Exam 7 Flashcards

(45 cards)

1
Q

Types of ambulances 1,2,3

A

1, truck with a separated, cab and body
2, van style
3, square big van

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2
Q

what is Medivac

A

Medical evacuation of a helicopter
100 x 100 feet zone

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3
Q

CRASH Report

A
  • C - critical information - GCS, ABCs
  • R - restraints used - types, speed, type of impact
  • A - assessments - account for limbs, history, and damage to passenger compartment
  • S - suspected injuries - chest assessment, spine/back trauma, long bones, and pelvis
  • H - help needed - plan for extrication after disentanglement
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4
Q

Incident commander (IC), singular command, United command

A

Individual who runs entire incident responsible for coordinating

One person coordinating incident, smaller jurisdiction

Managers of different jurisdictions share command

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5
Q

Finance and logistics

A

Responsible for documenting all expenses

Responsible for communicating equipment, facilities, food, and water

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6
Q

Operations and planning

A

At a large or complex incident responsible for managing tactical operations usually handled by there IC

Solves problems as they arise and develops action plan

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7
Q

Triage supervisor, treatment supervisor, transportation supervisor, staging supervisor, rehab supervisor, morgue supervisor

A

In charge of counting and prioritizing patients

Locate inside of all treatment areas with a tier for each priority

Coordinates for transportation of patients to appropriate receiving hospitals

Should be assigned when scenes require a multi agency response

Establishes an area that provides protection from the situation

Removal of dead body and parts

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8
Q

Primary triage and secondary triage

A

Primary is performed in the field assessing and tagging patient priority

Secondary is after they are brought into the treatment area. They are reassessed

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9
Q

For tags for triage red, yellow, green, black

A

Red, need immediate care and transport

Yellow, delayed, most likely, will need care and transport

Green, walking wounded

Black, not breathing or dead 

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10
Q

Incident command

A

Fixed location known and accessible to all rescuers and resources

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11
Q

First responder awareness level

First responder operations level

Hazardous materials technician

A

recognition of dangerous situations

patient care in cold zone

  • patient care in warm and hot zone
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12
Q

UN number

A

4 digit ID# given to a chemical

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13
Q

Colors of types of materials
1 - orange
2 - red/green
3 - red
4 - red and white
5 - yellow

A
  • 1 - orange - explosives
  • 2 - red/green - gases
  • 3 - red - liquids
  • 4 - red and white - solids
  • 5 - yellow - oxidizers and organic peroxides
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14
Q

6 - white
7 - yellow and white
8 - black and white -
9 - black and white -

A
  • 6 - white - poisonous and etiologic
  • 7 - yellow and white - radioactive materials
  • 8 - black and white - corrosives
  • 9 - black and white - miscellaneous
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15
Q
  • Red - flammability
    • 0 -
    • 1 -
    • 2 -
    • 3 -
    • 4 -
A
  • Red - flammability
    • 0 - will not burn
    • 1 - above 200F
    • 2 - between 100F and 200F
    • 3 - below 100F
    • 4 - below 73F
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16
Q
  • Blue - health hazard
    • 0 -
    • 1 -
    • 2 -
    • 3 -
    • 4 -
A
  • Blue - health hazard
    • 0 - Normal material
    • 1 - Slightly hazardous
    • 2 - hazardous
    • 3 - extreme danger
    • 4 - deadly
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17
Q
  • Yellow - reactivity
    • 0 -
    • 1 -
    • 2 -
    • 3 -
    • 4 -
A
  • Yellow - reactivity
    • 0 - stable
    • 1 - slightly hazardous
    • 2 - violent chemical change
    • 3 - shock/heat may detonate
    • 4 - may detonate
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18
Q
  • White - identifies specific hazards
    • Acid -
    • Alk -
    • Cor -
    • OXY -
    • Nuc sign -
    • ~~W~~ -
A
  • White - identifies specific hazards
    • Acid - acid
    • Alk - alkali
    • Cor - corrosive
    • OXY - oxidizer
    • Nuc sign - radioactive
    • ~~W~~ - use no water
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19
Q

Levels of toxicity

  • 0 -
  • 1 -
  • 2 -
  • 3 -
  • 4 -
A

Levels of toxicity

  • 0 - little to none
  • 1 - irritation on contact, mild injury
  • 2 - temporary damage but requires prompt treatment
  • 3 - extremely hazardous
  • 4 - minimal contact will cause death
20
Q
  • Hazmat protection equipment
    • Level A
    • Level B
    • Level C
    • Level D
A
  • Hazmat protection equipment
    • Level A
      • Highest respiratory and splash protection
      • Fully encapsulating
    • Level B
      • Full respiratory protection
      • Non-encapsualting, but chemically resistant
    • Level C
      • Uses an air-purifying respirator
      • Nonpermeable suit, boots, and eye and hand protection
    • Level D
      • Structural Firefighting gear
21
Q
  • Local effects -
  • Systemic Effects -
A
  • Local effects - affect at site of contamination on body
  • Systemic Effects - organ system effects
22
Q

Pesticides - SLUDGEIPS

A
  • Salivation
  • Lacrimation
  • urination
  • diarrhea
  • Gastrointestinal distress
  • Emesis
  • Involuntary muscle contraction
  • Pinpoint pupils
  • Seizures
23
Q

Chemical Asphyxiants and signs

A
  • Include CO and cyanides
  • Early cyanide and low exposure
    • Giddiness
    • Palpitations
    • Diziness
    • N/V
    • Hyperventilation
    • Eye irritation
    • Pink-red skin
  • Middle
    • Drowsiness
    • Hypoventilation
  • Late, high exposure
    • Stupor
    • LOC
24
Q

persistent (nonvolatile)
Nonpersistent (volatile)

A
  • persistent (nonvolatile) - agents will remain on a surface before evaporating, for even hours to days
  • Nonpersistent (volatile) - agents will remain on a surface before evaporation (short periods)
25
Contact hazard Dissemination Communicability Incubation radiologic waste
Contact hazard - give off very little vapor or no vapor and enters the body through the skin - Dissemination - the means by which a terrorist will spread an agent - Communicability - how easily the disease is able to spread from one human to another - Incubation - the period of time between the person becoming exposed to the agent and the appearance of the first symptoms - radiologic waste - remaining radologic material after it has been used
26
Types of weapons of mass destruction - BNICE
- B - BIological - N - Nuclear - I - Incendiary - C - Chemical - E - Explosive
27
Incendiary devices
- Napalm, white phosphorus, magnesium - Burn very hot
28
Vesicants and signs
- **- blister agents** - Thich oily liquids that cause chemical burns to eyes, skin, and lungs through skin contact and vapor hazards - Sulfur Mustard, Lewisite and phosgene oxime - Chemical burns with large blisters - Dysnea, stridor, hemoptosis - gray discoloration - Permanent eye injurry
29
Sulfur mustard
- brownish-yellowish oily substance - Very persistent - Mutates and damages cells - Skin reddens, then blisters develop
30
Lewisite and phosgene oxime
- produce blister wounds similar to mustard - immediate intense pain and discomfort upon contact - Patient may have gray discoloraton
31
Pulmonary choking and signs
- **choking** - Lung tissue damage following inhalation - No antidotes for pulmonary agents - Signs and symptoms - Dyspnea - Stridor and coughing, Rales, - Pulmonary edema -
32
Chlorine what it looks like and symptoms
- first chemical agent ever used in warfare - Produces Upper airway irritation and a choking sensation - vapor has a green haze
33
Phosgene
- Product of combustion - Odor of freshly mown grass - Very potent agent with a delayed onset of symptoms
34
nerve agents and list of signs SLUDGEMBS
Organophosphates - SLUDGEMBS - S - Salivation - L - Lacrimation - U - Urination - D - Defacation - E - Emesis - M - Miosis - B - bradycardia - S - Seizure
35
management for nerve agent
- ABCs - Duodote injector - Atropine - Pralodoxime Chloride (2-PAM)
36
Ricin Botulinum
- Ricin - Weakness, fever, cough, shock - 36 hours after inhalation - Botulinum - Paralysis, weakness, blurred vision, dyspnea, respiratory failure - 12-36 hours following ingestion
37
Metabolic agents - cyanides and signs and management and what it looks like
- Colorless gasses with odor of almonds - Prevents cells from using oxygen - Hydrogen cyanide - Cyanogem chloride - Signs and symptoms - Low dose - Dizziness, headache, N/V - High Dose - ALOC, coma, seizure, cardiac arrest - Management - removal from environment, ABC - Cyanide kit - (ALS)
38
list of Viruses and signs
- Small pox - Viral hemorrhagic fevers - Ebola, marburg, yellow fever - Causes blood to seep out form tissues and vessels - Fever and headache - ALOC - Vomiting - Rash - Pattern of similar structure blisters - Uncontrolled internal and external bleeding (VHF) - Ecchymosis (late) - Bloody SPutum (late)
39
Bacterias and signs
- Anthrax - Signs and symptoms - Fever - Fatigue - Dyspnea - Cough - Headache - Plague (bubonic, pneumonic) - Signs and symptoms - Swollen, overgrown lymph nodes (bubonic) - Dyspnea and pulmonary edema (pneumonic) - Flu-like symptoms leading to sepsis - Cough - headache
40
list of Radiation
- Alpha Rays - Least penetrating - Clothes are effective barrier - Harmful if ingested - (1 Electron) - Beta rays - Aluminum is an effective barrier - (1 proton) - Neutron/Gamma rays/X-rays - Most penetrating - Lead and concrete common shield barriers - Lesser internal hazard
41
Primary exposure Fallout Iodine treatment
- Primary exposure - Eposure during or immediately following radiation event - Injuries limited to those in blast area - patients exposed to excessive radiation are considered victims of acute radiation toxicity - Effects of radiation exposure vary based on amount and route - Exposure does not mean contamination or radioactivity, but they must be cared for by Hazmat team first - properly dispose of PPE and bodily fluids - Fallout - Radioactive dust and particles - 48 hours and immediate vicinity to blast site - Systemic and delayed effects - Iodine treatment - Potassium iodide - Blocks uptake of radiation by thyroid gland - Prevents and reduces incidence of thyroid cancer
42
TCC
Delivery of specialized adjunct tactical emergency medical services to casualties of active shooter and terrorism events by first responders from an established EMS system
43
Tactical operations Situational awareness
- Priority is to mitigate threat - Contact team - Rescue team need or ability to have a high level of attentiveness to environment in a dynamic situation to make appropriate decisions
44
Types of chemical agents
* Vesicants (blister agents) * Pulmonary agents (choking agents) * Nerve agents * Metabolic agents (cyanides)
45
define dissemination
It means a terrorist will spread a poisoning agent like in water or air