EMS OPS BULLETINS Flashcards by John Brooke

Incident comprising, less than __ severely exposed victim, should be manageable, using DuoDote auto injectors
A. 10
B. 25
C. 50
D. 100

B. 25
Incident comprising, less than 25 severely exposed victim, should be manageable, using DuoDote auto injectors

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There are __ Chempacks containers in Washington DC
A. 2
B. 5
C. 6
D. 10

C. 6
There are 6 Chempacks containers in Washington DC

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Chempacks are configured for either Hospital or EMS use. 85% auto injectors and 15% bulk treatment supplies, 454 patients is used by ____
A. Hospital
B. EMS

B. EMS
Chempacks are configured for either Hospital or EMS use. 85% auto injectors and 15% bulk treatment supplies, 454 patients is used by EMS.
(Hospital hospital use 85% bulk treatment supplies and 15% auto injectors, 1000 patients)

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The Chempack storage room can be located by following the ________ footsteps on the warehouse floor. These begin when you enter the warehouse floor from the entry of 30 180 V St. NE.
A. Green
B. Yellow
C. Red
D. Blue

B. Yellow
The Chempack storage room can be located by following the yellow footsteps on the warehouse floor. These begin when you enter the warehouse floor from the entry of 30 180 V St. NE.

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Which mask casually support unit is capable of bringing supplies to treat up to 100 patients?

Mass casualty support unit number 1( North Mass Casualty Task Force) It is a Level III unit

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A level 2 Mass Casualty Support unit is capable of bringing supplies to treat up to __ patients.
A. 25
B. 35
C. 50
D. 100

C. 50
A level 2 Mass Casualty Support unit is capable of bringing supplies to treat up to 50 patients

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To ensure that member stay current on their skills and knowledge, the task force companies will drill _______ in accordance to order book article XV
A. Monthly
B. Quarterly
C. Bi Annually
D. Yearly

A. Monthly
To ensure that member stay current on their skills and knowledge, the task force companies will drill monthly in accordance to order book article XV

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True or False
After using one full 60 minute cylinder a member will be required to report to rehab.

TRUE
After using one full 60 minute SBA cylinder, or the equivalent of completing a work cycle 40 minutes of intense physical exertion with or without an SBA, will require rehab.

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Can a member using one full 45 minute cylinder be redeployed using a second 45 minute cylinder

YES
Shorter times shall be considered during extreme weather conditions or periods of extreme physical exertion under the discretion of the incident commander
(Bulletin 4 2.2.1.1)

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True or false
On major incidents rehab is the responsibility of the medical unit under the Logistic Section

TRUE
(Bulletin 4 2.3)

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Members in Rehab are under the direction of the _______ assigned to the rehab unit.

Senior medical provider
(Bulletin 4 2.5.3)

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Membership drink water during rehabilitation. Sports drinks are appropriate after _____.
A. 20 min
B. 30 min
C. 45 min
D. 60 min

D. 60 min
Membership drink water during rehabilitation. Sports drinks are appropriate after one hour.
(Bulletin 4 2.5.5)

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Member should rest for ___ minutes before being released to operations

Members should rest for 20 minutes before being released to operations
(Bulletin 4 2.5.3)

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Members presenting with abnormal vital signs shall be given _________ rest periods and be monitored frequently (at least every ___ minutes) and will not be released back into operations until vital signs normalize

Members presenting with abnormal vital signs shall be given two 20 minute rest periods and be monitored frequently (at least every 10 minutes) and will not be released back into operations until vital signs normalize
(Bulletin 4 2.5.6)

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Rehab personnel shop, obtain the following vital signs from responders

Heart rate, Respiratory Rate, Blood Pressure, SPO2, COHb, Temperature
(Bulletin 4 2.10)

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Vitals are checked a minimum of _____ times while in rehab

Vitals are checked a minimum of 2 times while in rehab

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Dy definition, The use of natural evaporation such as sweating, doffing personal protective equipment, moving to a cool environment to reduce elevated core temperature is?
A. Active Cooling
B. Passivee Cooling

B. Passivee Cooling
Active cooling is the use of external methods such as devices, forearm immersion, misting fans to reduce elevated core temperatures

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Company officers should continuously assess their crew at least every ________ and more frequently when working extreme conditions to determine their need for a rehab and ensure accountability of the members

45 Minutes
Company officers should continuously assess their crew at least every 45 minutes and more frequently when working extreme conditions to determine their need for a rehab and ensure accountability of the members

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Which member may return to operations after 20 minute rest if vitals signs are found:
A. Pulse 60-110 BPM
B. Pulse 140-180 BPM
C. Pulse Greater than 180 BPM

A. 60-110 BPM
(Bulletin 4 Appendix B)

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Which member must be transported to a healthcare facility with the vital signs that are found after Two 20 minute rest periods
A. BP systolic 100 to 160 diastolic less than 90
B. BP systolic 160 to 220 diastolic 90 to 130
C. BP greater than 200 systolic and diastolic greater than 130

B. 160- 200 Systolic
90-130 diastolic

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Member must be immediately transported to the hospital if the following vital signs are found
A. SPO2 95 to 100%
B. SPO2 less than 95%
C. SPO2 less than 90%

C. SPO2 less than 90%

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Member must be transported to a healthcare facility if the following vital signs are found after Two 20 minute rest periods.
A. respiratory rate of 10 to 20 BPM
B. respiratory rate 20 to 30 BPM
C. Respiratory rate greater than 30 or less than 10 BPM

B. respiratory rate 20 to 30 BPM

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Members may return to operations after 20 minute rest. If the vital signs are found.
A. Temp 97 to 99.6
B. Temp 99.6 to 103
C. Temp Greater than 103

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The department has identified engine company __ and engine company __ as the companies that will have assigned community service units (CSU) to transport motorized wheelchairs.

The department has identified engine company 4 and engine company 8 as the companies that will have assigned community service units (CSU) to transport motorized wheelchairs.

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True or false A casually collection point (CCP) can be staged in the warm zone

TRUE A casualty collection point (CCP) can be located inside of the warm or cold zone (Bulletin 9 III)

A term used to confirm that an area has been searched by MPD and currently has no immediate threat to first responders A. Clear B. Secure

A. Clear The Difference between clear and secure is the key word is currently

For an active shooter response, all units responding will stage a minimum of ____ blocks away in line of approach or designated at staging area

3 BLOCKS For an active shooter response, all units responding will stage a minimum of 3 blocks away in line of approach or designated at staging area

The initial RTF Team (recon) to enter the building, will consist of one _________, and one_________

The initial RTF Team (recon) to enter the building, will consist of one Company Officer, and one Firefighter

For each RTF team 2 firefighters will have __ MPD officers. The __________ will be overall will be the overall leader

For each RTF team 2 firefighters will have 4 MPD officers. The MPD Group Leader will be overall will be the overall leader

RTF team 1 will enter the building and give a size up report to operations once they come in contact with __________

RTF team 1 will enter the building and give a size up report to operations once they come in contact with the first patient

The location of the Casualty Collection Point (CCP) will be based on the recommendation of the __________ in conjunction with MPD

The location of the Casualty Collection Point (CCP) will be based on the recommendation of the RTF team 1 in conjunction with MPD

The rescue squad will carry ___ sets of active shooter PPE in the north and south mass casualty task force support units will carry ___ sets of active shooter PPE

The rescue squads will carry 5 sets of active shooter PPE and the north and south mass casualty task force support units will carry 15 sets of active shooter PPE

The medical equipment that will be used by RTF team will consist of ?

Tourniquets Pressure dressings Quick clot Occlusive dressings

The ballistic vest purchased by DCFEMS in general have limitations, one of which is a ____ year service/shelf life

The ballistic vest purchased by DCFEMS in general have limitations, one of which is a five-year service/shelf life

Patient will be marked an identified using glow sticks or triage tape. The deceased will be _______ color triage tape and ______ color glow stick

DECEASED: Black Tape Blue Glow Stick

The acronym THREAT

T: threat suppression H: hemorrhage control and basic airway RE: rapid extrication to safety A: assessment by medical providers T: transport to definitive care

The two ELO positions are assigned and station at the ______

The two ELO positions are assigned and station at the OUC

The ELO shall make radio or telephone contact with transport units at hospital for a status check if the transfer of patient care time exceeds ____ minutes or pending available time exceeds ___ minutes.

transfer of patient care time exceeds 30 minutes or pending available time exceeds 15 minutes.

The on duty BFC EMS, The Medical Director, The Assistant Medical Director, and the fire operation center will be notified with ____ minutes in "Transport Arrived" status

The on duty BFC EMS, The Medical Director, The Assistant Medical Director, and the fire operation center will be notified with 120 minutes in "Transport Arrived" status (60 minutes in "transport arrived" status the on duty BFC EMS, the charge nurse, as well as the closest EMS Battalion supervisor)

True or false The nurse triage line operates 24 hours. seven days a week

TRUE

A patient must be at least ___ years old to meet nurse triage line criteria

A patient must be at least 2 years old to meet nurse triage line criteria (Bulletin 13 2.16.1)

NTL can be considered with 3 exceptions to vital signs exclusion.

!. Vitals are consistent with the patient's baseline vitals 2. Patient is completely asymptomatic.(no neurological symptoms, chest pains, shortness of breath, syncope headache) 3. Patient with hyperglycemia must be asymptomatic.

Who makes the final decision of transport or destination on the NTL call?

The Nurse

When NTL eligible patient refused to participate in the NTL referral process the NTL care plan the on scene personnel shall request ?

A EMS supervisor to be dispatched to their location

Once AMR is approved the request through OUC on the appropriate tack channel can be made between the hours of ______ and _______hours

Once AMR is approved the request through OUC on the appropriate tack channel can be made between the hours of 07:00 and 01:00

If AMR transport unit has not arrived on scene within _________, the on scene first responder will notify OUC and attempt to determine anticipated arrival time

15 minutes

Transfer a patient to AMR shall not be completed until

The patient is physically loaded in the AMR transport unit or the AMR crewmembers acknowledged they are comfortable assuming the patient care

When contacting NTL wait no more than ________ for the nurse to pick up. If no one picks up, then proceeded with the usual protocol for treatment and transport

2 Minutes

The canteen unit is normally quartered at _________ and the ready reserve canteen unit is located at ________.

The canteen unit is normally quartered at engine five and the red reserve canteen unit is located at engine 31

Command officers must keep in mind that canteen unit is not routinely staffed. It generally takes a minimum of ________ and longer from the time of request to the time the unit actually responds.

Command officers must keep in mind that canteen unit is not routinely staffed. It generally takes a minimum of 30 minutes and longer from the time of request to the time the unit actually responds.

On a suspected homicide after MPD arrives on the scene and assumes responsibility for the deceased patient. DCFEMS personnel will place a _______________.

sheet over the patient

All personnel working in or around the helicopter landing zone shall wear ____________, and ____________.

eye protection helmets properly secured with the chinstrap in place

Landing zone shall be at least _____ FT by _____ FT'

100 by 100

Traffic flares and/or caution tape ________ to mark the landing zone A. Used B Shall not be used

B. shall not be used

For CPR ________, and ___________ are the most important interventions in both within the scope of the EMT

For CPR high-quality chest compressions, and Timely defibrillation are the most important interventions in both within the scope of the EMT

Pauses in compression should be no longer than ___ seconds

Pauses in compression should be no longer than 10 seconds

Compressions of adequate rate is ___ to ____ per minute A.80, 100 B.80,120 C.100,120 D.100,140

C. Compressions of adequate rate is 100 to 120 per minute

Who is generally the CPR leader/coach?

The first arriving company officer

Definition the Runner is?

the first member to the patient side, initiates chest compression

The CPR leader shall also be the timekeeper responsible for ensuring that pulse checks take place at _________ intervals,

The CPR leader shall also be the timekeeper responsible for ensuring that pulse checks take place at two minute intervals,

Remember, doing chest compressions shall "hover" no more than _______ over the patient's chest during any paws and chest compressions

Remember, doing chest compressions shall hover no more than 2 inches over the patient's chest during any paws and chest compressions

For CPR on an engine company who is the runner and what equipment do they carry?

Lineman And they carry no equipment (layout is the ventilator, and they carry O2 in the suction)

For CPR on a truck company who is the runner and what do they carry?

Bar And they carry no equipment (hook is the ventilator and will carry O2 in the suction)

Providers will consider requesting the surgical strike team for any patient when an anticipated the extrication times will exceed _________, and/or the patient ____________

Providers will consider requesting the surgical strike team for any patient when an anticipated the extrication times will exceed one hour, and or the patient may benefit from unseen surgical intervention by physician

The incident commander will assign a member of the technical rescue team as a direct liaison to the surgical strike team who sole responsibility is ?

to monitor their safety

By definition, patient contact is

Occurs when a unit arrives on scene and makes visual or verbal contact with the patient

Acronym, CARES

Cardiac Arrest Registry to Enhance Survival database