LO13 Triage/MCI

Question 1

Critical infrastructure:

Answer 1

electrical power grid, communications system, fuel for vehicles, water, sewage removal, food, hospitals and transportation systems

Question 2

Open incident

Answer 2

has a number of candidates not found yet when you answer the initial call

Question 3

Closed incident

Answer 3

contained incident in which patients are found in one location and the situation is not expected to produce more patients

Question 4

Freelancing

Answer 4

in which individual units or different organizations make independent and often insufficient decisions about the next appropriate action

Question 5

Span of control

Answer 5

the number of resources for which a supervisor is responsible usually expressed as a ratio of supervisors to responders the optimal span of control is 1: 5

to you maintain effective communication limit the number of subordinates to 3 to 7

Question 6

ICS Roles and Responsibilities

Answer 6

At minimum the command staff include someone in charge known as the incident commander

In larger incidents as a position such a safety officer in public information officer’s are included

The general staff includes operation, planning, logistics and finance/administration sections

Question 7

Incident commander

Answer 7

is the person in charge of the overall incident

Question 8

command staff

Answer 8

safety officer
public information officer
liaison officer

Question 9

Safety officer

Answer 9

monitors the scene for conditions or operations that may be present a hazard to responders and patients

Question 10

Public information officer:

Answer 10

provides the public and media was clear and understandable information
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Positioned well away from incident command post

Question 11

Liaison officer

Answer 11

relays information and concerns among command, the general staff and other agencies

Question 12

Unified command system:

Answer 12

plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision-making and cooperation

Question 13

Single command system

Answer 13

one person in charge and is generally used with small incidents that involve only one responding agency

Question 14

Operations section and chief

Answer 14

Responsible for managing the tactical operations job usually handled by the incident commander on routine calls

Operation section chief: supervise the people working at the scene of the incident who will be assigned to branches divisions in groups

Question 15

Planning section

Answer 15

Solves problems as they arise during the MCI

Planners obtain data about the problem analyze the previous incident plan and predict what or who is needed to make the new plan work

Buyers need to work closely with operations, finance and logistics

Question 16

Logistics

Answer 16

Responsible for communications equipment, facilities, food and water, fuel, lighting and medical equipment and supplies for patient emergency responders

Question 17

Finance

Answer 17

Responsible for documenting all expenditures at an incident for tracking and reimbursement

Question 18

Medical incident command

Answer 18

Incidents that have a significant medical factor the IC should appoint someone to be leader this person will supervise the primary roles of the medical group triage, treatment and transport

Question 19

Triage officer

Answer 19

ultimately in charge of counting and prioritizing patients the primary duty is to ensure that every patient receives initial assessment of her condition

one of the most difficult parts of being a triage officers that you may not begin standard treatment until all patients are triaged

Question 20

Treatment officer

Answer 20

locate and set up the treatment area with a tear for each priority of patient they ensure that secondary triage patient is performed in that adequate prehospital care is given

Have a responsibility to assist with moving patients to the transportation area

Question 21

Transportation officer:

Answer 21

Coordinates of transportation and distribution of patients to appropriate receiving hospitals he role of the transportation officers to communicate with the area hospitals to determine where to transport patients

Documents attracts the member of vehicles transporting, patient transported and the facility Destiination of each vehicle and patient

Question 22

Staging officer

Answer 22

should be assigned when MCI’s or scenes require response by numerous emergency vehicles or agencies

Staging area should be established away from the scene because the parked vehicles can be in the way

Question 23

Physicians on scene

Answer 23

Provide secondary triage decisions in treatment sector deciding which patients are to be transported first

On scene medical direction

Question 24

Triage

Answer 24

Means to sort patients based on severity of their injuries and prioritize them for care

Question 25

Primary triage

Answer 25

the initial triage done in the prehospital environment Briefly assessed and identified in someway such as a triage tag

Question 26

Secondary triage

Answer 26

done as patients are brought to the treatment area

Question 27

After the primary triage the team leader should communicate the following information to the medical group leader:

Answer 27

The total number of patients The number of patients in each of the triage categories Recommendations for extrication and movement of patients to the treatment area Resources needed to complete triage and begin movement of patients

Question 28

Triage categories

Answer 28

Immediate red tags: problems with ABCs, head trauma or signs of shock Delayed yellow: patients are second priority and will need treatment and transport but it can be delayed multiple injuries to bones or joints Minimal green tag: third priority patients may require no prehospital or minimal treatment Expectant Black tag: patients who are dead or who’s injuries are so severe that they have at best a minimal chance of survival

Question 29

START Triage

Answer 29

perform arrival at scene calling out if you can hear my voice and are able to walk then direct patient Move to the first non-ambulatory patient and assess respiratory status Assess hemodynamic status: check for radial pulse Assess the patient’s neurological status if they can follow commands is yellow if no red

Question 30

START Triage resp status

Answer 30

if the patient is not breathing you should open the airway by using a simple maneuver a patient who still does not begin to breathe is triaged as black if the patient begins to breathe tag them as red If the patient is breathing a quick estimation of respirate should be made a patient who is breathing faster than 30 breathes/min is triaged as red if the patient is breathing fewer than 30 move to the next step

Question 31

START triage hemodynamic status

Answer 31

Absent radial pulse implies hypotension and should be triaged as read Radio pulses present go to the next assessment

Question 32

jumpSTART triage for pediatric patients

Answer 32

Intended for children younger than eight years or who appear to weight less than 45kg Identify the walking wounded asses resp status pulse check Check for Distal pulse if there is an absence of a distal pulses label as red mental status

Question 33

jumpSTART triage for pediatric patients Respiratory status

Answer 33

If not breathing immediately check pulse if no pulse label Black It’s not breathing but has a pulse open the airway with a manual maneuver if the patient does not begin to breathe café rescue breaths and check respirations again Child who does not begin to breathe should be labelled expectant Breathing less than 15 breaths per minute or more than 45 breaths per minute is tagged as red

Question 34

jumpSTART triage for pediatric patients mental status

Answer 34

A child who is unresponsive or response to pain by posturing or within incomprehensible sounds or unable to localized pain is red A child who responds to pain by localizing in a withdrawing from it is yellow

Question 35

SALT Triage

Answer 35

Sort assess lifesaving interventions and treatment Identify the patients who are ambulatory Allows for limited rapid interventions including bleeding control, open the airway, needle decompression and auto injector