Final - Disaster

  1. What are the goals of the Scene Management System?
    • Protect Life 
    • Protect Environment
    • Protect Property
  2. What are the actions of FIRST RESPONDERS in a disaster situation?
    • Scene assessment: is it safe?
    • Scene Size-Up: what type, how many, injuries?
    • Send Info: for resources (hospitals, more help...)
    • Scene set-up: triage, in and out of area, mortuary, etc...
  3. What is our role and purpose in a disaster?
    Do the greatest good for the greatest number of people
  4. This triage category the victim is unlikely to survive given the severity of injuries, level of available care, or both
    Expectant (black tag)
  5. This triage category the victim can be helped by immediate intervention and transport, requires medical attention within minutes (up to 60), includes compromises to ABC's.
    Immediate (Red tag)
  6. This triage category the victim's transport can be delayed, includes serious and potentially life-threatening injuries, but status not expected to deteriorate significantly over several hours.
    Delayed (Yellow tag)
  7. This triage category the victim with relatively minor injuries, status unlikely to deteriorate over days, may be able to assist in own care: walking wounded.
    Minor (green tag) - these go to secondary triage
  8. If an ADULT OR CHILD is able to walk they are considered which triage category and where do they go next?
    MINOR --> to secondary triage
  9. If an ADULT cannot walk to secondary, what is assessed next?
    Are they spontaneously breathing? Open airway - if nothing they are tagged EXPECTANT
  10. If an ADULT cannot walk to secondary triage and they can breath, what is assessed next?
    RR - if >30 they are IMMEDIATE
  11. If an ADULT is
    Breathing AND
    RR <30, what is next?
    PERFUSION - if radial pulse absent or cap refill >2 sec then they are IMMEDIATE
  12. If an ADULT is 
    Breathing
    RR<30
    has a radial pulse or cap refill <2 seconds, what's next?
    MENTAL STATUS - if they don't obey commands they are IMMEDIATE
  13. If an ADULT person is 
    Breathing
    RR<30
    has a radial pulse or cap refill <2 seconds,
    Obeys commands
    what's next?
    DELAYED - they are not expected to deteriorate and can wait several hours
  14. If a CHILD is not breathing what is done next?
    Position airway - if breathing - IMMEDIATE
  15. If a CHILD is not breathing and has no pulse what's next?
    DECEASED
  16. If a CHILD is
    not breathing
    has a pulse
    what's next?
    Give 5 rescue breaths - if nothing - DECEASED

    If breathing - IMMEDIATE
  17. If a CHILD cannot walk and is breathing, what is assessed next?
    RR <15 OR >45 - IMMEDIATE
  18. If a CHILD
    cannot walk
    is breathing
    RR between 15-45
    what is next?
    PALPABLE PULSE - if none - IMMEDIATE
  19. If a CHILD
    cannot walk
    is breathing
    RR between 15-45
    has a palpable pulse
    what is next?
    • AVPU (alert, verbal, painful, unresponsive)
    • if inappropriate or posturing --> IMMEDIATE

    if appropriate --> DELAYED
  20. What are the scene priorities in a Chemical (Nerve Gas) event?
    • Leave area – get into open air
    • Cover mouth with damp cloth
    • Stay calm, shallow breaths
    • Don’t lay down
    • Get antidote - Atropine or pralidoxime 
    • Showered with soap and water, eyes flushed for 5 min each
  21. What type of CBRNE event would you suspect with a patient that presents with pinpoint pupils, seizing, frothing at the mouth?
    Nerve agent (Sarin, Tabun, VX)

    acetylcholine accumulation - runny nose, crying, drooling, defecating, urinating, vomiting
  22. What type of CBRNE event would you suspect with a patient that presents with SOB, hemoptysis (pulmonary issues)?
    • pulmonary agents: phosgene, ammonia
    • nerve agents may cause also
  23. What type of CBRNE event would you suspect with a patient that presents with skin or eye burning and blistering?
    blistering agents: sulfur mustard, lewisite
  24. What type of CBRNE event would you suspect with a patient that presents with skin rash and GI symptoms?
    Biologics: Anthrax
  25. What type of CBRNE event would you suspect with a patient that presents with GI bleeding?
    • Biologic: Anthrax
    • Environmental: Ebola
  26. What type of CBRNE event would you suspect with a patient that presents with a fever?
    • Biologic: Anthrax
    • Environmental: Ebola
    • Radiologic/Nuclear
Author
cbennett
ID
343206
Card Set
Final - Disaster
Description
Final - Disaster
Updated