Ch. 33 Flashcards

1
Q

The National Incident Management System (NIMS) is beneficial in an emergency response to a disaster or terror attack because it provides for:

A) a consistent approach to managing a disaster by many different responders and agencies.
B) specific codes and terms to enhance communications between EMS, fire, and law enforcement personnel.
C) increased funding and reimbursement for any EMS agency involved in a disaster response.
D) federal government control of any disaster scene regardless of location.

A

A) a consistent approach to managing a disaster by many different responders and agencies.

Page Ref: 761
Objective: 33.1 Define key terms introduced in this chapter; 33.12 Describe the principles of an incident command system.

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2
Q

In 2013, the leading cause of death in persons ages 1-44 years was:

A) unintentional injury.
B) cardiovascular disease.
C) heart attack.
D) cancer.

A

A) unintentional injury.

Page Ref: 758
Objective: 33.2 Describe the epidemiology and significance of trauma.

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3
Q

The public health approach to injury prevention is an effective way to address problems within the community. Which of the following is NOT a component of this approach?

A) Define the problem.
B) Develop prevention strategies.
C) Identify risk factors.
D) Publish guidelines.

A

D) Publish guidelines.

Page Ref: 758-759
Objective: 33.3 Explain the importance and components of injury prevention programs in reducing trauma morbidity and mortality.

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4
Q

As a member of the emergency medical services team, an AEMT’s role includes all of the following EXCEPT to:

A) triage trauma patients.
B) dispatch equipment.
C) transport patients to the appropriate hospital.
D) provide rapid assessment.

A

B) dispatch equipment.

Page Ref: 759-760
Objective: 33.4 Describe each of the components of a comprehensive trauma care system.

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5
Q

An active strategy of injury prevention that requires the cooperation of the target audience is:

A) education.
B) enforcement.
C) engineering.
D) etiology.

A

A) education.

Page Ref: 758
Objective: 33.4 Describe each of the components of a comprehensive trauma care system.

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6
Q

Which level of trauma center commits resources to address any type of traumatic injury 24 hours a day, 7 days a week?

A) Level I
B) Level II
C) Level III
D) Level IV

A

A) Level I

Page Ref: 759-760
Objective: 33.5 Identify the characteristics of each level of trauma center as designated by the American College of Surgeons Committee on Trauma.

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7
Q

The AEMT correctly defines a multiple-casualty incident (MCI) when he states:

A) “It is any event that places an excessive demand on rescue personnel and equipment.”
B) “It occurs any time that five or more people are injured and require transport to different hospitals.”
C) “It occurs any time the incident requires the medical director to leave the hospital and direct activities on scene.”
D) “It occurs when the number of patients requiring care is greater than 10.”

A

A) “It is any event that places an excessive demand on rescue personnel and equipment.”

Page Ref: 760
Objective: 33.6 Explain the importance of having an understanding of how to manage situations in which there are multiple patients; 33.7 Explain the importance of immediately identifying the number of patients at a scene.

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8
Q

When conducting the size up of a MCI, you will NOT identify:

A) the estimated number of patients.
B) the need for additional resources.
C) whether the scene is safe to enter.
D) responsibility for causing the incident.

A

D) responsibility for causing the incident.

Page Ref: 763
Objective: 33.9 Differentiate between the management goals of single-patient and multiple-patient incidents; 33.11 Prioritize your actions as the first provider on the scene of a multiple-casualty incident.

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9
Q

The AEMT shows he is correctly using the Jump START triage system on a three-year-old male trauma patient when he:

A) makes a conscious effort to look for bruises to the patient’s body.
B) quickly determines the perfusion status and mental status.
C) carefully examines the chest for signs of retractions.
D) obtains a systolic and diastolic blood pressure.

A

B) quickly determines the perfusion status and mental status.

Page Ref: 766-767
Objective: 33.9 Differentiate between the management goals of single-patient and multiple-patient incidents; 33.17 Describe adaptations of START triage to JumpSTART for pediatric patients.

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10
Q

You are the first provider to reach the scene of what appears to be a fire at a chemical processing plant. Your first priority is to:

A) notify dispatch that you are approaching the scene.
B) exit the ambulance and approach the scene.
C) establish whether it is safe to enter the scene.
D) obtain an estimate of the number of patients.

A

C) establish whether it is safe to enter the scene.

Page Ref: 763
Objective: 33.11 Prioritize your actions as the first provider on the scene of a multiple-casualty incident.

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11
Q

While responding to an MCI drill involving an explosion, you pass a dozen ambulances sitting in a parking lot three blocks away from the incident. You should recognize this area as involving the:

A) treatment unit.
B) transport unit.
C) logistics unit.
D) triage unit.

A

B) transport unit.

Page Ref: 761-763
Objective: 33.12 Describe the principles of an incident command system; 33.13 Identify the roles and responsibilities that may be assigned to EMS units at a multiple-casualty incident.

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12
Q

At the scene of a multiple-casualty drill, you have been assigned to role of Transport Unit leader. As such, your responsibility is:

A) immobilizing all patients prior to transport.
B) distributing patients to each medical facility.
C) ensuring proper care for each patient.
D) ensuring that patients in cardiac arrest leave for the hospital first.

A

B) distributing patients to each medical facility.

Page Ref: 768-769
Objective: 33.13 Identify the roles and responsibilities that may be assigned to EMS units at a multiple-casualty incident; 33.20 Use triage tags to document assessment and care of patients in a multiple-casualty incident.

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13
Q

The AEMT BEST identifies the primary benefit of triage when she states:

A) “Triage is a system used by the AEMT to assign the order of care when an incident contains more than five patients.”
B) “Triage is a system that can be used by the AEMT to determine the number of patients who will most likely die.”
C) “Triage is used to determine the order in which patients will receive medical care and transport.”
D) “Triage is a process by which the number of patients is quickly estimated so the appropriate resources can be summoned.”

A

C) “Triage is used to determine the order in which patients will receive medical care and transport.”

Page Ref: 763
Objective: 33.14 Describe the principles of a triage system.

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14
Q

A second-story deck has collapsed. Several patients have fallen and are lying on the ground below. As the first emergency personnel to arrive on the scene, triage efforts would be used to determine the:

A) number of patients.
B) number of ambulances required.
C) type and severity of injuries.
D) priority of each patient.

A

D) priority of each patient.

Page Ref: 763
Objective: 33.14 Describe the principles of a triage system.

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15
Q

At a multiple-casualty incident, a crew brings you a patient with a red tag tied to his wrist. You should recognize which one of the following?

A) The patient is deceased.
B) Delayed care and transport are permissible.
C) The patient has a minor injury to his wrist.
D) Immediate care and transport are necessary.

A

D) Immediate care and transport are necessary.

Page Ref: 764
Objective: 33.15 Given a scenario with multiple patients, categorize patients according to a color-coded triage system; 33.16 Explain the principles used in the START triage system; 33.19 Perform primary and secondary triage in a multiple-casualty incident.

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16
Q

Which one of the following patient triage tags indicates the lowest priority for care and transport on the scene of a multiple-casualty incident?

A) Yellow
B) Green
C) Black
D) Red

A

C) Black

Page Ref: 764
Objective: 33.15 Given a scenario with multiple patients, categorize patients according to a color-coded triage system; 33.19 Perform primary and secondary triage in a multiple-casualty incident.

17
Q

You are using the Simple Triage and Rapid Transport (START) system of triage. Which one of the following patients should have a yellow tag applied prior to being moved to the treatment area?

A) Woman with a respiratory rate of 22, palpable radial pulse, and who squeezes your fingers when instructed
B) Man with a respiratory rate of 40, palpable radial pulse, and who squeezes your fingers when instructed
C) Woman with agonal respirations, no radial pulse, and unresponsive mental status
D) Woman with a respiratory rate of 8, no radial pulse, and unresponsive mental status

A

A) Woman with a respiratory rate of 22, palpable radial pulse, and who squeezes your fingers when instructed

Page Ref: 765-766
Objective: 33.15 Given a scenario with multiple patients, categorize patients according to a color-coded triage system.

18
Q

You are in charge of triage at a scene involving 30 patients exposed to carbon monoxide. You find a six-year-old boy who is not breathing. You open his airway and find that breathing does not return. Furthermore, you cannot locate a radial pulse. You should:

A) apply oxygen and check the patient’s mental status.
B) place a black tag on the patient and move to the next.
C) provide 15 seconds of positive pressure ventilation.
D) provide 15 seconds of CPR and recheck for a radial pulse.

A

B) place a black tag on the patient and move to the next.

Page Ref: 767
Objective: 33.15 Given a scenario with multiple patients, categorize patients according to a color-coded triage system; 33.17 Describe adaptations of START triage to JumpSTART for pediatric patients.

19
Q

Your EMS system uses the Simple Triage and Rapid Transport (START) system for triaging patients at a multiple-casualty incident. Which one of the following should you include in your triage assessment to determine the order in which patients will receive emergency care?

A) Chief complaint, vital signs, and past medical history
B) Chief complaint and vital signs
C) Level of consciousness and past medical history
D) Respiratory and perfusion status

A

D) Respiratory and perfusion status

Page Ref: 765-766
Objective: 33.16 Explain the principles used in the START triage system.

20
Q

A bleacher at a college has collapsed, and you are the first EMS unit to arrive on the scene. As you enter the gym, several patients are walking around with various injuries. Which one of the following instructions is MOST appropriate for these ambulatory patients?

A) “Put this yellow tag on your wrist and go outside to the red fire truck in the parking lot.”
B) “Go outside and wait by the red fire truck in the parking lot and stay there.”
C) “Sit down here so that I can do a quick assessment on you.”
D) “Leave this gym and wait outside. I will be out in a few minutes after I check others who cannot walk.”

A

B) “Go outside and wait by the red fire truck in the parking lot and stay there.”

Page Ref: 766
Objective: 33.16 Explain the principles used in the START triage system; 33.18 Explain the principles used in the SALT triage system.

21
Q

You have responded to a bar for a fight involving approximately 20 patrons. Weapons were used and all the patrons have varying degrees and types of injuries. You are in charge of triage and must use the Simple Triage and Rapid Transport (START) system. You find a young person lying on the floor with blood covering his shirt. Quick assessment reveals him to be breathing at 24 times per minute. Which one of the following should you do next?

A) Determine the mental status.
B) Place a yellow tag on his wrist.
C) Start positive pressure ventilation.
D) Check for a radial pulse.

A

D) Check for a radial pulse.

Page Ref: 765-766
Objective: 33.16 Explain the principles used in the START triage system.

22
Q

A natural gas explosion has destroyed an apartment building. At least five occupants have been killed and another 12 injured. You are in charge of triage and are presented with a young woman who is breathing at a rate of 40 breaths per minute. Using the Simple Triage and Rapid Transport (START) system for triaging, you should immediately:

A) place a red tag on the patient and move on to the next patient.
B) apply oxygen with a nonrebreather face mask.
C) check for a radial pulse and capillary refill.
D) start positive pressure ventilation.

A

A) place a red tag on the patient and move on to the next patient.

Page Ref: 765
Objective: 33.16 Explain the principles used in the START triage system.

23
Q

At the scene of a multiple-casualty incident, you are triaging a patient using the Simple Triage and Rapid Transport (START) system. You are presented with a patient who is not breathing. Which one of the following should you do next?

A) Place a black tag on the patient.
B) Open the airway.
C) Start positive pressure ventilation.
D) Place a red tag on the patient.

A

B) Open the airway.

Page Ref: 766
Objective: 33.16 Explain the principles used in the START triage system.

24
Q

As the AEMT responsible for triage at a motor-vehicle collision, you find a patient who is breathing 18 times per minute and has a radial pulse. Which one of the following should you do next?

A) Check the blood pressure.
B) Move the patient to the treatment area.
C) Check the mental status.
D) Place a yellow tag on the patient.

A

C) Check the mental status.

Page Ref: 765-766
Objective: 33.16 Explain the principles used in the START triage system.

25
Q

A problem with the Simple Triage and Rapid Transport (START) system of triage is it:

A) is only used for traumatic injuries.
B) is difficult to apply to young children.
C) is complex and difficult to use.
D) requires at least 10 rescuers.

A

B) is difficult to apply to young children.

Page Ref: 766
Objective: 33.17 Describe adaptations of START triage to JumpSTART for pediatric patients.

26
Q

You are teaching some EMRs to use the Jump START system of triage. Which one of the following comments made by an EMR requires you to intervene and provide corrective instruction?

A) “I like the Jump START system since it uses the same categories of assessment as the START system of triage.”
B) “The Jump START system is very effective since it allows me to take two minutes to assess the patient.”
C) “The Jump START system allows me to classify the patient according to his ability to ambulate, his breathing, perfusion, and mental status.”
D) “If we have a young child injured in a multiple-casualty incident, I will use the Jump START system to triage him.”

A

B) “The Jump START system is very effective since it allows me to take two minutes to assess the patient.”

Page Ref: 766
Objective: 33.17 Describe adaptations of START triage to JumpSTART for pediatric patients.

27
Q

A young child involved in a multiple-casualty incident is found lying on the ground with obvious deformity to the left thigh. Using the Jump START system for triage, you note that he is not breathing. Which one of the following should you do next?

A) Open the airway and then check for a radial pulse.
B) Provide 30 seconds of positive pressure ventilation.
C) Tag the patient as red and then move him to the treatment area.
D) Tag the patient as black and then move to the next one.

A

A) Open the airway and then check for a radial pulse.

Page Ref: 767
Objective: 33.17 Describe adaptations of START triage to JumpSTART for pediatric patients.

28
Q

In SALT triage, a patient without a peripheral pulse who is nonetheless expected to survive given current resources is classified as:

A) immediate.
B) expectant.
C) delayed.
D) minimal.

A

A) immediate.

Page Ref: 768
Objective: 33.18 Explain the principles used in the SALT triage system.

29
Q

You are on the scene of a multiple-casualty incident and have administered an auto injector to a patient who is now breathing, obeys commands, has a peripheral pulse, is not in respiratory distress, and has no major bleeding or injuries. You give this patient a:

A) black tag.
B) yellow tag.
C) green tag.
D) red tag.

A

C) green tag.

Page Ref: 764, 768
Objective: 33.18 Explain the principles used in the SALT triage system; 33.20 Use triage tags to document assessment and care of patients in a multiple-casualty incident.

30
Q

You have been assigned to the triage unit at a multiple-casualty incident. A patient with a yellow triage tag arrives. Your immediate action should be to:

A) re-triage the patient.
B) arrange for immediate transport.
C) obtain vital signs.
D) change the tag to green.

A

A) re-triage the patient.

Page Ref: 764
Objective: 33.19 Perform primary and secondary triage in a multiple-casualty incident.

31
Q

The use of safety glass rather than regular glass in automobile windows is an example of what type of method of reducing injuries?

A) Execution
B) Education
C) Enforcement
D) Engineering

A

D) Engineering

Page Ref: 758
Objective: 33.3 Explain the importance and components of injury prevention programs in reducing trauma morbidity and mortality.

32
Q

Which of the following terms is defined as “a set of components and services specifically designed to provide definitive care for patients with serious injuries”?

A) Incident command system
B) JumpSTART triage system
C) NIMS
D) Trauma system

A

D) Trauma system

Page Ref: 759
Objective: 33.1 Define key terms introduced in this chapter.

33
Q

Which type of trauma center would typically stabilize patients for transfer to a higher-level center and are often smaller hospitals located in remote areas.

A) Level I
B) Level II
C) Level III
D) Level IV

A

D) Level IV

Page Ref: 760
Objective: 33.5 Identify the characteristics of each level of trauma center as designated by the American College of Surgeons Committee on Trauma.

34
Q

Which type of command structure is used for large-scale incidents or disasters that are complex and require the concerted response of multiple agencies?

A) Incident command
B) Singular command
C) Unified command
D) Operations command

A

C) Unified command

Page Ref: 762
Objective: 33.1 Define key terms introduced in this chapter.

35
Q

When triaging patients, the Advanced Emergency Medical Technician’s goal is to:

A) triage as many patients in the shortest amount of time.
B) treat each patient as needed.
C) provide definitive treatment interventions.
D) assure that the most severely injured survive.

A

A) triage as many patients in the shortest amount of time.

Page Ref: 763
Objective: 33.6 Explain the importance of having an understanding of how to manage situations in which there are multiple patients; 33.4 Describe the principles of a triage system.