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Emergency Disaster Nursing > Module 6 Management Of Mass Casulaty Incidents > Flashcards

Module 6 Management Of Mass Casulaty Incidents Flashcards

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1
Q

Any incident that exceeds the responder’s or hospital’s capability to treat or transport (multiple-causality event)

A

Mass casualty incidents

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2
Q

____ is an important factor

The longer the delay in care for a seriously injured patient, the less chance for recovery.

A

Time

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3
Q

Governing principles is ___

A

to do the greatest good for the greatest number of casualties.

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4
Q

INCIDENT COMMAND SYSTEM CONSIDERATIONS

A

Emergency medical services
Fire and rescue
Police officers
Specialized teams and public services
Hospital

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5
Q

first responders, triage, ambulance service

A

Emergency Medical Services

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6
Q

will perform all initial rescue- related operations, as well as fire suppression and prevention.

A

Fire and Rescue

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7
Q

will secure and control access to the scene, to ensure safety and smooth operations.

A

Police Officers

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8
Q

Red Cross, Medical Reserve Corps, NGO, etc.

A

Specialized Teams and Public Services

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9
Q

will have a mass casualty incident protocol which they initiate as soon as they are notified of an MCI in their community.

A

Hospitals

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10
Q

COMPONENTS OF MCI

A

• Initial Triage
• Patient Extrication
• Secondary Triage/Medical Treatment
• Transportation of Victim

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11
Q

How many levels are there in MCI?

A

5

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12
Q

Incident will require local resources and responding agencies
• It may require additional resources _____
• Size: _ to _ patients
• Hospitals: notification to local hospitals in area _____
__ advance life support transport units
__ engine companies
__ nearest hospitals will be notified

A

MCI Level 1
Within the region
5 to 10
near the location of incident
4
2
2

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13
Q

• It may require additional resources _____
• Size: _ to _ patients
__ ALS transport units
Engine companies
Command staff per local protocol
__ nearest hospitals, trauma center and local emergency management office will be notified

A

MCI Level 2
Within the region
10 to 20
6
3

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14
Q

• Incident will require _____ resources and responding agencies. This may require additional resources in adjacent regions.
• Size: ___ to ___ patients
__ ALS transport units
__ Engine companies
Command staff per local protocol
__ nearest hospitals, trauma center and local emergency management office will be notified

A

MCI Level 3
Multiple regional
20-100 patients
8
4
4

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15
Q

• Incident will require _____ resources and responding agencies.
• Size: ___-___ patients
__ MCI Task forces
__ closest hospital and __ trauma centers will be notifies

A

MCI Level 4
Multiple regional
100-1000
5
10-5

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16
Q

• Incident will require ____
• Size: greater than ____ patients
___ MCI task forces
Notify ___ nearest hospitals and ___ trauma centers

A

MCI Level 5
Nationwide resources
Greater than 1000
10
20-10

17
Q

Triage
- sick or injured, but expected to survive with or without care
- “walking wounded”

A

Minimal (green)

18
Q

Triage
- requires care that can be safety delayed without affecting probability of survival

A

Delayed (yellow)

19
Q

Triage
- requires immediate care for a good probability of survival

A

Immediate (red)

20
Q

Triage
- a fatality with no intrinsic respiratory or no signs of life

A

Deceased (black)

21
Q

4 site localization of decontamination

A

Hot zone
Warm
Cold
Clean

22
Q
  • Area immediately surrounding the incident site which primary contamination may occur
  • first aid is limited to airway and hemorrhage control
A

Hot zone

23
Q
  • specific zone in the disaster area that first aider commence decontamination of victims
  • surrounds hot zone
  • where survivors and responding team and equipments are decontaminated
A

Warm zone

24
Q

Uncontaminated area beyond the warm zone in which resources are assembled to support response

A

Cold zone

25
Q

Area in the hospital where victims are sent following decontamination

A

Clean zone

26
Q

Minimum core competencies

A

Performing nursing assessments
Performing nursing therapeutics
Exercising leadership and judgment

27
Q

Catastrophic event where the number of burn victims exceed capacity of local burn center

A

Burn Mass Casualty Incident

28
Q

Component of burn disaster plan

A

Preparedness/planning
Mitigation
Response

29
Q

Management of mass casualty burn patient

A

Stop the burning process
Manage the ABC
Begin fluid resuscitation (Lactated Ringer)
Keep the patient warm
Evaluated for other life-threatening injuries

30
Q

Lifts and carries
- fastest method for moving a victim in a short distance over a smooth surface

A

Ankle pull

31
Q

Lifts and carries
- emergency rescue among children

A

Carry by extremities

32
Q

Lifts and carries
- avoid smoke suffocation

A

Fireman’s drag

33
Q

Lifts and carries
- narrow passages

A

Bearer’s alongside

Emergency Disaster Nursing (6 decks)

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