3

31

MSDS sheets on all materials in a facility

.

32

sometimes it is best to do nothing at all

.

33

Emergency Response Guidebook

list the hazard - and generally what to do about it

34

hot zone / red zone

don't set up rehab here
where the stuff is
set up rehab in the cold zone
well away

only people in the hot zone are the HAZMAT people

35

warm zone

decon area
slow process takes a while to get the stuff in place
people intensive
suits are very hot

vitals and keg done before they go in and out

36

cold zone

tx and rehab is in the cold zone

37

deodorization****

not a decon method on the test

38

ICS

Fire Fighters out in California
was the start of NIMS

EMS will be in the operations area

39

arrive on scene

paint a picture and tell them what resources you need

40

Triage

french word that means to sort for the greatest # of people for the greatest good

41

Priority 1****

treatable life threat

42

Priority 2****

Serious but not life threat

43

Priority 3******

Walking wounded

44

Priority 4*****

dean or will be

45

START*******

Simple Triage and Rapid Tx

46

Pt Eval*****

Resp, Pulse, Mental Status
If good on all three and can't walk

open airway with a had tilt - only time

study this***** pg 1028

47

if walked on the test remember is at

.

48

priority 1 transported first

.

49

first vehicle that gets there what should you do

call paint a picture