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Chap 39 Incident Management

Terms in this set (86)

Bills of Lading
The shipping papers used for transport of chemicals over roads & highways; also referred to as freight bills
Bulk Storage Containers
Any container other than non bulky storage containers such as fixed tanks, highway cargo tanks, rail tank cars, totes, & intermodal tanks. These are typically found in manufacturing facilities & are often surrounded by a secondary containment system to help control an accidental release
Carboys
Glass, plastic, or steel containers, ranging in volume from 5 to 15 gallons (19 to 57 L)
Casualty Collection Area
An area set up by physicians, nurses, & other hospital staff near a major disaster scene where patients can receive further triage & medical care
Chemical Transportation Emergency Center (CHEMTREC)
An agency that assists emergency responders in identifying & handling hazardous materials transport incidents
Closed Incident
An incident that is contained; all casualties are accounted for
Cold Zone
A safe area at a hazardous materials incident for the agencies involved in the operations. The incident commander, the command post, EMS providers, & other support functions necessary to control the incident should be located in this zone. Also referred to as the clean zone or the support zone
Command
In incident command, the position that oversees the incident, establishes the objectives & priorities, & develops a response plan
Command Post
The designated field command center where the incident commander & support staff are located
Container
Any vessel or receptacle that holds material, including storage vessels, pipelines, & packageing
Control Zones
Areas at a hazardous materials incident that are designated as hot, warm, or cold, based on safety issues & the degree of hazard found there
Cylinders
Portable, compressed gas containers used to hold liquids & gases such as nitrogen, argon, helium, & oxygen. They have a range of sizes & internal pressures
Decontamination
The process of removing or neutralizing & properly disposing of hazardous materials from equipment, patients, & responders
Decontamination Area
The designated area in a hazardous materials incident where all patients & responders must be decontaminated before going to another area
Demobilization
The process of directing responders to return to their facilities when work at a disaster or mass-casualty incident has finished, at least for those particular responders
Disaster
A widespread even that disrupts community resources & functions, in turn threatening public safety, citizen's lives, & property
Drums
Barrel-like containers used to store a wide variety of substances, including food-grade materials, corrosives, flammable liquids, & grease. May be constructed of low-carbon steel, polyethylene, cardboard, stainless steel, nickel, or other materials
Emergency Response Guidebook (ERG)
A preliminary action guide for first responders operating at a hazardous materials incident i coordination with the US Department of Transportation's labels & placards marking system. Jointly developed by the DOT, the Secretariat of Communications & Transportation of Mexico, & Transport Canada
Extrication Supervisor
In incident command, the person appointed to determine the type of equipment & resources needed for a situation involving extrication or special rescue; also called the rescue officer
Finance
In incident command, the position in an incident responsible for accounting of all expenditures
Freelancing
When individual units or different organizations make independent & often inefficient decisions about the next appropriate action
Freight Bills
The shipping papers used for transport of chemicals along roads & highways; also referred to as bills of lading
Hazardous Material
Any substance that is toxic, poisonous, radioactive, flammable, or explosive & causes injury or death with exposure
Hazardous Materials (HazMat) Incident
An incident in which a hazardous material is no longer properly contained & isolated
Hot Zone
The area immediately surrounding a hazardous materials spill or incident site that endangers life & health. All responders working in this zone must wear appropriate protective clothing & equipment. Entry requires approval by the incident commander or other designated officer
Incident Action Plan
An oral or written plan stating general objectives reflecting the overall strategy for managing an incident
Incident Command System (ICS)
A system implemented to manage disasters & mass-casualty incidents in which section chiefs, including finance, logistics, operations, & planning, report to the incident commander
Incident Commander (IC)
The overall leader of the incident command system to whom commanders or leaders of incident command system divisions report
Intermodal Tanks
Shipping & storage vessels that can be either pressurized or nonpressurized
Joint Information Center (JIC)
An area designated by the incident commander, or a designee, in which public information officers from multiple agencies distribute information about the incident
JumpSTART Triage
A sorting system for pediatric patients younger than 8 years or weighing less than 100 lbs (45 kg). There is a minor adaptation for infants because they cannot ambulate on their own
Liaison Officer
In incident command, the person who relays information, concerns, & requests among responding agencies
Logistics
In incident command, the position that helps procure & stockpile equipment & supplies during an incident
Material Safety Data Sheet (MSDS)
A form, provided by manufacturers & compounders (blenders) of chemicals, containing information about chemical composition, physical & chemical properties, health & safety hazards, emergency response, & waste disposal of a specific material; also known as safety data sheet (SDS)
Mass-Casualty Incident (MCI)
An emergency situation involving three or more patients or that can place great demand on the equipment or personnel of the EMS system or has the potential to produce multiple casualties
Morgue Supervisor
In incident command, the person who works with area medical examiners, coroners, & law enforcement agencies to coordinate the disposition of dead victims
Mutual Aid Response
An agreement between neighboring EMS systems to respond to mass-casualty incidents or disasters in each other's region when local resources are insufficient to handle the response
National Incident Management System (NIMS)
A Department of Homeland Security system designed to enable federal, state, & local governments & private-sector & nongovernmental organizations to effectively & efficiently prepare for, prevent, respond to, & recover from domestic incidents, regardless of cause, size, or complexity, including acts of catastrophic terrorism
Nonbulk Storage Vessels
Any container other than bulk storage containers such as drums, bags compressed gas cylinders, & cryogenic containers. These hold commonly used commercial & industrial chemicals such as solvents, industrial cleaners, & compounds
Open Incident
An incident that is not yet contained; there may be patients to be located & the situation may be ongoing, producing more patients
Operations
In incident command, the position that carries out the orders of the commander to help resolve the incident
Personal Protective Equipment (PPE) Levels
Indicates the amount & type of protective equipment that an individual needs to avoid injury during contact with a hazardous material
Placards
Signage required to be placed on all four sides of highway transport vehicles, railroad tank cars, & other forms of hazardous materials transportation; the sign identifies the hazardous contents of the vehicle, using a standardization system with 10 3/4-in (27cm) diamond-shaped indicators
Planning
In incident command, the position that ultimately produces a plan to resolve any incident
Primary Triage
A type of patient sorting used to rapidly categorize patients; the focus is on speed in locating all patients & determining an initial priority as their conditions warrant
Public Information Officer (PIO)
In incident command, the person who keeps the public informed & relates any information to the media
Rehabilitation Area
The area that provides protection & treatment to firefighters & other responders working at an emergency. Here, workers are medically monitored & receive any needed care as they enter & leave the scene
Rehabilitation Supervisor
In incident command, the person who establishes an area that provides protection for responders from the elements & the situation
Rescue Supervisor
In incident command, the person appointed to determine the type of equipment & resources needed for a situation involving extrication or special rescue; also called the extrication officer
Safety Officer
In incident command, the person who monitors the scene for conditions or operations that may present a hazard to responders & patients; he/she may stop an operation when responder safety is an issue
Secondary Containment
An engineered method to control spilled or released product if the main containment vessel fails
Secondary Triage
A type of patient sorting used in the treatment area that involves retriage of patients
Single Command System
A command system in which one person is in charge, generally used with small incidents that involve only one responding agency or one jurisdiction
Span of Control
In incident command, the subordinate positions under the commander's direction to which the workload is distributed; the ideal supervisor/worker ratio is one supervisor for three to seven workers
Staging Supervisor
In incident command, the person who locates an area to stage equipment & personnel & tracks u nit arrival & deployment from the staging area
START Triage
A patient sorting process that stands for Simple Triage And Rapid Treatment & uses a limited assessment of the patient's ability to walk, respiratory status, hemodynamic status, & neurologic status
Termination of Command
The end of the incident command structure when an incident draws to a close
Toxicity Levels
Indicates the risk that a hazardous material poses to the health of an individual who comes into contact with it
Transportation Area
The area in a mass-casualty incident where ambulances & crews are organized to transport patients from the treatment are to receiving hospitals
Transportation Supervisor
In incident command, the person in charge of the transportation sector in a mass-casualty incident who assigns patients from the treatment area to awaiting ambulances in the transportation area
Treatment Area
The location is a mass-casualty incident where patients are brought after being triaged & assigned a priority, where they are reassessed, treated, & monitored until transport to the hospital
Treatment Supervisor
In incident command, the person, usually a physician, who is in charge of & directs EMS providers at the treatment area in mass-casualty incident
Triage
The process of sorting patients based on the severity of injury & medical need to establish treatment & transportation priorities
Triage Supervisor
In incident command, the person in charge of the incident command triage sector who directs the sorting of patients into triage categories in a mass-casualty incident
Unified Command System
A command system used in larger incidents in which there is a multiagency response or multiple jurisdictions are involved
Warm Zone
The are located between the hot zone & the cold zone at a hazardous materials incident. The decontamination corridor is located in this zone
A supervisor who has more than seven people reporting to him/her:
A) Is more beneficial to the overall effort than a supervisor with fewer personnel because his/her team can accomplish more tasks
B) Has exceeded an effective span of control & should divide tasks & delegate the supervision of some tasks to another person
C) Should assign a specific task to each person reporting to him/her & regularly follow up to ensure that the tasks were carried out
D) Should regularly report to the incident commander (IC) to inform him/her of the functions that his/her team is performing
B) Has exceeded an effective span of control & should divide tasks & delegate the supervision of some tasks to another person
According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min?
A) Assess his/her Neurologic status
B) Administer high-flow oxygen
C) Triage the patient as delayed
D) Assess for bilateral radial pulses
D) Assess for bilateral radial pulses
After primary triage, the triage supervisor should communicate all of the following information to the medical branch officer, EXCEPT:
A) Recommendations for movement to the treatment area
B) The recommended transport destination for each patient
C) The total number of patients that have been triaged
D) The number of patients in each triage category
B) The recommended transport destination for each patient
As a triage supervisor, you:
A) Must prepare patients for transport before they leave the triage area
B) Should communicate with are hospitals regarding their capabilities
C) Must not begin treatment until all patients have been triaged
D) Are responsible for providing initial treatment to all patients
C) Must not begin treatment until all patients have been triaged
Following proper decontamination, a 30 year old male is brought to you. He is semiconscious & has rapid, shallow respirations. A quick visual assessment reveals no obvious bleeding. You should:
A) Begin some form of positive-pressure ventilation
B) Perform a rapid assessment to locate critical injuries
C) Ask a firefighter what the patient was exposed to
D) Administer high-flow oxygen via a nonrebreathing mask
A) Begin some form of positive-pressure ventilation
In preparing for a disaster, EMS systems should have enough supplies for at least a ___ period self-sufficiency
A) 48-hour
B) 96-hour
C) 72-hour
D) 24-hour
C) 72-hour
Placards & labels on a storage container are intended to:
A) Broadly classify chemicals as being explosive or nonexplosive
B) Give a general idea of the hazard inside that particular container
C) Advise responders of the appropriate neutralizing measures
D) Provide specific information about the chemical being carried
B) Give a general idea of the hazard inside that particular container
The development of an incident action plan is the responsibility of the:
A) Planning section
B) Operations section
C) Logistics section
D) Finance section
A) Planning section
The FIRST step in the START triage system is to:
A) Get a quick head count of all the patients involved
B) Scan the area for patients with severe bleeding
C) Move all walking patients to a designated area
D) Focus on the patients who are unconscious
C) Move all walking patients to a designated area
The function of the National Incident Management System (NIMS) is to:
A) Prepare for, prevent, respond to, & recover from domestic incidents
B) Prepare for the potential of a nuclear attack against the United States
C) Educate city & county governments regarding foreign terrorist attacks
D) Facilitate a standard method of incident command for natural disasters
A) Prepare for, prevent, respond to, & recover from domestic incidents
The JumpSTART triage system is intended to be used for children younger than ___ years or who appear to weigh less than ___
A) 6; 70 lb
B) 5; 50 lb
C) 7; 90 lb
D) 8; 100 lb
D) 8; 100 lb
The term used when individual units or different organizations make independent, & often inefficient, decisions regarding an incident is called:
A) Freelancing
B) Logistical chaos
C) Undermining
D) Single command
A) Freelancing
Unlike a multiple-casualty incident, a natural disaster:
A) Is typically short-lived & does not require as much manpower
B) Exists when there are more than 100 critically injured patients
C) Often requires personnel to remain on scene for several days
D) Usually does not require the incident command system process
C) Often requires personnel to remain on scene for several days
Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should:
A) Rope off the entire perimeter
B) Retrieve all critical patients
C) Carefully assess the situation
D) Divert traffic away from the scene
C) Carefully assess the situation
Which of the following duties or responsibilities does NOT fall within the realm of the medical branch of the incident command system?s
A) Triage
B) Extrication
C) Treatment
D) Transport
B) Extrication
Which of the following is probably NOT a multiple-casualty incident?
A) An apartment fire with one patient & the possibility of others trapped in the building
B) A loss of power to a hospital or nursing home with ventilator-dependent patients
C) A motor vehicle crash with critically injured patients & two ambulances
D) A rollover crash of a school bus with eight children who have injuries of varying severity
C) A motor vehicle crash with two critically injured patients & two ambulances
Which of your senses can be safely used to identify a HazMat incident?
A) Sight & sound
B) Sounds & smell
C) Smell & sight
D) Sight & touch
A) Sight & sound
While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, & breathing; has bilateral radial pulses; & has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should:
A) Evacuate him to a designated area & assign him a minimal (green) category
B) Quickly bind his legs together to stabilize the fracture, & continue triaging
C) Assign him a delayed (yellow) category & continue triaging the other patients
D) Apply high-flow oxygen, obtain baseline vital signs, & continue triaging
C) Assign him a delayed (yellow) category & continue triaging the other patients
You are approaching an overturned tanker truck to assess the driver, who appears to be unresponsive. As you get closer to the vehicle, you note the smell of noxious fumes & find that you are in the midst of a vapor cloud. What should you do?
A) Realize that you are in the danger zone & prevent others from entering
B) Remain where you are & perform a visual assessment of the patient
C) Cover your face with your shirt & quickly extricate the injured driver
D) Exit the area immediately & gather information for the HazMat team
D) Exit the area immediately & gather information for the HazMat team
You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category?
A) A 29 year old male with bilaterally closed femur deformities
B) A 49 year old female with diabetes & difficulty breathing
C) A 36 year old female with back pain & numb extremities
D) A 50 year old male with an open head injury & no pulse
B) A 49 year old female with diabetes & difficulty breathing
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