Week 1 Review questions

Question 1

ABCDE- what is involved with ‘A’?

What is the MOST important intervention?

Answer 1

Air way

- establishing an airway is the most important intervention

Question 2

What is a mass casualty vs multiple casualty?

Answer 2

mass casualty= more than 100

multiple casualty= 2- 99

Question 3

Why does shivering and seizures need to be controlled in heat stroke patients?

Answer 3

shivering and seizures need to be controlled because these can increase the body temperature on a patient already suffering from a heat stroke.

Question 4

What is the MOST common reason people go to the ER?

Answer 4

.

Question 5

What are the different levels of disaster triage? Give an example of each

Answer 5

RED

YELLOW

GREEN- broken arm, can ambulate

BLACK

Question 6

True or false- massaging your patient’s extremity who has frostbite is okay

Answer 6

False

Question 7

What does someone with heat exhaustion look like?

Answer 7

• lethargic
• weak
• dehydrated
• syncope

Question 8

What occurs during the secondary survey?

Answer 8

Full Head- Toe assessment 
Vitals
VS log roll
Diagnostic tests 
Urinary catheter 
comfort measures 
family involvement

Question 9

What are some possible complications of heat stroke? How can we monitor for that?

Answer 9

.

Question 10

What special considerations do you have to take when caring for a geriatric patient in the ED?

Answer 10

-

Question 11

Why are elderly people at risk for orthostatic hypotension?

Answer 11

.

Question 12

What is the most common arrhythmia seen in a patient with severe hypothermia?

Answer 12

.

Question 13

What happens during ‘B’ in the primary survey?

Answer 13

Breathing

• assessing lung sounds
• chest expansion

Question 14

What is CISD? Administrative evaluation?

Answer 14

cisd is debriefing for care professionals for possible PTSD after a traumatic disaster

Question 15

Who is at risk for heat related illness?

Answer 15

• farmers
• construction workers
• mail men
  anyone out in the heat

Question 16

What is ER crowding? Why is it significant?

Answer 16

.

Question 17

What are some safety concerns for ER staff? ER patients?

Answer 17

.

Question 18

Define triage. How is this different from disaster triage?

Answer 18

triage is classified care given to those with the highest acquity.

Question 19

True or false- it is okay to give someone with heat stroke plain water to drink

Answer 19

False

electrolytes- gatorade
regular water will further dehydrate them

Question 20

What happens during ‘C’?

Answer 20

• circulation
• assessing BP
• Assessing peripheries
• may need IV fluids
  – lactated ringers
  – Normal saline
  — May need Blood transfusion
  (16 gauge bore needle))

Question 21

Why is EMS important?

Answer 21

EMS is important because they are the first to arrive and try to stabilize the patient on the way to the hospital.

Question 22

How is a displaced person different from a refugee?

Answer 22

.

Question 23

What is the patho behind heat stroke?

Answer 23

.

Question 24

What occurs during ‘E’?

Answer 24

• exposure
• clothes are cut off
• be careful if patient is a rape victim…preservation will be necessary

Question 25

What challenges do homeless people pose when they come to the ER?

Answer 25

• non compliance to treatment

Question 26

What is an afterdrop?

Answer 26

when the cold blood from the peripheries recirculate in to the core decreasing the core temperature while initial rewarming process.

Question 27

How is heat exhaustion treated?

Answer 27

.

Question 28

What happens during ‘D’?

Answer 28

• Disability (NEURO CHECK!)
• AVPU
• Alert
• Responsive to voice
• Responsive to Pain
• Unresponsive

Question 29

How often do healthcare facilities have to conduct fire training? Disaster training?

Answer 29

at least 2 times per year