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BC STUDY MATERIAL (Updated 2022) > OPS Manual - EMS 2017/2019 > Flashcards

OPS Manual - EMS 2017/2019 Flashcards

1
Q

What does S.A.L.T stand for?

A

Sort
Assess
Lifesaving Interventions
Treatment/Transport

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2
Q

The _________________________ is identified as the hospital in which the MPI or MCI has occurred within their catchment area.

A

Controlling base hospital

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3
Q

An area of the incident identified by the IC where injured victims are moved and grouped by acuity due to the potential for further collapse or other eminent danger that could cause additional injuries to victims and care providers. This area is not a Treatment Area although the area may be identified using Triage Tarps with colors corresponding to the patient’s acuity, (Red, Yellow and Green). The IC may establish the Treatment Unit in the _________________later in the incident when sufficient resources are available.

A

Casualty collection area

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4
Q

MCI Protocol:

What are the two activations required and why are they required?

A

ECDC activation via the IC
Controlling Base Hospital via Transportation or Med Comm

**this has to occur to assure the hospital system and County EMS systems are notified.

**the controlling base hospital can also activate it due to their resources being overwhelmed.

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5
Q

Any incident where the IC determines that local first responders, transport providers and receiving facilities will not be impacted by the number or condition of victims and, expansion of the incident is not anticipated and, department resources can effectively manage the incident?

A

Multi-patient incident

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6
Q

What are the two systems that need to be notified in a MCI Protocol activation?

A

Hospital system

County EMS system

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7
Q

Whats the goal of the MCI process?

A

– To rapidly and effectively triage multiple victim incidents while providing appropriate treatment and transportation to local emergency facilities or casualty collection points (CCP).

– also to get patients of scene in less than 10 minutes

– verify what resources are available to the IC from local, state and federal level

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8
Q

Where can you find the controlling base hospital?

A

MDC in the catchment area or zone, it is identified as the trauma base

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9
Q

What radio systems are we using for an MPI vs MCI?

A

MPI—– city 800 MHz system

MCI—- RCS system (countywide)

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10
Q

What is a “burn surge?”

A

The designation of a specific type of incident where the primary patients are burn victims; burn Surge incidents shall utilize UCSD Burn Center.

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11
Q

What is a “Kid surge?”

A

The designation of a specific type of incident where the primary patients are children (= 14 years of age) requiring specialty care. During a Kid Surge incident, the controlling base hospital shall be Sharp Memorial Hospital.

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12
Q

As the “IC” what should one do, once the incident is upgraded to an MCI from an MPI?

A

Notify all resources at scene. Announce it on the command and tactical channels.

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13
Q

Who is responsible for the IAP on an MCI?

A

IC or the Medical Branch Director if established

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14
Q

When should the “med comm” be implemented?

A

Any time you have two or more patients

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15
Q

When can the transport EMT-B or Paramedic contact the controlling base hospital and give a brief update?

A

MPI’s ONLY

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16
Q

What gets dispatched on an MCI?

A 
3 - First Responder Engines
2 - Truck Companies
1 - EMS Station Engine
5 - ALS transport units
2 - BLS transport units
2 - Battalion Chiefs
Shift Commander Notification
DMS
1 - Copter
Aero medical unit on standby
911 Transport Medical Supervisor
PDS
Staff Notification
Battalion 33
Deputy 6
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17
Q

Who notifies ECDC that the MCI protocol has been activated and what happens from there?

A

The IC notifies ECDC of the activation. Once that has been announced, ECDC will contact Station M ( Sheriffs Communication Center) and the Shift Commander.

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18
Q

Who does the IC need to notify one an MCI protocol has been activated?

A

ECDC

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19
Q

A provision in the County’s MCI policy allows for the transport of __________victims to each Trauma Center, and 1 Immediate/1 Delayed to other non-trauma receiving hospitals prior to establishing communications with the controlling base

A

2 IMMEDIATE TO TRAUMA CENTERS

1 IMMEDIATE/1 DELAYED TO NON-TRAUMA

20
Q

SI 09, Section 02, Program Eligibility

The state provides notification to all licensed paramedics ______ days from the date the license expires.

A

180 days

21
Q

The department provides notification to every paramedic prior to their license expiration. What days are they?

A

45, 30, 14, 7, and 1

22
Q

What happens if an employee’s paramedic license is going to expire?

A

They will be placed on UL, until they can provide proof.

23
Q

If a medic is working on the day their license is expiring, what time do we put them off?

A

2000 hours the day of expiration.

24
Q

The Captain or Battalion Chief first on scene shall assume the role of Incident Commander (IC) and shall utilize the MCI Command bag to establish the following 4 priority ICS positions as sufficient resources arrive at scene:

A
  • Triage Unit Leader
  • Transportation Unit Leader
  • Med Com
  • Ambulance Staging Manager
25
Q

Who supervises the “Morgue Manager?”

A

Triage Unit Leader

26
Q

MCI Protocol:

Can ambulance personnel be used in ICS roles?

A

Yes; if they are used, back fill their position with first-responder medics for transportation purposes.

27
Q

Where should patients be moved to from the triage area?

A

Casualty Collection Area
Transport Area
Treatment Area

28
Q

Who does the Morgue Manager work closely with?

A

Law Enforcement and the Medical Examiners

29
Q

Transportation supervises who?

A
  • Med-Comm
  • Ambulance Staging Manager
  • Patient Loading Coordinator
30
Q

What is the call sign for Transportation Unit Leader?

A

Transport

31
Q

Who does the Ambulance Staging Manager or “Ambulance Staging” call for more resources and what is the minimum

A

Notify the Transportation Unit Leader/Group Supervisor when available resources are depleted to 2 ALS and 2 BLS ambulances.

32
Q

Who should position themselves at the funnel?

A

Transportation, Medcom, and the Patient Loading Coordinator a.k.a “SCRIBE” should be positioned at the funnel.

33
Q

When does assigning additional ICS managing positions become required?

A

When an incident requires an extended operational period, or the incident grows beyond the span of control

34
Q

What’s the call sign for Medical Branch Director?

A

MED BRANCH

35
Q

The _____________________ is assigned by the Treatment Unit Leader and is responsible for supervising patient entry, patient care providers and patient disposition for all patients assigned to the Immediate Treatment Area.

A

Immediate Treatment Manager

36
Q

What are the two types of MCIs?

A

MCI

MCI-Reduced Response

37
Q

When it comes to suspected abuse of an elderly or vulnerable person do you need to have the crew consensus?

A

No you do not. It only takes one person to acknowledge it.

38
Q

Neglect can be intentional or unintentional?

A

Both

39
Q

When it comes to vulnerable people abuse, who is ultimately responsible for the timeliness of all reports?

A

The direct supervisor

40
Q

Vulnerable people abuse:

Verbal report/notification of abuse or suspected abuse to a ___________________does not relieve the firefighter, EMT-B, or paramedic from the duty of contacting the appropriate reporting agency.

A

Law enforcement official

41
Q

Vulnerable person abuse report:

When does the report have to be completed by?

A

Written report of abuse must be completed by the end of shift.

42
Q

In the event that the patient is pronounced on scene by SDPD prior to the arrival of the ALS first responder unit or ALS transport unit and no patient contact is made, electronic PPR documentation is not necessary, however; the company officer shall document the cancellation where?

A

on the MDC in the notes section..

43
Q

Licensed care facilities that do not have an established plan for the
patient’s body shall be advised of their responsibility to contact a family member or mortuary service. What should the captain do in this situation?

A

The Captain shall refer this facility to the QA/QI division of EMS through the chain-of-command for follow-up with the Medical Examiner.

44
Q

Body removal at Lindbergh Field:

What should happen with a body on the plane?

A

Leave the body on the airplane and cover up. Medical Examiner needs to investigate it.

45
Q

Patient’s pronounced in the Terminal or on the grounds (Airport property) shall be moved to ___________________________to temporarily hold the decedent and to await ME’s arrival.

A

Harbor PD Offices

46
Q

Who does the chaplain service cover?

A

Members of the community with traumatic experiences on calls and firefighters

BC STUDY MATERIAL (Updated 2022) (174 decks)

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