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Paramedic Special Considerations > Mass casualty incident > Flashcards

Mass casualty incident Flashcards

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1
Q

Which of the following incidents would be classified as a “closed incident”?
Question 1 options:

A)

A two-vehicle collision

B)

Persons sprayed with mace at a club

C)

A building fire

D)

A grain storage bin collapse

A

a two vehicle collision

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2
Q

Which of the following incidents would be classified as an “open incident”?
Question 2 options:

A)

A gas pipeline explosion along a stretch of rural road

B)

People shot by a coworker at a factory

C)

A three-vehicle collision on a highway

D)

A collapse of a grocery store roof in a heavy rain

A

a collapse of a grocery store roof in a heavy rain

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3
Q

Which of the following is the best definition of a multiple-casualty incident?
Question 3 options:

A)

A situation in which more than one ambulance is needed

B)

Any incident with more than one patient

C)

A situation in which there are more than three patients

D)

Any incident in which situational demands overwhelm resources

A

any incident in which situational demands overwhelm resources

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4
Q

Which of the following scenarios would benefit from pre-incident planning in anticipation of a possible MCI?
Question 4 options:

A)

Increasing incidence of national terrorist activity

B)

The first winter storm of the season

C)

Major road closure due to construction

D)

Outdoor music festival with expected attendance of 10,000

A

outdoor music festival with expected attendance of 10,000

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5
Q

The Incident Command System was initially developed as a management tool for:
Question 5 options:

A)

urban violent crimes.

B)

rural EMS agencies.

C)

natural disasters.

D)

large-scale fires.

A

large scale fires

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6
Q

The major functional areas of the National Incident Management System include all of the following EXCEPT:
Question 6 options:

A)

logistics.

B)

planning.

C)

execution.

D)

command.

A

execution

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7
Q

Which of the following is TRUE regarding incident commanders?
Question 7 options:

A)

They hold full legal authority for decision making.

B)

They are not liable for decisions made during an MCI.

C)

They make decisions in conjunction with the medical director.

D)

They must clear all decisions with the logistics coordinator.

A

they are not liable for decisions made during an MCI

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8
Q

Span of control refers to:
Question 8 options:

A)

the number of individuals a supervisor can safely manage.

B)

how many division leaders an incident commander appoints.

C)

the geographical area an incident covers.

D)

how many incident commanders are needed for a given MCI.

A

the number of individuals a supervisor can safely manage

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9
Q

You and your EMT partner arrive at the scene of a vehicle collision and find that the collision involved a large van and a school bus full of children. Your first action should be to:
Question 9 options:

A)

declare an MCI and establish yourself as incident commander.

B)

call for an air ambulance.

C)

begin triaging patients.

D)

inform dispatch that you may need additional resources.

A

declare an MCI and establish yourself as incident commander

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10
Q

Which of the following BEST describes the National Incident Management System?
Question 10 options:

A)

A rigid set of protocols

B)

A uniform, yet flexible, system

C)

A recommended list of job tasks for MCIs

D)

The minimum acceptable standard for MCI operations

A

a uniform yet flexible system

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11
Q

The site from which civil government officials exercise direction and control in an emergency or disaster is called the:
Question 11 options:

A)

emergency aid and operations center (EAOC).

B)

mobile dispatch coordination center (MDCC).

C)

mutual aid coordination center (MACC).

D)

incident command center (ICC).

A

mutual aid coordination center MACC

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12
Q

Under the Incident Command System, who is responsible for monitoring all on-scene actions and ensuring that they do not create any potentially harmful conditions?
Question 12 options:

A)

Safety officer

B)

Tactical liaison

C)

OSHA representative

D)

Incident commander

A

safety officer

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13
Q

During an MCI, which section is responsible for procuring and distributing equipment and supplies?
Question 13 options:

A)

Finance

B)

Operations

C)

Equipment

D)

Logistics

A

logistics

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14
Q

During an MCI, which section collects information such as weather reports, documents incident actions, and develops contingency plans?
Question 14 options:

A)

Operations

B)

Finance

C)

Planning

D)

Logistics

A

planning

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15
Q

Which of the following is NOT a functional unit of the EMS branch during a multiple-casualty incident?
Question 15 options:

A)

Treatment

B)

Staging

C)

Triage

D)

Morgue

A

morgue

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16
Q

Which of the following is NOT a stage of typical disaster management?
Question 16 options:

A)

Recovery

B)

Investigation

C)

Response

D)

Planning

A

investigation

17
Q

Which of the following supervisors is responsible for coordinating placement of ambulances waiting to transport patients?
Question 17 options:

A)

EMS officer

B)

Transport unit supervisor

C)

Staging officer

D)

Treatment supervisor

A

staging officer

18
Q

You are responsible for leading the triage team at the scene of an explosion at a local shopping mall. Which of the following should be your FIRST action when beginning the triage process?
Question 18 options:

A)

Task two responders with triaging all children.

B)

Ask the treatment officer to prepare to receive patients.

C)

Ask anyone who can walk to come to you.

D)

Tag all deceased patients as Black.

A

ask anyone who can walk to come to you

19
Q

While triaging patients at a MCI, you find a 19-year-old female patient who is awake and breathing 32 times/minute. She has a rapid radial pulse and what appears to be partial thickness burns on both legs. According to the START triage system, how should this patient be categorized?
Question 19 options:

A)

Green

B)

Black

C)

Yellow

D)

Red

A

red

20
Q

While triaging patients at a MCI, you find a 22-year-old man who is not breathing. After you open the airway, the patient takes a breath. You should:
Question 20 options:

A)

apply oxygen and move on.

B)

assess perfusion status.

C)

tag as “immediate” and move on.

D)

assess mental status.

A

tag as immediate and move on

21
Q

A 56-year-old man is breathing 20 times per minute and has a weak radial pulse. He is confused but able to follow commands. According to the START triage system, how should this patient be categorized?
Question 21 options:

A)

Urgent

B)

Immediate

C)

Minor

D)

Delayed

A

delayed

22
Q

Which of the following best describes scene size-up for an MCI?
Question 22 options:

A)

An assessment of how many patients are in need of priority care

B)

Constructing a diagram of the scene for use by incident command

C)

A quick assessment of the incident type and any immediately obvious hazards

D)

The exact description of the incident and how many resources are needed to mitigate it

A

a quick assessment of incident type and any immediately obvious hazards

23
Q

Which of the following would NOT be an appropriate decision for the transportation unit supervisor?
Question 23 options:

A)

Tracking the number of patients sent to each hospital

B)

Sending a less critical patient to hospital in another county

C)

Communicating directly with staged ambulance crews

D)

Placing two critical patients in one ambulance

A

communicating directly with stages ambulance crews

24
Q

When transferring incident command, which of the following must be done?
Question 24 options:

A)

Approval must be obtained from the medical director.

B)

Signed handover of command.

C)

All sector commanders must agree on the transfer.

D)

A face-to-face transfer.

A

a face to face transfer

25
Q

You have responded to an explosion on a subway train. Because you are a paramedic, the incident commander tells you to report to the treatment unit. Which of the following treatment areas would be the most appropriate location for you to report to?
Question 25 options:

A)

Non-urgent, “green” area

B)

Critical, “black” area

C)

Immediate, “red” area

D)

Delayed, “yellow” area

A

immediate red area

26
Q

How long should it take you to triage one patient during an MCI?
Question 26 options:

A)

Less than 10 seconds

B)

Less than 30 seconds

C)

As long as it takes to obtain a set of vital signs

D)

Less than 1 minute

A

less than 30 seconds

27
Q

You are the first to arrive on the scene of a collapse of a balcony at an apartment building. You are met by a man whose arm is nearly severed, and you can see exposed bone and muscle tissue. Bleeding seems to be minimal. What is your next course of action?
Question 27 options:

A)

This is a “closed incident.” Perform a scene size-up and treat this patient. Any other incoming units can continue treating people as they are found.

B)

This is an “open incident,” so using START he is a “green” patient. Have him sit in a safe area, apply a basic dressing to control bleeding, and, if possible, find someone to monitor him. Perform the scene size-up and triage.

C)

Take him to the ambulance.

D)

This is a life-threating injury, so treat it immediately and call for additional resources.

A

this is an open incident so using the START he is a green patient, have him sit in a safe area apply a basic dressing to control bleeding and if possible find someone to monitor him , perform the scene size up and triage

28
Q

Which of the following patients would be tagged “red” using the START system?
Question 28 options:

A)

A 43-year-old who has a respiratory rate of 28 and a radial pulse, who is screaming to get her to the hospital

B)

A 16-year-old with a patent airway and a radial pulse, who is able to walk

C)

A 36-year-old displaying no respirations with manual airway techniques, with a weak carotid pulse

D)

A 30-year-old with respirations of 24 and a radial pulse, who cannot follow commands

A

a 30 year old with respiration’s of 24 and a radial pulse who cannot follow commands

29
Q

You have been assigned the job of staging officer at a multiple-casualty incident. This means:
Question 29 options:

A)

you are responsible for determining which patients go to which hospitals.

B)

you must organize and prepare all waiting ambulances to transport patients.

C)

you are responsible for staging all supplies and equipment needed by the treatment unit.

D)

you must work directly with incident command to ensure the financial needs of the operation are met.

A

you must organize and prepare all waiting ambulances to transport patients

30
Q

Which specialized unit, designed to support on-scene responders, may be established at large-scale incidents?
Question 30 options:

A)

CISD unit

B)

Rehab unit

C)

Debriefing unit

D)

Fatigue unit

A

rehab unit

31
Q

Which of the following is the most important goal to achieve in the initial minutes of an MCI?
Question 31 options:

A)

Proper triage

B)

Implementation of the NIMS

C)

Good assessment of resources needed

D)

Designation of an IC

A

implementation of the NIMS

32
Q

Which of the following is TRUE of MCI drills?
Question 32 options:

A)

You should never tell anyone they are going to a drill, because they won’t take it seriously.

B)

They are effective only if you can provide real-life moulage and props.

C)

All agencies should drill, and never say, “It will never happen here.”

D)

They are not necessary for small, rural departments.

A

all agencies should drill and never say it will never happen here

33
Q

You and your partner have just been relieved of duty at the scene of a school bus rollover. You feel fatigued and emotionally “blank.” Which of the following actions would be most helpful to you?
Question 33 options:

A)

Resting and ensuring that your basic needs are met

B)

Replaying the incident in your mind

C)

Discussing the patients you cared for with your family

D)

Detailed debriefing with a supervisor

A

resting and ensuring that your basic needs are met

34
Q

Disaster mental health services should be available:
Question 34 options:

A)

following any MCI.

B)

both immediately after the incident and in the following weeks.

C)

to all personnel involved in an incident.

D)

All of these

A

all of these

Paramedic Special Considerations (16 decks)

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