Question 1

Which of the following is the most important goal to achieve in the initial minutes of an MCI?

Accepted Answer

The answer of Which of the following is the most...

Question 2

A 56-year-old man is breathing 20 times per minute and has a weak radial pulse. He is confused but able to follow commands. According to the START triage system, how should this patient be categorized?

Accepted Answer

The START triage system categorizes patients based on their respiratory rate, presence of a radial pulse, and level of consciousness. A weak radial pulse indicates poor perfusion, which is a concern, but the patient is still breathing and able to follow commands. This places him in the Delayed category, meaning he requires medical attention but can wait for treatment until higher priority patients have been addressed.

Question 3

Which specialized unit, designed to support on-scene responders, may be established at large-scale incidents?

Accepted Answer

A rehab unit is designed to support on-scene responders by providing relief for fatigue, rehydration, and other medical needs. Debriefing unit and CISD unit provide emotional support and post-incident analysis, while a fatigue unit is not a specialized unit commonly established at large-scale incidents.

Question 4

Disaster mental health services should be available:

Accepted Answer

Disaster mental health services should be available following any MCI, both immediately after the incident and in the following weeks, and to all personnel involved in an incident. This is to ensure that those affected by the disaster are able to receive the necessary mental health support for their emotional wellbeing.

Question 5

Which of the following would NOT be an appropriate decision for the transportation unit supervisor?

Accepted Answer

The answer of Which of the following would NOT be...

Question 6

Which of the following patients would be tagged "red" using the START system?

Accepted Answer

A patient who cannot follow commands is considered to have a potential life-threatening condition and is tagged "red" for immediate attention in the START triage system.

Question 7

Which of the following is TRUE of MCI drills?

Accepted Answer

MCI drills (Mass Casualty Incident) are essential for all agencies and departments, regardless of their size or location. It is essential to drill and not assume that an incident will never occur in your area. By conducting drills, all personnel involved can be better prepared to respond to an actual MCI incident.

Question 8

You have been assigned the job of staging officer at a multiple-casualty incident. This means :

Accepted Answer

As the staging officer, your responsibility is to organize and prepare all waiting ambulances to transport patients. This involves coordinating with the incident command to ensure a smooth and efficient transport process for the patients. While you may also be responsible for staging supplies and equipment, and determining which patients go to which hospitals, these responsibilities typically fall under the roles of the logistics and triage officers, respectively.

Question 9

When transferring incident command, which of the following must be done?

Accepted Answer

A face-to-face transfer is essential to ensure that critical information is conveyed accurately and that the incoming commander has a clear understanding of the current situation. While obtaining approval from the medical director and agreement from sector commanders may be beneficial, they are not required for the transfer of incident command. A signed handover may also be useful, but it is not as important as a face-to-face transfer.

Question 10

You are the first to arrive on the scene of a collapse of a balcony at an apartment building. You are met by a man whose arm is nearly severed, and you can see exposed bone and muscle tissue. Bleeding seems to be minimal. What is your next course of action?

Accepted Answer

The bleeding is minimal, indicating it is not immediately life-threatening. In an open incident, prioritize scene size-up and triage to manage resources effectively.

Question 11

Which of the following best describes scene size-up for an MCI?

Accepted Answer

Scene size-up for an MCI involves a quick assessment of the incident type and any immediately obvious hazards. This allows responders to quickly determine what resources are needed and how to safely approach the scene. While constructing a diagram and assessing patient priority are also important aspects of managing an MCI, they are not necessarily part of the initial size-up. A detailed description of the incident and resource needs may come later in the process as more information becomes available.

Question 12

How long should it take you to triage one patient during an MCI?

Accepted Answer

During an MCI, time is of the essence and triage must be done quickly to prioritize treatment based on severity of injuries. The goal should be to triage each patient in less than 30 seconds.

Question 13

You and your partner have just been relieved of duty at the scene of a school bus rollover. You feel fatigued and emotionally "blank." Which of the following actions would be most helpful to you?

Accepted Answer

After experiencing a traumatic event, it is important to take care of oneself and address basic needs such as rest and nutrition. This can help to mitigate the effects of fatigue and emotional numbness, and prepare the individual for debriefing or other forms of emotional processing. While debriefing with a supervisor or discussing the incident with loved ones can be helpful in the long term, it is important to prioritize self-care in the immediate aftermath. Replay of the incident in one's mind can actually exacerbate traumatic stress symptoms and should be avoided without the guidance of a mental health professional.

Question 14

You have responded to an explosion on a subway train. Because you are a paramedic, the incident commander tells you to report to the treatment unit. Which of the following treatment areas would be the most appropriate location for you to report to?

Accepted Answer

As a paramedic, your role is to provide immediate medical attention to those who are severely injured and in need of urgent care. The immediate or "red" area is where patients who require immediate attention are triaged and treated. Therefore, reporting to the immediate area would be the most appropriate location for a paramedic.

Quiz 11: Multiple-Casualty Incidents and Incident Management