Operations Ch. 3

Front 1

In accordance with the START triage​ system, which of the following victims would be transported from a​multiple-casualty incident in a delayed​ capacity?

Back 1

B.a conscious and​ well-oriented 30-year-old male with a respiratory rate of 28 and a radial pulse of 100

Front 2

Which division of incident command support is responsible for ensuring that resource sharing between involved departments is​ fulfilled?

Back 2

A.​planning/intelligence section

Front 3

In which service or agency did the origin of incident management have its​ roots?

Back 3

the fire service

Front 4

In the​ ICS, the command staff report​ to:

Back 4

the incident commander.

Front 5

Which incident would typically be termed a​ high-impact incident?

Back 5

A.a tornado that destroys a shopping center

Front 6

What is the purpose of forming contingency plans as part of disaster​ preplanning?

Back 6

B.to minimize problems during an unscripted event

Front 7

During a mass casualty​ incident, mental health personnel​ should:

Back 7

be available on site for rescuers and victims.

Front 8

Which of the following is the site from which civil government officials exercise direction and control in an emergency or​ disaster?

Back 8

D.MACC

Front 9

If a​ disaster-level MCI results in a regional failure of communications​ systems, which of the following should be​done?

Back 9

use message runners

Front 10

Which of the following does current research indicate to be the most accurate statement about critical incident stress management​ (CISM)?

Back 10

CISM does not appear to mitigate the effects of traumatic stress.

Front 11

Which of the following descriptions best reflects the purpose of the mutual aid coordination​ center?

Back 11

for exercising direction and control in an emergency or disaster

Front 12

In preplanning for disaster​ response, what should the initial activity​ include?

Back 12

assessment of potential hazards

Front 13

If you are utilizing the START system at an​ MCI, what type of evaluation are you​ performing?

Back 13

primary triage

Front 14

What position is responsible for operations in each functional area of the​ NIMS?

Back 14

the section chief

Front 15

What is the optimum number of people in the span of control of the incident commander for most​ operations?

Back 15

A.5

Front 16

You are performing triage at an MCI. A victim who is breathing but lacks a palpable pulse​ should:

Back 16

be categorized red.

Front 17

Which incident would typically be termed a​ low-impact incident?

Back 17

a​ three-car accident

Front 18

Evacuation​ and/or relocation of uninjured victims of a disaster should be conducted with the primary goal​ of:

Back 18

maintaining social groupings.

Front 19

Which of the following incident management concepts is currently​ utilized?

Back 19

National Incident Management System​ (NIMS)

Front 20

In a​ multiple-casualty incident, which person has full legal authority to deal with the​ situation?

Back 20

incident commander

Front 21

Which of the following functional areas of the NIMS system is ultimately responsible for dealing with an​incident?

Back 21

command

Front 22

In accordance with the START triage​ system, which of the following victims would be transported last from a​multiple-casualty incident?

Back 22

an unconscious​ 42-year-old female with no spontaneous respirations after opening her airway

Front 23

Arguably, what is the most significant advantage of the National Incident Management System​ (NIMS)?

Back 23

uniform terminology and approach

Front 24

In developing an understanding of​ MCI, which of the following statements is most accurate regarding the response phase of a​ disaster?

Back 24

A disaster is an event that overwhelms regional emergency response resources.

Front 25

Where did​ large-scale emergency organization first take​ place?

Back 25

southern California

Front 26

What is the term for the ability of the incident commander in a NIMS system to exercise coordination over multiple​ jurisdictions?

Back 26

unified command

Front 27

Which of the following functional areas of the NIMS system is activated for each declared​ multiple-casualty incident?

Back 27

operations

Front 28

What single item is the cornerstone of the incident management​ system?

Back 28

communications

Front 29

What is the START​ system?

Back 29

a widely used triage system

Front 30

Which incident would typically be termed​ disaster-related?

Back 30

a hurricane

Front 31

Which of the following incidents would not typically require the activation of a MACC​ center?

Back 31

a​ low-impact incident

Front 32

How long may it take for abnormal signs and symptoms associated with traumatic stress from an MCI to​develop?

Back 32

up to two months

Front 33

Standards for the NIMS are assigned​ by:

Back 33

the Department of Homeland Security.

Front 34

Which of the following is one of the most critical functions of the logistics area of the incident command​system?

Back 34

operating the medical supply unit

Front 35

What staff position is responsible for crowd control at the scene of a​ multiple-casualty incident?

Back 35

safety officer

Front 36

How long should you spend performing primary triage on each patient at an​ MCI?

Back 36

less than 30 seconds

Front 37

Which of the following communication concepts is most appropriate for use in MCI​ conditions?

Back 37

Always acknowledge received messages with pertinent​ feed-back.

Front 38

When faced with a potential disaster such as a​ hurricane, how can the impact on resources best be​ reduced?

Back 38

by advising people of safe routes out of the area to appropriate destinations

Front 39

Development of a disaster plan that outlines the SOPs and protocols should be developed​ following:

Back 39

an assessment of potential hazards.

Front 40

You are acting as transportation supervisor at a MCI. One of your first actions should be​ to:

Back 40

implement a​ patient-tracking system.

Front 41

What functional area of NIMS has the responsibility for incident​ size-up?

Back 41

command

Front 42

You are a member of the medical team working in the rehabilitation unit. What do your duties​ include?

Back 42

evaluating rescuers

Front 43

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 you​do?

Back 43

Declare an MCI and take control of the scene.

Front 44

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:

Back 44

a​ low-impact incident.

Front 45

Uniform interservice and​ incident-wide communications are provided within which form of incident​management?

Back 45

NIMS

Front 46

The original ICS was developed for​ use:

Back 46

at major fires.

Front 47

How can you anticipate and address problems and coordination within your regional disaster​ plan?

Back 47

Test your preplan.

Front 48

Which of the following concepts would not typically be associated with an incident requiring the full resources of the NIMS​ system?

Back 48

singular command

Front 49

In accordance with the START triage​ system, which of the following victims would be transported first from a​ multiple-casualty incident?

Back 49

a​ conscious, well-oriented​ 22-year-old male with a respiratory rate of 36 and a radial pulse of 88

Front 50

In accordance with the START triage​ system, what should the disposition be for patients who respond to your request to come to​ you?

Back 50

They should be confined to one area.

Front 51

What section is responsible for effective deployment of specialized resources at the scene of a​multiple-casualty incident?

Back 51

​finance/administration section

Front 52

What procedure should be pursued when a MCI responder is not adapting to the disaster​ normally?

Back 52

Refer the responder to a competent person.

Front 53

Who often determines the course of an MCI​ event?

Back 53

the first responders

Front 54

What section is responsible for ensuring an adequate supply of food and water at the scene of a​multiple-casualty incident?

Back 54

the logistics section

Front 55

Who is responsible for arranging movement of patients from treatment areas at the scene of an MCI to area​ hospitals?

Back 55

the transportation unit supervisor

Front 56

Which of the following variables can typically change at any time in an open​ incident?

Back 56

the number of patients

Front 57

The current Incident Management System​ (IMS) was initially developed to​ address:

Back 57

fires.

Front 58

What is the purpose of a rapid intervention​ team?

Back 58

to provide medical care to rescuers

Front 59

The number of tasks or people that a single person can monitor when commanding a​multiple-casualty incident is known​ as:

Back 59

the span of control.

Front 60

What should the training goal be for each person involved in EMS disaster​ response?

Back 60

readiness to act as an incident commander

Front 61

In which type of multiple casualty accident have the injuries usually already occurred by the time you arrive on​ scene?

Back 61

a closed incident

Front 62

What role does psychological debriefing or diffusing provide within the scope of an​ MCI?

Back 62

none

Front 63

What is the critical responsibility of the logistics section of​ NIMS?

Back 63

operating the medical supply unit

Front 64

Which statement regarding​ multiple-casualty incidents is most​ accurate?

Back 64

The techniques and tools used to respond to a​ multiple-patient MVC can also be used to manage a more extensive MCI.

Front 65

Which of the following disaster resource coordination personnel would you least likely find at the​MACC?

Back 65

unit leaders

Front 66

What key element of NIMS carries out tactical​ objectives, directs​ front-end activities, participates in​planning, modifies the action​ plan, maintains​ discipline, and accounts for​ personnel?

Back 66

operations

Front 67

Which of the following disaster resource people would you not likely find at the​ MACC?

Back 67

triage personnel

Front 68

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?

Back 68

Perform the proper stabilizing techniques that are allowed during triage. Tag the patient and notify incident command of your needs.

Front 69

What basic medical supplies should triage officers always​ carry?

Back 69

​Gloves, airways, and​ hemorrhage-control supplies

Front 70

By which of the following means should sector and branch officers be identified at single or multijurisdictional​incidents?

Back 70

Reflective vests

Front 71

What is the preferred method of assessing perfusion in the adult victim during​ triage?

Back 71

Radial pulse

Front 72

Which of the following is the most important functional area of the Incident Management​ System?

Back 72

The incident command

Front 73

When transferring​ command, which of the following must be​ done?

Back 73

A​ face-to-face transfer

Front 74

How long should it take you to triage one patient during an​ MCI?

Back 74

Less than 30 seconds

Front 75

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?

Back 75

Ask everyone who can to get up and follow you or your directions.

Front 76

Which of the following agencies established a standardized national approach to incident management for​multiple-casualty incidents?

Back 76

USDHS

Front 77

Which of the following is the legal doctrine that gives command to a specific agency during an​ MCI?

Back 77

​Scene-Authority Law

Front 78

What level of the incident management system is rarely implemented at​ small- and​ medium-scale incidents?

Back 78

Finance

Front 79

Which of the following is the most important goal to achieve in the initial minutes of an​ MCI?

Back 79

Implementation of the IMS

Front 80

How many people should be in the​ "span of​ control" of one individual at an​ incident?

Back 80

​3-7

Front 81

Which of the following incidents would be classified as an​ "open incident"?

Back 81

A collapse of a grocery store roof in a heavy rain

Front 82

Which of the following best describes the importance of using multiple radio channels for an​ MCI?

Back 82

To decrease the amount of radio traffic on primary channels so command requests can be processed without confusion

Front 83

Which of the following best describes the role of the safety officer in the incident management​ system?

Back 83

Monitor all​ on-scene actions for potential hazards

Front 84

Which of the following patients would be tagged​ "red" using the START​ system?

Back 84

A​ 30-year-old with respirations of 24 and a radial pulse but who cannot follow commands

Front 85

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?

Back 85

At least five patients are​ "green."

Front 86

For which of the following purposes was the Incident Command System​ designed?

Back 86

To​ control, direct, and coordinate resources

Front 87

Which of the following is the only acceptable technique for airway management during​ triage?

Back 87

Manual airway opening

Front 88

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​ ______.

Back 88

Incident Command

Front 89

Which of the following best describes the benefit of implementing the National Incident Management​ System?

Back 89

It decreases confusion during multijurisdictional events.

Front 90

While on the scene of an accident one of your colleagues dies. A mental health personnel should​ NOT:

Back 90

Debrief crew members immediately after the incident

Front 91

Which of the following is the first step in triaging patients at an MCI using the START​ system?

Back 91

Determining which patients can walk

Front 92

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 and​why?

Back 92

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.

Front 93

Which of the following types of command would be best to implement in a multijurisdictional​ incident?

Back 93

Unified

Front 94

Which of the following incidents would be classified as a​ "closed incident"?

Back 94

A​ two-vehicle collision

Front 95

Which of the following may evolve into a​ multiple-casualty incident?

Back 95

All of the above

Front 96

You are on the scene of a bus rollover on a rural interstate. A person states that he is a volunteer at an​out-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?

Back 96

If you have not done​ so, radio a sizeminus−up. ​Then, you and your partner triage all persons needing care​and/or rescue. Pay particular attention to the need for specialized rescue companies.

Front 97

How often should the incident commander give a brief progress report via​ radio?

Back 97

Every 10 minutes until the incident is stabilized

Front 98

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?

Back 98

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 scene​size-up and triage.

Front 99

Which of the following is the purpose of early identification of a staging​ area?

Back 99

To be able to organize resources in one place for easy and quick deployment

Front 100

Which of the following may result if incident command is not established early in an​ incident?

Back 100

Units may​ "freelance" and deprioritize patients.

Front 101

The site in which civil government officials exercise direction and control in an emergency or disaster is​ the:

Back 101

Mutual aid coordination center

Front 102

Which of the following best describes scene​ size-up?

Back 102

A quick assessment of the incident type and any immediately obvious hazards

Front 103

Which of the following characteristics should a secondary staging area​ have?

Back 103

In a different direction from the primary staging area

Front 104

Which of the following should be considered when determining the location of the command post in the incident management​ system?

Back 104

Access to restrooms

Front 105

Which of the following serves as a mnemonic for remembering the main functional areas of the Incident Management​ System?

Back 105

​C-FLOP

Front 106

Which of the following serves as a guideline for determining the threshold for classifying a situation as a​multiple-casualty incident?

Back 106

Two or more units respond or there are two or more patients

Front 107

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 is​the:

Back 107

Operations section

Front 108

Which piece of equipment can aid in the management of an MCI by making identification of key officers quicker and​ easier?

Back 108

Reflective vests

Front 109

A key element in the management of any incident that spans jurisdictions is​ the______________.

Back 109

Mutual aid coordination center

Front 110

What is your top priority at a​ multiple-casualty incident?

Back 110

Life safety

Front 111

Which of the following is TRUE of MCI​ drills?

Back 111

All agencies should​ drill, and never​ say, "It will never happen​ here."

Front 112

What is the first step or preplanning for an MCI or​ disaster?

Back 112

Performing a complete assessment of hazards in your area

Front 113

The purpose of preplanning for a MCI or disaster is​ to:

Back 113

To anticipate any problems that may occur and work toward removing them