Triage Systems Quiz & Flashcards for Emergency Management

Questions and Answers

Which of the following statements regarding storage containers and hazardous materials is correct? (Select all that apply)

In most cases, there is no correlation between the color of the container and the possible contents. (correct)

Red phosphorus from a drug laboratory is found in a blue container that is clearly labeled.

The Emergency Response Guidebook tells you the type and color of container used to store hazardous materials.

Steel utility drums are used to contain acids, bases, and other corrosive chemicals and substances.

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:

Administer high-flow oxygen via a nonrebreathing mask.

Begin some form of positive-pressure ventilation. (correct)

Perform a rapid assessment to locate critical injuries.

Ask a firefighter what the patient was exposed to.

Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?

Flammable liquids

Nonflammable gases

Water-reactive solids (correct)

Air-reactive solids

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:

Begin ventilating her with a bag-valve mask. Signup and view all the answers

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?

Realize that you are in the danger zone and prevent others from entering. Signup and view all the answers

When victims involved in a multiple-casualty incident are moved to the treatment area:

Secondary triage is performed, and the appropriate treatment is rendered. Signup and view all the answers

A carboy is a container that would most likely be used to store and transport:

Corrosives. Signup and view all the answers

The JumpSTART triage system is intended to be used for children younger than _ years or who appear to weigh less than _.

8, 100 lb Signup and view all the answers

During a motor vehicle collision involving multiple patients, the incident commander would most likely:

Designate a safety officer but retain other command functions. Signup and view all the answers

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:

Assign him a delayed (yellow) category and continue triaging the other patients. Signup and view all the answers

Which of the following statements regarding communications at a disaster or multiple-casualty incident is correct?

Each command group should utilize a separate radio frequency. Signup and view all the answers

Which of the following most accurately describes a multiple-casualty incident?

An incident that greatly taxes or depletes a system's available resources. Signup and view all the answers

The process of removing or neutralizing and properly disposing of a hazardous material is called:

Decontamination. Signup and view all the answers

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.

yellow Signup and view all the answers

Injuries or conditions that would be classified as first priority (red tag; immediate) include all of the following, except:

Fractures of multiple long bones. Signup and view all the answers

In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.

72-hour Signup and view all the answers

According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should:

Assess for a distal pulse. Signup and view all the answers

After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, except:

The recommended transport destination for each patient. Signup and view all the answers

As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:

Establish command. Signup and view all the answers

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?

A 49-year-old female with diabetes and difficulty breathing. Signup and view all the answers

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:

Declare a multiple-casualty incident and request additional resources. Signup and view all the answers

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?

Immediate Signup and view all the answers

The development of an incident action plan is the responsibility of the:

Planning section. Signup and view all the answers

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?

Patient 1, immediate (red); Patient 2, delayed (yellow); Patient 3, immediate (red); Patient 4, expectant (black) Signup and view all the answers

According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?

Assess for bilateral radial pulses. Signup and view all the answers

The function of the National Incident Management System (NIMS) is to:

Prepare for, prevent, respond to, and recover from domestic incidents. Signup and view all the answers

Historically, the weak point at most major incidents has been:

Communication. Signup and view all the answers

A Level 4 hazardous material:

Requires specialized gear designed for protection against that particular hazard. Signup and view all the answers

Which of the following statements regarding the unified command system is correct?

Under the unified command system, plans are drawn up in advance by all cooperating agencies that assume a shared responsibility for decision making. Signup and view all the answers

To accomplish the goal of primary triage, it is important to:

Keep the triage assessment brief and the patient categories basic. Signup and view all the answers

Placards and labels on a storage container are intended to:

Give a general idea of the hazard inside that particular container. Signup and view all the answers

According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?

Open the airway and reassess breathing status. Signup and view all the answers

Which of the following patients should be assigned an immediate (red tag) category?

22-year-old male with blunt abdominal trauma, tachycardia, pallor, and diaphoresis. Signup and view all the answers

Unlike a multiple-casualty incident, a natural disaster:

Often requires personnel to remain on scene for several days. Signup and view all the answers

The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called:

Freelancing. Signup and view all the answers

Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:

Carefully assess the situation. Signup and view all the answers

The most appropriate location to park your ambulance at a HazMat incident is:

Upwind at least 100′ from the incident. Signup and view all the answers

Which of the following duties or responsibilities does not fall within the realm of the medical branch of the incident command system?

Extrication Signup and view all the answers

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:

Tag him as immediate (red), place him in the recovery position, and move to the next patient. Signup and view all the answers

Which of the following statements regarding hazardous materials is correct?

Some substances are not hazardous by themselves but become toxic when mixed with another chemical. Signup and view all the answers

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.

Triage Systems and Emergency Patient Management

Questions and Answers

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:

Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?

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?

When victims involved in a multiple-casualty incident are moved to the treatment area:

A carboy is a container that would most likely be used to store and transport:

The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____.

During a motor vehicle collision involving multiple patients, the incident commander would most likely:

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:

Which of the following statements regarding communications at a disaster or multiple-casualty incident is correct?

Which of the following most accurately describes a multiple-casualty incident?

The process of removing or neutralizing and properly disposing of a hazardous material is called:

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.

Injuries or conditions that would be classified as first priority (red tag; immediate) include all of the following, except:

In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency.

According to the JumpSTART triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should:

After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, except:

As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then:

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 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 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?

The development of an incident action plan is the responsibility of the:

According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?

The function of the National Incident Management System (NIMS) is to:

Historically, the weak point at most major incidents has been:

A Level 4 hazardous material:

Which of the following statements regarding the unified command system is correct?

To accomplish the goal of primary triage, it is important to:

Placards and labels on a storage container are intended to:

According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?

Which of the following patients should be assigned an immediate (red tag) category?

Unlike a multiple-casualty incident, a natural disaster:

The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called:

Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:

The most appropriate location to park your ambulance at a HazMat incident is:

Which of the following duties or responsibilities does not fall within the realm of the medical branch of the incident command system?

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:

Which of the following statements regarding hazardous materials is correct?

Study Notes

Storage Containers and Hazardous Materials

Patient Management in Emergencies

Triage Systems

Communication and Incident Command

Hazardous Material Incident Protocol

NIMS and Incident Management

Response and Triage Approaches

Emergency Preparedness

Medical Branch Responsibilities

Combating Challenges in Emergencies

Key Recovery Concepts

Studying That Suits You

Description

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