CH 37 test - Hazardous materials multiple casualties incident and incident management

When seeking expert advice on how to proceed at a hazardous materials? incident, which of the following information is important to? provide?

Amount of the substance involved

You are an EMT on the scene of a? mass-casualty incident in which there are 50 patients from a bus rollover. Incident Command has been established and? EMS, law? enforcement, and rescue sectors are established. You have just discovered that one of the bus

EMS sector officer

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Using START triage? criteria, triage a? 13-year-old female with

Priority? 1, red tag

Which of the following is NOT a function of the rehabilitation sector in a hazardous materials? incident?

Providing a decontamination corridor from the hot zone

Using START triage? guidelines, a patient on the scene of a? mass-causality incident who is not breathing? initially, but begins breathing when the airway is? open, is deemed a? ________ patient.

Priority 1

Which of the following personal protective items must be used by EMS personnel caring for patients in a hazardous materials? emergency?

Tyvek or other chemical impermeable coveralls

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Using START triage? criteria, triage a? 17-year-old male patient

Priority? 3, green tag

As it pertains to hazardous? materials, the Occupational Safety and Health Administration requires employers? to:

document the appropriate level of training for each employee.

Which of the following is a principle of effective Incident? Command?

Command is most effective when one person is responsible for not more than 6 other people.

Disaster plans are a predefined set of instructions that should be written to address the events that are conceivable? for:

a particular location.

Which of the following is NOT a mechanism of decontamination from hazardous? materials?

Deodorizing

With START? triage, when you arrive on the? scene, you ask all the patients who can walk to move to one area. These patients are categorized? as:

Priority 3 walking wounded.

When transporting patients from the scene of a? mass-casualty incident, who should be responsible for contacting the receiving? hospital?

Transportation supervisor

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Using START triage? criteria, triage an? 8-year-old male patient

Priority? 3, green tag

You are on the scene of a church bus rollover collision. There are 30 passengers involved. As triage? officer, which one of the following patients should you assign the highest? priority?

?70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side

Using START triage? guidelines, a patient on the scene of a? mass-causality incident who has no pulse is deemed a? ________ patient.

Priority 0

You are called to a local hardware store for a male patient complaining of difficulty breathing. As you pull into the parking? lot, you notice several people in front of the building coughing and in obvious distress. What would be the BEST course of actio

Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response.

Which of the following is the MOST common type of? multiple-casualty incident that EMS providers will respond? to?

Motor vehicle collisions

When an EMT becomes emotionally incapacitated on the scene of a? large-scale MCI, you? should:

remove the EMT to a resting area and monitor him until a clinically competent provider can take over.

Who is the person that is in charge of tracking the? patient's final? destination?

Transportation supervisor

You are on the scene of a? mass-casualty incident in which the grandstand at a race track has collapsed. As the triage? officer, you have encountered a? 14-year-old male whose leg has been amputated above the knee. He is responsive to verbal? stimuli, and

1

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you have 5 patients. Your closest unit is 30 minutes away. Triage a? 16-year-old female patient with respirations? 38, pulse? 13

Priority? 1, red tag

Which statement regarding the? diamond-shaped placards involved in the transportation of dangerous goods is? FALSE?

These placards are always carefully vetted and accurate.

If you do not have specialized training in hazardous? materials, which of the following statements is? TRUE?

You are a layperson when it comes to hazardous materials.

Which of the following is NOT a desirable characteristic of the rehabilitation sector of a hazardous materials? incident?

It is located in the warm zone.

What constitutes a? multiple-casualty incident? (MCI)?

An event involving multiple patients that places a great demand on EMS equipment and personnel resources

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Using START triage? criteria, triage a? 38-year-old female patie

Priority? 4, black tag

Which of the following is NOT the role of the first arriving EMT at the scene of a possible hazardous materials? emergency?

Rescue any victims still in the area of the spill.

What is the process that removes the biological? (etiological) contamination? hazards, as it destroys microorganisms and their? toxins?

Disinfection

Who should receive psychological first? aid?

A stable patient who has become overwhelmed by the horror of the scene

In which of the following zones is the EMT expected to be staged at the scene of a hazardous materials? incident?

Cold zone

What source will provide first aid information about hazardous materials for employees at a work? site?

Safety data sheets

Which of the following is NOT a responsibility of an EMT at the scene of a hazardous materials? emergency?

Decontaminating injured victims

An area near a hazardous materials incident that is on the same level as the? incident, but? upwind, is the BEST location for? the:

safe zone.

Which of the following is NOT an acceptable way of attempting to identify a hazardous? material?

Collecting a sample of the material for laboratory analysis

Where is the decon corridor located where? patients, personnel, and equipment are? decontaminated?

Warm zone

Andrea is an EMS supervisor with a combined? EMS/Fire department. On the scene of a hazardous materials? incident, she uses her knowledge of hazardous materials to support the activities of other responders and manage the scene.? Andrea's level of hazardo

Hazardous Materials Specialist

You are on the scene of a riot following a decision in a controversial court case. A large group of people have set fire to? vehicles, broken? windows, and assaulted people in the area. Which of the following would be the BEST method of incident? command?

Unified command

Soraya is an EMT who volunteers for a local fire department. On the scene of a hazardous materials? incident, she helps prevent the incident from becoming larger and ensures bystanders remain safe.? Soraya's level of hazardous materials training is at the

First Responder Operations

Gross decontamination is? the:

removal or chemical alteration of the majority of the contaminant

Eduardo is an EMT with a major metropolitan fire department. He is assigned to a station within an industrial complex. On the scene of a hazardous materials? incident, Eduardo functions on a team where he plugs a leaking drum.? Eduardo's level of hazardou

Hazardous Materials Technician

Using START triage? guidelines, a patient on the scene of a? mass-causality incident who is alert with respirations less than 30 a minute and has a capillary refill time of less than 2 seconds is deemed a? ________ patient.

Priority 3

The senior EMT on the first vehicle that arrived on a scene with multiple patients should assume which of the following roles until relieved by a senior? official?

Incident Commander of the scene

Johnny is an EMT with a local ambulance service. As part of his? job, he is trained to recognize the existence of a potentially dangerous scene involving hazardous materials and know when to request a hazmat response.? Johnny's level of hazardous material

First Responder Awareness

When involved in a? multiple-casualty incident, staging refers to which of the? following?

Waiting in a designated location until called upon by the designated sector officer

At? 0330, you responded to the scene of an overturned tanker truck. What organization could you contact to obtain information about the liquid the truck is? carrying?

CHEMTREC

Which of the following actions may need to be taken by the EMT when treating and transporting a patient who was exposed? to, and contaminated? by, a hazardous? material?

Dispose of patient care equipment such as? blood-pressure cuffs and backboards.

What is the MOST likely reason a garden center could become the site of a hazardous materials? incident?

Many? fertilizers, pesticides, and other chemicals are sold there.

Simple Triage and Rapid Treatment? (START) is a system that relies on some simple commands and what three physiologic? parameters?

Respiration, pulse, and mental status

An EMT trained at a First Responder Awareness level would be able? to:

recognize a hazardous materials incident and initiate a response from the proper organizations.

Which of the following are desirable characteristics of the safe or? "cold" zone in a hazardous materials? incident?

Upwind, on the same level as the spill

Which of the following should NOT be considered during the scene? size-up of a hazardous materials? emergency?

How quickly the materials may be cleaned up

ICS systems recognize that the manageable span of control? is:

6 people.

A command organization in which a single agency controls all resources and operations? is:

a single incident command.

?________ is the response? agency, established in? Washington, DC, as a service of the American Chemistry? Council, that can provide either you or your dispatcher with information about the hazardous material and contact the shipper to provide you with in

CHEMTREC

Which of the following is a resource for specific actions to be taken by personnel dealing with a hazardous materials? incident?

Emergency Response Guidebook