WorksheetsEnvironmental and Incident Management
Total questions: 50
Worksheet time: 27mins
What is frostnip?
Tissue is cold but not frozen
Tissue is completely frozen
Tissue has prolonged exposure to cold water
Core temperature has dropped below normal
What is frostbite?
Tissue is cold but not frozen
Tissue is completely frozen
Tissue has prolonged exposure to cold water
Core temperature has dropped below normal
What is Immersion foot or Trench foot?
Tissue is cold but not frozen
Tissue is completely frozen
Tissue has prolonged exposure to cold water
Core temperature has dropped below normal
What is recommended care for snake bites?
Apply ice to the injured extremity and transport
Remain on scene and closely monitor
Administer antivenin and elevate the extremity
Place the patient supine, splint injured extremity, and transport
What are common S/S of mild hypothermia?
Shivering, constricted vessels, and rapid breathing
Loss of coordination, weak and slow pulse, slow respirations, and lethargy to coma
Unresponsive, cardiac arrest, and absent respirations
Lethargy, muscle stiffness, tachycardia, and agonal respirations
What are common S/S of moderate hypothermia?
Shivering, constricted vessels, and rapid breathing
Loss of coordination, weak and slow pulse, slow respirations, and lethargy to coma
Unresponsive, cardiac arrest, and absent respirations
Lethargy, muscle stiffness, tachycardia, and agonal respirations
What are common S/S of severe hypothermia?
Shivering, constricted vessels, and rapid breathing
Loss of coordination, weak and slow pulse, slow respirations, and lethargy to coma
Unresponsive, cardiac arrest, and absent respirations
Lethargy, muscle stiffness, tachycardia, and agonal respirations
A patient has been stung by a jellyfish and is now complaining of difficulty breathing, pain to his leg, and dizziness. You find the patient has weak radial pulses and urticaria covering his chest and abdomen. You should...
Apply ice packs to the area and wrap in a dry, sterile dressing
Transport immediately and submerge the leg in sterile water
Remove the tentacles and apply a moist, sterile dressing
Administer oxygen and an Epi pen, and prepare for rapid transport
Sweating is an effective cooling mechanism because...
Evaporation cools the skin
Convection cools the skin
Radiation cools the skin
Conduction cools the skin
In order for sweating to be effective...
Humidity needs to be above 90%
It must be able to evaporate from the skin
The body needs to produce 1L of sweat per hour
Several layers of clothing must be worn
What is heat exhaustion?
Hypovolemia caused by loss of water and electrolytes
Body's heat-eliminating mechanisms are overwhelmed
Ambient temperatures above 90oF
Core body temperature of 102oF
What is heatstroke?
Hypovolemia caused by loss of water and electrolytes
Body's heat-eliminating mechanisms are overwhelmed
Ambient temperatures above 90oF
Core body temperature of 102oF
Hypothermia occurs when core body temperature is below...
31oC
33oC
35oC
37oC
Why are patients with hyperthermia at higher risk of developing frostbite?
Muscle tissue becomes rigid depleting temperatures of extremities
Vasodilation of vessels in extremities
AMS makes it unable for patients to escape cold temperatures
Shunting of blood away from extremities to the core
The body shivers in an attempt to...
Generate heat by increasing the metabolic rate
Generate heat by decreasing the use of oxygen
Generate heat by retaining CO2
Generate heat by decreasing the metabolic rate
What are late signs of a heatstroke?
Change in behavior
Weak and rapid pulse
Nausea and vomiting
Hot, moist skin
How can you best assess a patient's body temperature?
Back of your hand on the forehead
Back of your hand on the neck
Back of your hand on the abdomen
Back of your hand on chest
Which class of medications can increase one's risk of heatstroke?
Antibiotics
Hallucinogens
Analgesics
Diuretics
A young male is floating face down in a pool. You enter the water, what should you do first when you reach the patient?
Roll the patient to a supine position
Open the airway with the jaw-thrust maneuver
Secure him to a longboard backboard
Provide ventilations with a BVM
A man was spreading mulch in his yard when he felt a sharp bite on the back of his hand. He is now complaining of abdominal pain and on palpation you find his abdomen to be rigid and tender. You should suspect...
Tick bite
Brown Recluse spider bite
Black Widow spider bite
Scorpion sting
You respond to a construction worker who has fainted. It is 95oF outside with a high humidity. The patient is now awake and complaining of weakness and a headache. His skin is cool, clammy, and pale. You should...
Give him water with a salt tablet
Move him to a cool environment
Apply ice packs to his groin and armpits
Administer oxygen via NRB mask
What are the primary duties of EMS personnel at the scene of a MVA? (select all that apply)
Keeping bystanders at a distance
Ongoing assessment of patients
Assigning triage categories to patients
Preparing all patients for transport
When you arrive at the scene of a MVA you should...
Turn off all emergency lights and sirens
Leave only essential emergency lights on
Park 300 feet from the scene on the opposite side
Turn off the ambulance and set the emergency brake
You arrive at a MVA and find 3 critical patients. You should...
Request law enforcement for traffic control
Call medical control for further direction
Immediately request additional resources
Begin triage of all the patients
You are at the scene of an active shooting. A police officer has been shot and law enforcement has brought you to the patient. You should...
Perform a rapid head to toe assessment then move him to safety
Limit your primary assessment to Airway and Breathing
Treat critical injuries before moving him to safety
Grab him by the clothes and immediately move him to safety
You are standing by at the scene of a structure fire. There are no injuries. When you arrive you should...
Ask incident command where you should stage
Set up your own staging areas for firefighters can be treated if necessary
Contact medical control and ask for further instructions
Park you ambulance behind the incident commander's vehicle
You respond to a hazmat scene. A patient is brought to you that has been exposed to the hazardous material. He is unconscious with slow and shallow respirations. You should...
Fully decontaminate the patient before moving him to the ambulance
Cut away the patient's clothing and do a rapid rinse to decontaminate as much as you can
Do not decontaminate the patient and immediately move to the ambulance
Enter the warm zone and immediately begin treatment before decontamination
You respond to a MCI with multiple patients that need to be triaged. Patient 1: Respiratory distress, chest pain, and right humerus fracture. Patient 2: Conscious and alert but has bilateral femur fractures and abrasions to the arms and face. Patient 3: Abdominal pain and a history of cardiovascular disease. Patient 4: Unresponsive, apneic. weak carotid pulse, and grossly deformed skull. What triage categories would you place these patients?
PT 1: Red, PT 2: Green, PT 3: Yellow, and PT 4 Black
PT 1: Yellow, PT 2: Red, PT 3: Yellow, and PT 4 Red
PT 1: Red, PT 2: Yellow, PT 3: Red, and PT 4 Black
PT 1: Yellow, PT 2: Yellow, PT 3: Green, and PT 4 Red
When triaging patients which of the following would be RED?
Conscious, severe pain, strong radial pulses
Conscious and respiratory rate of 24 breaths/min
Apneic after manually opening the airway
Unresponsive with a respiratory rate of 34 breaths/min
At a MCI which department is responsible for managing tactical operations usually handled by the incident commander on routine EMS calls?
Operations
Logistics
Finance
Planning
What are general principles for approaching a Hazmat scene?
Ask for wind direction from dispatch and approach downwind
Maintain a safe distance and use binoculars to view the scene
Park the ambulance downwind and uphill from the scene
Take standard precautions before entering a Hazmat scene
What does the planning section do for MCIs?
Make sure all crews have adequate supplies
Deploy units to staging areas
Develop an incident action plan
Develop triage and transportation directions
Upon arrival of a Hazmat scene with several patients you should...
Rope off the perimeter
Divert traffic away from the scene
Retrieve all critical patients
Carefully assess the situation
Which of the following accurately describes a MCI?
An incident that greatly taxes or depletes resources
An incident that involves more than 5 critically ill or injured patients
An incident where at least half the patients are critically ill or injured
An incident where patient's have been exposed to hazardous materials
Which of the following regarding unified command is system correct?
In a unified command system there are separate ICs for police, fire, EMS, and other agencies that respond to the incident.
Under unified command system plans are drawn up in advance by all cooperating agencies that assume shared responsibility for decision making.
In a unified command system only one person is in charge even if multiple agencies respond to an incident.
The unified command system is used for short-duration, limited incidents that require the services of a single agency from one jurisdiction.
You are at a MCI and are triaging several patients. You have already requested additional resources. The first patient you triage is unconscious and apneic. She has an open head injury and her pulse is weak and thready. You should...
Begin ventilations with a BVM
Assess the severity of her head injury
Assign her a low priority (black) and continue triaging
Place a red tag on her and continue triaging
A patient presents with a fever of 102oF, headache, and multiple blisters of same shape and size on his face and chest. You should suspect...
Yellow Fever
Anthrax
Sarin toxicity
Smallpox
All of the following are biological agents that can be transmitted person to person except?
Ricin
Plague
Smallpox
Viral Hemorrhagic fevers
The likely-hood of a nuclear attack against the U.S. is low because...
U.S. has effective early warning system to detect incoming missiles
Terrorist organization do not have the ability to deliver a nuclear weapon via bomb or missile.
All nuclear weapons are currently accounted for in other countries
No other countries possess nuclear weapons beside the U.S.
What are the early S/S of Smallpox? (Select all that apply)
Body aches
Headaches
Skin blisters
High fever
What are initial S/S of viral hemorrhagic fevers?
Headache
Fever
Sore throat
Abdominal muscle spasms
Double vision
Inner ear damage and pulmonary hemorrhage are examples of (a) blast injury.
Patients exposed to cyanide will have...
Abnormally slow pulse rate
Normal pulse oximetry readings
Abnormally slow respiratory rate
Skin that is cherry red and hot
What is the preferred weapon of mass destruction used by terrorists?
Biological weapons
Nuclear weapons
Explosive weapons
Chemical weapons
Which of the following statements about blast injuries is correct?
Tertiary are penetrating and non-penetrating injuries from projectiles
The GI tract is the most sensitive to blast injuries and the leading cause of death
Solid organs such as the ear, GI tract, and lungs are most susceptible to pressure changes
Solid organs are protected but might be injured in the secondary or tertiary blast phase
You arrive at the scene of a fire and witnesses tell you they heard an explosion. You should...
Ensure your ambulance is parked uphill and upwind
Tell bystanders you think the explosion is the work of terrorists
Take standard precautions and begin searching for critical patients
Carefully document the statements and report them immediately
Select all appropriate managements of hypothermia in the field.
Apply heat packs
Remove wet clothing
Prevent further heat loss
Massage cold extremities
Patients are less likely to experience cold related emergencies when they have consumed alcohol.
True
False
You are at a MCI and are running low on supplies. Who would you contact?
Logistics
Operations
Finance
Planning
Jump START triage is intended for children younger than __ years of age or who appear to weigh less than __ pounds
(a)
