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Emergency care and transport of the sick and injured textbook > Chapter 39- Incident Management > Flashcards

Chapter 39- Incident Management Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

Mass casualty incident (MCI)

A

Any call that involves three or more patients, or any situation that can place great demand on the equipment or personal of the EMS system, or has the potential to produce Multiple casualties

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2
Q

Mutual aid response

A

An agreement between neighboring EMS Systems to respond when local resources are insufficient to handle the response

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3
Q

National incident management system (NIMS)

A

A department of homeland security system designed to enable federal, state, and local government’s and private sector in on governmental organizations to effectively and efficiently prepare for any type of mass casualty situation

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4
Q

What are the 5 major NIMS components?

A

Preparedness, communications and info management, resource management, command and management, ongoing management and maintenance

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5
Q

Incident command system (ICS)

A

The purpose is to ensure responder and Public Safety, achieve incident management goals, and ensure the efficient use of resources

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6
Q

Freelancing

A

When individual units or different organizations make independent and often inefficient decisions about the next appropriate action

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7
Q

Span of control

A

An incident command, the subordinate position is under the commanders direction to which the workload is distributed; one supervisor per 3 to 7 workers

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8
Q

What are the organization levels of the ICS?

A

Sections, (responsible for major functional areas such as finance, planning, or operations)

Branches (managed by the branch director, maybe functional geographic in nature. Branches are in charge of Activity directly related to the section

Divisions and groups. Divisions refer to crews working in the same geographic area. Groups usually referred to crews working in the same functional area

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9
Q

Command

A

Include the public information officer, and safety officer, and liaison officer

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10
Q

Incident commander

A

The person in charge of the overall incident

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11
Q

Unified command system

A

A command system used in larger incidents in which there is a multi agency response or multiple jurisdictions are involved

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12
Q

Single command system

A

One in which one person is in charge, even if multiple agencies respond

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13
Q

Command post

A

The designated field command center where the incident commander and support staff are located

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14
Q

Termination of command

A

The end of the incident command structure when an incident draws to a close

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15
Q

Demobilization

A

The process of directing responders to return to their facilities when work at a disaster or a mass casualty incident has finished.

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16
Q

Finance

A

In incident command, the position in an incident responsible for accounting of all of the expenses

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17
Q

What are the functions within the finance section?

A

1) The time unit
2) The procurement unit
3) The compensation and claims unit
4) the cost unit

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18
Q

Logistics

A

Responsible for communications equipment, facilities, food and water, fuel, lighting, and medical equipment and supplies for patients and emergency responders

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19
Q

Operations

A

In incident command, the position that carries out the orders of the commander to help resolve the incident

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20
Q

Planning

A

Solves problems as they arise during the incident

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21
Q

Incident action plan

A

An oral or written plan stating general objectives reflecting the overall strategy for managing an incident

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22
Q

Safety officer

A

Monitors the scene for conditions or operations that may present a hazard to responders and patience

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23
Q

Public information officer (PIO)

A

Provides the public and media with clear and understandable information

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24
Q

Joint info center

A

In area designated by the incident commander, in which public information officer’s from multiple agencies distribute information about the incident

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25
Q

Liaison officer

A

Relays information and concerns among command, the general staff, and other agencies

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26
Q

Open incident

A

When that is not yet contained, there may be patients who have not yet to be located in the situation may be ongoing, producing more patients

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27
Q

Closed incident

A

When that is contained in in which all casualties are accounted for

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28
Q

What are three main questions that you can ask yourself when sizing up the scene of an incident?

A

What do I have?
What resources do I need?
What do I need to do?

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29
Q

What are the primary rules of the medical branch of incident command?

A

Triage, treatment, transportation

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30
Q

Triage supervisor

A

In charge of counting and prioritizing patients

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31
Q

Treatment supervisor

A

Will locate and set up the treatment area with a tier (row) for each priority of patient

32
Q

Transportation supervisor

A

Coordinates the transportation and distribution of patients to appropriate receiving hospitals in hopes to ensure that hospitals do not become overwhelmed by a patient surge

33
Q

Staging supervisor

A

Is assigned when an MCI or disaster requires a multivehicle or multi agency response. Emergency vehicles must have permission from the staging supervisor to enter in MCI scene and she drive only in the directed area

34
Q

Rehabilitation supervisor

A

Establishes an area that provides protection for responders from the elements in the situation

35
Q

Rehabilitation area

A

Should be located away from exhaust fumes in crowds in and out of you of the scene

36
Q

Triage

A

To sort your patients based on the severity of their injuries

37
Q

Primary triage

A

The initial triage done in the field, allowing you to quickly and accurately categorize the patient’s condition and transport needs

38
Q

Secondary triage

A

Done as patients are brought to the treatment area

39
Q

What should the triage supervisor report to the medical branch after the primary triage?

A

The total number of patients
The number of patients in each triage category
Recommendations for extrication and movement of patients to the treatment area
Resources needed to complete triage and begin movement of patients

40
Q

START triage

A

One of the easiest methods of triage. Start stands for “simple triage and rapid treatment”

41
Q

What is the SALT triage method?

A

Sort, Assess, Lifesaving interventions, and treatment and or transport

42
Q

JumpSTART triage system

A

A system directed for pediatric patients. It is intended for children younger than eight years old who appeared to weigh less than 100 pounds. System begins by identifying the walking wounded

43
Q

Dosaster

A

A widespread event that disrupts functions and resources in the community and threatens lives and property

44
Q

What does a urban search and rescue team do?

A

They typically provide rescue an initial medical stabilization to patients entrapped in confined spaces, such as from a structural collapse

45
Q

What do disaster medical assistance teams do?

A

Provide medical care during an incident, they include providers such as physicians, paramedics, nurses, and EMTs that work in the federal level

46
Q

Hazardous materials incidents

A

An the incident in which a hazardous material is no longer properly contained and isolated

47
Q

What areas should emts be aware in regarding hazmat situations?

A
  • an understanding of what hazardous substances are and the risk associated
  • an understanding of the potential outcomes of an incident
  • The ability to recognize the presence of hazardous substances
  • and understanding of the role of the first responder awareness individual in the emergency response plan
  • The ability to determine the need for additional resources and notify the communication center
48
Q

Hazardous material

A

Any material that poses an unreasonable risk of damage or injury to the people, property, or environment if it is not properly controlled during anytime

49
Q

Container

A

Any vessel or receptacle that holds a material

50
Q

Bulk storage containers

A

Include fixed tanks, highway cargo tanks, Real tank cars, totes, and intermodal tanks

51
Q

Secondary containment

A

An engineered method to control spilled or released product if the main contaminant vessle fails

52
Q

Intermodal tanks

A

Both shipping and storage vessels. They hold between 5000 and 6000 gallons of product.

53
Q

Non bulk storage vessels

A

All types of containers other than bulk containers. Can hold between a few ounces to 119 gallons.

54
Q

Drums

A

Easily recognizable, barrel like containers. They store a wide variety of substances, including food grade materials, corrosives, flammable liquids, and grease

55
Q

Bags

A

Commonly used to store solids and powders such as cement powder, pesticides, soda ash, an slaked lime

56
Q

Carboys

A

A glass, plastic, or steel container that holds 5 to 15 gallons of product.

57
Q

Cylinders

A

Used to hold liquids and gases

58
Q

Placards

A

Diamond shaped indicators that are placed on all four sides of Highway transport vehicles, railroad tank cars, and other forms of transportation carrying hazardous materials

59
Q

Emergency response guidebook

A

Offers a certain guidance for responders operating at a hazmat incident

60
Q

Material safety data sheet

A

A common source of information about a particular chemical

61
Q

What does the material safety data sheet (MSDS) include?

A
  • The name of the chemical or any synonyms
  • physical and chemical characteristics of the material
  • physical hazards of the material
  • Health hazards of the material
  • signs and symptoms of exposure
  • routes of entry
62
Q

Bills of landing or freight bills

A

Shipping papers for road and highway transportation. They are located in the cab of the vehicle

63
Q

Chemical transportation emergency center (CHEMTREC)

A

Operated by chemistry council, is an agency that provides invaluable technical information for first responders of all disciplines were called upon to respond to chemical incidents

64
Q

What is a hazmat situation often identified by?

A
  • a visible cloud or strange looking smoke resulting from the escaping substance
  • a leak of spill from a tank, container, truck or railroad car with or without hazmat placards or labels
  • an unusual strong harmful odor in an area
65
Q

Control zones

A

Established at a HazMat incident based on the chemical and physical properties of the release material, the environmental factors at the time of the release, and the general layout of the scene

66
Q

Hot zone

A

The area immediately surrounding the release, which is also the most contaminated area

67
Q

Warm zone

A

Where personnel and equipment transition into and out of got zone

68
Q

Decontamination area

A

Set up in the warm zone. It is the area designated where the contaminants are removed before an individual can go to another area

69
Q

Decontamination

A

The process of removing or neutralizing and properly disposing of hazardous material from equipment, patients, and rescue personnel

70
Q

Cold zone

A

The safe area where personal do not need to wear any special protective clothing for safe operation

71
Q

Toxicity levels

A

Measures of the health risk that substance is post to someone who comes into contact with it.

72
Q

What are the 5 toxicity levels?

A

0,1,2,3,4

73
Q

Explain the toxicity levels

A

0; includes materials that would cause a little, if any health hazard if you came in the contact

1; includes materials that would only cause irritation in contact with only mild residual injury

2; Materials they could cause temporary damage residue all injury unless prompt medical treatment is provided. Use of SCBA is needed.

3; materials that are extremely hazardous to health. Contact requires full protective gear so none of your skin is exposed

4; Materials that are so hazardous that minimal contact with cause death. You need specialized gear equipped specifically for that hazard

74
Q

PPE levels

A

The amount and type of PPE that you need to prevent injury from a particular substance

75
Q

What are the four protection levels, and explain each

A

Level A, the most hazardous, requires Chem resistant protective clothing

Level B, requires nonincapsulated protective clothing

Emergency care and transport of the sick and injured textbook (37 decks)

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