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Prehospital Emergency Care Practice Test: Handling Multiple-Casualty Incidents and Incident Management
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Here are some tips for managing multiple casualty incidents (MCI) as an EMT: Establish command: Take control of the situation as soon as possible to start triage and transporting patients Use the Incident Command System (ICS): This structure includes a medical component that covers triage, treatment, transportation, and staging Use triage tape and/or tags: Tag patients early to help track them and their condition Re-assess patients: Perform secondary triage (re-triage) when patients enter a staging area Use checkpoints and reminder cards: Keep radio traffic brief, clear, and... Show more
Prehospital Emergency Care Practice Test: Handling Multiple-Casualty Incidents and Incident Management
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25 Questions

1. When a second-story deck collapsed, several patients fell from the deck. They are now lying on the ground below. As the first emergency personnel to arrive on the scene, the initial priority for you and your partner is to determine:
2. You are using the Simple Triage and Rapid Transport (START) system. Which patient should have a yellow tag applied prior to being moved to the treatment area?
3. Which triage system is intended to be adopted as the national standard for MCI triage?
4. In most EMS systems, a multiple-casualty incident is said to occur when the number of patients is:
5. A young child involved in a multiple-casualty incident is found lying on the ground with obvious deformity to the left thigh. Using the JumpSTART system for triage, you note that he is not breathing. What should you do next?
6. What is one of the best ways to help reduce the public's stress associated with an evacuation?
7. Almost all disaster victims experience:
8. You have been assigned to the triage unit at a multiple-casualty incident. A patient with a yellow triage tag arrives. Your immediate action should be to:
9. Which patient triage tag indicates the lowest priority for care and transport on the scene of a multiple-casualty incident?
10. At the scene of a multiple-casualty incident, you note that another EMT has become overwhelmed and emotionally incapacitated after unsuccessfully trying to save a child's life. You should:
11. You have responded to a bar for a fight involving approximately 8 to 10 patrons. Weapons were used in the fight, and all the patrons have varying degrees and types of injuries. You are in charge of triage and must use the Simple Triage and Rapid Transport (START) system. You find a young person lying on the floor with blood covering his shirt. Quick assessment reveals him to be breathing at 24 times per minute. What should you do next?
12. You are at the scene of a multiple-casualty incident where a church van carrying 15 parishioners overturned. You and your partner are in charge of the treatment unit and are presented with four patients. Which one will you treat first?
13. The EMT identifies the primary benefit of triage when she states:
14. You are in charge of triage at a scene involving 32 patients exposed to carbon monoxide in a church basement. You find a 6-year-old boy who is not breathing. You open his airway and find that breathing does not return. Furthermore, you cannot locate a radial pulse. You should:
15. A large bus with 52 passengers overturned on a busy highway. At the scene, 12 people are dead and 23 others were taken to various hospitals, many with life-threatening injuries. As commander of the incident, which action is most appropriate for you to take after the last patient has left the scene?
16. What determines the order in which patients are relocated from triage to treatment?
17. The EMT correctly defines a multiple-casualty incident (MCI) when he states:
18. Which activities will you be performing within this section?
19. Dead spots represent a failure in which system at an MCI?
20. You are teaching some Emergency Medical Responders (EMRs) to use the JumpSTART system of triage. Which comment made by an EMR requires you to intervene and provide corrective instruction?
21. A problem with the Simple Triage and Rapid Transport (START) system of triage is that it:
22. Who determines the order in which patients are transported to various hospitals in the area of the MCI?
23. As the EMT responsible for triage at a motor vehicle collision, you find a patient who cannot walk due to his injuries; the patient is breathing 18 times per minute and has a radial pulse. What should you do next?
24. At the scene of a multiple-casualty incident, you are triaging patients using the Simple Triage and Rapid Transport (START) system. You are presented with an unresponsive patient who is not breathing. What should you do next?
25. At a multiple-casualty incident, a crew brings you a patient with a red tag tied to his wrist. What does this tag indicate?

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