2017 Nyc Remac - Wmd Nerve Agent Protocol

Front 1

According to the WMD protocol, those triaged as ______ tag may be treated simultaneously with decontamination.

Back 1

red

Front 2

According to the WMD protocol, those triaged as ______ tag will be treated as soon as possible following decontamination.

Back 2

yellow/orange

Front 3

According to the WMD protocol, those triaged as ______ tag (______) will be decontaminated and receive close observation.

Back 3

green (asymptomatic)

Front 4

A "Nerve Agent Kit" or "Auto Injector Kit" contains one (1) each of these two types of auto-injectors.

Back 4

One 2 mg Atropine injector
One 600mg "2-Pam" injector

Front 5

What is the medication contained in a "2-Pam" injector?

Back 5

Pralidoxime Chloride

Front 6

WMD protocol signs and symptoms associated with tag color red.

Back 6

Severe Respiratory Distress
Agitation
SLUDGEM

Front 7

WMD protocol signs and symptoms associated with tag color yellow.

Back 7

Respiratory Distress
SLUDGEM

Front 8

WMD protocol signs and symptoms associated with tag color green.

Back 8

none
(asymptomatic)

Front 9

In WMD protocol, what is the similarity/difference in symptoms between adult red tag and yellow tag?

Back 9

Both have respiratory distress and SLUDGEM.
Red -- distress is "severe" with "agitation."

Front 10

Red adult: initial dose

Back 10

3 Auto-injector Kits (6mg atropine)
Monitor every 5 minutes

Front 11

Yellow adult: initial dose

Back 11

2 Auto-injectors (4mg atropine)
Monitor every 10 minutes

Front 12

Green adult: initial dose

Back 12

None.
Monitor for signs and symptoms
every 15 minutes

Front 13

Monitor initial adult red tags every _____ mins.

Back 13

5

Front 14

Monitor initial adult yellow tags every _____ mins.

Back 14

10

Front 15

Monitor initial adult green tags every _____ mins.

Back 15

15

Front 16

maximum total 2-Pam dose for any adult patient

Back 16

3 Auto-injectors Kits
(1.8 grams)

Front 17

Do not give more than _____ auto-injector kits to any adult patient.

Back 17

3

Front 18

Red adult: re-evaluation dose Atropine.

Back 18

2 mg
monitor every 5 mins
repeat dose every 3-5 mins

max 3 auto injectors

Front 19

Yellow adult: re-evaluation dose Atropine.

Back 19

2 mg
monitor every 5 to 15 mins
repeat dose every 5-10 mins

max 2 auto injectors

Front 20

Green adult: re-evaluation dose Atropine.

Back 20

None.
monitor every 15 mins

Front 21

Peds Yellow: Atropine dose.

Back 21

In the WMD protocol, there is no pediatric Yellow tag.

Front 22

Peds Yellow: 2-Pam dose.

Back 22

In the WMD protocol, there is no pediatric Yellow tag.

Front 23

Peds Red: antidote doses
for less that 1 year old

Back 23

1 Peds Atropine Auto-Injector (0.5 mg)
No Antidote Kit
Monitor and repeat PRN every 3 mins

Front 24

Ped Red: antidote doses
for 1 to 8 years old

Back 24

1 Antidote Kit
Monitor every 3 mins

Repeat Atropine every 3 mins PRN

(repeat dose of atropine not specified)

Front 25

Peds Green: antidote doses.

Back 25

None.
Monitor every 10 mins for signs of exposure.

Front 26

Criteria for Peds red tag.

Back 26

Exposure and/or signs of exposure?

Yes

Front 27

Criteria for Peds green tag.

Back 27

Exposure and/or signs of exposure?

No

Front 28

When the term "Auto Injector Kit" is used, it refers to either _____ or _____.

Back 28

(1) Atropine/2PAM dual injector set

(2) Atropine/2PAM combined single injector

Front 29

A general order given by an OMA Medical Director to perform an intervention at a location for a specific time, generally at disasters.

Back 29

Class Order

Front 30

Treatment in the _____ or _____ zones may be performed only by appropriately trained personnel wearing appropriate Chemical Protective Clothing (CPC) as determined by the FDNY Incident Commander.

Back 30

hot

warm

Front 31

Record on the triage tag...

Back 31

...the number of Atropine and Auto-injectors used.

Front 32

In the setting of a nerve agent exposure, all _____ shall be assigned a red tag

Back 32

symptomatic children age 0-8

Front 33

Pediatric patients older than ___ years old should be treated via the adult protocol.

Back 33

8

Front 34

Monitor adult yellow tags under "Extended Reevaluation and Treatment" every _____ minutes.

Back 34

5-15

Front 35

Monitor adult yellow tags under "Initial Treatment" every _____ minutes.

Back 35

10

Front 36

Monitor adult red tags under "Initial Treatment" every _____ minutes.

Back 36

5

Front 37

Monitor adult red tags under "Extended Re-evaluation and Treatment " every _____ minutes.

Back 37

5

Front 38

Monitor adult green tags under "Initial Treatment" every _____ minutes.

Back 38

15

Front 39

Monitor adult green tags under "Extended Re-evaluation and Treatment " every _____ minutes.

Back 39

15

Front 40

Repeat dosing frequency for adult red tags is every _____ minutes as needed.

Back 40

3-5

Front 41

Repeat dosing frequency for adult yellow tags is every _____ minutes as needed.

Back 41

5-10

Front 42

Repeat dosing frequency for adult green tags.

Back 42

none

Front 43

Monitoring and repeat dosing frequency for pediatric red tags is every _____ minutes as needed.

Back 43

3

Front 44

Monitoring frequency for pediatric green tags is every _____ minutes as needed.

Back 44

10

Front 45

Maximum number of Auto-Injectors to be administered to a Yellow Tag adult.

Back 45

2

Front 46

Maximum number of Auto Injectors to be administered to a child.

Back 46

Protocol doesn't specify, but the chart implies one.

Front 47

Name the most unnecessarily convoluted and logically backward of all REMAC protocols.

Back 47

WMD Nerve Agent Protocol

Front 48

What does the acronym SLUDGEM stand for?

Back 48

Salivation

Lacrimation

Urination

Defecation

Gastrointestinal Upset

Emesis

Miosis or Muscle Spasm