Chapter 192; Disaster Prepardness

Question 1

What is Surge Capacity and what are its three components?

Answer 1

Surge Capacity is a set of protocols that encompass multi-disciplinary action for prepardness to manage capacity that exceeds typical hospital function

1. Staff
2. Stuff
3. Structure

Question 2

What are six critical substrates for hospital operations during a PICE (Potentially Injury Creating Event)?

Answer 2

Physical Plant
Personnel
Supplies and Equipment
Communication
Transportation
Supervisory Support

Question 3

What is the adult triage technique for multiple-casualty triage?

Answer 3

“START”
Simple Triage and Rapid Treatment
It includes a quick Respiratory, Perfusion and Mentation exam (RPM)

Question 4

What is the Pediatric Triage Technique in Multiple-Casualty Triage ?

Answer 4

Pediatric Triage Tape - Changes in proportion to patient size.
Principles of the triage remain the same, look at ventilation, perfusion and ability to follow commands and subdivide into priorities

Question 5

Regardless of Adult of Pediatric, What are the only two interventions that are performed during a triage situation?

Answer 5

Opening the airway and direct control of obvious external hemorrhage

Question 6

If a patient has no respiratory effort after opening the airway, what is the next step in a multi-casualty situation?

Answer 6

Unfortunately, this patient is dead. Label as Black and move to the next patient. No CPR is performed in these situations unless adequate personal to continue triage

Question 7

If a patient has respiratory effort, normal cap refill and can follow commands but is not walking around what level are they?

Answer 7

Yellow - Intermediate

Question 8

What are the critieria for immediate transport (red)

Answer 8

Resp Effort but distress or RR>30
Absent or delayed cap refill
Altered Mentation

Question 9

What is the SAVE approach/Criteria?

Answer 9

1. Those who will die regardless of care
2. Those who will survive without care
3. Those who benefit from field interventions

Question 10

What is the benefit of the SAVE approach?

Answer 10

Helps personnel in the field decide where resources will be best allocated.
IE. you have 2 chest tubes and 3 victims. 2 victims need 1 tube each and the third needs bilateral. This principle dictates you save 2, as they have a better survival chance.