Deck 37: Hazardous Materials, multiple-Casualty Incidents,

Question 1

Johnny is an EMT with a local ambulance service.As part of his job,he is trained to recognize the existence of a potentially dangerous scene involving hazardous materials and know when to request a hazmat response.Johnny's level of hazardous materials training is at the ________ level.

A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist

Answer 1

First Responder Awareness

Question 2

Which of the following is NOT a responsibility of an EMT at the scene of a hazardous materials emergency?

A) Rehabilitating the hazmat team
B) Decontaminating injured victims
C) Treating injured patients
D) Staying in the cold zone

Answer 2

Decontaminating injured victims

Question 3

To respond to a hazardous materials incident,the EMT should be trained at which of the four levels?

A) Operations
B) Specialist
C) Technician
D) Awareness

Answer 3

Awareness

Question 4

Andrea is an EMS supervisor with a combined EMS/Fire department.On the scene of a hazardous materials incident,she uses her knowledge of hazardous materials to support the activities of other responders and manage the scene.Andrea's level of hazardous materials training is at the ________ level.

A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist

Question 5

In which of the following settings should the EMT be alert to the possibility of hazardous materials emergencies?

A) Manufacturing industries
B) Farm service agencies
C) Shipping ports
D) All of the above

Question 6

You are called to a local hardware store for a male patient complaining of difficulty breathing.As you pull into the parking lot you notice several people in front of the building coughing and in obvious distress.What would be an appropriate course of action at this point?

A) Locate the patient for whom you were requested and begin treatment while another ambulance is en route for the other patients.
B) Request a hazardous materials incident response and begin treating all patients displaying respiratory difficulties.
C) Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response.
D) Move the people with respiratory difficulties to a distant corner of the parking lot and set up a treatment sector.

Question 7

In which of the following zones is the EMT expected to be staged at the scene of a hazardous materials incident?

A) Warm zone
B) Hot zone
C) Cold zone
D) Ground zero

Question 8

Which of the following are desirable characteristics of the "safe or cold zone" in a hazardous materials incident?

A) Upwind, uphill from the spill
B) Upwind, on the same level as the spill
C) Downwind, uphill from the spill
D) Downwind, downhill from the spill

Question 9

Soraya is an EMT who volunteers for a local fire department.On the scene of a hazardous materials incident,she helps prevent the incident from becoming larger and ensures bystanders remain safe.Soraya's level of hazardous materials training is at the ________ level.

A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist

Question 10

Which of the following is NOT the role of the first arriving EMT at the scene of a possible hazardous materials emergency?

A) Requesting special resources to respond
B) Recognizing a hazardous materials emergency
C) Establishing a safe zone
D) Rescuing any victims still in the area of the spill

Question 11

You are called to a garden center where four shoppers have collapsed after a section of shelving fell and dumped hazardous products on the floor.When you arrive on the scene,you should:

A) think hazmat, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response.
B) think hazmat, dress in a Tyvek suit, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request hazmat response.
C) secure the scene quickly, triage each patient, and move to fresh air.
D) think hazmat, dress in a Tyvek suit, access the scene to identify the spilled product, secure the MSDS sheets, and remove victims to fresh air.

Question 12

Which of the following is NOT an acceptable way of attempting to identify a hazardous material?

A) Checking the material safety data sheet
B) Collecting a sample of the material for laboratory analysis
C) Asking the driver of the tractor-trailer truck involved in the incident
D) Using binoculars to obtain information from the placard on a container

Question 13

Which of the following should be considered during the scene size-up of a hazardous materials emergency?

A) Potential for spread of the substance
B) The properties and potential dangers of the substance
C) Identification of the substance
D) All of the above

Question 14

Which of the following agencies have developed regulations for dealing with hazardous materials emergencies?

A) OSHA and EPA
B) DOT and FCC
C) NAEMT and NHTSA
D) NHTSA and NRC

Question 15

Where is the decon corridor located where patients,personnel,and equipment are decontaminated?

A) Hot zone
B) Cold zone
C) Warm zone
D) Cool zone

Question 16

You are beginning triage at the scene of a mass-casualty incident in which a commuter train has derailed.Which of the following should you do first?

A) Do a quick pulse check on all patients at the scene.
B) Identify all Priority 1 patients.
C) Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building.
D) Check the airway status of all patients who do not appear to be moving.

Question 17

As it pertains to hazardous materials,the Occupational Safety and Health Administration requires employers to:

A) train employees to handle any type of hazardous materials incident.
B) document the appropriate level of training for each employee.
C) have knowledge of all hazardous materials on the premises.
D) ensure there is at least one person on-site trained at the technician level.

Question 18

Eduardo is an EMT with a major metropolitan fire department.He is assigned to a station within an industrial complex.On the scene of a hazardous materials incident,Eduardo functions on a team where he plugs a leaking drum.Eduardo's level of hazardous materials training is at the ________ level.

A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist

Question 19

An area near a hazardous materials incident that is upwind from the incident and on higher ground is a good location for a:

A) danger zone.
B) hot zone.
C) safe zone.
D) treatment zone.

Question 20

You are in charge of your department's personnel at the scene of a mass-casualty incident.As the incident progresses,you request additional resources and a neighboring department assists you.As part of this department's response,a battalion chief responds to oversee operations.At the command post,you and the battalion chief work together to manage the incident.This cooperative management effort is known as:

A) dual command.
B) redundant command.
C) unified command.
D) incident command.

Question 21

At 0330,you responded to the scene of an overturned tanker truck.What organization could you contact to obtain information about the liquid the truck is carrying?

A) Regional poison control center
B) CHEMTREC
C) CHEM-CALL
D) Environmental Protection Agency (EPA)

Question 22

Which of the following is a function of the rehabilitation sector in a hazardous materials incident?

A) Providing for hydration of rescue crews
B) Taking baseline vital signs before rescuers enter the operations area
C) Performing medical assessment of rescue crews
D) All of the above

Question 23

Which of the following is a resource for specific actions to be taken by personnel dealing with a hazardous materials incident?

A) Medical protocols
B) Emergency Response Guidebook
C) Medical dictionary
D) Food and Drug Administration (FDA) toll-free hotline

Question 24

Which of the following is a feature of a good disaster plan?

A) It is specific to the geographical location.
B) It has been practiced in mock disasters.
C) It is based on the availability of resources in a particular area.
D) All of the above

Question 25

When seeking expert advice on how to proceed at a hazardous materials incident,which of the following information is important to provide?

A) Amount of the substance involved
B) Your level of EMS certification
C) Your background in chemistry
D) Both A and B

Question 26

What is the process that removes the biological (etiological)contamination hazards as it destroys microorganisms and their toxins?

A) Dilution
B) Emulsification
C) Disinfection
D) Absorption

Question 27

Which of the following actions may need to be taken by the EMT when treating and transporting a patient who was exposed to,and contaminated by,a hazardous material?

A) Wearing heavy cloth gloves
B) Disposing of patient care equipment such as blood-pressure cuffs and backboards
C) Wearing a gown, mask, and goggles to prevent secondary contamination
D) Placing towels on the floor of the ambulance to soak up contaminated runoff water

Question 28

Disaster plans are a predefined set of instructions that should be written to address the events that are conceivable for a particular location and which other three parts?

A) Written, multijurisdictional, and rehearsed
B) Well publicized, multijurisdictional, and rehearsed
C) Well publicized, realistic, and rehearsed
D) Written, realistic, and rehearsed

Question 29

You are on the scene of a riot following a decision in a controversial court case.A large group of people have set fire to vehicles,broken windows,and assaulted people in the area.Which of the following would be the BEST method of incident command?

A) Singular command by EMS
B) Singular command by fire service
C) Unified command
D) Singular command by law enforcement

Question 30

Which of the following personal protective items must be used by EMS personnel caring for patients in a hazardous materials emergency?

A) Structural firefighting gear
B) HEPA mask
C) Chemical permeable gloves
D) Tyvek or other chemical impermeable coveralls

Question 31

Which of the following is the MOST common type of multiple-casualty incident that EMS providers will respond to?

A) Outbreaks of influenza
B) Motor vehicle collisions
C) Structure fires
D) Hazardous materials incidents

Question 32

When grossly decontaminating a patient who is not wearing personal protective equipment in a hazardous materials incident,which of the following techniques should be used?

A) Taking a low-pressure decontamination shower
B) Scrubbing with a long-handled brush
C) Sponging with a dilute solution of water and white vinegar
D) Using a high pressure water jet system

Question 33

What source will provide first aid information about hazardous materials for employees at a work site?

A) Safety Data Sheets
B) Bill of lading
C) Shipping manifest
D) Placard

Question 34

________ is the response agency,established in Washington,DC,as a service of the Chemical Manufacturers Association that can provide either you or your dispatcher with information about the hazardous material and contact the shipper to provide you with information about the material.

A) OSHA
B) CHEMTREC
C) HAZMART
D) EPA

Question 35

Signs that identify the hazardous material contained within a transport vehicle are called:

A) indicators.
B) placards.
C) panels.
D) warnings.

Question 36

The senior EMT on the first vehicle that arrived on a scene with multiple patients should assume which of the following roles until relieved by a senior official?

A) Transport sector supervisor
B) Commander of the entire incident
C) Triage sector supervisor
D) Incident Commander of the scene

Question 37

What constitutes a multiple-casualty incident (MCI)?

A) An event that unfolds over a long period of time and requires federal, state, and local response
B) An incident with 3 to 15 patients that the service handles without calling for additional resources
C) An event that places a great demand on EMS equipment and personnel resources
D) Any event that requires additional ambulances to adequately transport the patients from the scene

Question 38

Which of the following is NOT a mechanism of decontamination from hazardous materials?

A) Disinfecting
B) Disposing
C) Deodorizing
D) Emulsifying

Question 39

Which of the following is NOT a desirable characteristic of the rehabilitation sector of a hazardous materials incident?

A) It is large enough to accommodate multiple rescue crews.
B) It allows for rapid re-entry to the emergency operation.
C) It is protected from weather elements.
D) It is located in the warm zone.

Question 40

You are just leaving the scene of a multiple-casualty incident with two Priority 1 patients.Which of the following is appropriate regarding communication?

A) Allow the transportation sector officer to notify the receiving facility.
B) Notify the receiving facility by radio of the nature of the patients' injuries.
C) Notify the receiving hospital by cellular phone of the nature of the patients' injuries.
D) Have dispatch relay your patient reports to the receiving facility.

Question 41

Who is the person that is in charge of tracking the patient's final destination?

A) Treatment officer
B) Staging officer
C) Transportation officer
D) Incident Commander

Question 42

You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you only have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #5 is a 17-year-old male with the following vital signs: respirations 18,pulse 104,alert,crying,and wanting his mother; he is ambulatory.

A) Priority 2, yellow tag
B) Priority 3, green tag
C) Priority 1, red tag
D) Priority 4, black tag

Question 43

Using START triage guidelines,a patient on the scene of a mass-causality incident who is alert and has a capillary refill time of less than 2 seconds is deemed a ________ patient.

A) Priority 0
B) Priority 1
C) Priority 2
D) Priority 3

Question 44

You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you only have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #4 is a 13-year-old female with the following vital signs: respirations 8,pulse 124,and nonresponsive with blood from the ears and nose.

A) Priority 3, green tag
B) Priority 4, black tag
C) Priority 1, red tag
D) Priority 2, yellow tag

Question 45

You are on the scene of a church bus roll-over collision.There are 30 passengers involved.As triage officer,which one of the following patients should you assign the highest priority?

A) 30-year-old man with multiple lower extremity fractures who is awake, has a strong radial pulse, and is complaining of severe pain
B) 35-year-old pregnant woman with a cut on her head, neck pain, and numbness and tingling in her arms
C) 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side
D) Unresponsive 9-year-old male with an open skull fracture who is in cardiac arrest

Question 46

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

A) Command is most effective when one person is responsible for not more than 6 other people.
B) The command location must not be revealed to anyone on the scene.
C) Police, fire, and EMS must establish separate command locations.
D) None of the above

Question 47

When several agencies work independently but cooperatively,rather than one agency exercising control over the others,this is called:

A) unified command.
B) single incident command.
C) ICS.
D) NIMS.

Question 48

When transporting patients from the scene of a mass-casualty incident,who should be responsible for contacting the receiving hospital?

A) Transporting EMT
B) Incident commander
C) Transportation officer
D) Triage officer

Question 49

You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you only have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #3 is a 38-year-old female with the following vital signs: respirations 0,pulse 0,and nonresponsive.

A) Priority 4, black tag
B) Priority 1, red tag
C) Priority 2, yellow tag
D) Priority 3, green tag

Question 50

You are on the scene of a mass-casualty incident in which the grandstand at a race track has collapsed.As the triage officer,you have encountered a 14-year-old male whose leg has been amputated above the knee.He is responsive to verbal stimuli,and he has an open airway,shallow rapid breathing,and a weak,rapid carotid pulse.This patient would be classified as a Priority ________ for treatment and transport.

A) 2
B) 3
C) 1
D) 4

Question 51

Using START triage guidelines,a patient on the scene of a mass-causality incident who is not breathing initially,but begins breathing when the airway is open,is deemed a ________ patient.

A) Priority 0
B) Priority 1
C) Priority 2
D) Priority 3

Question 52

With START triage,when you arrive on the scene you ask all the patients who can walk to move to one area.These patients are categorized as:

A) yellow tagged.
B) Priority 3 walking wounded.
C) red tagged.
D) Priority 4 walking wounded.

Question 53

ICS systems recognize that the manageable span of control is:

A) 6 people.
B) 12 people.
C) 18 people.
D) 24 people.

Question 54

When responding to a multiple-casualty incident,staging refers to which of the following?

A) Setting up a triage center from the back of your ambulance
B) Staying on station until called upon to receive a patient
C) Keeping a log of all patients transported
D) Waiting in a designated location until called upon by the designated sector officer

Question 55

EMS operations generally include the Mobile command center and what other six areas?

A) Extrication, Operations, Logistics, Triage, Finance, and Transportation
B) Extrication, Staging, Logistics, Triage, Operations, and Transportation
C) Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation
D) Extrication, Staging, Triage, Air operations, Transportation, and Rehabilitation

Question 56

You are an EMT on the scene of a mass-casualty incident in which there are 50 patients from a bus roll-over.Incident Command has been established and EMS,law enforcement,and rescue sectors are established.You have just discovered that one of the bus passengers was carrying a suspicious package that is now leaking a white powdery substance.Which of the following entities should you contact about this?

A) Incident Commander
B) EMS sector officer
C) Rescue sector officer
D) Dispatch

Question 57

You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you only have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #2 is an 8-year-old male with the following vital signs: respirations 10,pulse 102,and alert mental status with warm dry skin.

A) Priority 1, red tag
B) Priority 3, green tag
C) Priority 2, yellow tag
D) Priority 4, black tag

Question 58

Simple Triage and Rapid Treatment (START)is a system that relies on some simple commands and what three physiologic parameters?

A) Respiration, pain, and mental status
B) Circulation, sensory, and motor status
C) Respiration, sensory, and motor status
D) Respiration, pulse, and mental status

Question 59

You arrive on the scene where a school bus has been hit by a train.The bus was in its early stages of picking up students and you have 5 patients.Your closest unit is 30 minutes away.Triage this patient based on this scenario: Patient #1 is a 16-year-old female with the following vital signs: respirations 28,pulse 132,and altered mental status with cool clammy skin.

A) Priority 3, green tag
B) Priority 4, black tag
C) Priority 1, red tag
D) Priority 2, yellow tag

Question 60

Using START triage guidelines,a patient on the scene of a mass-causality incident who has no pulse is deemed a ________ patient.

A) Priority 0
B) Priority 1
C) Priority 2
D) Priority 3

Question 61

When informing someone of the death of a loved one due to a multiple-casualty incident,you should use the term:

A) expired.
B) passed away.
C) dead.
D) sickly.

Question 62

Which of the following is NOT a warning sign or physical symptom of stress?

A) Heart palpitations
B) GI distress
C) Increased salivation
D) Chest pain

Question 63

Which of the following has been shown to actually interfere with the normal grieving and healing process after a multiple-casualty incident?

A) Mental health personnel available on the scene
B) Mental health personnel available during the two months following a major incident
C) EMT engaging in psychoanalysis
D) Critical incident stress debriefing (CISD) sessions

Question 64

Which of the following may help in minimizing the stressful effects of the disruption in circadian rhythms seen in EMS multiple-casualty incidents work?

A) Seek help from a trained professional.
B) Eat a heavy meal just before bedtime.
C) Keep your bedroom light on and warm.
D) Sleep as much as possible on days off.