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EMS Boards > TOR, Mass Gathering, ICS, Mass Casualty > Flashcards

TOR, Mass Gathering, ICS, Mass Casualty Flashcards

1
Q

Universal TOR rule

A

Arrest not witnessed by EM
No shock delivered
No ROSC prior to transport (any ROSC)

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2
Q

EtCO2 with cardiac arrest

A

Better outcomes with >20
Worse outcomes with < 10
But no definite numbers to go on

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3
Q

Exceptions to transport for pediatric cardiac arrest

A

Obvious death
Crime scenes (or potential for crime scene, think SIDS)

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4
Q

Better prognosis in traumatic arrest

A
  1. Isolated stab wound to chest
  2. Signs of life when EMS arrives
  3. Thoracotomy within 15 minutes
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5
Q

Who to withhold in blunt traumatic arrests

A

Apneic
Pulseless
No organized electrical activity

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6
Q

Who to withhold on penetrating cardiac arrests

A

Apneic
Pulseless
No other signs of live (movement, electrical activity, PUPILLARY response)
penetrating - pupils

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7
Q

NAESMP-ASCOT recs in traumatic arrest

A

Consider if no ROSC after “appropriate filed treatment”
15 minute of CPR
Needs physician oversight

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8
Q

Advanced directives

A

Written document expressive future wishes for care decisions

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9
Q

Living will expresses

A

Wishes of patient in the event of permanent coma or terminal illness

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10
Q

POLST delineates

A

If resuscitation should be initiated
When to transport
Desired intensity of interventions

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11
Q

Main goal of mass gathering medicine

A

To spare existing system

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12
Q

Cardiac arrest response time for event

A

Within 5 minutes

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13
Q

Level of care at mass gathering

A

At least commensurate with level of care at surrounding community

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14
Q

Who should pay for medical equipment at a mass gathering

A

Event provider

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15
Q

Who should staff on site treatment facility

A

At least one medical provider at highest level

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16
Q

Facility for large mass gathering

A

Off site treatment facility - receive patients from prehospital system
Basically free standing hospital

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17
Q

Where to place docs at events

A

Bounded - central medical facility
Unbounded - may need to move with event

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18
Q

Most vulnerable part of mass gathering

A

Communications

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19
Q

Where is a 911 call received

A

Public Safety Answering Points

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20
Q

Radio as mass gathering should be what

A

P25 compliant

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21
Q

What implemented NIMS

A

PPD 5 after 911

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22
Q

NIMS does what

A

Guides all levels of government, NGOs and private sector to prevent, protect against, recover from, and mitigate disasters

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23
Q

Unity of command

A

Each member of team only responds to one person

24
Q

Span of control

A

No leader is directly responsible for more than 3-7 personnel or functions

25
Q

Unified command

A

Senior representatives from each agency form the IC and speak as one voice

26
Q

4 Sections of ICS

A

Operations
Planning
Logistics
Finance

27
Q

Operations in ICS is what

A

The Doers

28
Q

Planning in ICS

A

Thinkers

29
Q

Logistics in ICS

A

Getters (people or stuff)

30
Q

Sections led by who in ICS

A

Chief

31
Q

Operations responsible for

A

Tactical decisions and maintain situational awareness
Includes staging manager who coordinates available resources waiting on assignment

32
Q

Planning responsible for

A

Incident action plan
Documentation
After action report
Continual monitoring of situation

33
Q

2 Branches of logistics

A

Service branch: communications, food and water, medical support
Support branch: fuel, maintenance, access to fixed facilities

34
Q

3 positions not in span of control

A

Safety officer
Public information officer
Liaison officer
IC role until they delegate

35
Q

Only role that can violate span of command in ICS

A

Safety officer

36
Q

What are branches in ICS

A

Used when number of divisions or groups exceed the recommended span of control
usually in operations

37
Q

Division vs Group in ICS

A

Divisions: Geographic
Groups: Functional

38
Q

Medical branch vs Unit

A

Medical branch: Under operations
Medical unit: within logistics, supporting responders

39
Q

Units in ICS

A

Functional responsibility for a specific activity

40
Q

Divisions led by

A

Supervisors

41
Q

Groups/Units led by

A

Leader

42
Q

What is the Model Uniform Core criteria

A

What a MCI triage should contain
24 criteria, 5 triage levels

43
Q

Only MUCC compliant triage tool

A

SALT

44
Q

5 triage categories

A

Immediate
Delayed
Minimal
Dead
Expectant

45
Q

First step in SALT

A

Sort - Walk, Wave, Still

46
Q

Start first step

A

Ambulatory vs Not (ambulatory minor)

47
Q

Second step in Start

A

Breathing or not
If not breathing open airway
If still not breathing, dead, otherwise immediate

48
Q

Third step in Start

A

Respiratory rate - if greater than 30 immediate, if not delayed

49
Q

4th step in Start

A

Perfusion: if more than 2 seconds immediate, if less delayed

50
Q

5th step in Start

A

Mental status: responding to commands
No: immediate
Yes: delayed

51
Q

2 systems for secondary triage

A

Secondary assessment and victim endpoint (SAVE) and System of risk triage (SORT)
Waves intervention of benefit against resources

52
Q

What is tertiary triage

A

triage of scare resources (as we move down the line after first and 2nd triage)

53
Q

What is population triage

A

Management of ongoing incidents due to infrastructure loss or disease
Balances risk of harm to person vs community
(think weather vs disease)

54
Q

Focal point of local disaster

A

EOC

55
Q

Emergency management assistance compact between what groups

A

States

56
Q

4 phases of emergency management

A
  1. Mitigation
  2. Preparedness
  3. Response
  4. Recovery
57
Q
A

EMS Boards (32 decks)

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