Disaster Flashcards

1
Q

Who determines threat level?

A

department of homeland security

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2
Q

mass casualty incidents

A

any incident that causes a large incident of casualties to the extent that resources become scarce

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3
Q

who provides resources for mass casualty incidents

A

department of homeland security-federal

office of emergency management-state & local (coordinates intragency relief)

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4
Q

What is federally mandated

A

incident command system

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5
Q

what is used by local police, personalized by hospital & coordinated by a person?

A

hospital incident command system

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6
Q

What does the incident command center do

A

coordinates supplies, is the center of operations, coordinates personnel, supplies, is responsible for identifying hazardous substances & appropriate use of PPE, responsible for determining when mci has ended

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7
Q

Threat levels

A

imminent-severe, activate ics
elevated-increased security & screening
sunset provision-specific threats with an expiration date instead of continuous alert

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8
Q

How do you mitigate risks

A

must preplan & consider scenarios ex-tornado shelter

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9
Q

activation response r/t eop

A

the eop activation response of a health care facility defines where, how and when the response is initiated

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10
Q

after action report

A

critiques all parties involved both immediately and at a later date

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11
Q

What information is on a disaster tag

A

numbered and includes triage priority, name, address, age, location, description of injury, meds/treatment given.The tag is placed on person and the number & name is placed in a log.

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12
Q

demobilization response

A

deactivation of the response so that resources are not exhausted

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13
Q

immediate/what color/priority number

A

1/red/injuries are life threatening but survivable

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14
Q

examples of immediate

A

sucking chest wound, airway obstruction r/t mechanical cause, shock, hemothorax, incomplete amputations, tension pneumothorax, open fractures of long bones, 2nd & 3rd degree burns of 15-40% of total body area

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15
Q

Delayed/what color/priority number

A

2/yellow/injuries are significant and require care but can wait hours

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16
Q

examples of delayed

A

stable abdominal wounds without evidence of significant hemorrage, soft tissue injuries, maxillofacial wounds w/o airway compromise, vascular injuries w/ adequate circulation, genitourinary tract disruption, fractures requiring open reduction, debridement, external fixation, most eye and cns injuries

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17
Q

minimal/what color/priority number

A

3/green/injuries are minor & can be delayed hours or days. This group should be moved away from general area. Walking wounded

18
Q

examples of minimal

A

upper extremity fractures, minor burns, sprains, small lacerations w/o significant bleeding, behavioral disorders & psychological disturbances

19
Q

expectant/what color/priority

A

4/black/injuries are extensive and survival is unlikely. Should be moved away from general area & comfort care should be given.

20
Q

examples of expectant

A

unresponsive, penetrating head wounds, burns in excess of 60%, seizures/vomiting after radiation exposure,profound shock, no pulse etc

21
Q

PPE/level A

A

highest level of respiratory, skin, eye, and mucous membrane protection is required. Includes a self-contained breathing apparatus, fully encapsulating suit, chemical resistant gloves & boots

22
Q

PPE/level B

A

highest level of respiratory protection but lesser level of skin & eye protection that A. Includes scba but not vapor tight clothes

23
Q

PPE/level C

A

requires air-purified respirator w filters. Chemical resistant coverall w/splash hood, chem resistant gloves & boots

24
Q

PPE/level D

A

typical work uniform

25
Q

weapon of terror

A

anything used to cause injuries to large group of people

26
Q

blast inury

A

pg 2161 may result from terrorism but can also be anything like an industrial accident

27
Q

Smallpox incubation

A

12 days

28
Q

most likely to be weaponized

A

anthrax

29
Q

incubation of anthrax

A

1 to 6 days

30
Q

inhaled anthrax can incubate how long

A

up to 60 days so harder to recognize

31
Q

treatment for anthrax

A

antibiotics w/i 24 hrs of exposure

32
Q

nerve agents & s/s

A

serin & soman/increased secretions, gi motility, diarrhea, bronchospasm

33
Q

treatment of nerve agents

A

soap & water, supportive, benzos, pralidoxime, atropine

34
Q

blood agent & s/s

A

cyanide/tachypnea, coma, tachycardia, seizures

35
Q

treatment for blood agents

A

sodium nitrate, sodium thiocyanate, amyl nitrate, hyroxocubalamin

36
Q

vesicant agents & s/s

A

lewisite, sulfur mustard,phosgene,blistering agents/burns w/vesicles

37
Q

treatment for vesicants

A

soap & water, do not blot

38
Q

pulmonary agents & s/s

A

phosgene, chlorine/pulmonary edema, bronchospasm

39
Q

treatment for pulmonary agents

A

airway, ventilation, bronchoscopy

40
Q

radiation

A

2168

41
Q

acute radiation syndrome

A

dose rather than source determines whether it develops