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Last Exam 7 > Exam 7 > Flashcards

Exam 7 Flashcards

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
Q

Contact hazard
Dissemination
Communicability
Incubation
radiologic waste

A

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
Q

Types of weapons of mass destruction - BNICE

A
  • B - BIological
  • N - Nuclear
  • I - Incendiary
  • C - Chemical
  • E - Explosive
27
Q

Incendiary devices

A
  • Napalm, white phosphorus, magnesium
  • Burn very hot
28
Q

Vesicants and signs

A
  • - 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
Q

Sulfur mustard

A
  • brownish-yellowish oily substance
  • Very persistent
  • Mutates and damages cells
  • Skin reddens, then blisters develop
30
Q

Lewisite and phosgene oxime

A
  • produce blister wounds similar to mustard
  • immediate intense pain and discomfort upon contact
  • Patient may have gray discoloraton
31
Q

Pulmonary choking and signs

A
  • choking
    • Lung tissue damage following inhalation
    • No antidotes for pulmonary agents
    • Signs and symptoms
      • Dyspnea
      • Stridor and coughing, Rales,
      • Pulmonary edema
        -
32
Q

Chlorine what it looks like and symptoms

A
  • first chemical agent ever used in warfare
  • Produces Upper airway irritation and a choking sensation
  • vapor has a green haze
33
Q

Phosgene

A
  • Product of combustion
  • Odor of freshly mown grass
  • Very potent agent with a delayed onset of symptoms
34
Q

nerve agents and list of signs
SLUDGEMBS

A

Organophosphates
- SLUDGEMBS
- S - Salivation
- L - Lacrimation
- U - Urination
- D - Defacation
- E - Emesis
- M - Miosis
- B - bradycardia
- S - Seizure

35
Q

management for nerve agent

A
  • ABCs
  • Duodote injector
    • Atropine
    • Pralodoxime Chloride (2-PAM)
36
Q

Ricin
Botulinum

A
  • Ricin
    • Weakness, fever, cough, shock
    • 36 hours after inhalation
  • Botulinum
    • Paralysis, weakness, blurred vision, dyspnea, respiratory failure
    • 12-36 hours following ingestion
37
Q

Metabolic agents - cyanides and signs and management and what it looks like

A
  • 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
Q

list of Viruses and signs

A
  • 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
Q

Bacterias and signs

A
  • 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
Q

list of Radiation

A
  • 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
Q

Primary exposure
Fallout
Iodine treatment

A
  • 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
Q

TCC

A

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
Q

Tactical operations

Situational awareness

A
  • 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
Q

Types of chemical agents

A
  • Vesicants (blister agents)
  • Pulmonary agents (choking agents)
  • Nerve agents
  • Metabolic agents (cyanides)
45
Q

define dissemination

A

It means a terrorist will spread a poisoning agent like in water or air

Last Exam 7 (1 decks)

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