Incident Command/MCI
You’re arriving late to a plane crash MCI. Who should you report to immediately?
Report to Incident Commander: Identify yourself to the established IC and report to the staging officer.
Who appoints the Triage Officer?
Appointed by the Incident Commander (IC).
What is the definition of Weapons of Mass Destruction (WMD) according to the U.S. Code of Federal Regulations?
Unlawful use of force/violence against people or property.
Goal: Intimidate or coerce governments or civilians for political/social objectives.
What medications are administered through the DuoDote auto-injector?
The DuoDote auto-injector administers two medications: Atropine and Pralidoxime.
What is the minimum number of ambulances required for a special event with more than 55,000 participants?
Three ambulances are required for special events with more than 55,000 participants.
How should initial radio transmissions be delivered?
Short and Concise Reports: Provide short, concise, and accurate information during radio transmissions
You’re talking to a frightened child at an MCI. What can you do to reduce their stress, based on the guide?
Reunite Family Members: Reduces stress and helps gather useful medical information.
Encourage Questions and Honesty: Fear of the unknown is worse than reality. Avoid false hope; be truthful about what is known and unknown.
What are the two main goals of the National Response Framework (NRF)?
The NRF aims to provide guidance on disaster response and ensure coordination between different levels of government and emergency services.
What should you do immediately after administering the DuoDote auto-injector on yourself if you do not show improvement within 10 minutes?
You should seek assistance from an Emergency Medical Responder (EMR).
How many people are typically needed to carry a patient over 1 mile of rough terrain?
It takes 18-20 people to carry a patient over 1 mile of rough terrain to ensure the patient does not overtire.
At a severe tornado disaster, you notice ongoing electrical hazards. What officer role addresses this?
Safety Officer: Ensures scene safety and mitigates hazards.
What type of burn injury qualifies a patient for immediate (red) triage tag, even if they are breathing and conscious?
Flame burns that occurred in a confined space; burns covering more than one body part; burns to the head, neck, hands, feet or genitals; any partial-thickness or full-thickness burns to a child or an older adult; or burns resulting from chemicals, explosions or electricity
What does the National Incident Management System (NIMS) provide?
NIMS is a standardized framework for managing incidents at all levels, including federal, state, tribal, and local governments, as well as the private sector and NGOs. It ensures consistency and coordination across agencies.
During a water rescue, the person is in distress but can still breathe and stay afloat. What type of rescue is needed?
A reaching assist or a throwing assist would be appropriate, depending on the situation.
What should you do before entering a confined space?
You should ensure the scene is safe, check for permits, and follow Occupational Safety and Health Administration (OSHA) guidelines.
You respond to a flood with multiple victims. What should you prioritize regarding scene conditions?
Scene Safety: Assess the scene's safety and take action to secure the area to prevent further injury.
You assess a conscious patient with a pulse and breathing rate of 35 breaths/min at an MCI. What triage tag should they receive under START?
Red --> Criteria: Respiratory rate > 30
You are assisting in a disaster and nerve agents are suspected to be involved. What should your priority be?
Priority is to decontaminate, ventilate, administer antidotes, administer valium, provide supportive therapy
During a rescue operation in difficult terrain, it is determined that the slope is more than 40 degrees, and there is significant risk of slips and falls. What type of rescue team would be needed?
A high-angle rescue team would be required for this type of terrain.
What should you avoid doing when handling clothing at a crime scene?
You should not cut clothing, avoid rolling it up in a ball, and never place wet or bloody clothes in plastic bags.
You're the first EMS unit to arrive at a chaotic disaster scene. What must you do regarding command?
If you are the first and most senior EMR, you are the Incident Commander (IC): Responsible for overall scene management. (until someone more experienced arrives). Responsible for identifying the scene as MCI, assessing the scene for safety, and determining if any action is required to secure the scene.
You encounter a child after a tornado. The child is not breathing but has a pulse. What should you do next according to JumpSTART?
If a pulse is present but there is still no breathing, provide 5 rescue breaths before making a final decision.
A patient at a disaster scene presents with symptoms such as a runny nose, watery eyes, twitching, and difficulty breathing. What could these symptoms indicate, and what should you do?
These symptoms may indicate exposure to a nerve agent. Prioritize decontamination, administer oxygen, and provide supportive care. Consider using antidotes and follow ICS protocols.
You are at a crime scene where you need to care for a patient. What precautions should you take regarding evidence at the scene?
Ensure not to disturb any evidence unless it is necessary to care for the patient. If you must disturb anything, document the situation. Notify law enforcement and minimize the introduction of evidence into the scene.
What is the primary difference between a distressed swimmer and a drowning victim?
A distressed swimmer may be too tired to reach the shore but can stay afloat and breathe, while a drowning victim is struggling to breathe, may be at or below the surface, and cannot call for help.