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113 Cards in this Set
- Front
- Back
In accordance with the START triage system, which of the following victims would be transported from amultiple-casualty incident in a delayed capacity? |
B.a conscious and well-oriented 30-year-old male with a respiratory rate of 28 and a radial pulse of 100 |
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Which division of incident command support is responsible for ensuring that resource sharing between involved departments is fulfilled? |
A.planning/intelligence section |
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In which service or agency did the origin of incident management have its roots? |
the fire service |
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In the ICS, the command staff report to: |
the incident commander. |
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Which incident would typically be termed a high-impact incident? |
A.a tornado that destroys a shopping center |
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What is the purpose of forming contingency plans as part of disaster preplanning? |
B.to minimize problems during an unscripted event |
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During a mass casualty incident, mental health personnel should: |
be available on site for rescuers and victims. |
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Which of the following is the site from which civil government officials exercise direction and control in an emergency or disaster? |
D.MACC |
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If a disaster-level MCI results in a regional failure of communications systems, which of the following should bedone? |
use message runners |
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Which of the following does current research indicate to be the most accurate statement about critical incident stress management (CISM)? |
CISM does not appear to mitigate the effects of traumatic stress. |
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Which of the following descriptions best reflects the purpose of the mutual aid coordination center? |
for exercising direction and control in an emergency or disaster |
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In preplanning for disaster response, what should the initial activity include? |
assessment of potential hazards |
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If you are utilizing the START system at an MCI, what type of evaluation are you performing? |
primary triage |
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What position is responsible for operations in each functional area of the NIMS? |
the section chief |
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What is the optimum number of people in the span of control of the incident commander for most operations? |
A.5 |
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You are performing triage at an MCI. A victim who is breathing but lacks a palpable pulse should: |
be categorized red. |
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Which incident would typically be termed a low-impact incident? |
a three-car accident |
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Evacuation and/or relocation of uninjured victims of a disaster should be conducted with the primary goal of: |
maintaining social groupings. |
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Which of the following incident management concepts is currently utilized? |
National Incident Management System (NIMS) |
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In a multiple-casualty incident, which person has full legal authority to deal with the situation? |
incident commander |
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Which of the following functional areas of the NIMS system is ultimately responsible for dealing with anincident? |
command |
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In accordance with the START triage system, which of the following victims would be transported last from amultiple-casualty incident? |
an unconscious 42-year-old female with no spontaneous respirations after opening her airway |
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Arguably, what is the most significant advantage of the National Incident Management System (NIMS)? |
uniform terminology and approach |
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In developing an understanding of MCI, which of the following statements is most accurate regarding the response phase of a disaster? |
A disaster is an event that overwhelms regional emergency response resources. |
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Where did large-scale emergency organization first take place? |
southern California |
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What is the term for the ability of the incident commander in a NIMS system to exercise coordination over multiple jurisdictions? |
unified command |
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Which of the following functional areas of the NIMS system is activated for each declared multiple-casualty incident? |
operations |
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What single item is the cornerstone of the incident management system? |
communications |
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What is the START system? |
a widely used triage system |
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Which incident would typically be termed disaster-related? |
a hurricane |
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Which of the following incidents would not typically require the activation of a MACC center? |
a low-impact incident |
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How long may it take for abnormal signs and symptoms associated with traumatic stress from an MCI todevelop? |
up to two months |
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Standards for the NIMS are assigned by: |
the Department of Homeland Security. |
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Which of the following is one of the most critical functions of the logistics area of the incident commandsystem? |
operating the medical supply unit |
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What staff position is responsible for crowd control at the scene of a multiple-casualty incident? |
safety officer |
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How long should you spend performing primary triage on each patient at an MCI? |
less than 30 seconds |
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Which of the following communication concepts is most appropriate for use in MCI conditions? |
Always acknowledge received messages with pertinent feed-back. |
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When faced with a potential disaster such as a hurricane, how can the impact on resources best be reduced? |
by advising people of safe routes out of the area to appropriate destinations |
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Development of a disaster plan that outlines the SOPs and protocols should be developed following: |
an assessment of potential hazards. |
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You are acting as transportation supervisor at a MCI. One of your first actions should be to: |
implement a patient-tracking system. |
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What functional area of NIMS has the responsibility for incident size-up? |
command |
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You are a member of the medical team working in the rehabilitation unit. What do your duties include? |
evaluating rescuers |
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You arrive at the scene to discover that you are the third crew to respond to a truck and bus accident. Before leaving your vehicle, you note that each of the first crews are treating emergent victims, but many more patients who have not yet been triaged are still lying or walking around. What should youdo? |
Declare an MCI and take control of the scene. |
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You are dispatched to a motor vehicle accident. On arrival, you discover four victims, all of whom require ALS. Dispatch indicates that is will take another 10 minutes to get additional ambulances to your location. This incident typically be categorized as: |
a low-impact incident. |
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Uniform interservice and incident-wide communications are provided within which form of incidentmanagement? |
NIMS |
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The original ICS was developed for use: |
at major fires. |
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How can you anticipate and address problems and coordination within your regional disaster plan? |
Test your preplan. |
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Which of the following concepts would not typically be associated with an incident requiring the full resources of the NIMS system? |
singular command |
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In accordance with the START triage system, which of the following victims would be transported first from a multiple-casualty incident? |
a conscious, well-oriented 22-year-old male with a respiratory rate of 36 and a radial pulse of 88 |
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In accordance with the START triage system, what should the disposition be for patients who respond to your request to come to you? |
They should be confined to one area. |
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What section is responsible for effective deployment of specialized resources at the scene of amultiple-casualty incident? |
finance/administration section |
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What procedure should be pursued when a MCI responder is not adapting to the disaster normally? |
Refer the responder to a competent person. |
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Who often determines the course of an MCI event? |
the first responders |
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What section is responsible for ensuring an adequate supply of food and water at the scene of amultiple-casualty incident? |
the logistics section |
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Who is responsible for arranging movement of patients from treatment areas at the scene of an MCI to area hospitals? |
the transportation unit supervisor |
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Which of the following variables can typically change at any time in an open incident? |
the number of patients |
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The current Incident Management System (IMS) was initially developed to address: |
fires. |
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What is the purpose of a rapid intervention team? |
to provide medical care to rescuers |
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The number of tasks or people that a single person can monitor when commanding amultiple-casualty incident is known as: |
the span of control. |
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What should the training goal be for each person involved in EMS disaster response? |
readiness to act as an incident commander |
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In which type of multiple casualty accident have the injuries usually already occurred by the time you arrive on scene? |
a closed incident |
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What role does psychological debriefing or diffusing provide within the scope of an MCI? |
none |
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What is the critical responsibility of the logistics section of NIMS? |
operating the medical supply unit |
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Which statement regarding multiple-casualty incidents is most accurate? |
The techniques and tools used to respond to a multiple-patient MVC can also be used to manage a more extensive MCI. |
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Which of the following disaster resource coordination personnel would you least likely find at theMACC? |
unit leaders |
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What key element of NIMS carries out tactical objectives, directs front-end activities, participates inplanning, modifies the action plan, maintains discipline, and accounts for personnel? |
operations |
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Which of the following disaster resource people would you not likely find at the MACC? |
triage personnel |
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You have arrived on the scene of a motor vehicle collision with multiple patients. You are the fourth-due unit. You are given an assignment to establish a triage sector for the 10-plus patients who have been identified. You find one person you believe must be transported immediately. What is the most prudent action you should take? |
Perform the proper stabilizing techniques that are allowed during triage. Tag the patient and notify incident command of your needs. |
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What basic medical supplies should triage officers always carry? |
Gloves, airways, and hemorrhage-control supplies |
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By which of the following means should sector and branch officers be identified at single or multijurisdictionalincidents? |
Reflective vests |
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What is the preferred method of assessing perfusion in the adult victim during triage? |
Radial pulse |
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Which of the following is the most important functional area of the Incident Management System? |
The incident command |
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When transferring command, which of the following must be done? |
A face-to-face transfer |
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How long should it take you to triage one patient during an MCI? |
Less than 30 seconds |
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You have responded to an explosion on a subway train. Because you are a paramedic, the officer on your engine tells you to begin to triage the victims. What should your first action be with regards to triage? |
Ask everyone who can to get up and follow you or your directions. |
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Which of the following agencies established a standardized national approach to incident management formultiple-casualty incidents? |
USDHS |
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Which of the following is the legal doctrine that gives command to a specific agency during an MCI? |
Scene-Authority Law |
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What level of the incident management system is rarely implemented at small- and medium-scale incidents? |
Finance |
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Which of the following is the most important goal to achieve in the initial minutes of an MCI? |
Implementation of the IMS |
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How many people should be in the "span of control" of one individual at an incident? |
3-7 |
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Which of the following incidents would be classified as an "open incident"? |
A collapse of a grocery store roof in a heavy rain |
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Which of the following best describes the importance of using multiple radio channels for an MCI? |
To decrease the amount of radio traffic on primary channels so command requests can be processed without confusion |
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Which of the following best describes the role of the safety officer in the incident management system? |
Monitor all on-scene actions for potential hazards |
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Which of the following patients would be tagged "red" using the START system? |
A 30-year-old with respirations of 24 and a radial pulse but who cannot follow commands |
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You arrive on a first-due engine company to a school van rollover collision. In the van were 13 children from ages 6 to 10. Of those, four were ejected and laying about the scene. Of the remaining, five are ambulatory and four are trapped. The driver of the van is also trapped. What do you know immediately with regards to triage? |
At least five patients are "green." |
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For which of the following purposes was the Incident Command System designed? |
To control, direct, and coordinate resources |
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Which of the following is the only acceptable technique for airway management during triage? |
Manual airway opening |
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The area of the National Incident Management System that has the full legal authority and, in most cases, all of the associated liabilities of dealing with the incident is the ______. |
Incident Command |
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Which of the following best describes the benefit of implementing the National Incident Management System? |
It decreases confusion during multijurisdictional events. |
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While on the scene of an accident one of your colleagues dies. A mental health personnel should NOT: |
Debrief crew members immediately after the incident |
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Which of the following is the first step in triaging patients at an MCI using the START system? |
Determining which patients can walk |
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You are a paramedic assigned to a nontransporting ALS unit for a rural fire department. You are the only paramedic on duty in the county. You are dispatched and first on the scene of a crash along a two-lane road. A van carrying a family was turning in the family's driveway when it was struck from behind by a tractor-trailer. There were nine people in the van and two in the tractor. A neighbor, who is also a nurse in the local ER, lives next door and is on scene doing CPR on one of the children. What would be a prudent action for you to take andwhy? |
Quickly do a scene size-up and begin triage using START. Try to use the nurse by simply explaining that you need her to assist you with those patients who can benefit from her knowledge and training and that you will be unable to sustain CPR on one patient. |
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Which of the following types of command would be best to implement in a multijurisdictional incident? |
Unified |
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Which of the following incidents would be classified as a "closed incident"? |
A two-vehicle collision |
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Which of the following may evolve into a multiple-casualty incident? |
All of the above |
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You are on the scene of a bus rollover on a rural interstate. A person states that he is a volunteer at anout-of-state fire department and that the worst patient is "over there." He insists that you follow him to this person. You can see that there are other people in and around the bus who could be injured. Which of the following best describes your role and your actions at this point? |
If you have not done so, radio a sizeminus−up. Then, you and your partner triage all persons needing careand/or rescue. Pay particular attention to the need for specialized rescue companies. |
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How often should the incident commander give a brief progress report via radio? |
Every 10 minutes until the incident is stabilized |
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You are the first to arrive on the scene of a collapse of a balcony at an apartment building. You are met by a man who walks up to you holding his right arm close to his body. The 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? |
This 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 scenesize-up and triage. |
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Which of the following is the purpose of early identification of a staging area? |
To be able to organize resources in one place for easy and quick deployment |
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Which of the following may result if incident command is not established early in an incident? |
Units may "freelance" and deprioritize patients. |
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The site in which civil government officials exercise direction and control in an emergency or disaster is the: |
Mutual aid coordination center |
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Which of the following best describes scene size-up? |
A quick assessment of the incident type and any immediately obvious hazards |
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Which of the following characteristics should a secondary staging area have? |
In a different direction from the primary staging area |
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Which of the following should be considered when determining the location of the command post in the incident management system? |
Access to restrooms |
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Which of the following serves as a mnemonic for remembering the main functional areas of the Incident Management System? |
C-FLOP |
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Which of the following serves as a guideline for determining the threshold for classifying a situation as amultiple-casualty incident? |
Two or more units respond or there are two or more patients |
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The area of that National Incident Management System that carries out tactical objectives, directs front-end activities, participates in planning, modifies the action plan, maintains discipline, and accounts for personnel isthe: |
Operations section |
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Which piece of equipment can aid in the management of an MCI by making identification of key officers quicker and easier? |
Reflective vests |
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A key element in the management of any incident that spans jurisdictions is the______________. |
Mutual aid coordination center |
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What is your top priority at a multiple-casualty incident? |
Life safety |
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Which of the following is TRUE of MCI drills? |
All agencies should drill, and never say, "It will never happen here." |
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What is the first step or preplanning for an MCI or disaster? |
Performing a complete assessment of hazards in your area |
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The purpose of preplanning for a MCI or disaster is to: |
To anticipate any problems that may occur and work toward removing them |