EMS Operations Flashcards

(82 cards)

1
Q

Which three of the following are classified as chemical agents used in weapons of mass destruction (WMD)?

a. Radioactive Agents
b. Nerve Agents
c. Pulmonary Agents
d. Botulinum Toxin
e. Viral Hemorrhagic Fevers
f. Vesicants

A

b. Nerve Agents

c. Pulmonary Agents

f. Vesicants

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2
Q

Chemical Agents used in WMDs

A

VESICANTS (Chemical)
- Lewisite
- CX Mustard
Causes
- Blistering:

NERVE AGENTS (Organophosphates)
- Affect the CNS

PULMONARY Agents
- Phosgene,
- Chloride
- Hydrogen Sulfide.

CYANIDE Agents.

BIOLOGICAL AGENTS
- Anthrax
- Smallpox.

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3
Q

Biological Agents

A

MicroOrganisms or TOXINS
Derived from Living Organisms
That Can Cause
- DISEASE or
- DEATH
In Humans, Animals, or Plants.

BACTERIA = Anthrax,
VIRUSES = Smallpox
TOXINS = Botulinum.

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4
Q

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

A. Independent operations by each responding agency

B. Allowing individual responders to make independent tactical decisions

C. A flexible and scalable organizational structure

D. Minimal communication to avoid confusion

A

C. A flexible and scalable organizational structure

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5
Q

DOT Class 1:

A

Explosives

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6
Q

DOT Class 2:

A

Gases

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7
Q

DOT Class 3:

A

Flammamble/Combustable Liquids

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8
Q

DOT Class 4:

A

Flammable Solids, Dangerous when Wet or Water Reactive

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9
Q

DOT Class 5:

A

Oxidizers & Organic Peroxides

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10
Q

DOT Class 6:

A

Toxic Substances & Infectious Substances

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11
Q

DOT Class 7:

A

Radioactive

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12
Q

DOT Class 8:

A

Corrosive Substances

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13
Q

DOT Class 9:

A

Miscellaneous Hazards

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14
Q

NERVE Agents

A

Organophosphate Chemicals that INHIBIT Acetylcholinesterase, causing cholinergic crisis.

-Sarin (GB),
-VX,
-Tabun (GA),
-Soman (GD).

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15
Q

Classic NERVE AGENT Toxidrome mnemonic.

A

SLUDGE/ DUMBELS
- Salivation,
- Lacrimation,
- Urination,
- Defecation,
- GI cramps,
- mesis).

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16
Q

Primary cause of death in nerve agent exposure.

A

Respiratory Failure due to
- Bronchorrhea,
- Bronchospasm
- Paralysis.

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17
Q

Prehospital Priorities for Nerve Agents.

A

PPE,
Rapid Antidote Administration,
Airway Control,
Decontamination.

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18
Q

Antidotes for Nerve Agents

A

Atropine,
Pralidoxime (2-PAM),
Diazepam.

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19
Q

PULMONARY Agents

A

CHEMICAL AGENT
- aka CHOKING AGENTS

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20
Q

What are Pulmonary Agents?

A

Chemicals that Damage Lung Tissue, causing
- Non-Cardiogenic Pulmonary Edema.

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21
Q

Prehospital management of pulmonary agents.

A

Oxygen,
Airway Support,
Monitor for Delayed Deterioration,
Rapid Transport.

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22
Q

Major delayed complication.

A

Acute Respiratory Distress Syndrome (ARDS).

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23
Q

Odor clues for pulmonary agents.

A

Chlorine (Bleach)

Phosgene (fresh hay/green apples/grass).

Ammonia

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24
Q

Key symptom pattern of pulmonary agents.

A

Mild initial irritation followed by delayed respiratory distress (up to 24 hours).

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25
What is Cyanide’s mechanism of action?
Prevents cellular oxygen utilization (histotoxic hypoxia).
26
Common CYANIDE AGENTS
Hydrogen Cyanide, Cyanogen Chloride.
27
Classic signs of Cyanide Poisoning.
Severe Hypoxia Unresponsive to O2, Seizure Cardiovascular Collapse.
28
Characteristic odor sometimes noted.
Bitter almonds (not detectable by everyone).
29
Antidotes for cyanide exposure.
Hydroxocobalamin (preferred), Cyanide antidote kit (amyl nitrite/sodium nitrite/sodium thiosulfate). 1st LINE TREATMENT: - Hydroxocobalamin (Cyanokit®) Cyanide Exposure Causes: Turns skin/urine red — expected
30
Why oxygen alone is insufficient in cyanide poisoning?
Cells cannot use oxygen despite adequate delivery.
31
Which agent class causes pinpoint pupils and secretions?
Nerve agents.
32
Which agent class causes delayed lung injury?
Pulmonary agents.
33
Which agent class causes delayed skin blisters?
VESICANTS
34
Which agent causes cellular hypoxia without lung pathology?
CYANIDE
35
First step in any suspected chemical WMD incident?
Scene Safety PPE TIME DISTANCE SHIELDING Decontamination BEFORE Treatment.
36
HELP Position
The Heat Escape Lessening Posture (HELP) is a survival technique used in cold water where a person - pulls their knees to their chest and wraps their arms around them, protecting vital areas like the chest and groin to slow heat loss and delay hypothermia.
37
What are Techniques that can DELAY the Onset of Hypothermia during a Cold Water Rescue?
HELP Position HUDDLE Together FLOATATION Device
38
Type I Ambulance
TRUCK-STYLE Chassis SEPARATE Cab & Pt Compartment. Designed for Rugged Environments and often used in Rural EMS or Off-Road areas. NO DIRECT PASSAGEWAY between the Cab & the Pt area.
39
Type II Ambulance
STANDARD VAN Chassis SINGLE UNIT Cab & Pt Compartment Typically Used for BLS & Pt Transport, - MORE COMPACT & - Fuel-Efficient Option Compared to other Types.
40
Type III Ambulance
SPECIALTY Van with a FORWARD Cab & INTEGRAL Body PASSAGEWAY Between the Cab & Pt Compartment.
41
SELF-RESCUE Technique should you FALL into Swift-Moving Water while Attempting to RESCUE Someone.
FLOAT on Your Back with your Feet Pointed Downstream PROTECT Your HEAD & Keep your Face OUT of the Water STEER with Your FEET, Heading Toward Shore at a 45-degree angle NEVER ATTEMPT to Stand UP in Swift Moving Water
42
GCS
“4–5–6: EYES–VERBAL–MOTOR” E: Spontaneous → Verbal → Pain → NONE V: Oriented → Confused → Words → Sounds → NONE M: Obeys → Localizes → Withdraws → Flexes → Extends → NONE MILD: 13 - 15 MODERATE: 9 - 12 SEVERE: 3 - 8
43
GCS: EYE
Neurologic Function 4 - Spontaneous 3 - To Verbal 2 - To Pain 1 - NONE
44
GCS: VERBAL
Pt's Ability To Speak & Communicate Coherently. - Oriented Conversation to Incomprehensible Sounds, - Cognitive Function & Brain Activity. 5 - Oriented 4 - Confused 3 - Inappropriate Words 2 - Incomprehensible Sounds 1 - NONE
45
GCS: PAIN
Level of Brain Function & Potential Neurological Impairment. 6 - Obeys Commands 5 - Moves to Localized Pain 4 - Flexion Withdrawal from Pain 3 - Abnormal Flexion (Decorticate) 2 - Abnormal Extension (Decerebrate) 1 - NONE
46
What are the MAIN Sections of the Incident Command System: ICS?
C-O-L-P-F C - COMMAND O - OPERATIONS L - LOGISTICS P - PLANNING F - FINANCE
47
What is The Logistics Section of The ICS Tasked with?
Providing ALL Necessary SUPPORT, - Resources & Services To Meet OPERATIONAL Needs of the INCIDENT. - Managing Supplies, - Equipment, - TRANSPORATION, - Facilities, and - Personnel Support Services.
48
What are the PLANNING Section Responsibilities?
DEVELOPING The Incident Action Plan (IAP). - Collecting, - Evaluating, and - Disseminating Information About the INCIDENT This Section ENSURES that ALL - INCIDENT OBJECTIVES Are MET - The Response is Organized & EFFICIENT
49
The FINANCE Section of the ICS?
Manages ALL - Financial, - Administrative & - Cost Analysis Aspects of the INCIDENT. This Includes - Tracking Expenses, - Managing Contracts, and ENSURING that Resources Are Used - EFFICIENTLY & - WITHIN BUDGET
50
What Section of the ICS is TRIAGE & MEDICAL Located?
TRIAGE & MEDICAL (EMS) are Subgroups of - The OPERATIONS Section of ICS, Focusing On - Assessing & Prioritizing - PATIENT CARE Based on: - The SEVERITY of INJURIES. This ensures that medical resources are allocated effectively to provide timely and appropriate care to those in need.
51
The 800 MHz Frequency Band
Operates Using REPEATER Systems To Overcome the Limitations of Line-of-Sight Transmission. These REPEATERS Extend Signal Range, making the 800 MHz Band Particularly EFFECTIVE in Dense, Urban Environments where Buildings and Other Structures Can Interfere with Lower-Frequency Signals.
52
UHF Frequencies
UHF (Ultra High Frequency) Frequencies Range from (450 to 470 MHz) - Commonly used in EMS communications because they PENETRATE Buildings Well, BUT: Often Require REPEATERS for WIDER COVERAGE in Cities.
53
VHF High Band
VHF High Band (150–174 MHz) - Signals Travel in a STRAIGHT LINE - Better than LOW BAND at PENETRATING Urban Environments, BUT Still LACK The - EXTENDED RANGE & RELIABILITY of The 800 MHz Band when REPEATERS are Used.
54
VHF Low Band
VHF LOW Band (32–50 MHz) Signals can Travel LONG DISTANCES By Following the Earth's Curvature, BUT - MORE PRONE To INTERFERE & - LESS RELIABLE in Urban Areas Due To - POOR PENETRATION of Buildings.
55
Hydrogen Sulfide
Poison that affects several body systems, especially the nervous system. - Colorless, - Flammable - Extremely Hazardous Gas - SMELLS LIKE ROTTEN EGGS Made by MIXING Household Cleaners. Sometimes used by YOUNG ADULTS Attempting SUICIDE.
56
Methyl Bromide
Colorless, Non-Flammable Gas Produced Industrially to PREVENT Insects.
57
Hydrogen Cyanide
Colorless, Flammable Gas Very Similar to Hydrogen Sulfide but DOES NOT SMELL like Rotten Eggs. SMELLS LIKE BURNT ALMONDS
58
SOAP Documentation
A Structured Format for writing Patient Care Reports. S - Subjective, O - Objective, A - Assessment, and P - Plan HELPS ORGANIZE Patient INFORMATION & CLINICAL Decision-Making During Medical Documentation.
59
SOAP: Subjective
Information provided by the patient or witnesses, such as their - Chief Complaint, - Symptoms, and - Medical History, Reflecting WHAT the Patient - FEELS or - REPORTS Rather Than WHAT is DIRECTLY OBSERVED.
60
SOAP: Objective
MEASURABLE or OBSERVABLE INFORMATION Collected By The Provider, - VITAL SIGNS - PHYSICAL EXAM FINDINGS - RESULTS From DIAGNOSTIC TESTS, Representing FACTUAL DATA About The Patient’s Condition.
61
SOAP: Assessment
SECTION where The Provider SYNTHESIZES - SUBJECTIVE & - OBJECTIVE Findings To FORM a - CLINICAL IMPRESSION or - WORKING DIAGNOSIS SUMMARIZING Their EVALUATION of the Patient’s OVERALL Condition. This includes their evaluation of the patient’s condition based on symptoms, physical findings, and diagnostic indicators such as EKG or blood glucose readings. It reflects the provider’s critical thinking and guides treatment decisions.
62
SOAP: PLAN
OUTLINES The - INTERVENTIONS PERFORMED Those Anticipated, Such As - MEDICATION ADMINISTRATION - OXYGEN THERAPY Or - TRANSPORT DESTINATION.
63
What is a LOW HEAD DAM and what does it consist of?
Man-Made Structure BUILT ACROSS A RIVER or STREAM To CONTROL WATER FLOW. These DAMs are NOTORIOUS for Creating DANGEROUS HYDRAULIC Conditions, REFERRED To as 'DROWNING MACHINES,' Due To Their - - Ability to TRAP & RECIRCULATE Objects & PEOPLE In Their POWERFUL CURRENTS Called: - BACKWASH: - BOIL. - STRAINERS:
64
The START (Simple Triage & Rapid Treatment) Triage System
A Rapid Method Used During MCI's To QUICKLY Categorize Pt's BASED ON: - Their Ability To WALK, - Respiratory Rate, - Circulation (Radial Pulse or Capillary Refill), & - Mental Status, So RESOURCES Can Be PRIORITIZED. RED YELLOW GREEN BLACK
65
START TRIAGE: RED
Immediate A triage category for patients with life-threatening conditions requiring urgent medical intervention to stabilize their condition and prevent deterioration.
66
START TRIAGE: YELLOW
Delayed A triage category for patients who have serious but not immediately life-threatening injuries, allowing them to wait for treatment after more critical patients are attended to.
67
START TRIAGE: GREEN
Walking Wounded A triage category for patients with minor injuries who are able to move on their own, requiring minimal medical intervention and often directed to a separate area for further assessment.
68
START TRIAGE: BLACK
Expectant/Deceased A triage category for patients who are either deceased or have injuries so severe that survival is unlikely, even with medical intervention, prioritizing resources for those with a better chance of survival.
69
Which system, established in 2011 to replace a previous advisory system, alerts emergency responders to potential terrorist threats and provides details about the nature and scope of the threat? A. National Security Alert System (NSAS) B. Terrorism Alert and Advisory System (TAAS) C. National Terrorism Advisory System (NTAS) D. Homeland Security Advisory System (HSAS)
C. National Terrorism Advisory System (NTAS)
70
Which of the following are hand tools that may be used in a vehicle rescue? Select the 2 answer options which are correct. A. Window punch B. Jaws of life C. Pry bar D. Lifting bags
A. Window punch C. Pry bar Hand tools used in vehicle rescues include - pry bars, - window punches, - axes - striking tools (sledgehammers) Jaws of Life & Lifting Bags Are examples of Power Tools that REQUIRE Special Training to Operate.
71
SALT Triage
A MASS-CASUALTY Incident Management System that stands for - Sort, - Assess, - Lifesaving INTERVENTIONS, - Treatment/Transport. It PRIORITIZES Patients Based on - SEVERITY of their Condition - Likelihood of SURVIVAL, Allowing for EFFICIENT Use of LIMITED RESOURCES.
72
SALT: - SORT
“Everyone who can hear me and needs help, move here” Then: wave / purposeful movement Then: still or no movement = last assessed
73
SALT: - ASSESS
INDIVIDUAL ASSESSMENT Check 3 things ONLY: 1. Breathing 2. Perfusion (major hemorrhage) 3. Mental status (can follow commands?)
74
SALT: - LIFESAVING INTERVENTIONS
Control major hemorrhage (tourniquet) Open airway Needle decompression (if indicated) Auto-injector antidotes (if applicable)
75
SALT: - TREATMENT/TRANSPORT
Immediate (Red) – Life threat, survivable Delayed (Yellow) – Serious, not immediate Minimal (Green) – Walking wounded EXPECTANT (GRAY) – Unlikely to survive Dead (Black) – No signs of life
76
SALT: - GRAY vs BLACK
Gray (Expectant) = alive but resources insufficient Black (Dead) = no respirations after airway opened
77
SALT Summary
SORT FAST ASSESS 3 Things DO 4 LIFESAVING SKILLS THEN TAG
78
SALT vs START
SALT allows lifesaving interventions before tagging START does NOT
79
Cyanide AGENT
Blood agent Hydrogen cyanide (HCN), Cyanogen chloride (CK) Causes - histotoxic - hypoxia Treatment: - Hydroxocobalamin
80
Which radio system is the most basic and allows multiple users to communicate using one common frequency? A Multiplex B Duplex C Digital D Simplex
81
You are responding to a possible dirty bomb incident at the airport. While en route, Incident Command advises that the radiologic energy emitted from the bomb is the least harmful penetrating type of radiation and cannot penetrate through most objects. What category of radiation is described? A Beta radiation B Neutron radiation C Alpha radiation D Gamma radiation
82
You are checking an ambulance at the start of your 12-hour shift. Checking all the engine fluids is part of your daily vehicle inspection. If the steering fluid was replaced the day before, what color would you expect it to be today? A Green B Blue C Pink or yellow D Brown or black