Ch. 33 Flashcards
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 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.
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) unintentional injury.
Page Ref: 758
Objective: 33.2 Describe the epidemiology and significance of trauma.
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.
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.
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.
B) dispatch equipment.
Page Ref: 759-760
Objective: 33.4 Describe each of the components of a comprehensive trauma care system.
An active strategy of injury prevention that requires the cooperation of the target audience is:
A) education.
B) enforcement.
C) engineering.
D) etiology.
A) education.
Page Ref: 758
Objective: 33.4 Describe each of the components of a comprehensive trauma care system.
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) 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.
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) “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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.”
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.
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.
D) priority of each patient.
Page Ref: 763
Objective: 33.14 Describe the principles of a triage system.
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.
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.