Toxic exposures, explosive agents, NIMS, special resource, tactical, wilderness

Question 1

When to wear level B PPE

Answer 1

When full respiratory protection required but damage to skin is less

Question 2

Level A vs B PPE

Answer 2

Level A has double layers of chemical resistant gloves
More vapor protection than level A

Question 3

Immediate Danger to Life and health definition

Answer 3

Exposure to airborne contaminants that are “likely to cause death or immediate or delayed permanent adverse health effects or prevent escape from such an environment”

Question 4

3 elements of exposure to radiation

Answer 4

Irradiation: radiation enters and passes through body as a field
Contamination: radioactive material collect on the outside of the body
Internal exposure: radioactive materials enter the body

Question 5

3 defenses against radiation

Answer 5

Time
Distance
Shielding

Question 6

Minimum mask for radiation exposure

Answer 6

N95

Question 7

Platelet effects after radiation exposure

Answer 7

Max decrease at 30 days, then gradually rises

Question 8

Lymphocytes in radiation

Answer 8

Decrease by 2 days in prodromal phase then gradual increase

Question 9

Neutrophils in radiation

Answer 9

Initially spike and increased, then gradual drop through latent and none marrow depression phase, then steady climb in recovery phase

Question 10

Hemoglobin effect on radiation

Answer 10

No real difference

Question 11

Two components of IED

Answer 11

Explosive
Means of initiation

Question 12

Examples of quaternary blast injury

Answer 12

Burns
Crush injuries
Exacerbation of chronic conditions

Question 13

When is the NRF activated

Answer 13

When there is limited local capacity/expertise after any system collapse

Question 14

Primary coordinating agency for NRF

Answer 14

FEMA (usually)

Question 15

What does NIMS outline

Answer 15

Outlines common terminology, concepts, and management approaches regarding response operations

Question 16

IS 700 course

Answer 16

Introduction to NIMS

Question 17

IS 800 course

Answer 17

NRF

Question 18

NRF follows what

Answer 18

Principles of NIMS

Question 19

5 parts of NRF

Answer 19

Core document
Three sets of annexes
Partner guides

Question 20

3 priorities of IC

Answer 20

1. Life safety
2. Incident stabilization
3. Property conservation

Question 21

First step in disaster getting bigger managed by

Answer 21

Local EOC

Question 22

What does an EMAC do

Answer 22

Serves to match requests for the provision of a large number of emergency response officers
Temporary recognition of licenses
Activated by state governor

Question 23

3 factors in Stafford act

Answer 23

Individual assistance
Public assistance
Hazard mitigation assistance

Question 24

What is the Posse Comitatus act

Answer 24

Federal military can’t as as local police
Except: Marshall law, civil defense

Question 25

What is the restoration act

Answer 25

President can use federal forces to restore law and order in case of major disaster

Question 26

3 components of NDMS

Answer 26

1. Volunteer DMATs for onsite medical care
2. Global patient medial requirement center (GPMRC) coordinates transportation out of the area for victims
3. Definitive care by volunteer hospitals across US

Question 27

What is the WMD CST

Answer 27

Weapons of mass destruction civilian support teams
Full time national guard personnel

Question 28

What are the MRC

Answer 28

Volunteers from all aspects of communities
Supplies medical workers to assist in facilities where the local medical community is unable to meet demand

Question 29

Who allows changes in standards of care during disaster

Answer 29

May only be altered by executive governmental official
IOM 2009: formally declared by state governor for limited time period

Question 30

5 Key elements for altered standards of care

Answer 30

1. Ethics: fair allocation, transparency, consistency
2. Community and provider engagement/education
3. Legal authority/environment
4. Indicators/triggers
5. Clinical process and operations

Question 31

Macro vs microallication of resources

Answer 31

Macro: broad policies to distribute resources across a population (trauma centers, ICU beds)
Micro: needs of an individual patient prioritized above or below those of another

Question 32

4 characteristics to meet confined space medicine

Answer 32

1. Hazardous atmosphere
2. Material that can engulf entrant
3. Walls of floors that taper into smaller areas and can asphyxiate
4. Other safety hazards such as unguarded machinery

Question 33

How to protect patient from dust impaction in CSM

Answer 33

Provide victim with appropriate safety equipment - helmet and face mask
Clear debris to prevent problems with chest wall expansion

Question 34

TCCC care under fire

Answer 34

1. Prevent further injury
2. Hasty tourniquet OVER clothing
3. Retreat to safety
4. If CBRN - consider antidotes if death imminent without

Question 35

Where is tactical evacuation care given

Answer 35

Cold Zone

Question 36

Combat gauze has what material

Answer 36

Kaolin

Question 37

Wilderness medicine vs EMS

Answer 37

WEMS: team specifically trained for a particular type of emergency medical response to particular set of environmental challenges
Wilderness med: general care of patients in an austere setting

Question 38

BLS wilderness levels

Answer 38

Wilderness first AID
Wilderness first responder
Outdoor Emergency Care Technician (Ski patrol and winter sports)
Wilderness EMT

Question 39

Wilderness ALS

Answer 39

Wilderness AEMT
Wilderness Physician
No formal wilderness paramedic