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

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]

Remorseful, keep saying they should have done more. Signup and view all the answers

Who has responsibility for activities in a sector?

Operational Signup and view all the answers

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

Nap Signup and view all the answers

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

Sux prop Signup and view all the answers

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

Lipophilic or potency Signup and view all the answers

Who is responsible overall for activity in a sector?

Anaphylaxis - likely agent between Roc, chlorhex, ABX, blood plus another in a trauma patient being tubes and has nothing. Signup and view all the answers

ETCO2 flat lines intubated paed arrest

Change rescuer Signup and view all the answers

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

Antivenom Signup and view all the answers

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

Check tube Signup and view all the answers

Head injured tube at 25cm high-pressure alarm

Examine patient and check vent Signup and view all the answers

Awake nearest Ed

Awake nearest Paeds neuro centre Signup and view all the answers

Taser discharged well what does JRCALC say to do

ECG and discharge Signup and view all the answers

Who has overall oversight of JRCALC

RCEM Signup and view all the answers

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

Increase fiO2? Signup and view all the answers

Motorway blocked reverse access authorised - poorly worded and confusing question

Proceed on hard shoulder Signup and view all the answers

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

Paeds transfer sats 88% on 90% not much more detail - Do you want to transfer: - No lights or sirens Signup and view all the answers

Renal hypertension and depression young male low gcs hypotension bradycardia Od

Acei Signup and view all the answers

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

A medical practitioner will need to attend to certify death Signup and view all the answers

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

Tricky as I've seen guidance that says heavy bleeding sit them down and treat as not walking Signup and view all the answers

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

No physiology Signup and view all the answers

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

Ptx Signup and view all the answers

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

5k viz 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

Red Signup and view all the answers

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

Immediately and give medical record to aid police investigation Signup and view all the answers

What to expect medical equipment wise on European commercial airliner

Ericpd - what is closing a road, what is having a safety officer? Signup and view all the answers

If you into patient details onto database are you:

Data processor Signup and view all the answers

When is duty of candour required

Unintended event leads to severe harm Signup and view all the answers

Tst someone not breathing

Dead Signup and view all the answers

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

Hypertonic saline in hi - Has evidence in paeds - Has no evidence in adults - Some other wrong stems Signup and view all the answers

Anaphylaxis had 2 doses adrenaline what next

Lip swelling what medication - Acei Signup and view all the answers

How long in gas tight suit ppe

60 Signup and view all the answers

Someone wanting up to date crm info

Caa guideline on human factors Signup and view all the answers

Paeds vs adult mechanical vent for hi

Adjustment of ie ratio might be needed Signup and view all the answers

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

Leave morphine with nurse daughter Signup and view all the answers

Plague initial outbreak treatment

Cipro Signup and view all the answers

Hoax call and bag at train station

Call police through desk Signup and view all the answers

Best way to deal with fatigue

Short nap Signup and view all the answers

Saw-which causes least movement

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

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.

Legal Considerations

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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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.