III-09 Mass Casualty Incidents

Question 1

Any conflicts with hospitals should be deflected to ____

Answer 1

• on-call Medical Director

Question 2

Assign a minimum of __ ALS units and __ BLS Apparatus units to the Treatment Area

Answer 2

• 2

- 3

Question 3

Using the JumpStart Pediatric MCI Triage: if the Patient is Breathing, then the Respiratory rate determines what category they are marked. What are the Respiratory Rates used to mark the Pediatric patient as “IMMEDIATE”

Answer 3

45

Question 4

Place the Regional EMS Disaster Tag on the Patient. The order of preference for placing the tag is: around the neck> ____ > ____ > right ankle > left ankle.

Answer 4

• right wrist

- left wrist

Question 5

According to Staffing considerations during an MCI, a _____ should be considered as a Triage Group Supervisor

Answer 5

• BLS Apparatus captain

Question 6

Level I Trauma Centers can initially take __ Immediate Patients and __ Delayed Patients

Answer 6

• 10

- 15

Question 7

In the Adult START Triage Algorithim, what is the number used in checking a Patient’s Respiratory Rate

Answer 7

• 30

Question 8

START Triage – A method of triaging which allows responders to sort a large number of patients (over the age of __ years) in a small amount of time.

Answer 8

• 8

Question 9

____ patients will not receive a ribbon. These patients will, however, receive a Regional Disaster Tag upon entry into the Treatment Area.

Answer 9

• Minor (Green)

Question 10

Once activated, it may take ____ for CMOC to become fully functional.

Answer 10

• one hour

Question 11

If Electronic Patient Tracking System is available, confirm the incident has been created by whom

Answer 11

• telemetry

Question 12

Large MCI’s may be active for hours or days. If the event is projected to last longer than ___ you should consider calling for the Decon Task Force tents and fans to protect patients and responders from the elements

Answer 12

• an hour

Question 13

___ – A patient not capable of producing any verbal or physical response to stimuli

Answer 13

• Unresponsive Patient

Question 14

Using the JumpStart Pediatric MCI Triage, if the Patient is still Apneic, but has palpable pulse after repositioning the airway what is the next step

Answer 14

• Give 5 Rescue Breaths

Question 15

The EMS Physician Vehicle or Mobile Medical Command carries a WMD Pelican Case with ___ DuoDote Kits and ___ CANA kits

Answer 15

• 60 and 30

Question 16

How many patients would there be if this a Level I MCI

Answer 16

• 10-20

Question 17

Incidents requiring more than how many transport units will receive a 710 page

Answer 17

• 3

Question 18

Which of the following is an example of an EMS Strike Team

Answer 18

• 3 BLS Ambulances

Question 19

Who is responsible to give CMOC situational reports if the MCI is large enough for their activation

Answer 19

• Base station (Telemetry)

Question 20

The title for the persons in charge of the respective Triage, Treatment, and Transport Groups are referred to as

Answer 20

• Supervisor

Question 21

Emphasis on setting up which group early cannot be overstated? This can be the most critical component to a well-managed MCI, and requires an experienced individual with a good understanding of these guidelines

Answer 21

• Transportation

Question 22

What is the regional web based program utilized by the CMOC, EMS agencies, and healthcare facilities to report asset capabilities, provide notifications of evolving incidents and to designate the healthcare facility’s current capability to accept patients

Answer 22

• EMResource

Question 23

The IC may consider activating CMOC on a which Level MCI

Answer 23

• 3

Question 24

Walking patients: The Multi Patient Vehicle (AMBUS) will accommodate ___ litters or seated patients. An ambulance will transport up to 5 ambulatory patients.

Answer 24

• 20

Question 25

Each BLS Apparatus has a Triage pouch containing rolls of ribbons. What are the colors inside the pouch

Answer 25

• red, yellow, black, orange, and blue

Question 26

Possible reasons to activate CMOC:

1) Due to a large number of patients, a coordinated effort is required to redistribute patients in hospitals to healthcare facilities ____ of greater Houston.
2) To coordinate the request for and response of ___ ambulances for transport of patients.

Answer 26

• non-HFD

- outside

Question 27

If you are transporting a patient from a MCI incident, when should you contact Base Station (Telemetry)

Answer 27

• only if you need additional treatment orders

Question 28

Mutual Aid Units should be requested when more than __ HFD Ambulances are required

Answer 28

• 10

Question 29

The MCI Guideline makes reference to the number of patients the AMBUS will accommodate in two separate places that vary. In the definition section it states: the Multiple Patient Vehicle- MPV-602 (AMBUS) “is designed to carry ___ patients lying down.”

Answer 29

• 18

Question 30

MPV-602 (AMBUS) housed at station 8, is a multiple patient vehicle that is designed to carry 18 patients lying down or ___ sitting

Answer 30

• 24-26

Question 31

The Regional Medical Surge Trailer housing the field hospital tents may also be activated if the MCI is expected to be prolonged for how long

Answer 31

• days

Question 32

What group are the “stretcher-bearers” in

Answer 32

• triage

Question 33

What is the name of the position that should only be filled if EMTrack system is non-operational

Answer 33

• Mass Casualty Recorder