Deck 49: Multiple Casualty Incidents

Question 1

What is the definition of triage?

A) The immediate transportation of multiple seriously injured patients
B) The sorting of multiple victims into priorities for medical care
C) The occurrence of several injuries at the scene of an accident
D) The assignment of EMS personnel to specific tasks at an accident scene

Answer 1

The sorting of multiple victims into priorities for medical care

Question 2

What are the first four areas evaluated by the START triage system?

A) Amputation, hemorrhage, perfusion, mental status
B) Ambulation, respirations, pneumothorax, eye response
C) Amputation, hemorrhage, pneumothorax, eye response
D) Ambulation, respirations, perfusion, mental status

Answer 2

Ambulation, respirations, perfusion, mental status

Question 3

What are the four START triage categories?

A) Immediate, Delayed, Hold, Deceased
B) Emergent, Urgent, Stable, Delayed
C) Immediate, Urgent, Delayed, Hold
D) Emergent, Delayed, Stable, Deceased

Answer 3

Immediate, Delayed, Hold, Deceased

Question 4

You are the first to arrive on the scene of a commuter train derailment. You should identify patients who are

A) breathing.
B) deceased.
C) unresponsive.
D) able to walk.

Question 5

According to START, a patient who has a respiratory rate of 35, palpable radial pulse, and can follow simple commands should be classified as

A) immediate.
B) delayed.
C) hold.
D) urgent.

Question 6

Patients considered to be the walking wounded should be

A) asked to remain still until a secondary evaluation.
B) immediately sent to a staging area to wait for transportation.
C) asked to walk to an evaluation and treatment area.
D) immediately dressed and bandaged on primary assessment.

Question 7

A patient who has been triaged with a yellow tag

A) has already passed away and has no chance of resuscitation.
B) can walk, using his own power, to a safe area.
C) is responsive, non-critically injured, and unable to walk.
D) requires immediate attention, transportation, and definitive care.

Question 8

A walking wounded person with a broken wrist should be given a _______ tag.

A) black
B) green
C) red
D) yellow

Question 9

A patient has a respiratory rate of 26, a noticeable radial pulse, and is unresponsive. He should be triaged as

A) unresponsive.
B) delayed.
C) urgent.
D) immediate.

Question 10

When triaging an adult who requires immediate attention, what should you do before proceeding?

A) Evaluate the patient's score on the Glasgow Coma Scale.
B) Establish and maintain an open airway and provide oxygen.
C) Provide care until the patient stabilizes and answers commands.
D) Reposition the airway and control severe bleeding.

Question 11

JumpSTART is a system used for triaging

A) multiple unresponsive patients.
B) pediatric patients in a MCI.
C) geriatric patients in an MCI.
D) multiple patients needing an AED.

Question 12

What is the rule of triage in a multiple casualty incident?

A) Care for the greatest number of people possible.
B) Immediately give care to those who will certainly survive.
C) Do the greatest good for the greatest number of people.
D) Risk your life only for those whose lives are savable.

Question 13

According to JumpSTART, which of these patients would be classified as "immediate"?

A) Unable to walk, a respiratory rate of 20, a palpable pulse, and alert.
B) Unable to walk, a respiratory rate of 32, and no radial pulse.
C) Walking, a respiratory rate of 40, a palpable pulse.
D) Unable to walk, no respiratory rate, and no pulse.

Question 14

Which is NOT found on a triage tag?

A) Information about the patient's residence
B) A detailed list of treatment records
C) Specific location of the scene
D) Known medical history and allergies

Question 15

An adult who is not breathing and does not improve after the repositioning of his airway should be classified as

A) unresponsive.
B) deceased.
C) immediate.
D) urgent.

Question 16

A child who is not breathing, does not respond to a jaw thrust, and has a pulse should be

A) triaged as immediate.
B) repositioned one more time.
C) given 5 rescue breaths.
D) triaged as deceased.

Question 17

An adult who is not breathing or responding to a repositioning of the airway should be

A) given 5 rescue breaths.
B) classified as deceased.
C) given 15 chest compressions.
D) classified as immediate.

Question 18

In a mass casualty incident (MCI), an infant should be

A) evaluated in secondary triage with the JumpSTART algorithm.
B) given one-to-one care until transportation is arranged.
C) evaluated in primary triage according to the START algorithm.
D) given a primary assessment and rapid trauma assessment.

Question 19

In an MCI, a pediatric patient who cannot walk and has a respiratory rate of 50 and a palpable pulse should be classified as

A) minor.
B) urgent.
C) delayed.
D) immediate.

Question 20

Using the START algorithm, in less than 30 seconds an emergency responder should

A) dress and bandage open wounds and assess for internal bleeding.
B) check for open airways, shock, burns, and major bleeding.
C) check ambulation, respirations, perfusion, and mental status.
D) identify and classify all deceased patients on the scene.

Question 21

In a mass casualty incident (MCI), a child is not breathing. You should first:

A) use a jaw thrust to reposition the airway.
B) deliver 5 rescue breaths and reassess.
C) check for a palpable radial pulse.
D) classify the patient as deceased.

Question 22

Which is a major difference between a standard call response and an MCI response?

A) In an MCI response, you stay with your EMS crew until time of transport.
B) In an MCI response, you quickly care for immediate patient needs and then move on.
C) In an MCI response, you will not perform a secondary assessment.
D) In an MCI response, you are responsible for only one patient at a time.

Question 23

An adult who is not walking, breathes steadily, has a strong radial pulse, and can follow simple commands is classified as

A) minor.
B) disabled.
C) immediate.
D) delayed.

Question 24

When using START, you should first identify people

A) who are deceased.
B) who are responsive.
C) who can walk.
D) who can raise an extremity.

Question 25

When using START, your initial patient assessment and treatment should take

A) about 5 minutes for each triage category.
B) about 2 minutes for each patient.
C) about 30 seconds for each patient.
D) about 10 minutes for each triage category.