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2023 Lieutenant Test > MCI > Flashcards

MCI Flashcards

1
Q

An area where patients are relocated outside the ID LH/hostile environment where safe triage can occur.

A

Casualty Collection Point (CCP)

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2
Q

What is the immediate area of an incident scene where the patient received their injuries and were initially found?

A

The impact area

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3
Q

The physical location where the patient exits the scene via transport unit

A

Patient Exit Point (PEP)

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4
Q

What is the goal of crisis standard of care?

A

To provide the greatest good for the greatest number of people affected by the incident

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5
Q

What is the number of families call to get information and loved ones involved in MCI’s?

A

211

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6
Q

What are the three types of MCI with special considerations?

A
  1. Hazardous materials incident. 2. High threat environments. 3. Evacuation of a medical facility.
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7
Q

What is unique to a hazardous materials incident MCI?

A

Patients will go through appropriate Decon prior to being moved to the CCP.

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8
Q

How many patients can EMS task force handle?

A

Approximately 10

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9
Q

What units are dispatched for an EMS task force?

A

5 transports. 1 BC. 1 EMS Supervisor. 2 Suppression units.

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10
Q

How many patients can an MCI alarm treat?

A

Approximately 25.

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11
Q

What units are dispatched for an MCI alarm?

A

10 EMS transport units.
10 Suppression units.
1 BC.
3 EMS supervisor.
1 Mobile command unit.
1 Green (civilian) transport bus.
1 Medical care support unit (MCSU.)
1 Medical ambulance bus (MAB)

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12
Q

What units are dispatched for the second and subsequent MCI alarms?

A

10 EMS transport units. 5 suppression units. 1 MCSU. 1 MAB. 1 Civilian transport bus

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13
Q

What are the Five S’s that should be initiated by the first arriving unit?

A

Safety (identify threat, warn incoming units) . Size up (number and severity of victims). Send (situation support, additional units/alarm, activate rhcc, announce patient tracking system) Set up (staging area/scene access/egress.) Start (initiate triage.

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14
Q

How many tactical channels will an MCI have?

A

Three. EMS branch, transportation group, and medical group.

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15
Q

Who will serve the role of staging manager?

A

Whomever the incident commander assigns or the first suppression unit officer to arrive at the staging location if no assignment was made.

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16
Q

What units on an MCI alarm response are designated to report to staging?

A

8,9,10 suppression units.

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17
Q

Who establishes the EMS branch director?

A

The first arriving BC on the initial MCI alarm

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18
Q

What does the EMS branch directly manage?

A

The medical group and the transportation group supervisors.

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19
Q

What is the transportation group responsible for?

A

Set up an operation of the transportation section including coordinating and tracking patient transport.

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20
Q

Who is assigned to the transportation group?

A

First arriving transport unit, first arriving EMS supervisor, the second and seventh arriving Suppression units.

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21
Q

What is the overall goal of the transportation group?

A

To expedite transportation for the most critically injured

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22
Q

Who assumes the role of the transportation group supervisor?

A

The first arriving EMS supervisor.

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23
Q

Who assumes the role of the medical communications director?

A

First arriving transport unit OIC.

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24
Q

Who does the transportation group supervisor supervise?

A

Medical communications coordinator (1st transport OIC).

Transport recorder(first transport driver).

Ambulance coordinator(2nd suppression oic).

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25
Q

What is the medical communications coordinator role?

A

To maintain a count of available beds via communications with the RHCC

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26
Q

Regardless of the size or scope of an MCI Incident, in the EMS branch there shall only be _____ transportation group supervisor and medical communications coordinator.

A

1

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27
Q

Who assumes the role of transport recorder?

A

The driver of the first arriving transport unit.

28
Q

What is the transport recorders responsibility?

A

Ensuring a disaster tag is applied and completed for each patient.

29
Q

What is the minimum information that a patients disaster tag must have completed?

A
  1. Sex. 2. Destination. 3. Transport agency/unit. 4. Departure time/time out. 5. Triage status.
30
Q

Who assumes the role of ambulance coordinator?

A

The OIC of the second arriving suppression unit.

31
Q

What are the ambulance coordinators responsibilities?

A

Manage the access, egress, positioning, and loading of transport units

32
Q

Who will assume the role of air ambulance coordinator?

A

A member of the suppression unit assigned to the landing zone

33
Q

Who assume the role of transport loaders?

A

Personnel from the second and seventh Suppression unit.

34
Q

Are direct communications with the destinations hospitals necessary for an MCI?

A

No, as the information is relayed by RHCC

35
Q

The medical group supervisor supervises who?

A

Triage unit leader. Treatment unit leader. Morgue manager. Medical supply coordinator

36
Q

How many people comprise an effective triage crew?

A

2-3.

37
Q

What is the initial treatment limited to?

A

Life-saving interventions: 1. position air way. 2. Deliver five rescue breaths for jumpstart. 3. Control severe bleeding with tourniquet or pressure. 4. Chest seal if available.

38
Q

Who is assigned the role of treatment unit leader?

A

Initially the OIC of the fourth arriving suppression unit. Assumed by the third arriving EMS supervisor

39
Q

Who supervises the set up of the different treatment areas/treatment of patients and prioritizes patients for transport?

A

Immediate (red)treatment area manager, delayed (yellow) treatment area manager, minor (green) treatment area manager

40
Q

What does the green treatment area manager distribute?

A

Self care kits.

41
Q

What is the first suppression units assignment?

A

Triage Unit Leader

42
Q

What is the second suppression units assignment?

A

Ambulance coordinator

43
Q

What is the 3rd suppression unit assignement?

A

Report to triage. Act as porters or triage crew

44
Q

What is the 4th suppression unit assignment?

A

Treatment Unit Leader

45
Q

What is the 5th suppression unit assignment?

A

Report to triage. Act as porters or triage crew

46
Q

What is the sixth suppression unit assignment?

A

Report to treatment

47
Q

What is the 7th suppression unit assignment?

A

Report to Ambulance Coordinator. Act as loaders

48
Q

what is the 8th -10th suppression unit assignments?

A

Report to staging, establish if not already done.

49
Q

What is the 1st EMS transport unit assignment?

A

Establish transportation group (Medical Communications & Transport Recorder)

50
Q

What are the remaining transport units assignments?

A

Report to tranportation corridor or staging as directed by the transportation group supervisor

51
Q

What is the 1st EMS Supv’s role?

A

Transportation group supervisor

52
Q

What is the 2nd EMS Supv’s role?

A

Establish Medical Group Supervisor

53
Q

What is the 3rd EMS Supv’s role?

A

Assume treatment unit leader

54
Q

What is the 1st BC’s assignment?

A

Establish EMS Branch

55
Q

How long will an incident record be maintained by RHCC?

A

7 years minimum

56
Q

What is unique to a hazardous materials incident MCI?

A

Patients will go through appropriate Decon prior to being moved to the CCP. Pg 4

57
Q

Who does our RHCC provide bed availability for?

A

The five hospitals and two trauma centers closest to the incident. Page 10

58
Q

Who establishes the role of medical group supervisor?

A

2nd arriving EMS supervisor

59
Q

Who establishes the role of triage unit leader?

A

OIC of the first arriving Suppression unit on the initial MCI alarm. Page 14

60
Q

Who does the triage unit leader supervise?

A

Porters and triage crews. Pg 14

61
Q

Where should the MCSU position?

A

In proximity to the Red and Yellow treatment area(s).

62
Q

Who assumes the role of medical supply coordinator?

A

OIC of the first arriving MCSU. Page 17

63
Q

Who relieves the morgue manager?

A

Law enforcement

64
Q

What if an incident requires multiple treatment and transport locations?

A

Then additional medical divisions and transport units for each geographic area must be created. Page 20

65
Q

What are the NIMS typing for MCSU (medical care support unit)?

A

Level 1+= 200 patients.
Level 1=100 patients.
Level 2= 50 patients.
Level 3 = 25 patients.
Page 27

66
Q

Rhcc gives bed availability for patients they can handle within the next ___ minutes.

A

30 minutes

67
Q

When will RHCC be activated?

A
  1. single non-hazmat event involving 10 or more patients or were three or more hospitals will receive patients.
  2. A single hazmat event involving three or more patients.
  3. Incident involving category a biological agent.
  4. Incident where USAR has been activated in the region.
  5. Incident where a MCU, task force or equivalent are activated.
  6. Incident where CHEMPACK or MMRS cash is accessed or requested.
  7. When EEOC has activated and staffed the health and medical services function.

Pg 53

2023 Lieutenant Test (33 decks)

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