MCI Flashcards

1
Q

What is the first priority in managing a major incident?

A

Establish a clear command structure utilising a central incident control point

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2
Q

What is the role of the Triage Officer in a major incident?

A

Prioritise the patients for treatment and transport

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3
Q

What should each ambulance crew decide upon arriving at the scene?

A

Who will be performing the Operations Manager and Triage Officer roles

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4
Q

What is the purpose of the major incident folder in each vehicle?

A

Contains important information and protocols for managing incidents

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5
Q

What is the first step in initial triage?

A

Ask all patients that can walk to move to a specified safe area

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6
Q

What interventions are allowed during primary triage?

A
  • Opening airways (using positioning)
  • Compressing life-threatening external bleeding
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7
Q

How should patients be moved after initial triage?

A

Move patients in the order of their triage priority to a casualty clearing point

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8
Q

What are the triage categories used in primary triage?

A
  • Zero = dead = black or white
  • One = immediate life threat = red
  • Two = urgent = yellow/orange
  • Three and four = delayed appropriate = green
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9
Q

What is performed during secondary triage?

A

Utilising a primary and secondary survey on all patients in order of their priority

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10
Q

What should be included in the central record of all patients?

A
  • Number allocated to each patient
  • Approximate age
  • Summary of their injuries
  • Status
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11
Q

What is the priority for initiating treatment on patients?

A

In order of priority as determined by their triage priority following secondary triage

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12
Q

Who should lead the treatment area of the casualty clearing point?

A

A treatment officer

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13
Q

What should be done with patients who have the greatest chance of survival?

A

They should be treated first

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14
Q

What should not usually be performed unless there are sufficient personnel?

A
  • CPR
  • Rapid sequence intubation
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15
Q

How should patients be transported after secondary triage?

A

In order of priority as determined by their triage priority

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16
Q

What should be documented for each patient during transport?

A

Facility destination and transporting vehicle

17
Q

What consideration should be given for low priority patients?

A

Concurrent transporting in seated positions if they do not require monitoring

18
Q

What injuries indicate patients considered almost certain to die?

A
  • Respiratory arrest
  • Severe shock with a falling heart rate
  • A GCS of 3 with bilateral dilated and unreactive pupils
19
Q

What is the maximum time for primary triage per patient?

A

10-15 seconds

20
Q

What factors should be considered during primary triage?

A
  • Clear evidence of a life-threatening injury
  • Ability of the patient to obey commands
  • Presence or absence of radial pulse
21
Q

What is the STEP 123 system used for?

A

Guide the initial approach in HAZMAT incidents

22
Q

What should be done if a HAZMAT incident is suspected?

A
  • Stay clear of the area, upwind if possible
  • Contact Ambulance Communications