Questions and Answers
Which letter in the mnemonic TRACEM refers to nuclear fuels and by-products of nuclear bombs?
Which agency is responsible for the regulations in '29 CFR 1910.120' as it relates to hazardous materials response?
OSHA
What will NOT provide you protection from exposure to a source of radiation?
Prophylactic ingestion of iodine within the week prior to exposure
What is the highest priority regarding hazardous materials rescue when the material is yet unidentified?
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In which area is lifesaving emergency patient care begun in a hazardous materials incident?
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What does the C in the mnemonic TRACEM stand for?
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What is the LOWEST priority information to provide when consulting with CHEMTREC?
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In addition to time, distance, and quantity, what else is a protective factor against radiation exposure?
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Which statement BEST explains the use of your senses to detect hazardous materials?
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When there are only localized areas of damage resulting from radiation exposure, what is the condition called?
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What BEST describes the required contents of shipping papers associated with hazardous materials?
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Which hazard is represented by the yellow area on an NFPA placard?
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What must be done before leaving the warm zone and entering the cold zone in a hazmat incident?
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What is the definition of 'hazardous material'?
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A hazardous material is defined as a material that
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What is the lowest priority when you determine that a patient may have been exposed to a radiation source?
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Into which category of hazardous materials do weapons of mass destruction, which utilize chlorine gas, fall?
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To which level of training are MOST EMTs trained, as a minimum?
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Which is commonly encountered by emergency medical technicians (EMTs) in a clandestine drug laboratory?
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What is the 24-hour resource operated by the Chemical Manufacturer's Association?
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Which statement regarding sensory clues to a hazardous materials incident is LEAST accurate?
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Which is a common weapon used in terrorism?
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Which of the following is a potential hazard for personnel responding to a marijuana grow operation?
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How long does it usually take for symptoms of MOST hazardous material exposure-related illnesses to manifest following exposure?
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Which finding is LEAST likely following radiation exposure?
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By which mechanism would a patient with radiation injury pose a risk of exposing the EMT?
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A standardized 4-sided diamond that designates hazardous material is called a(n):
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Into which category of hazardous materials do weapons of mass destruction commonly fall?
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What should be established FIRST at a hazardous materials incident?
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In which area at a hazmat incident are normal triage, stabilization, and treatment of patients who have been decontaminated performed?
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What is considered the LEAST reliable method to detect the presence of hazardous materials?
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While on scene at a residence, you notice a strange odor and a soda pop bottle that appears to be swelling under pressure. You should:
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What is required on the exterior of a tanker truck carrying hazardous cargo?
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What is considered to be a valuable informational resource when dealing with hazardous materials incidents?
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Your patient was contaminated with radiation in an industrial accident. There is NO radiation safety officer available. What is an acceptable alternative for ensuring this patient gets care?
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How does contamination occur in a radiation incident?
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A weapon of mass destruction would most likely fall into what category of HAZMAT?
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What describes the roles of hazardous materials specialists?
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What bit of information can be referenced in the Emergency Response Guidebook?
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What does the A in the mnemonic TRACEM stand for?
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What should immediately increase your suspicion of a hazardous materials incident?
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In addition to toxicity and flammability, what else is among the harmful properties of hazardous materials?
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What is the highest level of training for hazmat incidents under OSHA regulations?
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In which situation should an EMT avoid any risk to life or health at the scene of a hazardous materials incident?
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The manufacture of butane hash oil is commonly associated with injuries from:
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As an EMT at the scene of a hazardous materials incident, you will treat any life threats in the
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The EMT responds to a call for an inhalation injury from pool chlorine chemicals. Which type of substance would this be considered?
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What does the T in the mnemonic TRACEM stand for?
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What is the LEAST reliable way to determine the presence of hazardous materials?
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On the scene of a hazardous materials emergency, which individual is best suited to provide command and coordination of assets at the incident?
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How long can a person who has radiation sickness expect to have symptoms?
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Which mnemonic can be used to help remember the types of damage that can be caused by hazardous materials?
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What does the 'M' in the mnemonic TRACEM stand for?
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You are at a scene where a radioactive material is emitting alpha rays. As a knowledgeable EMT, you recognize that the proper shielding from these rays can be achieved by:
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When working in the 'warm' zone, the EMT must remember that:
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At the scene of a hazardous materials emergency, you have been assigned to the cold zone. In this zone, which type of activities will you be performing?
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A train carrying radioactive materials has derailed. The radiation safety officer informs you that you will be transporting a 31-year-old male who was exposed to the radioactive waves emitted by the material. As such, you should recognize that:
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Where is an EMT at highest risk for exposure to phosphine gas?
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You have arrived at the scene where a tractor-trailer overturned into a small ravine adjacent to the freeway. As you exit the ambulance and are donning your gloves, the driver of the truck approaches and informs you that he was hauling radioactive medical wastes and warns you that there is a car underneath the overturned trailer. Given this situation, what should you do immediately?
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Which class of chemicals would a terrorist likely use in an attack?
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The driver of a truck carrying a radioactive substance accidentally came in contact with the material after getting into a crash on the freeway. You are first on the scene, and a quick observation indicates that the driver still has the powder on his arm. Your immediate action would be to:
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You and your partner are the first emergency personnel on the scene of an overturned tanker truck. The driver appears motionless in the cab of the vehicle. You also note liquid leaking from the rear-valve assembly of the tanker trailer. After properly positioning your ambulance, your immediate priority is to:
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While a factory employee is moving a container of a radioactive liquid, some of the liquid splashes onto his arm. This situation is best described as:
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Which statement demonstrates that the EMT has a proper understanding of basic operations at the scene of a hazardous materials emergency?
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The EMT would best describe a hazardous material as:
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You have been trained to the OSHA level of 'First Responder Awareness.' With this level of training, which activities are you qualified to perform?
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An intoxicated driver drove his car into the side of a slow-moving train, hitting a tanker car. You recognize the need to call CHEMTREC to get information on what is contained within the tanker. Which piece of information is it critical to provide to this agency so it can respond with helpful information?
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You have arrived on the scene of a chemical leak at an industrial park. The placard on the leaking container has a '1' in the blue diamond and a '4' in the red diamond, which means the material is:
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On the National Fire Protection Association hazardous materials classification placard, the blue diamond represents:
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You are working the scene of a collision involving a tractor-trailer that is hauling an unknown chemical. After it has been determined that no material has been spilled, the rescue chief asks you to get the truck's shipping papers. Where would these papers most likely be located?
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What is one of the most common criminal uses of hazardous materials that the EMT is likely to encounter?
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A worker has been exposed to beta rays given off by a radioactive material, but is not contaminated. He presents to you when the fire department carries him out from the industrial plant in which there was an explosion and partial building collapse. What should you do first?
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Which class of hazardous materials includes radioactive sources that may be exploited by terrorists in an attack?
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If the red diamond on a National Fire Protection Association placard contains a '4,' the EMT should recognize that the material within this container is:
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What is the level of training for those who respond to the release of hazardous materials so as to protect people, property, and the environment?
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A patient has received burns to his arm from a beta particle exposure. This type of damage would be classified as:
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When relying on your senses to determine whether a hazardous spill has occurred, you should:
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A small truck has gone over an embankment. The driver has a head injury and is confused, but is able to tell you that he is hauling N-acetyl-para-aminophenol. Which resource would provide you with the best initial information about this chemical?
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Study Notes
Hazardous Materials Overview
- TRACEM mnemonic includes types of hazards:
- R stands for radiological (nuclear fuels, by-products)
- C represents chemical hazards
- A denotes asphyxiation
- M signifies mechanical risks
- T refers to thermal hazards.
Regulations and Guidelines
- OSHA enforces regulations for hazardous materials response as per "29 CFR 1910.120".
- CHEMTREC operates 24/7 providing information on hazardous materials incidents.
Safety and Protection
- The highest priority in a hazardous material response is ensuring the safety of rescuers and patients.
- Lifesaving emergency care begins in the warm zone; decontamination occurs before entering the cold zone.
- Prophylactic iodine ingestion does not protect against radiation exposure.
- Shielding, in addition to time and distance, is essential for radiation protection.
Hazard Identification
- NFPA placard yellow indicates instability/reactivity; blue denotes health hazard.
- Not all hazardous materials provide sensory clues; relying solely on smell is unreliable.
- The presence of a colored vapor cloud raises suspicion of a hazardous materials incident.
Hazmat Incidents
- First responders are trained at least to the First Responder Awareness level.
- Common illicit materials encountered include methamphetamine, often produced in unsafe labs.
- Weapons of mass destruction typically involve toxic and flammable gases or infectious substances.
Patient Management
- Radiation exposure can result in contamination and radiation injury; contamination occurs via contact with radioactive particles.
- Screening and decontamination should occur before patient transport; immediate patient care focuses on life threats in the warm zone.
- The presence of radioactive materials necessitates restricted access to the scene until appropriately equipped personnel arrive.
Shipping and Transport
- Shipping papers for hazardous materials must include substance name, quantity, origin, and destination.
- A DOT hazard placard is required on tanker trucks carrying hazardous cargo; the truck's cab is the typical location for shipping papers.
Emergency Procedures
- Safety zones must be established first in hazmat incidents to protect responders.
- In case of contamination by radiation in the absence of a radiation safety officer, appropriate measures include containment in a body bag.
- Always assume areas around any leak are hazardous; immediate evacuation of individuals nearby is crucial.
Health Effects and Symptoms
- Symptoms of exposure to hazardous materials usually manifest within hours.
- The duration of symptoms from radiation sickness can last 7 to 8 weeks.
- Signs of radiation exposure do not typically include hypertension; direct contamination can pose risks to EMT personnel.
Communication and Documentation
- Critical information for CHEMTREC includes the UN identification number of the hazardous material.
- Emergency Response Guidebook is essential for initial information on hazardous materials involved in incidents.
Criminal Use and Safety Concerns
- Methamphetamine labs present significant hazards, including potential explosions and electrical dangers.
- When faced with hazardous materials, prioritization of life and health over environmental threats is imperative for responders.
Studying That Suits You
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Description
Test your knowledge on hazardous materials and radiological response with these flashcards from EMT Chapter 44. This quiz includes essential terms and regulatory agencies that play a key role in safety and response measures. Get ready to reinforce your understanding of critical information related to nuclear fuels and OSHA regulations.