Emergency Triage and Transportation Procedures

Questions and Answers

In a medium to large scale incident, how many of the most critical patients should be transported to each hospital reachable within 30 minutes?

2 (correct)

Which of the following is NOT a piece of information that should be provided to the NWCH in a medium to large scale incident?

The name of the person who called 911 (correct)

Types of illness/injuries

Estimated number of patients at the incident site

Estimated patient category: # red, yellow, green, deceased

In a medium to large scale incident, what happens to the usual transport patterns?

They are modified to prioritize critical patients.

They are completely disregarded. (correct)

They are used as a guideline but can be adapted based on the situation.

They are strictly enforced.

What is the first step in the event of a large-scale transportation management incident, according to the text?

Contacting the Northwest Community Hospital (NWCH) to establish communication Signup and view all the answers

Which of the following statements is TRUE regarding patient transport in a medium to large scale incident?

Ambulances can transport up to 3 patients, with at least one being on a stretcher. Signup and view all the answers

Which of the following is a responsibility of the Transportation Officer?

Establishing and maintaining direct contact with the Resource Hospital Signup and view all the answers

Which of the following statements about the triage process in a medium to large scale incident is TRUE?

Patient refusal can be attempted but may not be possible due to the chaotic nature of the incident. Signup and view all the answers

What is the maximum number of green victims that XYZ hospital can accept?

6 Signup and view all the answers

In a medium to large scale incident, what is the role of the NWCH (Northwestern Central Hospital)?

To coordinate the response and allocate resources. Signup and view all the answers

Which of the following information is NOT provided by the NWCH to potential receiving hospitals in a medium to large scale incident?

The specific address of the incident location Signup and view all the answers

What is the specific communication method recommended in the event of a large-scale incident, even before patient information is finalized?

Contacting the Resource Hospital via phone Signup and view all the answers

In a medium to large scale incident, what does the NWCH provide to the hospitals in addition to coordinating the response?

Transportation management for victims. Signup and view all the answers

What is the correct communication protocol for individuals involved in a large-scale incident?

Contact the Resource Hospital for all communication Signup and view all the answers

Who designates the Staging Area Manager?

Medical Group Supervisor Signup and view all the answers

What is the specific instruction regarding contacting dispatch in the context of a large-scale incident?

Do not attempt to contact dispatch Signup and view all the answers

Which of the following is NOT listed as a municipality within the Region IX command area of Northwest Community Hospital?

Skokie Signup and view all the answers

What is the primary responsibility of the Staging Area Manager?

Management of all incoming fire/rescue apparatus, ambulances, and other resources Signup and view all the answers

What information does the Staging Area Manager maintain an accurate log of?

Currently available equipment, apparatus, and manpower Signup and view all the answers

What is the main purpose of assigning a Transportation Officer?

To ensure efficient transportation and communication during large-scale incidents Signup and view all the answers

Who requests specific ambulances with certain capabilities from the Staging Area Manager?

Transportation Unit Leader Signup and view all the answers

What is the purpose of maintaining communication with the Medical Group?

To supply necessary ambulances Signup and view all the answers

What is the role of the first unit at the staging location?

Staging Officer until relieved by an officer designated by the Medical Group Supervisor Signup and view all the answers

What does the Staging Area Manager do upon request from the Medical Group Supervisor?

Collects mass casualty bags located on each ambulance in staging Signup and view all the answers

What is ensured by the Staging Area Manager for all incoming units?

Equipped with a passport Signup and view all the answers

In the event of a medium to large scale incident, what is the primary responsibility of the Triage Personnel, as outlined in the provided content?

Supervise the initial phase of the incident and manage patient flow. Signup and view all the answers

Which of the following actions would be considered a responsibility of both the Triage Personnel and the Treatment Unit Leader?

Ensuring all patients have a triage tag present. Signup and view all the answers

Based on the provided information, what is the specific role of the Transportation Unit Leader in relation to the NWCH (Northwest Community Hospital)?

The Transportation Unit Leader is responsible for establishing communication with the NWCH and maintaining this communication throughout the incident. Signup and view all the answers

Under what specific circumstance would the Treatment Unit Leader be designated during an incident?

When the incident involves a significant number of patients and the Medical Group Supervisor is unable to effectively manage the treatment area. Signup and view all the answers

Based on the information provided, which of the following is NOT a responsibility of the Treatment Unit Leader?

Supervising the initial phase of an incident and managing patient flow. Signup and view all the answers

According to the provided content, what is the primary responsibility of the Medical Group Supervisor?

Coordinating and managing activities within the patient treatment area. Signup and view all the answers

Based on the provided content, what is the purpose of the triage tag retained by the Triage Personnel?

It is used to track the movement of patients from the triage area to the treatment area. Signup and view all the answers

Which of the following is a crucial step that is performed by both the Triage Personnel and the Treatment Unit Leader?

Determining the number of patients and their general acuity. Signup and view all the answers

Which of the following roles is primarily responsible for determining the level of documentation needed for each incident?

Transportation Unit Leader Signup and view all the answers

In what scenario would the Medical Supply Officer likely be most actively involved?

A large-scale incident requiring specialized medical equipment Signup and view all the answers

Who is responsible for establishing a safe landing zone for an arriving helicopter?

Staging Signup and view all the answers

Which of the following is NOT a primary responsibility of the Medical Group Supervisor?

Determining the required level of documentation for each incident Signup and view all the answers

If a large-scale incident occurs and additional supplies are needed, which of the following actions should be taken?

Requesting the mass casualty trailer to be brought to the scene Signup and view all the answers

Which of the following is NOT a type of medical supply or equipment typically managed by the Medical Supply Officer?

Trauma assessment tools Signup and view all the answers

Study Notes

Practical Application for Medium to Large Scale Incidents

START/JUMP start triage is required in medium to large scale incidents
Triage tags are mandatory for patients
Ambulances may transport more than one patient, with a maximum of: · 1 stretcher patient · 3 seated patients · 2 stretcher patients, with all occupants safely secured
OLMC (Online Medical Control) may not be required when transporting patients; Rx per SOPs (Standard Operating Procedures)
PCRs (Patient Care Reports) are optional; triage tags may be used instead

General Fire Department Responsibilities

Contact the NWCH (Northwest Community Hospital) ASAP in a medium to large scale incident
Provide the NWCH with essential information, including: · Nature of the incident · Incident site (e.g., nearest major intersection) · Closest hospitals (e.g., SAMC, Sherman Hospital, ABMC, or NWCH) · Estimated number of patients at the incident site · Estimated patient category (e.g., # red, yellow, green, deceased) · Hospitals already receiving patients · General age groups (pediatrics, adults, elderly) · Types of illnesses/injuries (e.g., blunt/penetrating trauma, burns, inhalation, toxins, biological/chemical exposure) · Any special needs (e.g., decontamination, medications for WMD, medical teams to the scene) · Exchange call-back numbers

Transportation Management

NWCH will contact potential receiving hospitals and provide transportation management
Receiving hospital capacities for accepting victims will be provided (e.g., "XYZ hospital can accept two red, four yellow, and six green victims.")
A specially assigned Transportation Officer will establish and maintain direct contact with NWCH

Hospital Command

Northwest Community Hospital will assume Hospital Command for the following areas: · Arlington Heights · Hoffman Estates · Prospect Heights · Barrington · Itasca · Rolling Meadows · Schaumburg · Des Plaines · Elk Grove Township · Palatine Rural
First Alternate: Saint Francis Hospital
Second Alternate: Highland Park Hospital

Important Notes

ALL COMMUNICATION MUST GO THROUGH NWCH
Do not attempt to contact the scene or dispatch directly
Do not divert individual ambulances

Medical Supply Officer

Appointed by the Medical Group Supervisor
Secures and organizes medical supplies and equipment, including: · Backboards · Oxygen supplies · Dressings and bandages · Large dose medications · Volumes of sterile water · IV fluids and equipment
May obtain additional supplies and equipment by requesting the mass casualty trailer to be brought to the scene

Triage Unit Leader

Appointed by the Medical Group Supervisor
Provides coordination necessary for effective categorization of patients
Supervises triage personnel during the initial phase of a medium to large scale incident
Determines and relays the number of patients and general acuity to the Medical Group Supervisor
Reports any needs regarding equipment and manpower to the Medical Group Supervisor

Treatment Unit Leader

Designated by the Medical Group Supervisor
Establishes and manages a patient treatment area
Frequently reassesses patients in the treatment area to determine the need for re-categorization
Prioritizes patients for transport to hospitals

Transportation Unit Leader

Designated by the Medical Group Supervisor
Establishes loading of ambulances and records patient destinations
Communicates with NWCH regarding patient numbers, triage categories, and hospital capabilities
Establishes a patient loading area allowing for safe and coordinated access and egress of ambulances
Notifies the destination hospital for each transporting ambulance

Staging Area Manager

Designated by the Medical Group Supervisor
Manages all incoming fire/rescue apparatus, ambulances, and other resources
Maintains communication with the medical group (either Transportation or Treatment Unit Leader) to supply necessary ambulances
Maintains communication with Incident Command to advise on available resources
Sends requested resources to the scene
Manages the staging area, ensuring orderly parking and maintaining clear access to the incident site

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Description

This quiz covers the practical application of triage and transportation procedures in medium to large scale incidents. It includes guidelines for ambulance transport, patient distribution, and documentation.