EMT CH 38

who’s responsible for managing tactical operations @ a large or complex incident

operations section chief

which statement best describes the purpose of limiting span of control in the ICS

to ensure on supervisor manages no more than 5 subordinates to maintain effectiveness

what’s the key purpose of the rehabilitation area for responders during a long duration incident

to provide rest, fluids, and protection fr the elements

key responsibilities of treatment supervisor

setting up treatment area w/ tiers for patient priority

in jumpSTART triage, what should be done if a child isn’t breathing but has pulse

provide 5 rescue breaths before determining their triage category

in the SALT. triage system, what is the purpose of directing ambulatory patients to a designated area first

to prevent them fr overwhelming hospitals before higher priority pts are met

which type of drum is typically used to stroe corrosive chemicals such as acids + bases

polyethylene drum

which senses can safely be used to help detect hazardous materials fr a distance

sight + sound

after recognizing hazardous materials incident + calling for the hazmat team, what should the EMT do next

set up perimeter + keep people away

primary purpose of CHEMTREC during chemical incident

to provide technical chemical information + support to responders

why might specially trained personnel need to extricate victims before triage + treatment?

bc extrication + rescue can be dangerous + req specialized skills

important responsibility of mourge supervisor during MCI

keeping morgue area out of view of living pt + responders

why should plain language be used instead of 10 codes during disaster communications

to prevent confusion among multiple agencies responding

why should EMS agencies maintain at least 72 HRs of disaster supplies

to ensure the agency can remain self sufficient during the initial phase of a disaster

which section is responsible for providing food, water, equipment, and support resources during an incident

logistics

EMT’s primary focus when treating pts exposed to hazardous materials

maintain airway, breathing, supportive care

who decides whether the critically injured but contaminated pt should be transported during full decontamination

incident commander

safety dada sheet provides info abt a chemical’s hazards, handling precautions, first aid measures, safe disposal procedures

true

carboys = large metal tanks used to store bulk quantities of fuel + aren’t suitable for transporting corrosive liquids

false

hazmat team members enter the hot zone to approach the pt, they visually examine the containers to determine what chemicals may be in the hot zone, which type of drum is used for storage of corrosives such as acids, bases, or oxidizers

polyethylene

oxygen is stored in which type of container

cylinder

once pts have been decontaminated + brought to the staging area, how should you continue care

begin as if they haven’t received any treatment

hazmat team finds a small pesticide bag underneath a pt after lifting him, which of the following is required to be included on the label of pesticide bags

EPA establishment number

triage supervisor

counts + prioritizes pts

purpose of incident command system

• ensuring responder + public safety

• achieving incident management goals

• ensuring the efficient use of the resources

upon arriving @ a scene in which the incident command system has been activated, you should expect to

be passed fr sector to sector as needed in betw assignment

when EMS responds to a disaster as a part of their response within the ICS, EMS would start w/ a scene size up, next step for first responding units

establishing command

mass casualty incident

pt count exhausts resources

pt w/ highest treatment priority @ MCI

24 YO M unconscious, snoring respirations, severe burns

disaster differs fr mass casualty incident

• disasters may not involve personal injuries

• EMS may be on the scene for days / weeks

• only an elected official can declare a disaster

large tanker truck overturned on highway, clear liquid leaking fr tanker, driver bleeding fr face, wyd

fully assess situation + req appropriate assistance

situation that most likely involves a hazardous material

tractor trailer rig that is emitting a visible cloud

when dealing w/ a hazardous materials incident, where should you set up your decontamination area

betw hazard zone + treatment area

toxicity lvl you’d assign a hazardous material spill that could cause a person temporary damage or residual injury unless prompt medical treatment is given

lvl 2

transportation supervisor

coordinates transportation + distribution of pts to receiving hospitals

treatment supervisor

locates + sets up a treatment area

rehabilitation supervisor

establishes an area to provide protection for responders fr the elements

staging supervisor

directs emergency vehicles to enter an MCI scene

morgue supervisor

coordinates removal of bodies w/ medical examiners, coroners, law enforcement

red tag

middle aged adult w/ respiratory distress, chest pain, closed deformity to the R forearm

green tag

12 YO w/ nausea + humerus + ulna fractures

black tag

unresponsive adult who’s not breathing, as a weak carotid pulse, grossly deformed skull

yellow tag

young adult who’s conscious + alert but has bilateral femur fractures + numerus abrasions to the arms + face

according to jumpstart triage, if a peds pt not breathing wyd

immediately check for a pulse

weak pt @ most major incidents

communication

interoperability of national incident management system refers to the ability of

agencies of diff types or fr diff jurisdictions to communicate w/ eachother

area where incoming ambulances meet + await further instructions @ the scene of a multiple casualty incident

staging

supervisor responsible for notifying area hospitals + determining their availability + capabilities

transportation

purpose of incident command system

ensure responder + public safety, achieve incident management goals + ensure effective use of resources

natural disaster

often req personnel to remain on scene for several days

when pt involved in MCI moved to treatment area

secondary triage performed + appropriate treatment = rendered

activities occurring in the warm zone

decontamination

pt in respiratory arrest @ scene of mass casualty incident would typically be classified as fourth priority - black tag pt unless

there are enough resources to provide care for them

info triage supervisor should communicate to medical branch officer

• reccs for movement to the treatment area

• # of pts that have been triaged

  • # of pts in each triage category

you should contact hazardous materials team + then

take measures to ensure the safety of yourself + others

as first arriving senior EMT @ scene of an incident, you should perform a scene size up + then

establish command

@ large incident - section = responsible for managing tactical operations handled by the incident commander on routine EMS calls

operations

placards + labels on a storage container intended to

give a general idea of the hazard inside the particular container

steps of deployment

1. check in w/ incident commander

2. receive initial briefing fr supervisor

3. advise supervisor of completed tasks

   1. demobilize per incident command

roles inc in medical branch

• set up treatment area

• provide transport

• count + prioritize pts

control zone you’d find staging area for EMS

cold zone