Quiz Questions Flashcards
1
Q
Competence
A
The capacity or ability to understand the nature and effects of one’s acts or decisions
2
Q
Building Fire (STB)
A
- EMS Units should be dispatched as soon as possible to any STB incident meeting the following criteria:
- STB Incident between the hours of 23:00-07:00
- STB at elderly housing (EH), Hotel (HOTEL), Nursing Home (NH), Hospital (HOSP), MBTA Station (MBTA) or School (SCH)
- STB in which multiple calls received
- STB in which police unit, private EMS or other public safety unit on sites STB
3
Q
Helmet Use
A
Helmet use mandatory under the following:
- Any fire operations standby
- Any police tactical operations standby
- Airport phased incidents
- Construction sites, “hard hat required” areas and within 50 feet
- Extrications involving heavy rescue tools
- Incident with potential for falling debris
- Below grade operations: tunnels, construction transit system pits or manholes
- Incidents where cable/wire are under tension
- Discretion of supervisor when safety, location or identity of department personnel would be enhanced.
4
Q
Use of Control Continuum
A
- Command Presence: Identify yourself, your affiliation and desire to help. Avoid encroaching on patients personal space. Show of force may initially be enough to gain cooperation.
- Verbal Commands: Safest method/Does not require physical contact. Verbal intervention diffuses situation and may avoid further escalation. Request patient to follow commands relative to treatment and transportation.
- Focused Direction: Hand signals, body position and natural barriers channel patient towards treatment/transportation
- Physical Restraint: Application of department used restraints with least invasive application possible. Make every effort to avoid injuring the patient.
5
Q
Prohibited From Carrying on Duty
A
- Any firearms
- A blackjack
- Mace
- Spring loaded device
- Flashlight longer then 13 inches or with the capacity to hold more then 6 C batteries or 5 D batteries
- A double edge blades knife
- Any other offensive weapon
6
Q
Body Armor
A
- Individually issued body armor with ballistic plates (Level II)
- 2 level III vests and 2 level IIIA helmets have been issued for each vehicle
- Try on and adjust at the beginning of each shift
- Must be worn in conjunction with level II
- Members may me made to don/ordered to wear level III vests/helmets by supervisor/IC at high risk incidents
- Examples of high risk incidents: long gun/rifle incidents, active shooter or other active crime scene responses
7
Q
M.E.T.H.A.N.E
A
- M: Major incident declared
- E: Exact location
- T: Type of incident
- H: Hazards present
- A: Access
- N: Number of patients
- E: Emergency services required
8
Q
Phase 1 Incident
A
- 10 or less patients expected
- Bring initial minimum dispatch package to 3 ambulances (2 BLS and 1 ALS) to reflect staffing
- Field supervisor to respond
- On duty commander to respond
- Announce phase 1 incident in progress on dispatch and tac channels
- Dedicate and staff tactical channel
- Initiate phase alert to Metro Boston C-Med
- Transmit the appropriate system notification’s
- If phased incident declaration is expected announce “MCI Protocols in effect for this response.”
9
Q
Logan Alerts Resources
A
- Massport declares an alert 2 for any aircraft with issue which may effect landing
- EMS dispatch determine ETA, type of craft, # of people on board, and nature of problem/staging
- Units: 1 BLS, 1 division supervisor. 1 Tango Unit (ALS at supervisor discretion)
- Establish tac channel/dedicated ecmo
- Transmit alert 2 over Everbridge and determine to poll BAMA network
- Monitor Massport for updates
10
Q
Phase 2 Incident
A
- 11 to 30 patients expected
- Bring minimum dispatch package to a total of 6 ambulances (4 BLS and 2 ALS)
- Confirm appropriate phase 1 actions have been completed
- Announce phase 2 incident in progress on dispatch and tac channels
- On call commander to the scene
- Respond 2nd field supervisor
- Respond additional special/mutual aid units as needed
- Identify/announce ICS positions and their transitions
- Announce location of treatment area
- Announce location of transportation area
- Announce location of staging area
- Announce location of staging area to police departments
11
Q
Phase 3 Incident
A
- 31 to 50 potential victims
- 5 BLS and 3 ALS Response
12
Q
Phase 5 Incident
A
- Greater then 200 potential victims
13
Q
Phase 4 Incident
A
- 51 to 200 potential victims
14
Q
Phase 6 Incident
A
- Incident or event requiring sustained EMS operations then 24 hours
15
Q
Incident Commander
A
- Assume call sign “I/C” until the first supervisor arrives and then assume the call sign “Extraction”
- Don appropriate PPE and identification vest
- Conduct initial scene size up including M.E.T.H.A.N.E
- Assign a phase level
- Designate Operational area:
* Incident operations area
* Treatment area
* Transportation area
* Stating area - Direct the removal of patient by other public safety/rescue personnel in order of triage priority
- An EMT/Paramedic who serves as the initial I/C can designate up to a phase 2. A supervisor or higher can initiate a higher phase if necessary.
