EMS Responsibilities 203.01

Question 1

A multi-patient is defined as any incident with fewer than how many patients?

Answer 1

25 patients

Question 2

A mass casualty incident is defined as any incident involving how many patients?

Answer 2

25 to 100 patients

Question 3

A disaster is defined as any incidents involving how many patients?

Answer 3

Involving more than 100 patients

Question 4

What are the general tactical objectives for multi-patient or mass casualty incident?

Answer 4

1. Remove endangered occupants and treat injured
2. Stabilize the incident and provide for life safety
3. Ensure functions of triage, extrication, transportation are established as needed
4. Provide for safety, accountability, welfare of rescuer personnel and victims
5. Conserve property

Question 5

What are the EMS tactical objectives to be completed during multi-patient/ mass casualty incident?

Answer 5

1. Completion of a triage report
2. Declaration of all immediates transported

Question 6

Patients should be transported in what priority order?

Answer 6

1. IMMEDIATE
2. DELAYED patients upgraded to IMMEDIATE
3. DELAYED
4. MINOR

Question 7

Initial actions on a multi patient/ mass casualty should include?

Answer 7

1. Give an on-scene report and assume command. Initiate triage.
2. Perform a rapid hazard assessment and establish a safe zone to operate.
   Initiate traffic control and provide a safe work/treatment area.
3. Provide for occupant protection (charged hand line).
4. Call for additional resources.
5. Radio a Triage Report to Dispatch.
6. Stabilize hazards and/or remove patients to a treatment area.
7. Assign crew(s) specific task(s) to accomplish.
8. Early sectorization (triage, extrication, treatment, and transportation) or by location (north, south, east, west).
9. Initiate patient assessment and treatment functions.
10. Coordinatepatienttransportation.

Question 8

When should triage tags be used?

Answer 8

• any time there are three or more immediates or more than 10 patients

Question 9

What units will go directly to the scene on greater alarms (ie.. 2-1 medical, 1st alarm medical, 2nd alarm medical)

Answer 9

• First arriving company will go directly to the scene
• first paramedic unit
• first ladder
• first Chief Officer
• first rescue
• All other companies will use level 1 staging

Question 10

IC is responsible for the strategic level of the command structure and should?

Answer 10

• Determine the appropriate strategy
• establish over all incident objectives
• set priorities
• develop an action plan, communicate plan
• obtain and assign resources
• planning- based on evaluating intervention and predicting outcomes
• communicate specific objectives to tactical level units
• initiate a unified command with other agencies

Question 11

Most multiple- patient incident require what Basic sectors?

Answer 11

Patient Triage

Extrication

Treatment

Transportation

Staging sector is a major consideration action durning larger incidents

Question 12

The purpose of Triage sector is?

Answer 12

• Determine in slope coordination with extrication the location, number and condition of patients
• whether triage should be performed before or after patients are extricated.
• Supervise triage teams
• provide command with a triage report when triage is completed.
• Forward tracking slips to command

Question 13

The purpose of Extrication Sector is to?

Answer 13

• Determine In close coordination with Triage, Location, number, and condition of patients.
• Whether or not triage will be performed before or after extrication
• Assign and supervise extrication teams
• extricate and deliver patients to treatment area
• Notify Command when all patients have been removed from impact area
• Minor patient will be assessed by Extrication and delivered to treatment if further medical care is warranted

Question 14

The purpose of Treatment Sector is?

Answer 14

• Determine if treatment will occur in place or in designated treatment area.
• A centralized treatment area is preferred
• Responsible to assign and supervise treatment teams
• Ensure all patients have been triage, assessed and treatment as needed
• Coordinate patient allocation with Transportation Sector
• Notify Command when all patients have been treated

Question 15

The purpose of transportation Sector is?

Answer 15

• Obtain all modes of transportation needed to take patient to the hospital
• Determine in conjunction with command the location of staging area, Rescue area, and Helicopter landing zone
• Determine hospital availability through dispatch
• supervise the movement of patients from treatment area to ambulance loading area or helicopter zone
• Determine hospital destination and notify hospitals of rescue or ambulance arrival through dispatch
• Remove tracking slips from triage tag prior to transport
• Notify Command when all Immediate’s have been transported and maintain an accounting of all patients

Question 16

Level 2 staging area will be identified for?

Answer 16

Any First alarm medical incident

Question 17

Mass casualty incidents may require the implementation of a?

Answer 17

Separate Medical branch and Transportation Branch

Question 18

Medical Branch is responsible for?

Answer 18

Functions of triage, Extraction, treatment, and supervise and coordinate personnel assigned, determine and request resources, recommend expansion of the command

• communicate direction and objectives to tactical units
• Ensure objectives are completed and maintain incident documentation

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Question 19

Additional positions within medical branch may include?

Answer 19

Immediate, delayed and minor treatment Sector Officers

• medical communications sector
• medical supply sector
• ground ambulance coordinator
• morgue officer

Question 20

First alarm medical typically have how many patients?

Answer 20

5-10

Question 21

Second Alarm medical typically has how many patients?

Answer 21

10-25

Question 22

Mass casualty incident response typically has how many patients?

Answer 22

25-100