Environmental Disasters and Emergency Response

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Questions and Answers

What are the two main categories of events that can be classified as environmental emergencies and disasters?

Natural and man-made events.

In the context of environmental disasters, what is the primary goal of emergency readiness and response strategies?

To protect public health, safety, and the environment.

How do environmental emergencies threaten public health and safety?

By causing injuries, illnesses, and exacerbating existing health conditions.

What role do emergency personnel play in the aftermath of environmental disasters?

<p>They provide medical assistance and support for recovery efforts.</p> Signup and view all the answers

Why is it important to recognize both ongoing and sudden events in the context of environmental disasters?

<p>Because both can have severe impacts and require different response strategies.</p> Signup and view all the answers

What distinguishes a Mass Casualty Incident (MCI) from a general emergency?

<p>An MCI overwhelms a community's existing resources, while a general emergency can be managed with available resources.</p> Signup and view all the answers

List two examples of a Conventional Mass Casualty Incident.

<p>Multi-vehicle accidents and airplane crashes.</p> Signup and view all the answers

Why is proper coordination essential during a Conventional Mass Casualty Incident?

<p>Proper coordination ensures efficient use of additional resources to manage the situation effectively.</p> Signup and view all the answers

What role do existing community resources play in managing emergencies?

<p>Existing resources help to manage emergencies, but insufficient resources may lead to a Mass Casualty Incident.</p> Signup and view all the answers

How can a large fire be categorized in terms of mass casualty incidents?

<p>A large fire is considered a Conventional Mass Casualty Incident if it results in casualties exceeding local resource capacity.</p> Signup and view all the answers

What are two key factors that influence the resource requirements in emergency preparedness?

<p>The severity of the event and the number of casualties.</p> Signup and view all the answers

Identify three first-line emergency responders involved in disaster response.

<p>Local Government Units (LGUs), National Disaster Risk Reduction and Management Council (NDRRMC), and Armed Forces of the Philippines (AFP).</p> Signup and view all the answers

Explain the primary purpose of triage in emergency situations.

<p>Triage prioritizes patients based on the severity of their condition to ensure that those in greatest need receive medical attention first.</p> Signup and view all the answers

List two examples of events that would require significant emergency response efforts.

<p>Major natural disasters, such as hurricanes and pandemics.</p> Signup and view all the answers

What role do NGOs play in emergency preparedness and response?

<p>NGOs provide essential support services and resources during emergencies, working alongside government agencies.</p> Signup and view all the answers

What constitutes a catastrophic mass casualty event that necessitates significant external resources for response?

<p>Events such as major natural disasters, terrorist attacks, pandemics, or nuclear incidents constitute catastrophic mass casualty events.</p> Signup and view all the answers

Identify and explain the role of one first line emergency responder agency in managing catastrophic mass casualty incidents.

<p>Local Government Units (LGUs) are the first line emergency responders responsible for coordinating local emergency response efforts and resources.</p> Signup and view all the answers

What is triage, and how is it essential in emergency preparedness during a mass casualty event?

<p>Triage is the process of prioritizing patients based on the severity of their condition, ensuring that those who need immediate care receive it first.</p> Signup and view all the answers

Explain the significance of transport in the context of emergency response to catastrophic mass casualty situations.

<p>Transport is vital for moving victims to medical facilities efficiently and ensures timely care for those in critical condition.</p> Signup and view all the answers

List the principal agencies involved in emergency preparedness and response and describe their collaborative importance.

<p>Key agencies include NDRRMC, AFP, PNP, BFP, and NGOs, whose collaboration is crucial for a cohesive and effective emergency response.</p> Signup and view all the answers

What defines severe airway obstruction in choking situations?

<p>Severe airway obstruction is defined as complete or total blockage of the airway.</p> Signup and view all the answers

In cases of choking, which types of objects typically cause airway obstruction?

<p>Common objects that cause airway obstruction include food items and foreign bodies.</p> Signup and view all the answers

Why is it important to differentiate between mild and severe airway obstruction?

<p>Differentiating between the two is crucial for determining the appropriate emergency response techniques.</p> Signup and view all the answers

What immediate signs might indicate that a person is experiencing choking?

<p>Immediate signs of choking may include difficulty breathing, inability to speak, and signs of distress.</p> Signup and view all the answers

How does a mild airway obstruction differ in symptoms compared to a severe obstruction?

<p>Mild airway obstruction typically allows for some breathing and coughing, while severe obstruction prevents any airflow.</p> Signup and view all the answers

What immediate signs indicate that a person may be choking?

<p>One immediate sign is the person clutching their neck, along with a look of panic or confusion.</p> Signup and view all the answers

In performing the Heimlich maneuver on a conscious adult, where should the fist be positioned?

<p>The fist should be positioned mid-line, slightly above the navel and well below the breastbone.</p> Signup and view all the answers

What are the correct steps to take if a choking person becomes unresponsive?

<p>You should open the mouth to check for food, give two breaths, and then push hard in the chest center repeatedly for 20 seconds.</p> Signup and view all the answers

What first aid technique is recommended for infants who are choking?

<p>Back blows are recommended for infants who are choking.</p> Signup and view all the answers

What color changes in the skin and lips indicate severe choking or lack of oxygen?

<p>The skin, lips, and nails may change color, turning blue or gray.</p> Signup and view all the answers

What physiological changes occur in the lungs when freshwater is aspirated during a submersion injury?

<p>Freshwater causes water to leak into the capillary bed, leading to noncardiogenic pulmonary edema.</p> Signup and view all the answers

How does the aspiration of saltwater differ from freshwater in terms of its effects on the alveoli?

<p>Saltwater draws fluid into the alveoli, potentially leading to surfactant destruction and respiratory distress.</p> Signup and view all the answers

Identify one common risk factor for submersion injuries related to age and explain why it increases risk.

<p>Infants and young children are at risk due to their lack of swimming skills and supervision.</p> Signup and view all the answers

What are two major signs or symptoms that indicate a person may be experiencing a submersion injury?

<p>Difficulty in breathing and severe coughing are two major signs of a submersion injury.</p> Signup and view all the answers

Differentiate between 'dry drowning' and 'secondary drowning' in the context of submersion injuries.

<p>'Dry drowning' occurs without water entering the lungs but leads to respiratory distress, while 'secondary drowning' involves water entering the lungs but shows symptoms hours later.</p> Signup and view all the answers

What is decompression sickness and why is it a risk for divers?

<p>Decompression sickness, or 'the bends,' occurs when a diver ascends too quickly, causing nitrogen to form bubbles in the bloodstream and tissues.</p> Signup and view all the answers

How does nitrogen narcosis affect a diver's performance?

<p>Nitrogen narcosis alters a diver's consciousness at great depths, impairing judgment and motor skills.</p> Signup and view all the answers

What are the dangers of head-first dives according to diving safety guidelines?

<p>Head-first dives increase the risk of accidents and injuries upon entry into the water.</p> Signup and view all the answers

Why is it important to monitor water depth while diving?

<p>Monitoring water depth is crucial to prevent injuries and ensure a safe diving experience.</p> Signup and view all the answers

What precaution should divers take regarding environmental changes?

<p>Divers should remain vigilant to any changes in water conditions, such as currents or weather.</p> Signup and view all the answers

What is the primary cause of decompression sickness in divers and how can it be prevented?

<p>Decompression sickness is primarily caused by ascending too quickly, leading to nitrogen bubbles forming in the bloodstream. It can be prevented by ascending slowly and using decompression stops.</p> Signup and view all the answers

Explain the mechanism by which barotrauma can occur in divers and provide an example of where it commonly happens.

<p>Barotrauma occurs due to a pressure differential between an airspace in the body and the surrounding water pressure. A common example is ear barotrauma during descent.</p> Signup and view all the answers

Describe nitrogen narcosis and the cognitive effects it has on divers at significant depths.

<p>Nitrogen narcosis occurs due to the high levels of nitrogen under pressure, leading to impaired judgment and motor skills. Divers may experience confusion and a sense of euphoria.</p> Signup and view all the answers

What are the three critical components of the ABCs in nursing management during an emergency situation, and why are they prioritized?

<p>The three components of the ABCs are Airway, Breathing, and Circulation. They are prioritized because maintaining airway patency is essential for effective ventilation and circulation.</p> Signup and view all the answers

In the context of diving, how does the classification of this activity as a collision sport impact safety protocols for divers?

<p>Classifying diving as a collision sport indicates that divers may encounter high force impacts, necessitating strict safety protocols to mitigate risk of injury. This impacts training and emergency preparedness.</p> Signup and view all the answers

What is the primary purpose of the START triage system?

<p>To prioritize patients based on the severity of their conditions in emergency situations.</p> Signup and view all the answers

Describe the criteria for a patient to be tagged as 'IMMEDIATE'.

<p>Patients tagged as 'IMMEDIATE' need urgent attention due to life-threatening conditions like shock or pneumothorax.</p> Signup and view all the answers

What condition must a patient fulfill to be classified as 'MINOR'?

<p>A patient is classified as 'MINOR' if they are non-urgent and can walk, typically with minimal injuries.</p> Signup and view all the answers

Explain why the 'EXPECTANT' tag is necessary in the triage process.

<p>The 'EXPECTANT' tag is used for patients who are deceased or unlikely to survive, allowing for respectful management of their situation.</p> Signup and view all the answers

What is the first step in the START assessment process?

<p>The first step is to assess the patient's ability to walk.</p> Signup and view all the answers

Identify a criterion related to respirations that would categorize a patient as 'DELAYED'.

<p>Patients with respirations below 30 and able to follow simple commands are categorized as 'DELAYED'.</p> Signup and view all the answers

What does a perfusion capillary refill time of greater than 2 seconds indicate?

<p>A perfusion capillary refill time of greater than 2 seconds indicates poor circulation, prompting urgent assessment.</p> Signup and view all the answers

How does the START system utilize bystanders in the assessment process?

<p>The START system encourages the use of bystanders to assist in assessing and treating patients, optimizing resources.</p> Signup and view all the answers

What role does mental status play in the START assessment?

<p>Mental status is assessed to determine a patient's ability to follow simple commands, impacting their triage classification.</p> Signup and view all the answers

Under what conditions should treatment be initiated according to the START guidelines?

<p>Treatment should be initiated in the incident area if possible or after transport to a healthcare facility.</p> Signup and view all the answers

Flashcards

Environmental emergencies

Sudden or ongoing events, natural or man-made, harming people, safety, property, and the environment.

Public health threats

Events that can harm the health of people, and the environment.

Emergency response

Actions to fix or improve issues or problems in environmental problems.

Mass casualty incident

Large-scale events causing many injuries or deaths.

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Disaster preparedness

Planning in advance for events like accidents and emergencies.

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Emergency

Events needing quick, skilled response, manageable by community resources.

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Conventional MCI

Large-scale incident, local resources might be enough if more are added.

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Multi-vehicle accident

An incident involving multiple vehicles causing many casualties.

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Train derailment

A train moving off the tracks, usually causing casualties.

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Emergency Preparedness

Planning and preparing for potential disasters or emergencies to minimize damage and ensure swift response.

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International Agencies' Role

International organizations providing resources and assistance to nations during major emergencies.

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First-line Responders

Local government, military, police, fire departments, and NGOs taking initial action during emergencies.

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Triage

Prioritizing patients based on injury severity to ensure the most critical receive care first.

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Emergency Response Outline

A structured approach using key areas like agencies, triage, and recovery to address emergencies effectively.

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Catastrophic Mass Casualty

An event with overwhelming casualties that requires massive assistance from national or international agencies.

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Major Natural Disasters

Natural events like earthquakes, tsunamis, or hurricanes that cause widespread damage and casualties.

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First Line Emergency Responders

The initial responders to an emergency, including local government units, national disaster agencies, police, and firefighters.

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Local Government Units (LGUs)

The government bodies responsible for emergency response at the local level.

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What is choking?

Choking happens when something blocks the airway, preventing air from reaching the lungs.

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Mild Airway Obstruction

A partial blockage of the airway, allowing some air to pass.

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Severe Airway Obstruction

A complete blockage of the airway, stopping all airflow.

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Airway Obstruction

This term describes an internal blockage that makes it hard or impossible to breathe.

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Life-threatening emergency

A dangerous situation that requires immediate action to prevent death or serious injury.

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Submersion Injury

When water obstructs a person's airway, preventing breathing.

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Risk Factors for Submersion Injury

Factors that increase the chance someone will experience a submersion injury, like age, lack of supervision, alcohol use, poor swimming skills, medical conditions, and inadequate safety measures.

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Signs of Submersion Injury

Symptoms that indicate a person has experienced a submersion injury, such as breathing difficulties, coughing, low oxygen levels, hypothermia, and unconsciousness.

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Dry Drowning

A delayed complication of submersion where fluid in the lungs causes breathing problems hours or even days after the incident.

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Secondary Drowning

A condition where a person develops respiratory complications after submersion due to fluid in the lungs, even if they seemed fine initially.

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Decompression Sickness

A condition that occurs when a diver ascends too quickly, causing dissolved gases (mainly nitrogen) to form bubbles in the bloodstream and tissues.

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Nitrogen Narcosis

A state of altered consciousness caused by high levels of nitrogen under pressure, often experienced at great depths, leading to impaired judgment and motor skills.

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Feet-First Entry

The recommended way to enter water for diving, involving entering with feet first to minimize the risk of injury.

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Avoid Head-First Dives

A safety precaution for diving, emphasizing the risk of injury associated with diving headfirst.

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Designated Diving Zones

Specific areas marked for diving, ensuring safety and compliance with regulations.

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Choking Signs

Indicators that someone is choking include clutching the neck, panic, inability to talk, strained breathing, squeaky sounds, a weak or forceful cough, blue or gray skin, lips, and nails, and loss of consciousness.

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Heimlich Maneuver

A life-saving technique used to dislodge an object blocking someone's airway. It involves pressing into the abdomen with a quick upward thrust.

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Choking: Unconscious Victim

When a choking victim becomes unresponsive, open their mouth, remove visible objects, tilt their head back, pinch their nose, give two breaths, and perform chest compressions.

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Choking: Infant

For a choking infant, give back blows by holding them face down and striking them gently between the shoulder blades.

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Choking: Key Steps

Different choking steps include the Heimlich maneuver, chest compressions, and back blows, depending on the victim's age and consciousness.

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Barotrauma

An injury to soft tissues caused by pressure differences between an airspace in the body and the surrounding environment, leading to expansion or contraction of that space.

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Diving as a Collision Sport

Diving is classified as a collision sport due to the significant force experienced when entering the water, posing a risk of injuries.

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Pressure Injuries in Diving

Injuries caused by pressure differences or gas bubbles in the body due to diving activities, potentially leading to various complications.

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IMMEDIATE

A triage category for patients who require immediate medical attention to survive. They need immediate intervention.

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DELAYED

A triage category for patients who require medical attention but can wait a bit longer than those labeled IMMEDIATE.

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MINOR

A triage category for patients with minor injuries or conditions that are not life-threatening.

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EXPECTANT

A triage category for patients who are unlikely to survive their injuries and require palliative care.

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START System

An acronym for Simple Triage and Rapid Treatment, a standardized method for quickly assessing and prioritizing patients in emergency situations.

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What are the five steps of the START system?

  1. Assess Ability to walk, 2. Assess Respirations, 3. Assess Breathing Rate, 4. Assess Circulation, 5. Assess Mental Status.
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What are some criteria for a patient to be labeled as 'walking wounded'?

The patient has none of the following: no respirations (after head tilt), breathing but unconscious, respirations over 30, perfusion capillary refill >2 or no radial pulse, unable to follow simple commands.

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Treatment in the START system

Given in the incident area if possible or after transport to a health facility.

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Transport in the START system

Used to move patients after triage and treatment if possible.

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Study Notes

Environmental Emergencies & Disasters

  • Environmental emergencies and disasters refer to sudden or ongoing natural or man-made events that pose significant threats to public health, safety, property, and the environment.

Emergency & Mass Casualty Incident Preparedness

  • Emergency incidents that require a rapid and skilled response, where the community's existing resources can manage the event.
  • Mass casualty incidents (MCIs) are human-made or natural events or disasters that overwhelm a community's ability to respond with existing resources.
  • Conventional mass casualty incidents occur when the number of casualties exceeds the immediate capacity of available local resources but can still be managed with additional resources and proper coordination.
    • Examples include:
      • Multi-vehicle accidents
      • Train derailments
      • Airplane crashes
      • Large fires

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