chapter 39 incident management

mass cassualty incident refers to to any calls that involve how many patients?

MCI stands for what

what does NIMS stand for?

what was NIMS developed to do?

National Incident Management System:

who implemented NIMS in 2004?

National Incident Management System:

NIMS organiztional structure had to be ___ enough to be rapidly _____

what provides standardization in:
-terminology
-resource classification
-personnel training
-certification

the following are major components of what?
-preparedness
-communications and info management
-resource management
-command and management
-on going management and maintenance

Incident Command System:

incident command system is also know as the

the following are the main purpose of what?
-ensure responder and public safety
-achieve incident management goals
-ensure the efficient use of resources

Incident Command System:

what is the building block for good patient care?

Incident Command System:

who is in control of the overall incident?

Incident Command System:

what part of ICS is responsible for documenting all expenditures at the incident for rembursement

Incident Command System:

what part of ICS is responsible for communications equipment,facilities,food and water,fuel,lighting, and medical supplies

Incident Command System:

what part of ICS is responsible for managing tactical opertations usually handled by the IC during very complex incidents

Incident Command System:

what part of ICS solves problems as they arise and develops an action plan

Incident Command System:

ICS command staff:
who monitors the scene for conditions or operations that may present a hazard to responders and patients

Incident Command System:

ICS command staff:
who provides the public and media with clear and understandable information

Incident Command System:

ICS command staff:
who relays information and concerns among command, the general staff, and other agencies

Communications and Information Management:

what has historically been the weak point  at most major incidents

Mobilization and Deployment:

upon arriving to an incident, who should you check in with?

Mobilization and Deployment:

after checiking in with the IC report to your supervisor for an ____ ____

Mobilization and Deployment:

____ keeping allows for tracking of time spent on the actual incident for reimbursement purposes

Mobilization and Deployment:

once the incident has been stabilized and all of the hazards mitigated, the IC will determine which resources are needed or not needed and when to begin ____

EMS Response Within the Incident Command System:

you EMS agency should have have a written ____ plan that you are regularly trained to carry out

EMS Response Within the Incident Command System:

what is a open incident?

EMS Response Within the Incident Command System:

what is a closed incident?

EMS Response Within the Incident Command System:

who should establish command?

EMS Response Within the Incident Command System:

if possible you should use ___ to ___ communications to limit radio traffic

EMS Response Within the Incident Command System:

medical incident command is alos know as the ___ branch of ICS

The Medical Branch of Incident Command:

who is incharge of counting and prioritizing patients and ensures all patients receives an initial assessment

The Medical Branch of Incident Command:

who locates and sets up a treatment area with a tier for each priority patient and ensures secondary triage is performed

The Medical Branch of Incident Command:

who coordinates transportation of patients to appropriate hospitals

The Medical Branch of Incident Command:

who is assigned to multivehicle or multi agency response and gives permission for EMS vehicles to enter the scene

The Medical Branch of Incident Command:

who makes difficult triage decisions and provide EMS with on scene medical direction

The Medical Branch of Incident Command:

who establishes an EMS rest area and monitors EMS providers stress levels

The Medical Branch of Incident Command:

who determines type of equipment and resources needed for an incident

The Medical Branch of Incident Command:

who works with medical examiners and coroners to coordinate removal of the bodies and body parts

The Medical Branch of Incident Command:

the morgue supervisor should attempt to leave bodies in the location found until a plan is determined 
true/false
True False

Mass-Casualty Incidents:

what should you never do when there are still sick or injured patients on scene

Triage:

what category of patients are first priority and usually have problems with ABCs

Triage:

what category patients are 2nd priority and who need treatment and transportation but can be wait a bit

Triage:

what category of patients are 3rd priority and may only require field treatment

Triage:

what category of patients are last priority and are likely to die or are dead

Triage:

doing what to patients early can help track them and keep record of their condition

Triage:

triage tags are not water prrof so you should keep them covered
true/false
True False

Triage:

START stands for what?

Triage:

what stepin SIMPLE triage is when you call out the patients to group up at a landmark and what category of triage are they placed in?

Triage:

2nd step in SIMPLE triage is to move to the first nonambulatory patient and assess breathing
true/false
True False

Triage:

if a nonambulatory patient who doesnt start breathing after opening an airway what should you tag them as?

Triage:

if a non ambulatory patient begins to breath after opening airway, what should you tag them as?

Triage:

after tagging a nonamublatory patient as immediate(red) what position should you place them before moving onto the next patient?

Triage:

in the 2nd step in SIMPLE triage what 3 things should you assess before moving to next patient

Triage:

in jumpSTART for a pediatric who is not breathing and no pulse what should you tag them as?

Triage:

in jumpSTART in a pediatric who has a pulse but not breathing how mnay rescue breaths should you give

Triage:

in jumpSTART a pediatric who doesnt start breathing after given rescue breath what should you tag them as?

the most common cause of cardiac arrest in children is ______ arrest

Triage:

in jumpSTART you should what should you check before moving onto the next patient?

Triage:

in jumpSTART in absence on a distal pulse in a pediatric what should to tag the patient as?

Triage:

special considerations for triage:
-patients who are hysterical or are distrubtive to rescue effort 
-responder who become sick or injured
-who have been contaminated by HAZMAT

these patients should be tagged as what?

Triage:

what category patients should be transported by ground or air?

Triage:

when may a bus be used to transport? and who may the transport?

Triage:

how many immediate priorty patients should you transport at a time?

Triage:

how many delayed patients can be transported at a time?

Triage:

who should be transported after delayed priority patients?

Triage:

who would be transported last?

Triage:

dead patients are handled according to what?

disaster management:

who decalares a disater?

Introduction to Hazardous Materials:

what does HAZWOPER stand for?

Recognizing a Hazardous Material:

you should stay down hill and down wind of a hazardous incident
true/false
True False

____ is any container or vessel that holds material

you can divide container into what two categories?

Containers:

in general what kind of containers are
-found in buildings that rely on and need to store large quantities on a particular chemical
-often have a secondary containment system
-can hold a few hundred gallons of the chemical

Containers:

what has
-storage capacities of 119 to 703 gallons
-have no secondary containment

Containers:

what container are 
-both storage and shipping vessel
-hold between 5k-6k gallons of product
-can be pressurized or non pressurized

Containers:

nonbulk containers hold commonly used commercial and industrial chemicals
true/false
True False

Containers:

drums are considered 
bulk or nonbulk?

Containers:

what is commonly used to store solids and powders?

Containers:

what transports and store corrosives and other types of chemicals?

Containers:

what is a glass,plastic, or steel container that holds 5-15 gallons of product

Containers:

carboys are often placed in a protective wood, foam, fiberglass, or steel box
true/false
True False

Department of Transportation Marking System:

what shape are placards?

Department of Transportation Marking System:

where are placards and haz labels placed on a container

Department of Transportation Marking System:

DOT requires all chemicals shippments be marked
true/false
True False

Department of Transportation Marking System:

how often is the emergency response guidebook updated?

Department of Transportation Marking System:

appox. how many chemicals are in the emergency response guidebook

references:

what does MSDS stand for?

references:

what paper work usually accompanies the chemical being shipped

references:

what serves as an invaluable technical information resource for first responders of all disciplines who are called upon to respond to chemical incidents`

HazMat Scene Operations:

you should alert near by individuals using the abumlance public address system and secure the incident zone
true/false
True False

HazMat Scene Operations:

what area is the most contaiminated area

HazMat Scene Operations:

there is not need to decontaiminate personnel and equipment when leaving the hot zone
true/false
True False

HazMat Scene Operations:

in which zone....
-personnel transition in and out of the hot zone
-has control points in and out of the hot zone
-has a decontamination area

HazMat Scene Operations:

what is the process of removing or neutralizing and properly disposing of haz materials

HazMat Scene Operations:

which zone is 
-the safe area
-no need for protective clothing
-has command post
-area for medical monitoring and treatment after decontamination

Classification of Hazardous Materials:

what classifies materials based on
-health hazards/toxicity levels
-fire hazards
-chemical reactive hazard
-special hazards

Classification of Hazardous Materials:

what toxicity level would cause little, if any, health hazard of you came in contact with it

Classification of Hazardous Materials:

what toxicity level would cause irritaion on contact but only mild residual  injury

Classification of Hazardous Materials:

what toxicity level could cause temporary damage or residual injury unless prompt medical treatment is provided

Classification of Hazardous Materials:

what toxicity level is extremely hazardous to health

Classification of Hazardous Materials:

what toxicity level is so hazardous that minimal contact would cause death

Classification of Hazardous Materials:

all toxicity levels require specialized  training and respiratory and chemical protective gear that is not standard on most ambulances except which toxicity level?

Personal Protective Equipment Level:

what PPE level requires you to be fully encapsulated and wear a SCBA

Personal Protective Equipment Level:

what level of PPE doesnt require you to be encapsulated but still requires an SCBA and to wear nonpermeableclothing

Personal Protective Equipment Level:

what level of PPE requires the use of nonpermeable clothing and eye protection and a face mask that filters outside air

Personal Protective Equipment Level:

what level of PPE only requires a work uniform such as a coverall

Personal Protective Equipment Level:

all levels of PPE require what?

caring for patients:

if patients are found before the decontamination zone is established you may need to transport and do a rapid ___