Podcast
Questions and Answers
Which of the following statements regarding storage containers and hazardous materials is correct? (Select all that apply)
Which of the following statements regarding storage containers and hazardous materials is correct? (Select all that apply)
Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:
Following proper decontamination, a 30-year-old male is brought to you. He is semiconscious and has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:
Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?
Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?
You and your partner arrive at the scene where a truck has crashed into a small building, injuring eight people. You immediately request additional ambulances and begin the triage process. The first patient that you triage is a young female who is unconscious and apneic. She has an open head injury, and her pulse is weak and thready. You should:
You and your partner arrive at the scene where a truck has crashed into a small building, injuring eight people. You immediately request additional ambulances and begin the triage process. The first patient that you triage is a young female who is unconscious and apneic. She has an open head injury, and her pulse is weak and thready. You should:
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You are approaching an overturned tanker truck to assess the driver, who appears to be unresponsive. As you get closer to the vehicle, you note the smell of noxious fumes and find that you are in the midst of a vapor cloud. What should you do?
You are approaching an overturned tanker truck to assess the driver, who appears to be unresponsive. As you get closer to the vehicle, you note the smell of noxious fumes and find that you are in the midst of a vapor cloud. What should you do?
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When victims involved in a multiple-casualty incident are moved to the treatment area:
When victims involved in a multiple-casualty incident are moved to the treatment area:
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A carboy is a container that would most likely be used to store and transport:
A carboy is a container that would most likely be used to store and transport:
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The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.
The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.
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During a motor vehicle collision involving multiple patients, the incident commander would most likely:
During a motor vehicle collision involving multiple patients, the incident commander would most likely:
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While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing; has bilateral radial pulses; and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:
While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing; has bilateral radial pulses; and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:
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Which of the following statements regarding communications at a disaster or multiple-casualty incident is correct?
Which of the following statements regarding communications at a disaster or multiple-casualty incident is correct?
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Which of the following most accurately describes a multiple-casualty incident?
Which of the following most accurately describes a multiple-casualty incident?
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The process of removing or neutralizing and properly disposing of a hazardous material is called:
The process of removing or neutralizing and properly disposing of a hazardous material is called:
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Burn patients without airway compromise and patients with multiple bone or joint injuries should be marked with a __________ triage tag at a mass-casualty incident.
Burn patients without airway compromise and patients with multiple bone or joint injuries should be marked with a __________ triage tag at a mass-casualty incident.
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Injuries or conditions that would be classified as first priority (red tag; immediate) include all of the following, except:
Injuries or conditions that would be classified as first priority (red tag; immediate) include all of the following, except:
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In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.
In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.
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According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should:
According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should:
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After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, except:
After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, except:
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As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:
As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:
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You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?
You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?
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You and your partner are the first to arrive at the scene of a motor vehicle accident. As you approach the scene, you can see multiple patients, some walking and others who are still in their vehicles. You should:
You and your partner are the first to arrive at the scene of a motor vehicle accident. As you approach the scene, you can see multiple patients, some walking and others who are still in their vehicles. You should:
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You are at the scene of a multiple-casualty incident when your partner slips and falls, injuring his leg. He is alert and responds appropriately to your questions. His respirations are 20 breath/min, and his radial pulses are strong. What triage category should you assign your partner?
You are at the scene of a multiple-casualty incident when your partner slips and falls, injuring his leg. He is alert and responds appropriately to your questions. His respirations are 20 breath/min, and his radial pulses are strong. What triage category should you assign your partner?
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The development of an incident action plan is the responsibility of the:
The development of an incident action plan is the responsibility of the:
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A tour bus has overturned, resulting in numerous patients. When you arrive, you are immediately assigned to assist in the triage process. Patient 1 is a middle-aged male with respiratory distress, chest pain, and a closed deformity to his right forearm. Patient 2 is a young female who is conscious and alert but has bilateral femur fractures and numerous abrasions to her arms and face. Patient 3 is an older woman who complains of abdominal pain and has a history of cardiovascular disease. Patient 4 is unresponsive, is not breathing, has a weak carotid pulse, and has a grossly deformed skull. What triage categories should you assign to these patients?
A tour bus has overturned, resulting in numerous patients. When you arrive, you are immediately assigned to assist in the triage process. Patient 1 is a middle-aged male with respiratory distress, chest pain, and a closed deformity to his right forearm. Patient 2 is a young female who is conscious and alert but has bilateral femur fractures and numerous abrasions to her arms and face. Patient 3 is an older woman who complains of abdominal pain and has a history of cardiovascular disease. Patient 4 is unresponsive, is not breathing, has a weak carotid pulse, and has a grossly deformed skull. What triage categories should you assign to these patients?
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According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?
According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?
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The function of the National Incident Management System (NIMS) is to:
The function of the National Incident Management System (NIMS) is to:
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Historically, the weak point at most major incidents has been:
Historically, the weak point at most major incidents has been:
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A Level 4 hazardous material:
A Level 4 hazardous material:
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Which of the following statements regarding the unified command system is correct?
Which of the following statements regarding the unified command system is correct?
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To accomplish the goal of primary triage, it is important to:
To accomplish the goal of primary triage, it is important to:
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Placards and labels on a storage container are intended to:
Placards and labels on a storage container are intended to:
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According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?
According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?
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Which of the following patients should be assigned an immediate (red tag) category?
Which of the following patients should be assigned an immediate (red tag) category?
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Unlike a multiple-casualty incident, a natural disaster:
Unlike a multiple-casualty incident, a natural disaster:
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The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called:
The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called:
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Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:
Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:
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The most appropriate location to park your ambulance at a HazMat incident is:
The most appropriate location to park your ambulance at a HazMat incident is:
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Which of the following duties or responsibilities does not fall within the realm of the medical branch of the incident command system?
Which of the following duties or responsibilities does not fall within the realm of the medical branch of the incident command system?
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You are triaging patients at the scene of a multiple-vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should:
You are triaging patients at the scene of a multiple-vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should:
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Which of the following statements regarding hazardous materials is correct?
Which of the following statements regarding hazardous materials is correct?
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Study Notes
Storage Containers and Hazardous Materials
- Color of storage containers often does not indicate their contents; there is typically no correlation.
- Specific chemicals, like water-reactive solids, must be identified with a placard regardless of shipment weight.
Patient Management in Emergencies
- For semi-conscious patients with rapid respirations, initiate positive-pressure ventilation.
- In multiple casualty incidents, patients are assigned triage tags according to the severity of their conditions; unconscious apneics receive high-priority assessment.
- In mass-casualty situations, patients without airway compromise and those with multiple bone injuries should receive yellow triage tags.
Triage Systems
- The JumpSTART triage system is used for children under 8 years old or under 100 lbs.
- During triage, prioritize patient assessment based on immediate and delayed needs; patients with concerns like respiratory distress and serious fractures need close attention.
Communication and Incident Command
- Each command group at a disaster should operate on a separate radio frequency to minimize confusion.
- The incident commander maintains control, often delegating tasks but keeping overall responsibility.
Hazardous Material Incident Protocol
- Upon approaching a hazardous materials incident, assess the scene carefully and prevent unauthorized access.
- Emergency responders must position themselves upwind of hazardous incidents to avoid exposure.
NIMS and Incident Management
- The National Incident Management System (NIMS) standardizes methods for responding to incidents, aiming for preparation and recovery from domestic threats.
- Effective communication has historically been a weakness in managing major incidents, often leading to inefficiencies.
Response and Triage Approaches
- Begin primary triage quickly; keep assessments brief to ensure efficiency.
- Do not commence treatment until triage is complete; identify immediate needs based on observable respiratory and circulatory distress.
- Unresponsive patients not breathing should have their airways opened and be reassessed promptly.
Emergency Preparedness
- EMS systems should plan for a minimum of 72 hours of self-sufficiency during disasters.
Medical Branch Responsibilities
- Extrication falls outside the medical branch's duties in incident command; it focuses more on treatment, transport, and triage.
Combating Challenges in Emergencies
- The term 'freelancing' describes situations where organizations make independent decisions, leading to disorganization and inefficiency during incidents.
Key Recovery Concepts
- In hazardous material incidents, some substances may not be hazardous alone but can become toxic when mixed with other chemicals, underscoring the need for careful handling and awareness.
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Description
Explore the critical concepts of triage systems and patient management in emergencies. This quiz covers the correct protocols for managing semi-conscious patients and the importance of proper labeling for hazardous materials. Perfect for healthcare professionals and students in emergency medicine.
