Operations Exam Flashcards

(56 cards)

1
Q

What is the primary role of the incident commander at an MCI?

A

Monitor incident organization

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2
Q

What should you do after completing duties in the treatment area at an MCI?

A

Report to the treatment officer for further instructions

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3
Q

Which patient would qualify for rapid extrication

A

Pelvic and lower extremity pain; hx of heart disease

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4
Q

A patient is agitated and hallucinating while making verbal threats. She wants to be left alone and refuses transport. Several friends are demanding to take her to the hospital by private vehicle.

A

Request law enforcement to escort bystanders to another area

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5
Q

Why do we maintain a professional demeanor while conducting the physical exam

A

To establish patient trust

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6
Q

What is the best way to help a patient with visual and hearing impairments who is trapped in her car after an MVC

A

Hold her hand

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7
Q

A woman at a concert asks for an ice pack for her son’s arm. The arm is swollen and deformed in multiple places. She says she will drive the patient to the hospital. What should you do?

A

Ask to evaluate the child and obtain a legal refusal

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8
Q

Public health hazard mitigation includes

A

Designated driver programs, distributing blankets, staffing rehydration units

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9
Q

What piece of information should be removed from a 12-lead ecg obtained on a real patient for educational purposes

A

The ecg identification number

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10
Q

Which dimension of wellness involves a realistic perception of life and appropriate responses to changin situations

A

Intellectual wellness

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11
Q

What constitutes an exposure with regard to blood and bodily fluid

A

Contact with mucous membranes, non-intact skin, or puncture injury

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12
Q

If you get blood on intact skin, does that constitute an exposure

A

No, because the skin is intact

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13
Q

How is medical equipment sterilized

A

Pressurized steam

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14
Q

When should you change an oxygen cylinder

A

Around 500 psi to avoid running out

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15
Q

There is another vehicle approaching a 4-way intersection while you are responding with lights and siren. Do you need to stop?

A

Yes, stop and proceed with due regard for safety

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16
Q

Where should you park your ambulance on an accident scene?

A

Upstream/upwind from the incident, at a safe distance to protect scene, patients, and responders

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17
Q

When should you brake the ambulance for a moderate speed turn?

A

Prior to entering the turn

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18
Q

Do you need to secure the ambulance when parked at a hospital

A

Yes, lock all doors after removing the patient

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19
Q

What is the main function of the incident commander at a mass casualty incident

A

To direct and coordinate the scene

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20
Q

When should you establish incident command

A

After establishing scene safety

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21
Q

What are the principles of crime scene preservation for EMS providers

A

Ensure safety, disturb as little as possible, maintain evidence integrity

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22
Q

What should you do when you finish one task at the scene of a mass casualty incident

A

Report to your supervisor to let them know the task is done

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23
Q

What should you do if you are unable to complete an assigned task at a mass casualty incident

A

Notify your supervisor

24
Q

What are mucous membranes

A

Moist linings of body cavities (eyes, nose, mouth)

25
What is non-intact skin
Skin that is broken or compromised
26
What is a puncture injury
An injury caused by a sharp object penetrating the skin
27
What is due regard for safety?
Proceeding with caution and consideration for the safety of others
28
What is scene safety
Ensuring the area is safe for responders and patients
29
What is evidence integrity
Preserving the condition and reliability of evidence
30
What document provides information about chemical hazards at a fixed location
Material safety data sheets (MSDS)
31
What is the emergency response guidebook
A guide for first responders during initial phase of hazardous materials incidents
32
What is rapid extrication
Quick removal of a patient from a vehicle or hazard due to immediate life threats
33
What should you do if you cut yourself during a call
Immediately clean the area
34
What is alpha radiation
Heavy, positively charged particles, limited penetration. Paper, skin, clothing can block it. Least dangerous to EMS
35
What is beta radiation
Lighter, high-speed particles, moderate penetration. Plastic, glass, light aluminum can stop it.
36
What is gamma radiation
Electromagnetic radiation, high penetration, highly dangerous, thick lead, dense materials can stop it
37
What are the principles of radiation to remember to keep you safe
Time, distance, and shielding
38
Difference between level a, b, c, and d, hazardous materials suits
Level A: fully encapsulated; B: splash protection, not vapor-tight; C: air-purifying respirators; D: minimal protection
39
What patients are unsalvageable during a mass casualty incident
Those with injuries incompatible with life
40
What type of chemical can cause leak if stored in a plastic container
Corrosives
41
What are the criteria for START triage
Mental status, respiratory rate, pulse rate.
42
Principles of crime scene preservation with regard to bullet or knife holes
Don’t cut through holes, preserve for forensic evidence
43
What is the first task when arriving at a scene with a suspected chemical release
Ensure scene safety and establish incident command
44
Can EMS establish incident command
Yes, absolutely
45
What are the signs and symptoms of nerve gas exposure
Salivation, lacrimation, urination, defecation, GI upset, miosis
46
What are the signs and symptoms of food poisoning
Nausea, vomiting, diarrhea, abdominal pain
47
What are the signs and symptoms of anthrax
Flu-like symptoms, skin ulcers, respiratory distress
48
What are the signs and symptoms of sulfur mustard exposure
Skin blisters, eye irritation, respiratory distress
49
What is the treatment for nerve agent exposure
Atropine and 2-Pam chloride
50
What should you do if a patient wants to refuse care
Assess competence, inform risks, document refusal, witness
51
What seatbelts are needed to properly secure a patient in the back of the ambulance
Shoulder, lap, and leg seatbelts
52
What medications should cause concern if a geriatric patient falls and hits their head
Anticoagulants and antiplatelets
53
How do you deal with a patient having concerns about going to the hospital
Ask about and address their concerns
54
What are unbiased questions
Questions without leading or infuencing answers
55
What are leading questions
Questions tha suggest a particular answer
56
How do you handle a patient whose family member was just pronounced dead at a crash scene