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Mass Casualty Incidents (MCIs) in EMS

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76 Questions

What is the minimum number of patients required to classify a situation as a mass-casualty incident?

Three

What is the primary purpose of the incident command system (ICS) in disaster response?

To do the greatest good for the greatest number of people

What is the National Incident Management System (NIMS) primarily designed to promote?

Efficient coordination of emergency incidents at the regional, state, and national levels

In which year was the National Incident Management System (NIMS) implemented?

2004

What is one of the key components of the National Incident Management System (NIMS)?

Standardization in terminology, resource classification, personnel training, and certification

Who implemented the National Incident Management System (NIMS) in 2004?

The Secretary of Homeland Security

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

To achieve incident management goals

What is the primary responsibility of the Logistics Section in the ICS?

Providing medical equipment and supplies

Which ICS component focuses on solving problems as they arise during an incident?

Planning Section

What is the primary role of the Safety Officer in the ICS?

To monitor the scene for hazardous conditions

Which of the following is a key principle of the ICS?

Limiting the span of control of any one individual

What is the primary function of the Command Staff in the ICS?

Advising the Incident Commander

What is the purpose of the incident action plan in the ICS?

To provide clear, concise information about incident activities

What is the primary responsibility of the Operations Section in the ICS?

Managing tactical operations

What is a key aspect of the ICS's communication strategy?

Using clear text and common terminology to facilitate communication

What is the primary role of the Incident Commander in the ICS?

To oversee the overall incident response

What is the primary responsibility of the Public Information Officer (PIO)?

To provide the public and media with clear and understandable information

What is the purpose of checking in with the incident commander upon arrival at an incident?

To be assigned to a supervisor for job tasking

What is the main purpose of incident record keeping?

To track time spent on the actual incident for reimbursement purposes

What is the primary goal of accountability in the incident command system?

To keep the supervisor advised of your location, actions, and completed tasks

What is the purpose of a joint information center (JIC)?

To allow for cooperation with PIOs from other agencies

What is the primary focus of preparedness in the incident command system?

Decisions made and basic planning done before an incident occurs

What is the main purpose of the size-up process in the incident command system?

To assess the incident and make preliminary decisions

What is the primary goal of establishing command in the incident command system?

To coordinate resources effectively and efficiently

What is the recommended method of communication in the incident command system?

Using face-to-face communication to limit radio traffic

What is the purpose of the Medical Branch of Incident Command?

To coordinate medical resources during an incident

What is the primary reason for assessing the neurologic status of a patient?

To prioritize patients who are unconscious or unresponsive

What is the most common cause of cardiac arrest in children?

Respiratory arrest

What is the purpose of the JumpSTART triage system?

To triage pediatric patients younger than 8 years or weighing less than 100 lb

What should be done if a pediatric patient is not breathing?

Check the pulse and label the patient as expectant

What is the priority for patients who are hysterical and disruptive to rescue efforts?

Immediate priority

How should immediate-priority patients be transported?

Two at a time until all are transported

What is the purpose of declaring a disaster?

Only an elected official can declare a disaster

What is the role of a responder in a disaster?

To respond when requested and report to the Incident Commander (IC) for assigned tasks

What happens if hospitals decide they cannot treat all patients in their facility during a disaster?

They mobilize medical and nursing teams with equipment

How long may emergency responders be on the scene of a disaster?

Days to weeks

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

To supervise the triage, treatment, and transport of injured people

What is the primary responsibility of the triage supervisor?

To count and prioritize patients

What is the purpose of the staging area in an MCI?

To stage emergency vehicles prior to deployment

What is the role of the physician on scene in an MCI?

To make difficult triage decisions and provide on-scene medical direction

What is the primary goal of the rehabilitation supervisor?

To provide rest, fluids, food, and protection to responders

What is the role of the morgue supervisor in an MCI?

To work with area medical examiners and coroners to coordinate removal of bodies

What is the primary consideration for declaring an MCI?

The number of patients exceeding the number of available ambulances

What is the primary responsibility of the treatment supervisor?

To set up the treatment area and provide secondary triage

What is the role of the transportation supervisor in an MCI?

To coordinate the transportation of patients to hospitals

What is the primary consideration for the location of the rehabilitation area?

Away from exhaust fumes and crowds

What is the primary purpose of a casualty collection area?

To perform triage and prioritize patients for transportation

What is the primary goal of the HAZWOPER standard?

To provide training for first responders at a hazmat incident

What should a first responder at the awareness level be able to do?

Recognize the presence of hazardous substances and respond accordingly

What should you do when approaching the scene of a potential hazmat incident?

Approach the scene from a safe location and direction

What is a hazardous material?

Any material that poses a risk to people or the environment

What can be a good indicator of the possible presence of a hazardous material?

The location and type of building

What should you avoid doing when approaching the scene of a potential hazmat incident?

Relying solely on the type of container to determine the hazardous material

What is the primary purpose of dividing containers into bulk and nonbulk storage containers?

To determine the volume of the container

What is a critical visual indicator of a hazardous material incident?

The presence of a hazardous material placard

What should you do if you are overcome by a hazardous material?

Try to escape the area and get fresh air

What is the primary goal of primary triage in a mass-casualty incident?

To prioritize patients based on the severity of their injuries

What is the term 'sorting' in the context of disaster response?

Triage

What is the purpose of tagging patients during primary triage?

To categorize patients based on their condition

What is the 'ST' in the START triage method?

Simple Triage and Rapid Treatment

What is the criteria used to categorize a patient as immediate priority in the START triage method?

Respiratory rate of 10 breaths per minute or less

What is the purpose of assessing the hemodynamic status of a patient during triage?

To assess the patient's hemodynamic status

What is the purpose of retriage during a mass-casualty incident?

To reassess patients and upgrade their triage category as necessary

What is the purpose of labeling patients with triage tags?

To categorize patients based on their condition

Who should communicate the number of patients in each triage category to the medical branch director?

The triage supervisor

What is the purpose of START triage?

To triage patients quickly and accurately

What is the primary purpose of secondary containment systems in bulk storage containers?

To control spilled or released product if the main containment vessel fails

What is the typical capacity range of totes?

119 gallons to 703 gallons

What is the purpose of the Department of Transportation (DOT) marking system?

To indicate the presence of a hazardous material from a safe distance and provide clues about the substance

What type of containers are used to transport and store corrosives and other types of chemicals?

Carboys

What is the purpose of the Emergency Response Guidebook?

To offer guidance for responders operating at a hazmat incident

What type of information is provided in material safety data sheets (MSDS)?

Basic information about the chemical makeup of a substance, potential hazards it presents, and appropriate first aid in the event of an exposure

What is the purpose of shipping papers?

To include the names and addresses of the shipper and the receiver, identify the material being shipped, and specify the quantity and weight of each part of the shipment

What is the minimum amount of hazardous material that requires a placard on the transportation vehicle?

A certain amount of hazardous material, which varies depending on the type of material

What is the purpose of the Chemical Transportation Emergency Center (CHEMTREC)?

To provide emergency response assistance for transportation-related incidents involving hazardous materials

What type of containers are used to store substances such as nitrogen, argon, helium, and oxygen?

Uninsulated compressed gas cylinders

Learn about mass casualty incidents, including the definition, response, and mutual aid response. Test your knowledge of emergency medical services (EMS) in disaster situations.

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