EMT Orange Book Ch. 38

The process of removing or neutralizing and properly disposing of a hazardous material is called:

Which of the following activities occurs in the warm zone?

During a HazMat incident, you are working in the treatment area. As patients are removed from the danger zone, you should:

Your work uniform is an example of what level of protection?

The function of the National Incident Management System (NIMS) is to

Which of the following statements regarding hazardous materials is correct?

Which of the following chemicals requires identification with a placard, regardless of how many pounds the shipment weighs?

According to the START triage system, what should you do if you encounter an unresponsive patient who is not breathing?

You are triaging patients at the scene of a multiple vehicle crash when you encounter a young male who is unresponsive and is not breathing. After you open his airway, he begins to breathe at a rapid rate. According to the START triage system, you should

A 49-year-old man has been removed from his overturned tanker, which was carrying a hazardous material. The tank ruptured and he was exposed to the material. When rescue personnel bring him to the decontamination area, they note that he is unconscious and has slow, shallow breathing. They should:

The MOST appropriate location to park your ambulance at a HazMat incident is

According to the Jump START triage system, if a pediatric patient has a respiratory rate of 40 breaths/min, you should

The term used when individual units or different organizations make independent and often inefficient decisions regarding an incident is called:

Which of the following questions is of LEAST pertinence when the EMT is determining whether or not to declare a mass-casualty incident and activate the ICS?

General principles for approaching a potential HazMat incident include:

Major incidents require the involvement and coordination of all the following except: a. multiple jurisdictions b. local and national media c. functional agencies d. emergency response desciplines

Which of the following is not part of NIMS standardization? a. personnel training b. resource classification c. terminology d. funding

In the incident command system, organizational divisions may include sections, branches, divisions, and: a. groups b. teams c. platoons d. squads

Which of the following is not considered a function of the finance section in the ICS? a. time unit b. procurement unit c. cost unit d. logistics unit

Which of the following statements regarding the function of the public information officer is true? a. positions headquarters away from the incident b. is not responsible for the safety of the media c. monitors the scene for conditions that may be unsafe d. relays information and concerns among the command and general staff

What is one of the three main questions used during the scene size-up at a potential MCI? a. is my ambulance stocked for an MCI? b. where am i? c. what resources do i need? d. how long will it take to get help here?

Which of the following is considered a priority when determining "what needs to be done" during the scene size-up? a. rescue operations b. incident stabilization c. notifying hospitals d. establishing operations

Once you have performed a good scene size-up, ______ should be established by the most senior official. a. operations b. communications c. command d. rescue

The primary duty of the triage division is to: a. begin basic treatment b. establish zones for categorized patients c. communicate with the treatment division d. ensure that every patient receives a primary assessment

Documenting and tracking of transporting vehicles, transported patients, and facility destinations is the responsibility of the: a. operations supervisor b. transportation supervisor c. logistics supervisor d. triage supervisor

Which of the following is not a sign of stress a rehabilitation supervisor is responsible for recognizing? a. fatigue b. headache c. complete collapse d. altered thinking patterns

Which of the following definitions of MCI is correct? a. any call that involves three or more patients b. any situation that meets the demand of equipment or personnel c. any incident that does not require mutual aid response d. any call that has at least one motor vehicle involved

Triaged patients are primarily divided into how many categories? a. 2 b. 4 c. 6 d. 8

Delayed patients would be identified by using the color: a. black b. red c. yellow d. green

Immediate patients would be identified by using the color: a. black b. red c. yellow d. green

Minimal patients are the third priority and are identified using the color: a. black b. red c. yellow d. green

Patients who are dead or whose injuries are so severe that they have, at best, a minimal chance of survival, are categorized using what color? a. black b. grey c. white d. brown

Facilities, food, lighting, and medical equipment are the responsibility of the: a. operations section b. planning section c. logistics section d. finance section

When using the START triage system, a patient who is breathing faster than 30 breaths/min is triaged as: a. immediate b. delayed c. minimal d. expectant

"If you can hear my voice and are able to walk..." is said to immediately identify patients categorized as: a. immediate b. delayed c. minimal d. expectant

A pediatric patient who is breathing 12 breaths/min would be categorized as: a. immediate b. delayed c. minimal d. expectant

You are at the scene on a hazardous materials incident when your partner slips and falls, injuring his leg. He is alert and responds appropriately to your questions. His respirations are 20 breaths/min, and he has a radial pulse. What triage category does your partner fall into? a. immediate b. delayed c. minimal d. expectant

Clues that you may be dealing with a hazardous material include all of the following except: a. dead grass b. animals near the scene c. discolored pavement d. visible vapors or puddles

Rail tank cars, intermodal tanks, and highway cargo tank are all considered: a. oversize storage containers b. gross storage containers c. mass storage containers d. bulk storage containers

Soap flakes, sodium hydroxide pellets, and food-grade materials are sometimes found in: a. bags b. carboys c. drums d. cylinders

The US Department of Transportation (DOT) uses all of the following for hazardous identification except: a. placards b. labels c. signals d. markings

Some materials are so hazardous that shipping any amount of them requires a placard. Which of the following is not considered to be one of those hazards? a. poison gas b. low-level radioactive substances c. water-reactive solids d. explosives

Which of the following statements regarding MSDS is false? a. they are no longer required by law to be provided to the consumer b. they provide basic information about the chemical makeup of a substance c. they list the potential hazards associated with a substance d. they list appropriate first aid in the event of an exposure

Control zones at HazMat incidents are labeled as: a. hot b. warm c. cold d. all of the above

Nonencapsulated protective clothing, eye protection, and a breathing device that contains an air supply fall into what level of personal protective equipment? a. level a b. level b c. level c d. level d

T/F The most challenging situations you can be called to are disasters and mass casualty incidents.

T/F The individuals who will participate in the many tasks in an MCI or a disaster should use the ICS.

T/F The purpose of the response plan is to designate the support agencies in several kinds of MCI.

T/F Safety priorities include you life, then you patient's, and then your partner's.

T/F A key role of the transportation supervisor is to communicate with the area hospitals to determine where to transport patients.

T/F The staging supervisor should be established near the scene.

T/F The morgue should be out of view of the living patients and other responders.

T/F A way of tracking and accounting for patients is to issue only 20-25 triage tags at a time with a scorecard.

T/F Infants and children not developed enough to walk or follow commands should be taken as soon as possible to the triage sector for immediate secondary triage.

T/F When you approach a hazardous scene, you should stay downhill and upwind.

T/F The farther you are from the incident when you notice a problem, the safer you will be.

T/F The nature of the chemical dictates the construction of the storage drum.

T/F The DOT system requires that all chemical shipments be marked with placards and labels.

T/F Some substances are not hazardous but can become highly toxic when mixed with another substance.

T/F If you are treating a patient who was partially decontaminated, you will not need to wear additional protective clothing.

Two important underlying principles of the NIMS are _________ and ________.

One of the organizing principles of the ICS is limiting the ________ ________ _________ of any one individual.

A(n) ________ command system is one in which one person is in charge, even if multiple agencies respond.

The _________ section solves problems as they arise during the MCI.

_______ involves the decisions made and basic planning done before an incident occurs.

The _______ _________ is ultimately in charge of counting and prioritizing patients.

_____ ______ ensure that secondary triage of patients is performed.

The main information needed on a triage tag is a unique ________ and a triage _________.

The _______ and type of _______ are two good indicators of the possible presence of a hazardous material.

Containers of material are divided into two categories: __________ and _________ storage containers.

_______ ________ may be constructed of plastic, paper, or plastic-lined paper.

________ _______ are established at a HazMat incident based on the chemical and physical properties of the released material and the environmental factors.

The ______ _______ is where personnel and equipment transition into and out of the hot zone.

Anyone who leave a hot zone must pass through the ________ area.

A(n) ______ _______ is shipped to a facility, where it is stored and used, and then returned to the shipper for refilling.

You are at the scene of a multi-vehicle incident involving 8 people. Your partner has established command and is requesting additional resources as you begin to triage patients. You see patients in various areas as you visually inspect the scene. "If any of you are able to walk to me, please do so," you state to the patients. Three of eight people are able to walk to you. What category of triage do these patients initially fall into? a. immediate b. delayed c. minimal d. expectant

As you continue moving through a scene, you come across 2 people in a vehicle. The first person has obvious bleeding from her forehead and is emotionally upset. She is slow to respond to your questions and cannot tell you what today's date is. When you ask her to show you "2 fingers" she is able to, but with some delay. Her radial pulse is 106 bpm, and her respirations are 22 breaths/min and nonlabored. What category of triage does this patient initially fall into? a. immediate b. delayed c. minimal d. expectant

The second patient in a vehicle has an obvious open femur fracture. The patient is breathing at a rate of 32 breaths/min, but is completely alert, oriented, and able to follow commands without hesitation. The patient's radial pulse is 102 bpm and weak. What category of triage does this patient initially fall into? a. immediate b. delayed c. minimal d. expectant

Additional EMS arrive on scene, and you are being assisted by 2 other EMTs in the triage process. The last patient you encounter is a 7-year-old boy with neck and back pain. He is quite upset and keeps asking for his parents. His respirations are 38 breaths/min, and his radial pulse is 110 bpm. What category of triage does this patient initially fall into? a. immediate b. delayed c. minimal d. expectant