Section 9 (Chapters 35-39) Flashcards
Number of workers to supervisors in Span of Control.
no more than 7
NIMS Control Section
Incident Commander IC
Public Information Officer PIO
Safety Officer
Liaison Officer
NIMS Finance Section
Tracks all expenditures during an incident
NIMS Logistics Section
Communications equipment Medical Supplies Food Water Shelter
NIMS Operations Section
Tactical operations on larger incidents
NIMS Planning
Develops action plan
Solves problems as they arise
Medical Incident Command Functions
Triage Treatment Transportation Staging (vehicles/supplies) Rehabilitation (rest/recovery of responders) Extraction and Special Rescue
Mass Casualty Incicent (MCI)
Primary Triage
Secondary Triage
Immediate (RED) S/S shock or head injury
Delayed (YELLOW) non-immediate treatment/transport
Minor (Green) walking wounded
Dead/Dying (Black) already dead or low chance of survival - only treat after all others
Simple Triage and Rapid Treatment (START)
RPM
Respiration
Perfusion
Mental status
Direct all patients capable of moving to central location. These are walking wounded and get GREEN tag.
Other patients;
Respiration - if not breathing manually open airway. Does not start breathing spontaneously, BLACK tag.
If patient begins to breathe, RED tag, put in recovery position, move on to next patient.
If patient breathing spontaneously >30 or <10 keep RED tag.
If breathing spontaneously 10-30 check perfusion.
Perfusion - Assess radial pulse. If absent, keep RED tag.
If pulse is present, check Mental status.
Mental status - Does patient follow simple commands? If no, keep RED and move to next patient. If yes, change tag to YELLOW and move on to next patient.
Special needs patients such as children where START result is not clear, should be moved to secondary triage as soon as possible.
Explosive injuries.
Primary blast injury - caused by blast
Secondary blast injury - caused by flying debris
Tertiary blast injury - caused by patient striking ground or other object.
Signs and symptoms of nerve agent exposure.
SLUDGEM
SLUDGEM Salivation, seizures Lacrimation Urination Defecation Gastric upset Emesis Miosis
Management includes aggressive airway management including suction and ventilatory support.
ricin, sarin, soman, tabun, VX
Signs and symptoms of vesicant exposure.
pain, burns and blisters to exposed skin, eyes and respiratory tract.
Irrigate affected areas with copious amounts of water.
Lewisite, phosgene oxime (CX), sulfur mustard (garlic smell)
Signs and symptoms of cyanide exposure.
dizziness, weakness, anxiety, nausea, tachypnea, seizures, respiratory arrest.
Manage with high flow oxygen, positive-pressure ventilation may be needed.
Signs and symptoms of pulmonary agents.
dyspnea, cough, wheezing, runny nose, sore throat.
Manage airway, administer oxygen, support ventilation.
Phosgene
Signs and symptoms of biological agents.
fever, weakness, respiratory distress, flu-like symptoms.
Provide supportive care.
Bubonic plague, pneumonic palgue, botulism
Types of nuclear radiation.
Alpha - travels short distances, stopped by clothing, skin, etc.
Beta - travels a short distance, penetrates only the 1st few mm of skin.
Gamma (XRay) - travels long distances and easily penetrates body. Significant external hazard to humans.
Neutrons - easily penetrates through lead and requires several feet of concrete.
Limitations of exposure include Time, Distance, and Shielding.
Signs and symptoms of acute radiation sickness.
nausea, vomiting, diarrhea, fever, headache, skin lesions.
