Quiz
Chapter 13: Multiple-Causalty incident
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Perguntas do quiz (94)
1Which of the following incidents would be classified as a "closed incident"?
- AA two-vehicle collision
- BA building fire
- CA grain storage bin collapse
- DPersons sprayed with mace at a club
2Which of the following incidents would be classified as an "open incident"?
- AA collapse of a grocery store roof in a heavy rain
- BPeople shot by a coworker at a factory
- CA three-vehicle collision on a highway
- DA gas pipeline explosion along a stretch of rural road
3Which of the following is the best definition of a multiple-casualty incident?
- AAny incident with more than one patient
- BA situation in which more than one ambulance is needed
- CAny incident in which situational demands overwhelm resources
- DA situation in which there are more than three patients
4Which of the following scenarios would benefit from pre-incident planning in anticipation of a possible MCI?
- AOutdoor music festival with expected attendance of 10,000
- BMajor road closure due to construction
- CIncreasing incidence of national terrorist activity
- DThe first winter storm of the season
5The Incident Command System was initially developed as a management tool for:
- Anatural disasters.
- Blarge-scale fires
- Curban violent crimes
- Drural EMS agencies.
6The major functional areas of the National Incident Management System include all of the following EXCEPT:
- Acommand
- Blogistics
- Cplanning
- Dexecution
7Which of the following is TRUE regarding incident commanders?
- AThey make decisions in conjunction with the medical director.
- BThey hold full legal authority for decision making.
- CThey must clear all decisions with the logistics coordinator
- DThey are not liable for decisions made during an MCI
8Span of control refers to:
- Athe number of individuals a supervisor can safely manage.
- Bthe geographical area an incident covers
- Chow many incident commanders are needed for a given MCI.
- Dhow many division leaders an incident commander appoints.
9You and your EMT partner arrive at the scene of a vehicle collision and find that the collision involved a large van and a school bus full of children. Your first action should be to:
- Abegin triaging patients.
- Bdeclare an MCI and establish yourself as incident commander.
- Ccall for an air ambulance.
- Dinform dispatch that you may need additional resources.
10Which of the following BEST describes the National Incident Management System?
- AA uniform, yet flexible, system
- BA rigid set of protocols
- CThe minimum acceptable standard for MCI operations
- DA recommended list of job tasks for MCIs
11The site from which civil government officials exercise direction and control in an
emergency or disaster is called the:- Amutual aid coordination center (MACC).
- Bemergency aid and operations center (EAOC)
- CIncident command center (ICC).
- Dmobile dispatch coordination center (MDCC).
12Under the Incident Command System, who is responsible for monitoring all on-scene actions and ensuring that they do not create any potentially harmful conditions?
- AIncident commander
- BSafety officer
- CTactical liaison
- DOSHA representative
13During an MCI, which section is responsible for procuring and distributing equipment and supplies?
- AOperations
- BEquipment
- CLogistics
- DFinance
14During an MCI, which section collects information such as weather reports, documents
incident actions, and develops contingency plans?- AOperations
- BLogistics
- CFinance
- DPlanning
15Which of the following is NOT a functional unit of the EMS branch during a multiple casualty incident
- ATriage
- BTreatment
- CMorgue
- DStaging
16Which of the following is NOT a stage of typical disaster management?
- APlanning
- BResponse
- CRecovery
- DInvestigation
17 Which of the following supervisors is responsible for coordinating placement of ambulances waiting to transport patients?
- AStaging officer
- BTreatment supervisor
- CTransport unit supervisor
- DEMS officer
18You are responsible for leading the triage team at the scene of an explosion at a local
shopping mall. Which of the following should be your FIRST action when beginning the triage process?- ATag all deceased patients as Black.
- BTask two responders with triaging all children.
- CAsk anyone who can walk to come to you
- DAsk the treatment officer to prepare to receive patients.
19While triaging patients at a MCI, you find a 19-year-old female patient who is awake and breathing 32 times/minute. She has a rapid radial pulse and what appears to be partial thickness burns on both legs. According to the START triage system, how should this patient be categorized?
- ARed
- BGreen
- CYellow
- DBlack
20While triaging patients at a MCI, you find a 22-year-old man who is not breathing. After you open the airway, the patient takes a breath. You should:
- Atag as "immediate" and move on.
- Bapply oxygen and move on.
- Cassess perfusion status.
- Dassess mental status.
21A 56-year-old man is breathing 20 times per minute and has a weak radial pulse. He is
confused but able to follow commands. According to the START triage system, how should this patient be categorized?- AMinor
- BDelayed
- CImmediate
- DUrgent
22Which of the following best describes scene size-up for an MCI?
- AConstructing a diagram of the scene for use by incident command
- BAn assessment of how many patients are in need of priority care
- CA quick assessment of the incident type and any immediately obvious hazards
- DThe exact description of the incident and how many resources are needed to mitigate it
23Which of the following would NOT be an appropriate decision for the transportation unit
supervisor?- APlacing two critical patients in one ambulance
- BSending a less critical patient to hospital in another county
- CCommunicating directly with staged ambulance crews
- DTracking the number of patients sent to each hospital
24When transferring incident command, which of the following must be done?
- ASigned handover of command.
- BAll sector commanders must agree on the transfer.
- CApproval must be obtained from the medical director.
- DA face-to-face transfer.
25You have responded to an explosion on a subway train. Because you are a paramedic, the incident commander tells you to report to the treatment unit. Which of the following treatment areas would be the most appropriate location for you to report to?
- AImmediate, "red" area
- BDelayed, "yellow" area
- CCritical, "black" area
- DNon-urgent, "green" area
26How long should it take you to triage one patient during an MCI?
- ALess than 10 seconds
- BAs long as it takes to obtain a set of vital signs
- CLess than 30 seconds
- DLess than 1 minute
27You are the first to arrive on the scene of a collapse of a balcony at an apartment building. You are met by a man whose arm is nearly severed, and you can see exposed bone and muscle tissue. Bleeding seems to be minimal. What is your next course of action?
- AThis is a life-threating injury, so treat it immediately and call for additional resources
- BThis is an "open incident," so using START he is a "green" patient. Have him sit in a safe area, apply a basic dressing to control bleeding, and, if possible, find someone to monitor him. Perform the scene size-up and triage.
- CThis is a "closed incident." Perform a scene size-up and treat this patient. Any other incoming units can continue treating people as they are found.
- DTake him to the ambulance.
28Which of the following patients would be tagged "red" using the START system?
- AA 43-year-old who has a respiratory rate of 28 and a radial pulse, who is screaming to get her to the hospital
- BA 36-year-old displaying no respirations with manual airway techniques, with a weak carotid pulse
- CA 30-year-old with respirations of 24 and a radial pulse, who cannot follow commands
- DA 16-year-old with a patent airway and a radial pulse, who is able to walk
29You have been assigned the job of staging officer at a multiple-casualty incident. This
means:- Ayou are responsible for staging all supplies and equipment needed by the treatment unit.
- Byou must work directly with incident command to ensure the financial needs of the operation are met.
- Cyou must organize and prepare all waiting ambulances to transport patients.
- Dyou are responsible for determining which patients go to which hospitals.
30Which specialized unit, designed to support on-scene responders, may be established at
large-scale incidents?- ADebriefing unit
- BCISD unit
- CFatigue unit
- DRehab unit
31 Which of the following is the most important goal to achieve in the initial minutes of an
MCI?- AImplementation of the NIMS
- BProper triage
- CDesignation of an IC
- DGood assessment of resources needed
32Which of the following is TRUE of MCI drills?
- AYou should never tell anyone they are going to a drill, because they won't take it seriously.
- BThey are not necessary for small, rural departments.
- CThey are effective only if you can provide real-life moulage and props.
- DAll agencies should drill, and never say, "It will never happen here."
33You and your partner have just been relieved of duty at the scene of a school bus rollover. You feel fatigued and emotionally "blank." Which of the following actions would be most helpful to you?
- ADetailed debriefing with a supervisor
- BReplaying the incident in your mind
- CDiscussing the patients you cared for with your family
- DResting and ensuring that your basic needs are met
34Disaster mental health services should be available:
- Afollowing any MCI.
- Bboth immediately after the incident and in the following weeks
- Cto all personnel involved in an incident.
- DAll of the above
35In a multiple-casualty incident (MCI), which person has full legal authority to lead the situation?
- AFire chief
- BIncident commander
- CFederal Emergency Management Agency (FEMA)
- DLiaison officer
36Which division of incident command support is responsible for ensuring that resource sharing between involved departments is fulfilled?
- AFinance/administration section
- BPlanning/intelligence section
- COperations section
- DLogistics section
37What is the START system in terms of emergency medical services (EMS)?
- AA mutual aid assignment system
- BA triage system
- CA casualty incident response system
- DThe mass casualty incident staging plan
38The optimal span of control for an incident commander involves how many people?
- AFive
- BSeven
- CThree
- DTwo
39Which incident would typically be termed a low-impact incident?
- AA tornado that destroys a shopping center
- BA three-car accident
- CAn explosion at a manufacturing plant
- DA building collapse
40Which incident would typically be termed a high-impact incident?
- AA shooting incident wounding three people
- BA tornado that destroys a shopping center
- CA motocross race accident involving multiple drivers
- DA four-car accident
41Which incident would typically be termed disaster related?
- AA structural collapse at a construction site
- BA tornado
- CAn earthquake
- DA bomb threat at a school
42Which statement most accurately defines a multiple-casualty incident (MCI)?
- AAny incident that depletes the available on-scene resources at any given time
- BAny incident that involves three or more victims
- CAny incident that requires both law enforcement and an ambulance
- DAny incident that involves seven or more victims
43Where did the initial plans for how to respond to large-scale emergencies first take place?
- ASouthern California
- BAt the National Transportation Safety Board (NTSB)
- CNorthern Washington State
- DWithin Federal Emergency Management Agency (FEMA)
44In which service or agency did the origin of incident management have its roots?
- AThe military
- BThe emergency medical services (EMS) system
- CThe fire service
- DFederal Emergency Management Agency (FEMA)
45What is the management system or philosophy that takes the basic tenets of good, sound management and adapts them to the needs of the emergency scene?
- AScene-authority management
- BThe national consensus standard
- CThe Incident Command System (ICS)
- DThe Simple Triage and Rapid Transport (START) system
46On what initial system for responding to a major incident has contributed the most to the subsequently developed Incident Commnand System (ICS)?
- AFIRE SCOPE
- BSTART
- CFEMA
- DNIMS
47Which of the following is the site from which civil government officials exercise direction and control in an emergency or a disaster?
- AMAST
- BIncident Command System (ICS)
- CThe emergency operations center (EOC)
- DThe National Wildland Coordinating Group (NWCG)
48Which of the following descriptions best reflects the primary purpose of an emergency operations center (EOC)?
- AFor providing a collection point for additional supplies
- BTo exercising direction and control in an emergency or disaster
- CTo providing mutual aid from surrounding systems
- DFor providing a staging area for emergency vehicles to ensure prompt dispatch
49Which of the following incidents would not typically require the activation of a emergency operations center (EOC)?
- ALarge-scale civil unrest
- BA high-impact incident
- CA low-impact incident
- DA disaster
50The emergency operations center (EOC) should be located:
- Aas close as possible to the epicenter of the incident.
- Bin a secure and protected location.
- Cin a federal building.
- Dwherever convenient.
51On arrival, the incident commander (IC) will:
- Atransmit a preliminary report to dispatch.
- Bdo a windshield survey of the scene.
- Ccreate an incident command post (ICP).
- DIdentify the radio frequency channel that will be used during the event.
52The acronym that will help you remember the functional areas of NIMS is:
- ANWCG
- BC-FLOP
- CNVG
- DEOC
53Past, present, and future information about an incident is provided by which functional area of National Incident Management System (NIMS)?
- ALogistics
- BFinance/administration
- CPlanning/intelligence
- DOperations
54What key element of National Incident Management System (NIMS) carries out tactical objectives, directs front-end activities, participates in planning, modifies the action plan, maintains discipline, and accounts for personnel?
- ALogistics
- BStaffing
- COperations
- DAdministration
55Triage personnel report directly to the:
- AEmergency medical services (EMS) branch director
- Bincident commander.
- Ctreatment unit leader.
- Dtriage unit leader.
56The flexibility of the Incident Management System (IMS) as a whole and the emergency medical services (EMS) branch as a portion of the system is based on:
- Aplanning for all eventualities.
- Borganization of all resources within a single command.
- Cbringing all functional areas to bear on every incident.
- Dimplementation of only those areas necessary to address the incident.
57What is the fundamental objective of the emergency medical services (EMS) provider at an multiple-casuality incident (MCI)?
- AOperate the triage area efficiently so as to transport the patients as soon as possible.
- BDo the most good for the most people.
- CMaintain the rehabilitation area.
- DManage the food and water supplies.
58The transport functional group of the emergency medical services (EMS) branch in an Incident Management System (IMS) is responsible for:
- Astaging
- Bmedical communications.
- Cmedical equipment.
- Ddelayed treatment.
59In accordance with the Simple Triage and Rapid Transport (START) triage system, which victim would be transported from a multiple-casualty incident (MCI) in a delayed capacity?
- AA conscious, well-oriented 22-year-old male with a respiratory rate of 36 and a radial pulse of 88
- BAn unconscious 42-year-old female with no spontaneous respirations after opening her airway
- CA conscious and well-oriented 30-year-old male with a respiratory rate of 28 and a radial pulse of 100 who cannot walk
- DA conscious, disoriented 54-year-old female with a respiratory rate of 26 and a radial pulse of 96
60In accordance with the Simple Triage and Rapid Transport (START) triage system, which victim would be transported last from a multiple-casualty incident (MCI) to the Emergency Department?
- AA conscious and well-oriented 28-year-old female with a respiratory rate of 28 and a radial pulse of 100 who is able to walk
- BAn unconscious 37-year-old male with no spontaneous respirations after opening his airway
- CA conscious, well-oriented 25-year-old female with a respiratory rate of 36 and a radial pulse of 87
- DA conscious but disoriented 48-year-old male with a respiratory rate of 28 and a radial pulse of 97
61What should be the first question you ask patients at a multiple-casualty incident (MCI) in accordance with the Simple Triage and Rapid Transport (START) triage system?
- AAsk what their name is.
- BAsk if they can speak.
- CAsk if they can breathe.
- DAsk all patients who can walk to come to you.
62When performing JumpSTART triage, for a pediatric patient who is found not breathing and who does not begin to breathe after positioning the airway, how is this pediatric classified according to JumpSTART triage?
- AApneic
- BImmediate
- CDeceased
- DDelayed
63In developing an understanding of multiple-casualty incident (MCI), which statement is most accurate regarding the response phase of a disaster?
- AA disaster is an event that overwhelms regional emergency response resources.
- BA properly trained incident commander can prevent the overwhelming of response resources in a disaster.
- CA well-conceived MCI plan prevents the overwhelming of response resources in a disaster.
- DResponse resources shouldn't be overwhelmed at an MCI if the emergency management plan is activated early.
64If a disaster-level multiple-casualty incident (MCI) results in a regional failure of communications systems, should be done as a response to this loss?
- AAwait a portable radio system.
- BUse message runners.
- CGather victims into small groups and await rescue.
- DCall for satellite phones.
65Which statement is most accurate regarding the Incident Management System (IMS) response stage of a disaster?
- AOutside assistance is almost always required.
- BThere is typically only a brief recovery period necessary to return to station and restock your unit.
- CCasualties can be promptly cared for by existing resources.
- DA proper IMS plan provides for adequate resources.
66What does disaster mitigation refer to?
- AThe return of your department to normal as soon as possible
- BThe prevention or limiting of disasters
- CThe return of your community to normal as soon as possible
- DSetting up an IMS plan for your community
67In preplanning for disaster response, what should the initial activity include?
- AInventory of all regional resources
- BAssessment of potential hazards
- CEvaluation of local community resources
- DTraining of response personnel
68Evacuation and/or relocation of uninjured victims of a disaster should be conducted with the primary goal of:
- Amaintaining proximity to the disaster site.
- Btransportation to medical centers for evaluation.
- Cmaintaining social groupings.
- Dretaining individuals who may be beneficial to the emergency response.
69What is the best way to mitigate common problems that may occur during an multiple-casualty incident (MCI)?
- AAnticipate their occurrence as best possible and plan for them.
- BFormulate a disaster response plan for every type of disaster.
- CInventory additional equipment available at a community and regional level.
- DDevelop a redundant infrastructure.
70Development of a disaster plan that outlines the standard operating procedures (SOPs) and protocols should be developed following what event.
- AA review of available resources
- BThe occurrence of a large-scale disaster
- CAn assessment of potential hazards
- DAn evaluation of average hospital capacity
71Which statement is most reflective of current research about critical incident stress management (CISM)?
- ACISM is recommended for minor or major MCI events.
- BCISM is most effective immediately after the incident.
- CCISM is most effective if administered during the incident.
- DCISM does not appear to mitigate the effects of traumatic stress.
72During a mass casualty incident, mental health personnel should:
- Ainitiate a critical incident stress management (CISM) plan immediately after the incident.
- Bbe available on-site for rescuers and victims.
- Cinitiate critical incident stress management (CISM) plan during the incident.
- Dstay out of the area until the recovery phase.
73How long may it take for abnormal signs and symptoms associated with traumatic stress from an multiple-casualty incident (MCI) to develop?
- AUp to three days
- BNo more than a day
- CUp to one week
- DUp to two months
74Which of the following is not part of providing psychological first aid at an multiple-casualty incident (MCI)?
- ACritical incident stress debriefing
- BEncouraging, but not forcing, social support
- CConveying compassion
- DEnsuring that basic physical needs are met
75You are dispatched to a motor vehicle accident. On arrival, you discover four victims, all of whom require advanced life support (ALS). Dispatch indicates that will take another 10 minutes to get additional ambulances to your location. This incident typically be categorized as:
- Aa START incident.
- Ba disaster.
- Ca low-impact incident.
- Da high-impact incident.
76Which variable can typically change at any time during an open incident?
- AThe number of triage levels
- BThe number of destination hospitals
- CThe amount of available resources
- DThe number of patients
77Which functional areas of the National Incident Management System (NIMS) system is ultimately responsible for dealing with an incident?
- ACommand
- BOperations
- CLogistics
- DAdministration
78What role does psychological debriefing or diffusing provide within the scope of an multiple-casualty incident (MCI)?
- AMonitoring the mental condition of rescuers
- BTriaging of victims
- CProviding psychological first aid
- DNone
79What functional area of the National Incident Management System (NIMS) emergency medical services (EMS) branch is activated when there are not enough ambulances to transport the injured?
- APlanning
- BLogistics
- CTreatment
- DOperations
80Which of the following disaster resource people would you not likely find at the emergency operations center (EOC)?
- ATriage personnel
- BInformation officer
- CGovernment officials
- DIncident commander
81What procedure should be pursued when a multiple-casualty incident (MCI) responder is not adapting to the disaster normally?
- ARefer the responder to a mental health professional.
- BNo action is necessary.
- CAssist the responder in rationalizing the situation.
- DProvide critical incident stress management.
82Which statement regarding incident impact is most accurate?
- AMotor vehicle collisions are always considered low-impact incidents.
- BThe techniques and tools used to respond to an multiple casuality incedent (MCI) could also be used when managing a multiple-patient motor vehicle collision (MVC).
- CA hurricane is typically considered to be a high-impact incident.
- DThe typical low-impact incident involves a single patient.
83What is the critical responsibility of the logistics section of National Incident Management System (NIMS)?
- AAccounting and administration
- BCommand
- COperating the medical supply unit
- DTactical objectives
84In which type of multiple-casualty incident (MCI) have the injuries usually already occurred by the time you arrive on scene?
- AA closed incident
- BA triage coordination incident
- CAn open incident
- DA limited scope incident
85In accordance with the Simple Triage and Rapid Transport (START) triage system, what should the disposition be for patients who respond to your request to come to you?
- AThey should be asked to assist.
- BThey should be transported to the emergency department (ED) by bus.
- CThey should be tagged yellow.
- DThey should be confined to one area.
86When faced with a potential disaster such as a hurricane, how can the impact on resources best be reduced?
- ABy removing as many people to hospitals as possible
- BBy advising people of safe routes out of the area to appropriate destinations
- CBy beginning an immediate forced evacuation of the area
- DBy removing resources from the area until after the disaster
87Which of the following disaster resource coordination personnel would you least likely find at the emergency operations center (EOC)?
- AIncident commander
- BOperations section chief
- CUnit leaders
- DJurisdictional officials
88Which incident management concept is the comprehensive standard currently utilized for large-scale events since 9/11?
- AFIRE SCOPE
- BIncident Management System (IMS)
- CNational Incident Management System (NIMS)
- DIncident Command System (ICS)
89What is not part of the basic Incident Management System (IMS) emergency medical services (EMS) Branch at a multiple-casuality incident (MCI) incident?
- ATreatment
- BTriage
- CTransport
- DTiming
90In accordance with the Simple Triage and Rapid Transport (START) triage system, which victim would be transported first from an MCI?
- AA conscious 44-year-old male with a respiratory rate of 28 and a radial pulse of 97 who is capable of following commands but who cannot walk
- BA conscious and well-oriented 32-year-old female with a respiratory rate of 28 and a radial pulse of 100 who can walk
- CAn unconscious 47-year-old male with no spontaneous respirations after opening her airway
- DA conscious 59-year-old male with a respiratory rate of 37 and a radial pulse of 95 who is capable of following commands
91In a disaster, if operations have begun to return people who have been evacuated to their homes and communities, then you are in which phase?
- ARecovery
- BMitigation
- CResponse
- DPlanning
92The original Incident Command System (ICS) was developed for use:
- Afollowing hurricanes.
- Bat major fires.
- Cduring military battles.
- Dat commercial aircraft accidents.
93During an multiple-casualty incident (MCI) event, who has the greatest influence on the overall course of events?
- AThe first responders
- BThe staging officer
- CThe local emergency departments (EDs)
- DThe incident commander
94What should the training goal be for each person involved in emergency medical services (EMS) disaster response?
- ATriage proficiency
- BCommunications
- CReadiness to act as an incident commander
- DMultiple patient care in the red treatment unit
Informações
- Descrição
- Paramedic Care Principles and Practice; 6th edition
- Autor
- Jake Anderson
- Idioma
- English
- Visualizações
- 137
- Etiquetas
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