Disaster Training Flashcards

1
Q

Disaster

A

is any event that causes a level of destruction, death, or injury that affects the abilities of the community to respond to the incident using available resources

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2
Q

Emergencies

A

events that can be managed by agencies, communities, families, or individuals using their own resources

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3
Q

Mass causality

A

over 100+ people die

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4
Q

Causality

A

direct and indirect t victims, displaced persons or refugees

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5
Q

Is an emergency or disaster worst?

A

disaster

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6
Q

multiple casualty incident

A

more than 2, fewer than 100 injured persons

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7
Q

direct victim

A

an individual who is immediately affected bt the event

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8
Q

indirect victim

A

family member or friend affected or a first responder

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9
Q

refugees

A

a group of ppl who have fled their homes or even their country as a result of famine, drought, natural disaster, war, or civil unrest

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10
Q

avalanches, blizzards, wildfires

A

natural disater

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11
Q

assassination, kidnapping, computer-based attacks, chemical, biological

A

Man-made disater

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12
Q

Combination disaster

A

NA-TECH (natural/technological) disaster: a natural disaster that creates or results in a widespread technological problem

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13
Q

A blizzard knocked out a power line and causes a power shutdown and radiation leak

A

Commination disaster/ NA-TECH

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14
Q

flood and mudslides are suprisingly

A

man made

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15
Q

terrorism motivated by

A

“is premeditated, politically motivated violence perpetrated against noncombatant targets by sub-national groups or clandestine agents.” International terrorism involves the territory or the citizens of more than one country (p. 1).

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16
Q

What are weapons of mass destruction

A

chemical
biological
radioactive

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17
Q

Chemical agents

A

cause death or serious bodily injury through the release, of toxic chemical

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18
Q

what are threats of terrorism

A

Assassinations
Kidnappings
Hijackings
Bomb scares and bombings
Computer-based attacks
Chemical, biological, nuclear, radiological weapons

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19
Q

biological agents

A

any weapon involving a disease organism

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20
Q

radioactive agents

A

designed to release radiation or radioactivity at a level dangerous to human life

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21
Q

premeditated, politically motivated violence perpetrated against noncombatant targets by sub-national groups or clandestine agents

A

terrorism

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22
Q

in china there was a sarin gas release it was ___ lethal

A

highly

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23
Q

how to treat sarin

A

move to fresh air, water, maybe meds like PAM or atropine

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24
Q

VX is _______ lethal

A

very highly

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25
Q

treat VX by

A

moving to fresh air and water and tx with PAM and atropine

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26
Q

Tabun is ___leathy

A

highly

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27
Q

treat tabun by

A

moving to freah water and air and tx with atropine and PAM

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28
Q

Tx chlorine/phosgene

A

moving to fresh water and air and no antidote

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29
Q

Chlorine/phosgene is _____ leathal

A

low

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30
Q

hydrogen cyanide is ___ lethal

A

low/moderate

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31
Q

nerve agent banned by international chemical weapons convention

A

Sarin

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32
Q

Sign of biological weapons

A
  1. a lot of people with flu-like symptoms in the summer (endemic disease at diff time of year)
  2. Healthy population randomly becomes sick
  3. people rushing for care with same thing
  4. People all coming in sick and they were all recently at the same place
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33
Q

Sign of biological weapons

A
  1. a lot of people with flu-like symptoms in the summer (endemic disease at diff times of year)
  2. Healthy population randomly becomes sick
  3. people rushing for care with the same thing
  4. People all coming in sick and they were all recently at the same place
  5. people die suddenly and rapidly
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34
Q

Category A pathogen

A

High risk - Anthrax, plague, smallpox, ebola

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35
Q

Category ___
Easily disseminated or transmitted

high mortality

easily cause panic and social dispution

A

A
Anthrax, plague, smallpox, ebola

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36
Q

Category B pathogens examples

A

Salmonella + Ecoli

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37
Q

Catroy __
they are moderately easy to disseminate
result in moderate morbidity rates and low mortality

A

Category B

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38
Q

A P S E
Please say, everyone ate
or
EAPS
Eventually, a plague started

A

Category A:
Anthra
plague
small pox
Ebola

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39
Q

Most lethal category

A

A

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40
Q

Salmoneall ad Ecoli are in category

A

B

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41
Q

category C pathogens are

A

Hanta virus and covid

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42
Q

C C H V
Can cooper have a virus

A

Category C
Hanta virus + Covid

43
Q

category __
Could be engineered for mass dissemination in the future because of availability ease of production and major health impact

A

category C

44
Q

the goal of a detonation of a dirty bomb is to

A

cause widespread panic and fear

Not the same as a nuclear weapon. There is much less radiation exposure

45
Q

Hurricane watch

A

take shelter NOW/ immediate

46
Q

Tornado/ hurricane warning

A

In the next 24 hours will happen

47
Q

how often a disaster occurs

A

Frequency

48
Q

meteorologist have helped us predict disasters, e.g. floods, hurricanes. Some are not preventable, fires, explosions
this term is …

A

Predictability

49
Q

The action was taken before a disaster. Prim prevention, assessing for potential dangers, developing disaster plans, conducting drills

A

Preventability/ Mitigation

50
Q

Preventability/ Mitigation

A

The action was taken before a disaster. Prim prevention, assessing for potential dangers, developing disaster plans, conducting drills

51
Q

Imminence

A

speed of onset, warning available, duration of the impact phase

52
Q

geographic map of an area that is analyzed for the impact of a potential disaster on the population and building in the area that would be impacted

A

Risk map

53
Q

a geographic map that outlines the resources that would be available in or near affected by a potential medical source that would be available in or near the area affected by a potential disaster

A

Resource map

54
Q

the ability of a disaster to cause damage or injury

A

intensity

55
Q

What is worst a category 1 or category 5 hurricane?

A

5 is the worst and 157mph or higher winds with catastrophic damage

56
Q

If there is NO warning of a storm in a area with little resources more pppl can die. This is predicted by using the

A

scope (geog area)

57
Q

age, pre-existing health problems, degree of mobility, and emotional stability.

A

Vulnerability

58
Q

A community risk map includes

A

disaster risk (lakes, power plants)
areas that can be flooded
area power plants can explode and cause fire
Vulnerable population (school children, hospitals)

59
Q

The community resource map shows

A
  • stored supplies
    -heavy equipment
    -schools w basements shelter
    -churchs w basement shelter
  • tent shelter site
    -evacuation route
60
Q

Patricia, the strongest hurricane ever recorded at sea, reached a record 215 mph as it roared toward the west coast of Mexico in October 2015 ( Nat. Hurricane Center Mar.10, 2016). It’s the strongest wind speed ever measured in a hurricane in the Western Hemisphere

A

scope

61
Q

Lots of warning, time to prepare, Evacuation was successful in getting most of the people out before the storm struck

A

predicatbility

62
Q

Sparsely populated area, off season so few tourists. Only 6 casualties because of this

A

timing

63
Q

It was later found that many of the buildings were older and not built up to modern code. IF these buildings were brought up to code it would have mitigated ( lessened the effects). This may have prevented some deaths

A

Mitigation

64
Q

highly populated area, large dam

A

scope

65
Q

Disaster management

A

have the roles listed w responsibilities but do not list the nurse’s or first responders’ names listed bc roles can cause

ensures that resources are available

deveople a disater plan

66
Q

First responders

A

local government : responsible for the safety and welfare of its citizens

67
Q

Office of emergency management

A

state government:
Involved when a disaster overwhelms the local community’s resources.
PEMA ( Pennsylvania Emergency Management Agency)

68
Q

Federal government Focuses on protecting the American people and their homeland

A

DHS – multiple departments
FEMA – became part of DHS in 2003
CDC
NDMS/NIMS

69
Q

non-governmental organization

A

American red cross

70
Q

order people will respond to disasters

A
  1. local government
  2. state
  3. federal
  4. non-government
71
Q

First responders get initial call - fires, car crashes, accidents

A

local government

72
Q

Mass casualty, explosion, mass shootings…They will notify the state ( PEMA and FEMA) as needed

A

office of emergency management

73
Q

community resoures can be

A

boy scouts, or veteran assoication

74
Q

Releases/ Disseminate threat information
includes the national disaster mgt medical system

A

Department of Homeland security

75
Q

Uses National Incident Management System ( NIMS) to coordinate response. This includes all non- medical response

A

Federal emergency mgt

76
Q

After a threat has passed, will conduct surveillance to identify health hazards

Keep healthcare workers up to date

Gives direction on the treatment of communicable diseases (mass immunization if needed)

A

Center of disease control (CDC)

77
Q

Coordinates efforts with other federal agencies, once President has declared an emergency or disaster
Programs include:
health services,
spiritual care,
disaster mental health,
fire safety

A

American red cross

78
Q

Primary prevention ( Prevention (mitigation) stage and Preparedness/Planning stage

A

Prevention stage, also known as mitigation stage - Aimed at preventing the occurrence of a disaster
Preparedness/ Planning stage – aims to limit the consequences if the disaster can’t be prevented

79
Q

Secondary prevention ( __________stage)

A

Response stage
Implemented once the disaster occurs

Includes shelter in place, search, rescue and triage of victims (p.602 Table 29-2)

Assessment of destruction and devastation

Deals with community and personal response to disasters

80
Q

Tertiary prevention (_______stage)

A

Recovery Stage

Focuses on recovery and restoring the community to previous levels of functioning

Aimed at preventing a recurrence or minimizing the effects of future disasters

81
Q

Shelter in Place
Evacuation
Search and Rescue
Staging Area
Disaster Triage
Rapid Epidemiological Assessment

This is considered the ______ stage

A

Response/ secondary prevention

82
Q

Green tage

A

walking wounded

83
Q

Yellow tage

A

systemic but not yet life-threatening complications

84
Q

Red tag

A

life-threating conditions that can be stabilized and have a high probability of survival

85
Q

Black tag

A

death is immendite

86
Q

Hazmat tag

A

contaminated

87
Q

reposition airway
have resp _______
Dont have resp________

A

Have: immediate (red)
Dont have: deceased (black)

88
Q

Over 30 resp get ____ tag

A

red

89
Q

under 30 resp and altered mental status

A

red tag

90
Q

Normal Resp and no pulse

A

immediate (red tag)

91
Q

Normal resp under 30: and normal mental status

A

yellow or green

92
Q

Patient 1 – Pt. states he cannot move his legs. His resp. is 24. Cap. refill is less than two. He is awake and oriented.

A

Yellow

93
Q

Patient 2 – Her shirt is soaked with blood. Resp. are 36. Cap. refill is less that 2 seconds. She is awake and oriented

A

red

94
Q

Patient 3 - Some minor abrasions to the forehead. Resp. is 16. Cap. refill is less that 2 seconds. He cannot recall his name or where he is.

A

red

95
Q

Patient 4 – Pt. appears to have no injuries. Resp. 20. Cap refill less that 2 seconds. She is unconscious

A

red
This patient appears to have no injuriesHer respirations are 20 – go to perfusionHer capillary refill is less than 2 seconds – go to mentationShe is unconscious – Stop here and give a red tag

96
Q

Patient 5 – Pt. is lying quietly on the floor. They are not breathing. Cap. refill is greater than 2 seconds. What would you do first?

A

black

97
Q

reasons to get a red tag

A

Resp over 30
The airway had to be repositioned
Cant follow commands or unconscious
Capillary refill more than 2 seconds

98
Q

this is the phase when people are working 20 hours straight and want to keep on going

everyone helps people survive. Health care personnel work with little sleep.

A

heroic phase

99
Q

people gather together and tell their stories

people tell stories about how then helped and did things they normally wouldn’t do.

A

honeymoon phase

100
Q

health care providers experience depression & exhaustion.

A

disillusionment

101
Q

phase where ppl look towards the future

A

reconstrution

102
Q

response phases of the community

A

HHDR
Heros Have duty + responsibility

Heroic- everyone helps people survive. Healthcare personnel work with little sleep.
Honeymoon- people gather together and tell their stories.
Disillusionment- health care providers experience depression & exhaustion.
Reconstruction- look to the future.

103
Q

Can you get sued under the Good samaritan act?

A

Yes, but only if you did not practice with in your scope of practice

of any acts or omissions in rendering the emergency care, except any grossly negligent acts or omissions which result in harm to the person receiving emergency care