MCI

Question 1

Is there a set number of pts that determine an MCI

Answer 1

No, there is not

Question 2

The ___ of the potential or actual mci is crucial to the success of the operation

Answer 2

Early recognition

Question 3

After establishing command this position should be filled

Answer 3

Medical branch director

Question 4

The medical branch director is responsible for staffing these five positions

Answer 4

Triage group sup (fire), treatment group sup (fire), medical staging area manager (fire of ambulance), transport group Sup (ambulance), pt destination coordinator (amb)

Question 5

Four positions required to staff by PFR

Answer 5

Ic, medical branch director (officer or medic), triage group supervisor (emt or medic), treatment group supervisor (emt or medic)

Question 6

Three positions held by AMB

Answer 6

Base area manager (reports to medical branch director), transportation group supervisor (reports to medical branch director), patient destination coordinator (reports to transportation group SUP)

Question 7

Three principles of triage

Answer 7

Sorting if multiple casualties into priorities, tagging pts, deciding what pts will receive transportation priority

Question 8

Two types of triage

Answer 8

Open and closed triage

Question 9

These are disadvantages of ___ triage, may take longer to begin actually moving pts from the scene, keeps crews and victims in the incident scene

Answer 9

Open

Question 10

Disadvantages of ___triage

Answer 10

Carrying pt from incident scene to triage is exhausting effort (also need large numbers), victims tagged black May end up being moved who would otherwise be left in place

Question 11

___ triage should be chosen for any Hazmat incident

Answer 11

Closed

Question 12

What is the one consideration for a hazmat mci?

Answer 12

Lengthened triage corridor for decon

Question 13

If patients are dead and contaminated where should they stay, if decon resources are needed for the living

Answer 13

Warm zone

Question 14

Experience has shown that crews moving ___ pts become fatigued

Answer 14

3-6 people. Command must take into consideration the need to rotate crews

Question 15

Normally the 1st AMB on scene will be placed

Answer 15

OOS, so their personnel may staff MCI positions. Their EQT shouldn’t be used by fire personnel though

Question 16

___ should be considered early in the incident due to need to move large # of pts

Answer 16

Rehab

Question 17

Consider calling for additional resources including CBRNE Heavy squad and ____ early in these incidents

Answer 17

Rehab unit

Question 18

The ___ and __ of the incident will factor into how many pts are categorized with which color

Answer 18

Size and scope

Question 19

Assessing each victim should only take ..

Answer 19

A few seconds

Question 20

The secondary triage should take place in

Answer 20

Treatment area

Question 21

Red patient examples

Answer 21

Severe head injury, sucking chest wound, fluid loss or shock

Question 22

Yellow patient examples

Answer 22

burned to moderate extent, major or multiple fractures, mild shock

Question 23

Black pts

Answer 23

Massive open head wounds, pupils fixed and dilated, agonal respirations

Question 24

At a plane crash what should be done with trauma tag?

Answer 24

Corner of tag removed and left where victim was found

Question 25

This can be faster than using triage tag…

Answer 25

Triage tape

Question 26

When using triage tape, what do you do to count number?

Answer 26

Keep a portion of color of each patient for yourself

Question 27

Black pts with triage tape, what is different

Answer 27

Striped with white

Question 28

At least one ___ should be assigned to each patient treatment area

Answer 28

Fire Medic

Question 29

Ideally, at least ___ should be assigned to each treatment area

Answer 29

One company

Question 30

What is best treatment area? One big or several small

Answer 30

One big

Question 31

A __provides a spade from which victims cannot easily walk away or attempt to get quicker treatment

Answer 31

Tri met bus

Question 32

___ should be closest treatment area to the AMB loading zone

Answer 32

Red area

Question 33

Can dead victims be left unattended?

Answer 33

No, their injuries should be documented and morgue notified

Question 34

If the area is a bomb zone, what should be considered

Answer 34

Secondary devices

Question 35

Pt loading zone is maintained by the

Answer 35

Transport group supervisor

Question 36

Regardless of the ambulance base area location, the patient loading zone should be located as close as feasible to

Answer 36

Treatment area

Question 37

Preferably the patient loading zone should have access from ___ directions

Answer 37

Two

Question 38

Set up loading zone so two ambulances can be

Answer 38

Side by side

Question 39

Regional hospital is utilized with MCI and started by BEOC. It will have a hospital all call and determine

Answer 39

Number of patients each hospital can receive

Question 40

The ___ worksheet can be utilized for documentation and must be sent to EMS section for filing

Answer 40

MCI patient treatment

Question 41

If you remove jewelry from patient and put in bag, what do you do

Answer 41

Place barcode on bag

Question 42

Consider using ___ Carts

Answer 42

Porter

Question 43

Who is an outside agency with apparatus with large # of BB

Answer 43

Port of Portland

Question 44

For an extremely large and lengthy incident, the establishment of a ___ should be considered

Answer 44

Medical care point

Question 45

___ allow an expansion of the MCI site with specialized area for local public health, state, and federal disaster teams

Answer 45

Medical care points

Question 46

The Oregon disaster medical team will begin to arrive in six hours with ___ personnel and ___ personnel in 24 hours

Answer 46

6-12, 35

Question 47

PFR can expect to provide medical support at MCP for the first ___ hours of operation

Answer 47

12

Question 48

Multnomah county health system personnel will arrive in __ hours

Answer 48

6-12