EMT Emergency Care Book - CH. 40 - Incident Command System (ICS) Principles
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Questions and Answers

What is the order of priority for treatment and transport at a Mass Casualty Incident (MCI)?

  • Expectant, Immediate, Minimal, Delayed
  • Expectant, Immediate, Delayed, Minimal
  • Immediate, Delayed, Minimal, Expectant (correct)
  • Delayed, Immediate, Minimal, Expectant

    • Which triage category at an MCI includes patients with severe injuries having minimal chances of survival?

  • Expectant (correct)
  • Delayed
  • Immediate
  • Minimal

    • What type of injuries do Minimal (green-tag) patients at an MCI usually have?

  • Back injuries with spinal cord injury
  • Soft-tissue injuries like contusions and lacerations (correct)
  • Head trauma
  • Problems with the ABCs

    • Which category of patients at an MCI need immediate care and transport?

    <p>Immediate</p> Signup and view all the answers

    What does the acronym IDME stand for in relation to triage categories?

    <p>Immediate, Delayed, Minor or Minimal, Expectant</p> Signup and view all the answers

    What is the primary objective of the Incident Command System (ICS)?

    <p>To manage resources efficiently during an emergency</p> Signup and view all the answers

    What principle of the ICS aims to avoid inefficiency and duplication of effort?

    <p>Avoiding freelancing</p> Signup and view all the answers

    What is the recommended supervisor/worker ratio according to the ICS?

    <p>One supervisor for every five subordinates</p> Signup and view all the answers

    Which incident organizational level is responsible for a major functional area such as finance/administration, logistics, planning, or operations?

    <p>Section</p> Signup and view all the answers

    What is the role of the branch director in the ICS?

    <p>Managing branches within the incident organization</p> Signup and view all the answers

    Under what circumstances would incident personnel establish branches within the incident organization?

    <p>When there is a need for more oversight</p> Signup and view all the answers

    What is the primary function of the medical branch director in the Incident Command System?

    <p>To ensure that EMS units are working within the ICS and personnel remain with their vehicles until assigned duties</p> Signup and view all the answers

    What is the role of the triage supervisor in the Incident Command System?

    <p>To count and prioritize patients</p> Signup and view all the answers

    What should be included in a disaster communications plan?

    <p>Having backup communications systems in case of failure</p> Signup and view all the answers

    Who is responsible for designating someone as the chief of the medical branch under the operations section?

    <p>The incident commander</p> Signup and view all the answers

    What is the role of mobile self-contained communications centers in disaster response?

    <p>They are used as primary communication centers</p> Signup and view all the answers

    What is the purpose of designating channels strictly for command during a disaster?

    <p>To prevent interference from other communication channels</p> Signup and view all the answers

    What type of drum is typically used to store corrosive substances?

    <p>Polyethylene drums</p> Signup and view all the answers

    Which type of nonbulk storage vessel is commonly used to store flammable liquids?

    <p>Drums</p> Signup and view all the answers

    Which type of material is typically stored in cardboard drums?

    <p>Solid materials</p> Signup and view all the answers

    Which type of nonbulk storage vessel is commonly used to store pesticides?

    <p>Bags</p> Signup and view all the answers

    Which type of drum is typically used to store materials that are too reactive for plain steel or polyethylene?

    <p>Stainless steel drums</p> Signup and view all the answers

    Which type of nonbulk storage vessel is commonly used to store cement powder?

    <p>Bags</p> Signup and view all the answers

    Which triage category represents an intermediate category between the critical (red tag) and non-critical, nonambulatory (yellow tag) categories of patients?

    <p>Orange tag</p> Signup and view all the answers

    Which triage category includes patients who are having nontraumatic chest pain or shortness of breath following an event?

    <p>Orange tag</p> Signup and view all the answers

    Which triage category typically includes patients with severe medical problems and signs of shock (hypoperfusion)?

    <p>Red tag</p> Signup and view all the answers

    Which triage category includes patients whose treatment and transport can be temporarily delayed, such as those with burns without airway compromise or major or multiple bone or joint injuries?

    <p>Yellow tag</p> Signup and view all the answers

    Which triage category includes patients who are already dead or have little chance for survival?

    <p>Black tag</p> Signup and view all the answers

    Which triage category includes patients who require minimal or no treatment and transport, such as those with minor fractures or minor soft-tissue injuries?

    <p>Green tag</p> Signup and view all the answers

    What is the primary role of the Hazardous Waste Operations and Emergency Response (HAZWOPER) guidelines published by OSHA?

    <p>To provide training requirements for hazmat incidents</p> Signup and view all the answers

    Which of the following is NOT a common sign of a potential meth lab?

    <p>Presence of large industrial machinery</p> Signup and view all the answers

    What level of training do EMTs require to respond to hazmat incidents according to HAZWOPER?

    <p>First Responder Awareness Level</p> Signup and view all the answers

    Which of the following is NOT a common injury risk for people who cook meth?

    <p>Radiation exposure</p> Signup and view all the answers

    What should be the first action if you suspect the presence of a meth lab?

    <p>Notify law enforcement immediately</p> Signup and view all the answers

    Which of the following is NOT a common smell associated with meth labs?

    <p>Fresh bread</p> Signup and view all the answers

    What is the purpose of the Incident Command System (ICS)?

    <p>To coordinate response efforts during an incident</p> Signup and view all the answers

    What is the role of the triage supervisor in the Incident Command System?

    <p>To oversee the triage process and ensure its efficiency</p> Signup and view all the answers

    What are the potential health hazards associated with exposure to toxic fumes from meth labs?

    <p>Respiratory hazards, confusion, and altered mental status</p> Signup and view all the answers

    What is the primary concern when considering immediate patient care in a possible hazmat incident?

    <p>Rushing into an unsafe scene can lead to catastrophic results</p> Signup and view all the answers

    What is the reason for the increased popularity of meth?

    <p>Increased accessibility, highly addictive properties, and relatively low cost</p> Signup and view all the answers

    What is the primary function of mobile self-contained communications centers during a disaster response?

    <p>To establish communication channels for command</p> Signup and view all the answers

    What are the potential risks associated with the manufacturing process of meth?

    <p>Risk of explosion and fire due to ignition of toxic fumes</p> Signup and view all the answers

    Which category of patients at an MCI need immediate care and transport?

    <p>Immediate (red tag) patients</p> Signup and view all the answers

    Which type of nonbulk storage vessel is commonly used to store flammable liquids?

    <p>Polyethylene drums</p> Signup and view all the answers

    What is the recommended supervisor/worker ratio according to the ICS?

    <p>1:5</p> Signup and view all the answers

    What is the primary purpose of asking 'What do I have?' during an initial assessment at an incident scene?

    <p>To assess the scene for hazards and establish incident location</p> Signup and view all the answers

    What is the significance of establishing whether an incident is open or closed?

    <p>To understand the potential for more casualties</p> Signup and view all the answers

    What is the purpose of warning all responders about hazardous materials or safety concerns as soon as possible?

    <p>To ensure scene safety and prevent a chain reaction of problems</p> Signup and view all the answers

    What is the role of the 'symbiotic relationship' between the three basic questions in an initial assessment?

    <p>To allow answers from one question to help answer the others</p> Signup and view all the answers

    What is the main purpose of a mobile emergency room at an incident scene?

    <p>To provide advanced life support to multiple patients simultaneously</p> Signup and view all the answers

    What is the significance of a closed incident quickly becoming an open incident?

    <p>To emphasize the dynamic nature of incidents</p> Signup and view all the answers

    What is the primary focus of the question 'What do I need to do?' during an initial assessment?

    <p>To identify immediate actions required</p> Signup and view all the answers

    What is the importance of working as a team when answering the three basic questions during an initial assessment?

    <p>To avoid overlooking safety issues</p> Signup and view all the answers

    What is the primary responsibility of the safety officer in a disaster response situation?

    <p>Stopping emergency operations whenever a rescuer is in danger</p> Signup and view all the answers

    What is the significance of the liaison officer's role in the incident organization?

    <p>Relaying information and concerns among command, general staff, and other agencies</p> Signup and view all the answers

    What is the role of the joint information center (JIC) in managing public information during a disaster?

    <p>Distributing messages designed to help a situation, prevent panic, and provide evacuation directions</p> Signup and view all the answers

    What is the significance of the PIO's role in disaster response?

    <p>Providing clear and understandable information to the public and media</p> Signup and view all the answers

    What is the primary function of the medical branch director in the Incident Command System (ICS)?

    <p>Managing the overall medical response within the ICS</p> Signup and view all the answers

    What is the role of the triage supervisor in the Incident Command System (ICS)?

    <p>Supervising and coordinating the triage process at the incident scene</p> Signup and view all the answers

    What is the role of the branch director in the ICS?

    <p>Managing a major functional area such as finance/administration, logistics, planning, or operations</p> Signup and view all the answers

    What is the role of mobile self-contained communications centers in disaster response?

    <p>Enabling effective communication and coordination among incident personnel</p> Signup and view all the answers

    What is the primary duty of the triage division or group during a large incident?

    <p>To ensure that every patient receives initial assessment of their condition</p> Signup and view all the answers

    What is one of the most difficult parts of working as triage personnel during a large incident?

    <p>To begin treatment of patients without triaging them first</p> Signup and view all the answers

    What is the primary function of the treatment supervisor in the Incident Command System?

    <p>To locate and set up the treatment area with a tier for each priority of patient</p> Signup and view all the answers

    What is the role of the transportation supervisor in the Incident Command System?

    <p>To coordinate the transportation of patients to appropriate receiving hospitals</p> Signup and view all the answers

    What is the role of the medical branch director in the Incident Command System?

    <p>To ensure that secondary triage of patients is completed and that adequate patient care is provided</p> Signup and view all the answers

    What is the role of the medical branch director in communicating with the treatment supervisor in the Incident Command System?

    <p>To request sufficient quantities of supplies for the treatment area</p> Signup and view all the answers

    What is the role of the medical branch director in coordinating with the transportation supervisor in the Incident Command System?

    <p>To request sufficient quantities of ambulances for the transportation area</p> Signup and view all the answers

    What is the role of the medical branch director in communicating with the transportation supervisor in the Incident Command System?

    <p>To request sufficient quantities of ambulances for the transportation area</p> Signup and view all the answers

    What is the immediate action to take if a pediatric patient is found not breathing?

    <p>Check the pulse</p> Signup and view all the answers

    Why is a pediatric patient labeled as expectant (black) if they do not begin to breathe after receiving rescue breaths?

    <p>Respiratory arrest is the most common cause of cardiac arrest in children</p> Signup and view all the answers

    What is the significance of assessing the approximate rate of respirations in the JumpSTART process?

    <p>To determine the need for immediate care</p> Signup and view all the answers

    Why is it important to assess the hemodynamic status of a pediatric patient during triage?

    <p>To evaluate the patient's circulatory function</p> Signup and view all the answers

    What should be done if a pediatric patient does not have a distal pulse during triage?

    <p>Label the child as immediate priority</p> Signup and view all the answers

    What distinguishes an immediate priority (red) patient in JumpSTART triage?

    <p>&gt;45 breaths/min respiratory rate</p> Signup and view all the answers

    In JumpSTART triage, why is it crucial to open the airway with a manual maneuver for a non-breathing pediatric patient with a pulse?

    <p>Respiratory arrest is the primary cause of cardiac arrest in children</p> Signup and view all the answers

    When should a pediatric patient be labeled as immediate priority (red) during JumpSTART triage?

    <p>&gt;40 breaths/min respiratory rate</p> Signup and view all the answers

    What is a key characteristic of a single command system in incident management?

    <p>Places one person in charge, typically for short-duration incidents</p> Signup and view all the answers

    In a multivehicle crash situation at a mass-casualty incident, which team would typically take the lead according to the response plan?

    <p>Medical team</p> Signup and view all the answers

    What is the primary reason for agencies that share a border to train often together?

    <p>To ensure effective communication and collaboration during incidents</p> Signup and view all the answers

    Why are large MCIs, such as hazmat incidents, more likely to require a multiagency or multijurisdictional response?

    <p>Because of the complexity and scale of the incident</p> Signup and view all the answers

    What is one potential drawback of a shared responsibility for decision-making in incident management?

    <p>Delayed decision-making due to consensus building</p> Signup and view all the answers

    Under what circumstances would the Incident Commander designate a safety officer at a motor vehicle crash site with multiple patients?

    <p>To ensure safety protocols are strictly followed</p> Signup and view all the answers

    Why is it important for agencies involved in large-scale incidents to appoint team members to all command roles?

    <p>To ensure accountability and oversight in all areas</p> Signup and view all the answers

    What makes large MCIs, like hazmat incidents, different from other incidents in terms of agency involvement?

    <p>They necessitate a unified command system due to complexity.</p> Signup and view all the answers

    What is the primary concern when considering immediate patient care in a possible hazmat incident?

    <p>Establishing a treatment area away from the hazard zone.</p> Signup and view all the answers

    Which resource is required for a situation involving extrication?

    <p>A rescue unit and fire department response.</p> Signup and view all the answers

    What is the main purpose of a mobile emergency room at an incident scene?

    <p>To provide treatment for dozens of patients at once.</p> Signup and view all the answers

    What is the recommended supervisor-to-worker ratio according to the ICS?

    <p>1:10</p> Signup and view all the answers

    Which triage category includes patients who require minimal or no treatment and transport, such as those with minor fractures or minor soft-tissue injuries?

    <p>Minimal (green-tag)</p> Signup and view all the answers

    What does the acronym IDME stand for in relation to triage categories?

    <p>Identify, Document, Manage, Evacuate</p> Signup and view all the answers

    What is the primary function of the medical branch director in the Incident Command System (ICS)?

    <p>To manage the medical resources and personnel during an incident.</p> Signup and view all the answers

    What is the primary concern when considering immediate patient care in a possible hazmat incident?

    <p>Establishing a treatment area away from the hazard zone.</p> Signup and view all the answers

    What toxicity level includes materials that could cause temporary damage or residual injury unless prompt medical treatment is provided?

    <p>Toxicity Level 2</p> Signup and view all the answers

    Which toxicity level is considered extremely hazardous to health and requires full protective gear to avoid any skin exposure?

    <p>Toxicity Level 3</p> Signup and view all the answers

    Which toxicity level includes materials that would cause little, if any, health hazard if one came in contact with them?

    <p>Toxicity Level 0</p> Signup and view all the answers

    Which toxicity level includes materials that would cause irritation on contact but only mild residual injury, even without treatment?

    <p>Toxicity Level 1</p> Signup and view all the answers

    Which toxicity level includes materials that could cause temporary damage or residual injury unless prompt medical treatment is provided, and also requires use of self-contained breathing apparatus (SCBA)?

    <p>Toxicity Level 2</p> Signup and view all the answers

    Which toxicity level includes materials that are considered slightly hazardous but require use of self-contained breathing apparatus (SCBA) if one is going to come in contact with them?

    <p>Toxicity Level 2</p> Signup and view all the answers

    Which toxicity level includes materials that are considered extremely hazardous to health and could cause temporary damage or residual injury unless prompt medical treatment is provided?

    <p>Toxicity Level 3</p> Signup and view all the answers

    Which toxicity level includes materials that would cause irritation on contact but only mild residual injury, even without treatment, and also requires use of self-contained breathing apparatus (SCBA)?

    <p>Toxicity Level 2</p> Signup and view all the answers

    What is the purpose of a placard in the context of hazardous materials transportation?

    <p>To give a general idea of the hazard inside each container or cargo tank</p> Signup and view all the answers

    What is the size of a label used for smaller packages containing hazardous materials?

    <p>3.9 inches (100 mm) per side</p> Signup and view all the answers

    Which organization in Canada also uses the same marking system for hazardous materials transportation?

    <p>Transport Canada</p> Signup and view all the answers

    What is the primary function of a label on a box inside a delivery truck carrying hazardous materials?

    <p>To relate only to the potential hazard inside that particular package</p> Signup and view all the answers

    What is the approximate size of a placard used for hazardous materials transportation?

    <p>9.8 inches (250 mm) per side</p> Signup and view all the answers

    Which organization is responsible for providing the Emergency Response Guidebook that contains labels, placards, and markings for hazardous materials transportation?

    <p>US Department of Transportation</p> Signup and view all the answers

    Which federal agency is responsible for the safety of hazardous materials transportation in the United States?

    <p>US Department of Transportation</p> Signup and view all the answers

    What is the primary purpose of placards and labels in the context of hazardous materials transportation?

    <p>To give a general idea of the hazard inside each container or cargo tank</p> Signup and view all the answers

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