Health and Safety Emergency Response Quiz
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Questions and Answers

What has the highest lethal concentration time in concentration/mins/m3?

  • Sulphur (correct)
  • Chlorine
  • Phosgene
  • CS

What's most likely to kill them in a grain silo during rescue?

  • Combustible dusts
  • Engulfment (correct)
  • Low O2
  • Crew go to a nursing home on fire and loads of nannas die in the hospital and at the scene.

What's most likely to make them unhappy after [a traumatic event in a nursing home]?

  • Unsuccessful arrest of an old person
  • A trainee has had a traumatising event.
  • Traumatic arrest of a child (correct)

What is most worrying? [after a trainee has a traumatising event]

<p>Remorseful, keep saying they should have done more. (A)</p> Signup and view all the answers

Who has responsibility for activities in a sector?

<p>Operational (D)</p> Signup and view all the answers

CCP feels tired on shift, what's the best mitigation for fatigue?

<p>Nap (B)</p> Signup and view all the answers

Mega smashed four-limb CP with hypotensive shock and vomit in the airway- what to anaesthetise with?

<p>Sux prop (C)</p> Signup and view all the answers

In fent vs morphine - what characteristic makes it more useful?

<p>Lipophilic or potency (A)</p> Signup and view all the answers

Who is responsible overall for activity in a sector?

<p>Anaphylaxis - likely agent between Roc, chlorhex, ABX, blood plus another in a trauma patient being tubes and has nothing. (A)</p> Signup and view all the answers

ETCO2 flat lines intubated paed arrest

<p>Change rescuer (C)</p> Signup and view all the answers

Fallen and bitten by a snake, sweaty, anxious, and high RR

<p>Antivenom (B)</p> Signup and view all the answers

PV vent Paed, high-pressure alarm but says 100%, chest rising, and ETCO2 trace normal

<p>Check tube (B)</p> Signup and view all the answers

Head injured tube at 25cm high-pressure alarm

<p>Examine patient and check vent (D)</p> Signup and view all the answers

Awake nearest Ed

<p>Awake nearest Paeds neuro centre (B)</p> Signup and view all the answers

Taser discharged well what does JRCALC say to do

<p>ECG and discharge (A)</p> Signup and view all the answers

Who has overall oversight of JRCALC

<p>RCEM (B)</p> Signup and view all the answers

Flail chest q but only on 90% fiO2 - what's safest thing to do to increase oxygenation

<p>Increase fiO2? (A)</p> Signup and view all the answers

Motorway blocked reverse access authorised - poorly worded and confusing question

<p>Proceed on hard shoulder (B)</p> Signup and view all the answers

Q on bapm guideline for prem birth - 22+5 I think

<p>Paeds transfer sats 88% on 90% not much more detail - Do you want to transfer: - No lights or sirens (B)</p> Signup and view all the answers

Renal hypertension and depression young male low gcs hypotension bradycardia Od

<p>Acei (B)</p> Signup and view all the answers

Murdered kid, 30 mins asystole, role'd police say stay on scene

<p>A medical practitioner will need to attend to certify death (D)</p> Signup and view all the answers

Tst 15 year old partially amputated hand, heavy bleeding walking triage category

<p>Tricky as I've seen guidance that says heavy bleeding sit them down and treat as not walking (B)</p> Signup and view all the answers

Comparing tst or mitt to nasmed/old triage tools what is key difference

<p>No physiology (C)</p> Signup and view all the answers

Asthmatic teenager, p105, sats normal sudden onset sob and pleuritic chest pain

<p>Ptx (B)</p> Signup and view all the answers

What does law say pilot can't do on air ambulance mission

<p>5k viz (B)</p> Signup and view all the answers

Swift water rescue, you've brought kit it dark with no scene lighting, what colour light should you attach to the kit

<p>Red (D)</p> Signup and view all the answers

Knife attack wound care refuses hospital but states worried about risk to self and family what to do

<p>Immediately and give medical record to aid police investigation (B)</p> Signup and view all the answers

What to expect medical equipment wise on European commercial airliner

<p>Ericpd - what is closing a road, what is having a safety officer? (A)</p> Signup and view all the answers

If you into patient details onto database are you:

<p>Data processor (A)</p> Signup and view all the answers

When is duty of candour required

<p>Unintended event leads to severe harm (B)</p> Signup and view all the answers

Tst someone not breathing

<p>Dead (E)</p> Signup and view all the answers

Two qs on temp management post paeds arrest - 3 months and and older child - 36-37 on both

<p>Hypertonic saline in hi - Has evidence in paeds - Has no evidence in adults - Some other wrong stems (A)</p> Signup and view all the answers

Anaphylaxis had 2 doses adrenaline what next

<p>Lip swelling what medication - Acei (C)</p> Signup and view all the answers

How long in gas tight suit ppe

<p>60 (B)</p> Signup and view all the answers

Someone wanting up to date crm info

<p>Caa guideline on human factors (E)</p> Signup and view all the answers

Paeds vs adult mechanical vent for hi

<p>Adjustment of ie ratio might be needed (G)</p> Signup and view all the answers

Palliative care patient paramedic gives sc morph, daughter nurse, delay to palliative care getting to do driver

<p>Leave morphine with nurse daughter (A)</p> Signup and view all the answers

Plague initial outbreak treatment

<p>Cipro (C)</p> Signup and view all the answers

Hoax call and bag at train station

<p>Call police through desk (C)</p> Signup and view all the answers

Best way to deal with fatigue

<p>Short nap (C)</p> Signup and view all the answers

Saw-which causes least movement

<p><a href="https://emj.bmj.com/content/33/9/641">https://emj.bmj.com/content/33/9/641</a> (A)</p> Signup and view all the answers

Flashcards

Yew tree toxicity

A type of poisoning that can cause damage to sodium and calcium channels in the body, leading to various neurological and physiological effects.

Highest Lethal Concentration Time

A chemical agent with the highest lethal concentration over time, meaning it can kill in a shorter amount of time at a lower concentration.

Grain Silo Rescue

A potentially fatal situation in which someone gets trapped in flowing grain, leading to suffocation or other injuries.

What’s most likely to kill someone in a grain silo?

The most likely cause of death for people trapped in a grain silo is engulfment. The weight of the grain can suffocate the person or cause crushing injuries.

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Most worrying response to a traumatic event

The emotional response that's most concerning after a traumatic event is remorsefulness, where the individual repeatedly expresses regret and self-blame.

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Responsibility for sector activities

The 'Strategic' level of command is responsible for overall activities in a sector. This includes planning, resource allocation, and setting priorities.

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Best fatigue mitigation for CCP

Taking a nap is the most effective mitigation for fatigue in a critical care paramedic on shift.

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Rocuronium vs. Succinylcholine

Rocuronium is the most useful muscle relaxant in hyperkalemia patients, as it doesn't trigger the release of potassium like succinylcholine.

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Best anesthetic for critical polytrauma

Propofol/Rocuronium is the most appropriate anesthetic combination for a severely injured patient with hypotension and airway compromise.

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Fentanyl vs. Morphine advantage

Fentanyl's high lipophilicity makes it more useful than morphine in certain situations, as it is absorbed quickly and provides a rapid onset of analgesia.

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Overall responsibility for sector activities

The overall responsibility for activities in a sector lies with the Strategic level of command.

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Anaphylaxis culprit in trauma

Chlorhexidine is the most likely culprit in an anaphylaxis reaction in a trauma patient receiving medication. Chlorhexidine is a common antiseptic agent used in medical procedures.

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Paediatric arrest with normal ETCO2 waveform

Increase the frequency or depth of chest compressions in a paediatric patient with an endotracheal tube in place, but a normal ETCO2 waveform, as this signifies inadequate ventilation.

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Snakebite management

If a patient is bitten by a snake, showing signs of anxiety, sweating, and increased respiratory rate, the priority is to administer antivenom.

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High Pressure Alarm on PV vent for Paed

In a Paediatric patient connected to a pressure-controlled ventilator, if the high-pressure alarm is triggered and the ETCO2 waveform is normal, the airway should be checked for obstructions.

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Head injury with high-pressure ventilation alarm

In a patient with a head injury and an endotracheal tube inserted at 25 cm, triggering a high-pressure alarm, the appropriate action is to examine the patient and ventilation settings before withdrawing the ET tube.

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Hemiplegic child presenting

A hemiplegic child who is alert and playing should be transported to the nearest paediatric neuro centre, ensuring the transport team is aware of the patient's condition.

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Paediatric rat poison ingestion

A child who has ingested rat poison (warfarin-like anticoagulant) should be transferred to the nearest paediatric ED for prompt medical assessment.

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Post-Taser discharge action

If a Taser is discharged successfully, the recommended action according to JRCALC is to immediately assess the patient, including taking an ECG, and then discharge them only after determining the safety of the situation.

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Oversight of JRCALC

The overall oversight of JRCALC (Joint Royal Colleges Ambulance Liaison Committee) is held by AACE (Association of Ambulance Chief Executives).

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Domestic Electrical Contact

A patient who has had domestic electrical contact but is well and with a normal ECG can be discharged after a thorough assessment.

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Improving oxygenation in flail chest

When a patient with flail chest is only receiving 90% oxygen, increasing the FiO2 (fraction of inspired oxygen) is the safest initial step to improve oxygenation.

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Study Notes

SBA Question Book and Dropbox Past Questions

  • Review the provided SBA question book and Dropbox past questions thoroughly.

Yew Tree Toxicity

  • Causative Agent: Na and Ca channel injury.
  • Highest Lethal Concentration: Sulphur has the least alarming sound.

Grain Silo Rescue

  • Greatest Risks: Engulfment and lack of oxygen are most damaging in the silo
  • Rescue Strategies: Build a tube to extract victims and drain grain from below.

Nursing Home Fire

  • Cause of Unhappiness: Traumas such as child or elderly person injuries.
  • Trainee Concerns: Short-tempered, angry, remorseful about past errors.

Sector Responsibility

  • Operational: Who is responsible for day-to-day operational duties in a sector?
  • Tactical: Who is responsible for making decisions and executing plans?
  • Strategic: Who is responsible for broader strategic objectives?
  • Command and Control: Ensure understanding of command and control guidance.

Fatigue Mitigation

  • Best Mitigation: Nap, then caffeine, then vigorous exercise.

Roc vs. Sux

  • Usefulness: Discuss the relative advantages of Rocuronium (Roc) and Succinylcholine (Sux).

Medical Emergencies

  • Hypertensive Shock with Vomiting: Propofol or Succinylcholine.
  • Hypotensive Shock: Propofol or Rocuronium, possibly consider succinylcholine, but with caution.

Paediatric Arrest

  • ETCO2 flatlines: No option for a check tube.
  • Action: Change rescuer, Increase ventilations, Increase depth or frequency of compressions, If bitten by a snake, reassure the patient, put into recovery position or administer antivenom.

High-Pressure Alarm

  • Paediatric: In a paediatric case with a high-pressure alarm, decompress, examine, and check the ventilator tube.

Ingested Rat Poison

  • Action: Take to the nearest paediatric emergency department.
  • Diagnosis: Paed ingested rat poison is likely to be coumarin, leading to warfarin-like coagulopathy and needs swift transfer.

Safety Officer

  • Gdpr: Several questions involved in the handling of patient information. Verify if action leads to the position of agent of controller or data processor.

Oxygen Increase

  • Procedure: Increase peep or fiO2, depending on the context of the patient care instructions.
  • Warning: Always ensure and confirm appropriate procedures.

Transport

  • Paeds Transfer: Verify proper protocols regarding lights, sirens, and speed limits for transfer.

Medical Incident

  • Certifying Death: A medical practitioner must attend to certify death when procedures and criteria are met.
  • Incident Commander: Know the colour and appropriate context of the tabard.

Triaging

  • Walking Triage: Injured and ambulatory patients should be safely directed to a place of safety.
  • Not-walking Triage (P3): Those with a condition requiring medical attention, sit down and treat them as a "not walking" person.

Road Closure

  • Understanding Road Closure: What are the protocols, and what is meant by the question?

Air Ambulance

  • Restrictions: Learn the laws and regulations about air ambulance operations.
  • Visibility conditions: Clarify specific details on visibility conditions needed for air ambulance mission.
  • Medical Needs: Passengers involved in emergencies can be in need of medical attention.

Emergency Treatment

  • Initial Actions: What actions will be taken first in several instances?

Medical Equipment

  • Airliner Equipment: Medical equipment on European commercial airliners, medical equipment specifics for passengers in the event of emergencies
  • Situational Awareness: Evaluate the current situation to decide what actions need to be taken.
  • Data Privacy: Review obligations when sharing patient information and follow appropriate data protection procedures.
  • Duty of Candour: Learn when disclosure to patients is necessary.

Other

  • Intubated Paediatric Arrest: Review actions in this scenario.
  • Wound Care (Knife Attack): Ensure appropriate considerations for patient safety.

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Related Documents

SBA & Dropbox Past Questions PDF

Description

Test your knowledge on health and safety protocols in various emergency situations including grain silo rescues and nursing home fires. Evaluate your understanding of toxic substances, risk management, and operational responsibilities. This quiz will cover key aspects needed for effective emergency response.

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