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Capt Test 2024 > Phx Fire Vol 2 (Deck 11) > Flashcards

Phx Fire Vol 2 (Deck 11) Flashcards

202.20C - 203.06

1
Q

202.20C

A

Personal Mobility Devices & Lithium-Ion Batteries

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2
Q

203.01

A

EMS Responsibilities

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3
Q

Scope of the SOPs for multi-patient/mass casualty incidents.

A

Incidents of any size and aim to guide the operation of FD units at such incidents, including major TRx incidents, explosions, fires with multiple injuries, haz mat incidents, and structural collapse incidents.

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4
Q

Responsibility of the first-arriving company officer in EMS incidents requiring the commitment of a 2n1 or greater?

A

Implement the multi-patient/mass casualty procedures.

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5
Q

General tactical objectives listed in order of priority for the first-arriving company officer at the scene of a multi-patient or mass casualty incident?

A
  1. Remove endangered occupants and treat the injured.
  2. Stabilize the incident and provide for life safety.
  3. Ensure the functions of triage, extrication, Tx, and TRx are established as needed and performed appropriately.
  4. Provide for the safety, accountability, and welfare of rescue personnel and victims.
  5. Conserve property.
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6
Q

How is the IMS used during multi-patient/mass casualty incidents?

A

Facilitate the completion of the tactical objectives, with the IC driving the Command system towards that end.

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7
Q

Describe the EMS tactical objectives to be completed during any multi-patient/mass casualty incident.

A

‘Triage Report’ and the declaration of ‘All IMMEDIATES Trx’.

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8
Q

Priority order for treating and transporting patients.

A
  1. IMMEDIATE
  2. DELAYED patients upgraded to IMMEDIATE
  3. DELAYED
  4. MINOR
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9
Q

Initial actions of the first arriving officer at a multiple patient incident?

A

On-scene report, assume command, initiate triage, perform a rapid hazard assessment, establish a safe zone, provide occupant protection, call for additional resources, radio a Triage Report to Dispatch, stabilize hazards, assign crew specific tasks, initiate patient assessment and treatment functions, and coordinate patient Trx.

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10
Q

How are responding personnel encouraged to handle smaller multi-patient incidents?

A

Triage tags and IMMEDIATE labels on smaller multi-patient incidents, and to use the Central Arizona triage system for initial scene organization and mass casualty incidents.

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11
Q

Define the rRarriving company officer at a multiple patient incident according to the.

A

Assume Command, give an on-scene report, identify hazards, establish a safe zone, request additional assistance, and communicate the situation and PT conditions to Dispatch.

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12
Q

What should the first arriving company officer communicate to Dispatch as soon as possible at a multiple patient incident?

A

The type of situation and the approximate number and condition of PTs.

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13
Q

Use of triage tags and IMMEDIATE labels.

A

Any time there are 3 or more IMMEDIATE PTs or more than 10 PTs . IMMEDIATE labels are encouraged on smaller multi-patient incidents.

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14
Q

What should Command do to establish a safe zone for crews to operate at a multiple patient incident?

A

Rapidly survey the scene to identify hazards or safety concerns, and establish a safe zone through proper defensive rig positioning, use of flashing lights, and the placement of flares or reflectors. Additional traffic control should be requested from law enforcement through Dispatch.

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15
Q

Purpose of initiating triage early in an incident.

A

When the number of PTs and/or the severity of their injuries exceeds the capabilities of the on scene personnel to provide effective extrication, Tx, and TRx.

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16
Q

How is a Triage Report communicated to Alarm after completion of triage?

A

Providing essential information regarding the size of the major medical incident and decisions to call for additional resources or to scale back the response.

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17
Q

Purpose of establishing Tx areas in EMS incidents with a greater number of patients.

A

In incidents with a greater number of PTs, a Tx area should be established to effectively Tx PTs, and multiple Tx areas may be needed if distinct groups of PTs are separated by distance.

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18
Q

Recommended approach for requesting additional resources in EMS incidents?

A

Standard assignments and alarms as much as possible (e.g., 2-1 Medical, 1st Alarm Medical, 2nd Alarm Medical, etc.) to facilitate an incremental approach to the incident and provide predictable resources.

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19
Q

Staging process for the first arriving company and other responding units in EMS incidents.

A

Quickly determine the most effective means to Tx PTs, and all other companies will use Level I staging upon their arrival, while Command should consider implementing Level II Staging early in the incident for First-Alarm-Medical Incidents (or greater).

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20
Q

Responsibilities of the IC.

A

Determining strategy, establishing incident objectives, setting priorities, developing an action plan, obtaining and assigning resources, communicating objectives to tactical units, and initiating a Unified Command with other agencies.

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21
Q

Natural basic sectors for the IMS?

A

Triage Sector, Extrication Sector, and Tx Sector.

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22
Q

How does the Triage Sector contribute to the incident management?

A

Determines the location, number, and condition of PTs, supervises triage teams, ensures triage is done according to procedures, and provides a ‘Triage Report’ to the Command.

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23
Q

203.02

A

Triage Sector

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24
Q

Purpose of the Extrication Sector.

A

Determine the location, number, and condition of PTs, supervise extrication teams, extricate and deliver PTs to the Tx area, and notify Command when all PTs have been removed from the impact area.

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25
203.03
Extrication Sector
26
Responsibilities of the Tx Sector.
Assigning and supervising treatment teams, ensuring all PTs are triaged, assessed, and Tx as needed, and coordinating patient allocation with the TRx Sector.
27
203.04
Tx Sector
28
What are the responsibilities of the TRx Sector for EMS?
Obtaining necessary TRx modes, determining staging areas and hospital availability, coordinating PT allocation with Tx Sector, supervising PT movement, determining hospital destination, and maintaining PT accounting.
29
Role of the Safety Sector for EMS.
Ensure safety at the incident scene once the basic sectors have been established.
30
203.05
TRx Sector
31
203.05A
Trx Sector Branch
32
203.06
Medical Supply Sector
33
Medical Supply Sector for EMS?
Procuring, delivering, and stockpiling medical supplies needed at the scene, particularly on 3rd Alarm Medical or greater incidents.
34
Purpose of the LZ Sector for EMS?
Establishing a safe landing zone at a distance from the scene for helicopters, keeping track of PT destination, and communicating landing instructions.
35
Responsibilities of the Medical Branch Director for EMS.
Ensuring the functions of triage, extrication, and Tx are carried out, supervising and coordinating personnel, determining and requesting needed resources, recommending the expansion of the command organization, communicating direction and objectives to tactical units, ensuring objectives are completed, and maintaining incident documentation.
36
Additional positions within the Medical Branch?
Immediate, Delayed, and Minor Tx Sector Officers, Medical Communications Sector, Medical Supply Sector, Ground Ambulance Coordinator, and Morgue Officer.
37
How does resource commitment typically follow PTs?
As PTs are extricated and moved to Tx, resources for extrication will decrease, and these crews can be reallocated to the Tx function.
38
What may happen to FD resources in a disaster level incident?
May need to be allocated to receiving hospitals until those facilities can obtain adequate hospital staff.
39
Responsibilities of the EMS sector during a multi-patient incident response.
Triage, extrication if needed, Tx in a designated area or in-place as directed by Command, and managing TRx sector function.
40
Recommended duration for the triage function during a multi-patient incident?
4-6 minutes.
41
Role of the Level II Staging area in a multi-patient incident response.
Balance of the assignment after the Level 1 approach, and all resources must stage there.
42
How is the TRx Sector function managed during a multi-patient incident?
By Command or assigned to a designated member, depending on the complexity of the incident.
43
Preferred location for Tx during a multi-patient incident response?
Designated Tx area, or it can be performed in-place as directed by Command.
44
Responsibilities of the Triage Sector in a multi-patient EMS response.
Assessing and categorizing patients based on the severity of their injuries to prioritize Tx.
45
Responsibilities of the Extrication Sector in a multi-patient EMS response?
Managing the physical disentanglement or removal of patients from the impact site to a Tx area.
46
Purpose of colored salvage covers in a Tx Sector during a multi-patient EMS response.
Identify Immediate, Delayed, and Minor Tx areas within the Tx Sector.
47
How is the TRx Sector organized in a multi-patient EMS response?
Minimum of one company assigned to perform its functions and be assigned a separate tactical channel, in addition to Med-9.
48
Role of the LZ Sector in a multi-patient EMS response?
Helicopter operations and requires at least one engine company to be assigned, with the Company Officer becoming 'LZ Sector.'
49
Responsibilities of Trx Branch during a MCI.
Assigning a Loading Coordinator to the Tx area, ensuring a minimum of one company is assigned, and operating on a separate tactical radio channel.
50
Key considerations for the Medical Branch during a MCI?
Consider Medical Support 19 and one medical supply truck when a Third Alarm is requested, and should work closely with the TRx Branch and the Hospital Communication Coordinator.
51
Role of the LZ Sector during a MCI.
Assigning a minimum of 1 engine to the LZ and overseeing the arrival and departure of rescues, with the Company Officer assigned as the LZ Sector.
52
How should the Hospital Communication Coordinator ensure hospital availability during a MCI?
Check and re-check hospital availability through Dispatch on Med-9.
53
Key responsibilities of the Triage sector during a MCI?
Continue as a Sector, identify the Tx area early, involve several companies, and include PT re-evaluation.
54
Role of the Loading Coordinator within the TRx Branch during a MCI.
Loading of PTs, ensuring no more than two rescues are sent to the loading area at a time.
55
Key responsibilities of the Medical Branch and TRx Branch during a MCI with a large number of PTs?
Both should be considered, and the TRx Branch will need a minimum of 1 company assigned and should operate on a separate tactical radio channel, in addition to Med-9.
56
Responsibilities of the Triage Sector officer?
Determining the location and condition of PTs, coordinating with the Extrication Sector, assigning and supervising triage teams, ensuring patient triage is based on START, providing progress reports to Command, and coordinating activities with other sectors.
57
How should the Triage Sector officer coordinate with the Extrication Sector?
To determine if triage will be performed in place or at the entrance to the Tx area.
58
Define 'IMMEDIATE' in the context of triage.
Those who require immediate life-saving emergency medical care.
59
Triage handling; smaller vs. larger incidents.
Smaller incidents (<=10 PTs), triage may be handled by the first arriving company officer and his/her crew. Larger incidents (10+ PTs), the first arriving company officer should assume Command and assign Triage to the next arriving fire company.
60
Purpose of the Triage Report in the AZ Triage System.
Communicates the # of PTs and their classification to Command, providing essential information for decision-making and resource allocation.
61
Role of the Triage Sector Officer in the Triage Report process?
Arranges the tracking slips, determines the # of PTs and their condition, and radios Command with the Triage Report.
62
How is the completion of triage communicated to Command in the AZ Triage System?
Triage Report, which includes the # of PTs and their classification.
63
Purpose of the red fanny packs located on all fire apparatus in the AZ Triage System.
Contain the necessary materials for completing triage, ensuring that the triage crew(s) have access to the required resources.
63
Role of the Triage Report in decision-making in the AZ Triage System?
Provides essential information for decisions regarding the need for additional resources or scaling back the response.
64
Significance of the Triage Report in the context of a major medical incident.
Completion of initial triage using the START criteria and communicates the size of the major medical incident to all responding crews.
65
What happens to crews after the completion of triage?
Command may reassign triage crews to other functions as necessary.
66
Responsibilities of the Extrication Sector.
Determining the location, number, and condition of PTs, coordinating with Triage, assigning and supervising extrication teams, extricating and delivering PTs to Tx areas, providing progress reports to Command, ensuring safety and accountability of PTs and personnel, coordinating with other sectors, and notifying Command when all PTs have been removed.
67
How is the Extrication Sector Officer identified?
Wearing an Extrication Sector vest.
68
How should comms be conducted within the Extrication Sector?
Face-to-face communications should be used within the sector, and company officers should use messengers to relay information to the sector officer.
69
Distinction between the roles of the Extrication Sector and Triage Sector.
The Extrication Sector is responsible for victim disentanglement and removal to a Tx area, while the Triage Sector is responsible for identifying PT # and severity.
70
Recommended position for the Extrication Officer?
Readily visible location that is accessible to arriving companies and maintains a view of the scene.
71
Process for moving non-ambulatory PTs during extrication.
Moved on backboards, with cervical spine precautions if indicated. Companies may be assigned as 'litter bearers' to assist in this movement. Pick-up trucks, baggage carts, or similar conveyances may also be used.
72
Immediate priority for the Extrication Officer?
Evaluate the # of PTs involved and the complexity of extrication requirements.
73
How should responsibility be divided if the incident site involves a large area?
Necessary to create more than one Extrication Sector, with responsibility divided geographically and appropriate sector designations.
74
Do ALS personnel need to be assigned to the Extrication Sector?
Some paramedics may need to be assigned to the Extrication Sector to provide ALS Tx for critical PTs undergoing extended extrication efforts.
75
Role of ladder companies during extrication.
When victims require forcible extrication, ladder companies should be assigned. Ladder apparatus should be brought in close to the scene while other apparatus is parked at a distance to avoid congestion.
76
Responsibilities of the Tx Sector in a MCI.
Establishing a Tx area, providing stabilization and continuing care for PTs, coordinating Tx resources, assigning and supervising Tx teams, ensuring PT triage and assessment, providing progress reports to Command, ensuring PT and personnel safety, verifying TRx priorities, and coordinating with other sectors.
77
Objective of the Tx Sector in a MCI?
Rapidly Tx and TRx all PTs.
78
How does the Tx Sector determine whether PT Tx will occur 'in place' or in a designated Tx area?
Coordinates with Triage and Extrication Sectors to identify Tx location.
79
Role of the Tx Sector officer in an MCI.
Responsible for wearing a sector vest for identification, determining PT Tx location, coordinating with Command, establishing Tx areas, and preparing for PT arrivals.
80
Key responsibilities of Tx teams in a MCI?
Aggressive Tx and rapid packaging of PTs, communication with Command to obtain additional resources, and focusing efforts on Tx and TRx IMMEDIATE PTs.
81
Process for assigning resources to PTs in a MCI.
Tx Sector officer directs companies to specific PTs or vehicles, assigning 1 ALS or BLS company and 1 Rescue to each PT, with the goal of initially focusing on Tx and TRx IMMEDIATE PTs.
82
Actions to be taken if PT Tx will occur in a designated 'Tx area' in a MCI?
Sector officer should establish a Tx area and prepare for the arrival of PTs from other sectors.
83
Describe how the Tx area(s) should be identified at an incident scene.
Readily identifiable entrance using traffic cones, signs, or other markers. Red and yellow salvage covers can also be used to identify the IMMEDIATE care and DELAYED care areas.
84
Recommended initial objective for the number of rescuers per PT in the Tx Sector during major incidents?
1 company per 4 patients, which equates to 1 rescuer per patient.
85
How should PTs be arranged in the Tx area?
Orderly manner with adequate space provided between PTs to allow working room for Tx personnel. First arriving PTs should be placed near the exit point.
86
Action should be taken for non-triaged patients arriving at the Tx area?
Must be triaged and tagged at the entrance. A triage team should be located at the entrance for this purpose.
87
Role of ALS Tx in the Tx area.
Given primarily in the 'IMMEDIATE' Tx area, which is for PTs requiring more intensive care.
88
Responsibilities of the Tx Sector officer.
Aggressive Tx and packaging of PTs with a focus on rapid TRx, maintaining awareness of PTs ready for TRx, ensuring rapid and adequate Tx, coordinating with the TRx Sector, consulting on PT allocation, and requesting additional medical supplies.
89
Priority when TRx is immediately available in the Tx Sector procedures?
TRx a priority over extended on-site Tx, with rapid TRx being of the essence.
90
Role of the Medical Supply Sector.
Determining the need for additional medical supplies at the scene and requesting their delivery through Command, automatically occurring on all 3rd Alarm incidents and being established near the Tx area.
91
How should the Tx Sector officer coordinate with the TRx Sector?
Maintain close coordination with the TRx Sector officer to ensure rapid TRx of PTs.
92
Reporting responsibilities of the Tx Sector officer.
Forward progress reports/triage updates to Command as needed, responsible for determining need for additional medical supplies & requesting delivery through Command.
93
Responsibilities of TRx Sector managing PT TRx during a multiple-patient incident.
Arranging all TRx needs, coordinating PT allocation and destination with the Tx Sector, maintaining an accounting of all PTs and destinations, providing progress reports to receiving hospitals, ensuring the safety and accountability of assigned personnel, and coordinating activities with other sectors.
94
Role of the TRx Sector Officer during a multiple-patient incident.
Assume a visible position in the Tx area or PT loading area, wear a sector vest, assess TRx needs, and communicate those needs to Command.
95
How does the TRx Sector coordinate with other sectors, especially the Tx Sector, during a multiple-patient incident?
Coordinates PT allocation and destination with the Tx Sector, provides progress reports to receiving hospitals, and ensures the safety and accountability of all assigned personnel.
96
Additional personnel roles to assist the TRx Sector during a multiple-patient incident?
Hospital Comms Coordinator, Loading Coordinator, Charting Officer, LZ Sector for air medical transport coordination, and Staging personnel.
97
Process for establishing a LZ by the TRx Sector.
In concert with Command, determines the location for staging and aero-medical transport, establishes a LZ a safe distance from the scene, and assigns at least 1 Engine.
98
Process for establishing a PT loading area.
Determine a suitable location next to Tx to establish a PT loading area, staging rescues off site and bringing them in as needed, with close coordination with Tx.
99
How does the TRx Sector coordinate with medical facilities during an incident?
Early contact with to determine their capabilities, advise hospitals of the incident location and type, and initiate medical facility inventory through the Dispatch Center on Med-9.
100
Define the priority for TRx patients in the TRx Sector.
IMMEDIATE PTs receive priority. DELAYED and MINOR PTs. MINOR PTs may be TRx using city buses or vans, and it is preferred to 'leap-frog' MINOR PTs to distant hospitals to minimize TRx times for DELAYED PTs.
101
Role of personnel assigned to TRx?
Remove PTs from Tx area and deliver them to selected TRx units, maintaining close coordination with Tx to determine the most appropriate allocation for each PT.
102
Process for documenting PT TRx in the TRx Sector.
Prior to TRx, the TRx Sector Officer (or designee) will remove a TRx tracking slip from each triage tag and write in the TRx unit and hospital destination on the slip, keeping these tracking slips.
103
Responsibilities of the TRx Branch in a large, complex medical incident.
Ensuring TRx functions are carried, supervising and coordinating TRx functions and personnel, determining/requesting resource needs, communicating direction to tactical units, maintaining incident documentation, and providing frequent progress reports to Command.
104
What are standard operations performed by the Trx Branch?
Coordinating rescues to various sectors, determining hospital availability status, coordinating PT allocation and hospital destination, coordinating PT movement, maintaining PT accounting, ensuring safety and accountability of personnel, providing progress reports to Command, notifying hospitals of estimated arrival times, and notifying Command when all IMMEDIATE PT have been TRx.
105
Role of the TRx Branch Director in a medical incident.
Coordinates TRx functions for all Tx locations, assigns TRx sector personnel, and ensures the necessary resources are assigned to each sector. They also station themselves at a central location, preferably at or close to the Command Post.
106
Staffing requirements for each sector within the TRx Branch.
Each sector within the TRx Branch, such as 'East TRx Sector' and 'West TRx Sector,' will require at least one full company of personnel.
107
Responsibility of the TRx Branch Director regarding the LZ?
Assigns necessary resources to the LZ to move PTs from Tx areas, which may involve the use of a rescue, and ensures that helicopters are used to TRx IMMEDIATE PTs to more distant medical facilities.
108
Purpose of TRx tracking slips.
Record TRx unit, hospital destination, and other PT information, serving as a means to maintain an accounting of all PTs leaving the Sector and can be verified by Command.
109
Do TRx Sector officers complete all PT info on the TRx tracking slip immediately?
Prioritize noting TRx unit and hospital destination and complete other info as time permits.
110

Capt Test 2024 (19 decks)

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