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Flashcards in SOG S Deck (79):
1

Air Rescue usage must comply with the following:

Ground transport to a trauma center expected to exceed 20 minutes for a trauma alert or 30 minutes for a high index

Ground transport is not available and is not expected to become available within 20 minutes

Extrication time of a trauma alert victim is anticipated to exceed 20 minutes

The helicopter is needed to gain access to the patient or transport the patient from an inaccessible area

2

Air rescue for inter facility usage :

Transfers must be of a time critical nature as determined by the treating physician and estimated ground transport time from the sending facility to receiving facility must exceed 30 minutes

Ground transport is not available and is not expected to become available within a reasonable time.

3

Air Rescue

When patient preparation is complete, a minimum of ___ people including the flight medic will be used to carry the patient to the helicopter. The flight medic will be at the __________ of the patient

4

Left foot

4

Air Rescue

Under direction of the flight medic, the patient will be loaded slowly into the helicopter, _______ first, at approximately ____ degree angle

Feet

45

5

DMAT

DMAT is a group of professional and para- professional medical personnel designed to provide........

medical care during a disaster or other event

6

DMAT's can sustain themselves at a disaster sites for a period of _______

72 hrs

7

DMAT personnel are activated for a period of time of .....

2 wks

8

Upon receiving a DMAT alert/ activation notification , members will consist S.O.C. with the following ........

Members name and response status to a deployment of DMAT

Anticipated departure and arrival time at the designated muster location

Status such as responding with intent to deploy or responding to assist with deployment

Copies of activation orders

9

Haz Mat exposures are classified as

High risk and Low Risk

10

Haz Mat

High Risk exposure classified as .....

Patient meets any "credible threat" criteria

Patient inhales, swallows, ingests or has significant contact w/ suspicious substance

11

Haz Mat

Low Risk exposure classified as ....

Patient has very limited exposure to suspicious substance ( hand or small area of clothing)

Patient does not meet any of the other "credible threat" criteria and is asymptomatic

12

Local Fire Rescue / EMS response & First Responder Guidelines for WMD incidents

1. Establish Incident Command Structure consistent with established protocol.

2. Address immediate life safety / security concerns, including decontamination of exposed persons

3. Secure scene, await Hazardous Materials Team Response

13

State Emergency Response Commission (SERC) Uniform Classification System for Categorizing Hazardous Materials Incidents

Minor (Category 1)

Moderate (Category 2)

Major ( Category 3)

14

Hazmat Tiered Level Response

SERC Category Response

1 minor -- 1 municipal & 1 County Hazmat Team

2 Moderate - 1 municipal & 1 County Hazmat

3 Major -- 2 municipal & 1 County Hazmat Team

15

TRT Response Protocol

The Following incidents require an automatic TRT Response .......

9 different responses

MVA involving 3 or more vehicles

Extrications of two or more pts. or any extrication anticipated to take longer than 20 minutes

Airport Alert 3

Railroad incident

Elevated Accidents

Trench Emergencies

Confined Space emergencies

Structural Collapse

Request from another agency or TRT team

16

Regarding Structural collapse , the following are structural failure causes....

Natural Occurrences

Fire or explosion

Human Factors

Engineering Factors

17

Regarding a structural collapse incident, personnel will perform a safety analysis every _____ mins

30

18

Search Assessment Markings

Personnel performing the search function will draw an ____ that is 2'x2' with orange spray paint.

X

19

The X will be operated in two operations as follows ........

A single slash, drawn upon entry into a structure or area will indicate search operations are currently in progress

A crossing slash will be drawn when search & rescue staff complete the search and exit the structure or area.

20

Distinct markings will be made inside the four quadrants of the "X" to clearly denote the search status and findings at the time of the assessment as follows.

Left Quadrant

Top Quadrant

Right Quadrant

Bottoms Quadrant

Identifier of the rescue team competing the search

Time and date rescue team members left the structure

Hazards ( rats, etc)

Number of live and/ or deceased victims removed from inside the structure

( "0" = no victims, "L" = Live, "D" = Dead)

21

When buried victims are discovered alive in a collapse after several hours of work, the team will not remove them unless ........

secondary collapse, fire, electrocution, or drowning is imminent. ( crush syndrome)

22

Weights of various floor / materials

- Concrete / masonry

- Normal concrete floor

- Wood Floor

125 - 150 lbs per cubic foot

100 - 150 lbs per square foot

10 - 20 lbs per square foot

23

The maximum length of a shore should be no more than _____ times its width

50

24

Cribbing

You can build your crib box ____ times as high as the box is wide

3

25

Cribbing capacities

4x4 ( two per player)

4x4 (three per layer)

6x6 ( two per player)

6x6 (three per layer)

24,000 lbs

48,000 lbs

60,000 lbs

135,000 lbs

*All values have a 2:1 safety factor

26

Trench Rescue

Definition

Trench......

A trench is a narrow vertical excavation ( in relation to its length) made below the surface of the earth. In general , a trench is deeper than its width

27

Trench Rescue

Individual Team will be limited to _____ minutes in any excavation and/ or trench

30 mins

28

Trench Rescue

While working in a trench the evacuation ladder should be no more than _____ ft from workers

25

29

Rope Rescue

If the terrain is greater than ____ degrees inclination, Command may decide to wait until TRT arrives

40 degrees

30

Rope Rescue

The stokes basket evolution should be conducted with a minimum of ___ attendants

4

31

Rope Rescue

Evacuations greater than _____ degrees will be considered high angle operations

60

32

Control zones shall be established in accordance with the ERG for the material involved or as a minimum _____ ft in all directions

150

33

HazMat

OSHA Mandates that all Hazmat technicians receive ____ hrs of training annually at the technician level.

24

34

The command post should always be located in the _____ zone

cold

35

Emergency Evacuation Signal ( HazMat)

The emergency evacuation signal shall be ordered :

In any cases of injury to entry personnel while operating in the hot zone

in any situations where an unexpected threat to the safety or health of operating personnel is deemed to exist

36

Upon hearing the emergency evacuation signal, the following should occur:

Entry teams shall immediately exit the hot zone and proceed to decon

HazMat medical treatment personnel shall report to the clean end of the decon corridor

PAR is conducted

Radio silence shall be observed and frequencies cleared to allow Command and emergency communication

The radio silence shall remain in effect until lifted by IC. The decision to lift the radio silence shall be based upon recommendations of the HazMAt safety officer

37

HazMat

Only those personnel who have been trained to the level of ___________ shall be permitted to operate in a capacity which would subject that person to a potential exposure to a hazardous material, and then such operations shall be _________ in nature while avoiding direct contact with the product

First Responder Operational

Defensive

38

Persons trained to the Operational Level may engage in some limited offensive activities provided the following conditions are met:

HAZMAT

Properly trained to perform task

properly protected & equipped

Aware of associated risks

39

The minimum acceptable personal protection for initial actions at a haz-mat incident is that which is recommended by the

ERG

40

There shall be a minimum of ___ hazmat team personnel on scene prior to any mitigating actions by the team.

There shall be a minimum of ____ hazmat team members on scene prior to initiating any Level A suit operations.

5


7

41

Hazmat Hand signals

Danger --

Out of air --

Something is --

You lead, Ill follow --

Arm straight out in front w/ closed fist

choking signal

palm of hand face down

both index fingers pointing w/ one hand behind the other

42

Hazmat Incident command chart

1.

2.

3.

1. Operations Section Chief / IC

2. Hazmat branch director

3. Hazmat safety officer

43

There are five area within the Hazmat brach:

Name them

- information
- Recon / Entry
- Resources
- Hazmat Medical
- Decon

44

Hazmat

Other sectors deserving consideration for implementation by the IC include;

Safety Branch

Medical / Rehab group

Devon group

Staging group

45

Hot Zone

- Shall be the immediate area surrounding Haz Mat incident and shall extend as far as __________ in order to produce an atmosphere ___________

Necessary

Free of adverse affects

46

Hot Zone

The decontamination area shall be established between the outer perimeter of the ________ and the outer perimeter of the ______

Hot zone

Warm zone

47

The "Safety Team" ( minimum of ____ personnel) will be provided as a rescue / back up team for personnel working in the hotzone

2

48

Warm Zone

Shall be the area surrounding the ______

Hot zone

49

Warm zone

Is the area which _______ of personnel and equipment takes place and where all hot zone support occurs

decon

The warm zone should be large enough to accommodate the decon setup

50

Cold zone

The cold zone surrounds the warm zone and contains the ____, ______________, etc

Command post

Medical Rehab group

51

Cold Zone

_________ or ________ should be used to mark the zones, they are more effective than signs , traffic cones or rope

"Banner Guard"

barricade tape

52

Haz Mat

Prior to entry in the hot zone, all entry and backup personnel shall identify:

Primary & Secondary routes of escape from the hot zone
Last Captains test!

53

Haz Mat

The "Safe Haven" is located in the ______

Warm zone

54

Sources of Information Regarding Haz Mat Identification;

Placards

Shape, size or type of container

Markings on vehicle or container

Labels

Defines DOT class of hazardous material and possibly specific material, can b seen from greatest distance

Gives a general idea of the type of material involved

Sometimes visible from a distance

55

Sources of Information Regarding Haz Mat Identification;

Package markings

Documentation

MSDS

Operating Personnel

Name of contents, same as appears on shipping papers and documents. Can provide identification of position of package (arrow up) , name and address of the shipper or cosignee

Any paper that contains the proper information will satisfy DOT requirements ( quantity, shipping name, class, and UN/NA hazard identification number). Includes shipping papers, waybills, consists, etc...

Available from the facility supervisor

Driver, train engineer, facility manager etc...

56

Hazmat

For unknown spills or leaks -

Name the 7 steps

1. Assume its dangerous
2. Have appropriate PPE on
3. Check oxygen level as indicated
4. Check for flammable atmosphere
5. Test for PH if spill to determine whether an acid or base
6. Check for toxic atmosphere
7. Check for radioactivity, if applicable

57

Regarding research done on potential has mat sources.

At least ___ sources shall be researched for each chemical involved.

2

58

Hazmat

Containment refers to keeping the hazardous material to the ____________. Containment should begin _________, usually before a leak is stopped.

Smallest area practical

as soon as possible

59

Hazmat

The goal of neutralization is to _________ a chemical into a less harmful form so that the substance can be disposed of safely.

change a chemical

60

Hazmat

Definition

Decontamination

The process of making people, equipment, and supplies safe by eliminating dangerous or harmful substances

61

The decontamination officer shall have a minimum training at the

Hazmat Technician Level

62

The Decon officer along with the ___________ establishes the decontamination area

Hazmat team officer

63

Hazmat Decon

An entry point will be marked with Decon _______ or ________

Cones or signs

64

Hazmat Decon

Build ____ large containment pool(s), place __ wash tubs ( at least 24" diameter) for boot wash and rinse

2

2

Containment pool minimum size 4'x 4'

Place shower at first pool

and second pool will be used for final rinse

65

Hazmat Decon

A tarp will be placed to the ____ side of the entry point to place tools

left

66

The Decon area will be divided in half , down the _______ to designate __________ side and _________

middle

Right (clean side)

Left ( dirty side)

67

Hazmat decon

Was contaminated personnel at least ____-

twice

68

Hazmat decon

The medical /rehab sector shall be located just outside the ______, in the ______

warm zone

cold zone

69

Hazmat decon

Alongside the medical/ rehab sector shall be a ________________

Medical transport staging area

70

Hazmat decon

The ideal vehicle for transport are _________, ___________ or an _________

school buses

County buses

EMS unit

71

Hazmat decon

A request for a mass transit bus must be made through the _______________

Broward County emergency preparedness division

72

Hazmat decon

There are 4 general methods of decontamination

1. Dilution

2. Absorption

3. Degredation

4. Isolation and Disposal

1. Method of reducing concentration of containment to a level which is no longer harmful.

2. Process of picking up the hazardous substance with an absorbant material. Clay, Kitty litter may be used for this

3. Method in which the chemical structure of the hazardous material is altered by mixing with other reactive chemicals

4. Methods used for any equipment that cannot be successfully decontaminated by other methods. The equipment is placed in a designated area or in plastic bags and later removed to specially approved landfills for disposal.

73

Hazmat Protective Ensambles

Level A -

Level B

Level C

Vapor protective

Encapsulating & non encapsulating - protects against solid or liquid contact and gives the user "high respiratory protection"

Protects against solid or liquid contact and known respiratory hazards

74

Garments may be reused during the same incident provided:

Published breakthrough times are observed

Decon has occurred and no visible signs of garment degradation or damage are present

75

The only time that no respiratory protection is necessary is when the containment level is below

exposure guidelines

76

The 4 job aids that assist us with selection and use of appropriate level of protection:

Protective ensemble selection worksheet

Respiratory protection decision diagram

Level A donning checklists

Level B and Level C donning checklists

77

Hazmat Field Analysis

Assess material for corrosive vapors by using a _____ with ______

pH strip moistened with distilled water

78

Hazmat

If the material is a gas, liquid or potentially sublimating solid, then a total vapor analysis shall be performed using a _______ detector or a combination photo - ionization detector / flame ionization detector (PID/FID). This will identify organic or inorganic nature of the material as well as provide a quantitative analysis of concentration.

PID - Photo ionization device

79

Hazmat Sampling

Amount to obtain for sample

Liquid

Gas

Liquid 10 ml

Gas 20 liter