Final study guide: mass casualty and triage

Question 1

MCI

Answer 1

Mass Casualty Incident: any event that overwhelms the local healthcare system, where the # vastly outnumbers the usual

Question 2

Scene types (2)

Answer 2

Natural
Man-made

Question 3

Naturally cause trauma scene (2)

Answer 3

*weather-related
*geophysical

Question 4

Man-made trauma scenes (4)

Answer 4

*crowds
*transport related
*terrorism
*shootings

Question 5

Scene safety (3)

Answer 5

*crucial for 1st responders
*is event over or is there continued risk
*are there secondary risks

Question 6

Why do victims usually die on scene

Answer 6

BC 1st responders can’t get to them bc scene isn’t safe

Question 7

What is best option for active shooter

Answer 7

hide

Question 8

Pre hospital triage: START

Answer 8

Simple triage and rapid tx

Question 9

Advanced planning for hospitals for trauma events (5)

Answer 9

*logistics
*physical space
*safety/security
*staffing
*behavioral health support

Question 10

Decon process prior to hospital and at hospital (2)

Answer 10

*gross decon prior to transport: remove clothes and 1 min rinse
*secondary and definitive decon arriving to med facility: whole body scrub until clean

Question 11

How long should a triage take

Answer 11

2-5 min

Question 12

ESI

Answer 12

Emergency Severity Index: rapid ID of pts that need immediate attention
*focuses on quick sorting

Question 13

Questions answered in ESI (4)

Answer 13

*is pt dying
*can pt wait
*is pt high-risk
*how many resources does this pt require

Question 14

Start triage rhythm (3)

Answer 14

*ask pts who can get up and move to staging area
*all non-ambulatory pts are assessed
*Higher acuity if: RR >30, cap refill >2, unable to follow commands

Question 15

Hosp tertiary triage (3)

Answer 15

*how is pt responding to therp?
*current status of hosp resources?
*what is the time frame for supply?