Complete Test Bank Emergency Care 12th Edition
Limmer Questions & Answers with rationales
Care of injured and contaminated patients
- - ANSWER Decontaminate in warm zone
-Treat in cold zone
-Phases of decontamination
-Gross decontamination
-Secondary decontamination
Mechanisms for decontamination - ANSWER -Emulsification
-Chemical reaction
-Disinfection
-Dilution
-Absorption or adsorption
-Removal
-Disposal
Decontamination procedures - ANSWER -Victims wearing PPE
-Victims not wearing PPE
Not only are the victims of a MCI effected about an incident your rescuers feel the
same - ANSWER effects as the victims
Counseling steps should be taken for first responders after a MCI. This may mean
the EMT doesn't - ANSWER return back to work until cleared.
Rehabilitation operations - ANSWER -Located in cold zone
-Protected from weather
-Large enough to accommodate multiple rescue crews
-Easily accessible to EMS units
-Free from exhause fumes
-Allows for rapid re-entry into the emergency operation
Counseling steps should be taken for first responders after a MCI. This may mean
the EMT doesn't - ANSWER return back to work until cleared.
Scene management-EMS Command may have an aide to assist with
communications as well as - ANSWER a PIO and Safety officer
Treatment Area - an area to which patients are removed. Each treatment sector
should have its own - ANSWER Treatment officer.
Hot zone
Warm zone
,Cold zone
Treatment area - ANSWER -Area of contamination or danger
-Area immediately adjacent to hot zone
-Area immediately adjacent to warm zone
-Where equipment and emergency rescuers are staged
Transportation Supervisor
Treatment Supervisor
Staging Supervisor - ANSWER Transport supervisor - Responsible for
transportation of patients. Working with hospitals
Treatment supervisor - responsible for overseeing patient treatment
Staging supervisor - responsible for ensuring adequate units to serve incident
Triage colors
• Green
• Yellow
• Red
• Blue/white - ANSWER - walking wounded
- Hurt but can wait
- Immediate care
- dead
START - ANSWER - Simple Triage and Rapid Treatment
RPM - - ANSWER Respiration, Pulse, Mental status
Triage - Identifying the injured - ANSWER and categorizing them into priority
groups
Start triage is intended to be completed in about - ANSWER 30 seconds per patient
Priorities - ANSWER • 1 - Treatable life threatening injury or illness
• 2 - Serious but non-life threatening
• 3 - Walking wounded
• 4 - Dead
START-National standard for rapid primary triage - ANSWER • Respirations
• Pulse
• Mental status
• Conscious
• Able to follow commands
• Able to walk
Triage - ANSWER Quickly assessing patients
, The first triage can be done with a bull horn, pa system or loud voice to - ANSWER
driect all patients capable of walking (priority 3) to move to a particular area.
Triage supervisor - - ANSWER Person responsible for trige
EMS Branch Functions - ANSWER • Command center
• Extrication
• Staging area
• Triage area
• Treatment area
• Transportation area
• Rehab Area
Two types of command
• Single incident
• Unified command - ANSWER - Single agency
- Several agencies
Scene size up - Getting an overall view of the incident and deciding - ANSWER
what resources are needed
Communication - Make an initial scene report, request - ANSWER additional
resources and give direction
Transportation is an - ANSWER intervention
Disaster plan - A predefined___ __ ____ for a community emergency responders -
ANSWER set of instructions
EMS COMMAND-is the senior _____ _____ on scene who over sees medical
aspects of an MCI - ANSWER EMS person
Leading cause of injury or death for ages __to __ is trauma - ANSWER 1 - 44
Platinum ten minutes - refers to an optimum limit of __minutes at the scene with a
serious trauma patient - ANSWER 10
Golden hour - refers to an optimum limit of 1 hour between time of - ANSWER
injury and surgery
Patient care for shock (2008 Lt test)
• Maintain airway/admin O2
• Control any external bleeding
and - ANSWER • Apply PASG if approved and ordered by medical direction (not to
be used with a chest wound, if pregnant)or elvevate legs if no PASG
• Splint if needed
• Prevent heat loss
• Transport
Patient assessment for shock
Limmer Questions & Answers with rationales
Care of injured and contaminated patients
- - ANSWER Decontaminate in warm zone
-Treat in cold zone
-Phases of decontamination
-Gross decontamination
-Secondary decontamination
Mechanisms for decontamination - ANSWER -Emulsification
-Chemical reaction
-Disinfection
-Dilution
-Absorption or adsorption
-Removal
-Disposal
Decontamination procedures - ANSWER -Victims wearing PPE
-Victims not wearing PPE
Not only are the victims of a MCI effected about an incident your rescuers feel the
same - ANSWER effects as the victims
Counseling steps should be taken for first responders after a MCI. This may mean
the EMT doesn't - ANSWER return back to work until cleared.
Rehabilitation operations - ANSWER -Located in cold zone
-Protected from weather
-Large enough to accommodate multiple rescue crews
-Easily accessible to EMS units
-Free from exhause fumes
-Allows for rapid re-entry into the emergency operation
Counseling steps should be taken for first responders after a MCI. This may mean
the EMT doesn't - ANSWER return back to work until cleared.
Scene management-EMS Command may have an aide to assist with
communications as well as - ANSWER a PIO and Safety officer
Treatment Area - an area to which patients are removed. Each treatment sector
should have its own - ANSWER Treatment officer.
Hot zone
Warm zone
,Cold zone
Treatment area - ANSWER -Area of contamination or danger
-Area immediately adjacent to hot zone
-Area immediately adjacent to warm zone
-Where equipment and emergency rescuers are staged
Transportation Supervisor
Treatment Supervisor
Staging Supervisor - ANSWER Transport supervisor - Responsible for
transportation of patients. Working with hospitals
Treatment supervisor - responsible for overseeing patient treatment
Staging supervisor - responsible for ensuring adequate units to serve incident
Triage colors
• Green
• Yellow
• Red
• Blue/white - ANSWER - walking wounded
- Hurt but can wait
- Immediate care
- dead
START - ANSWER - Simple Triage and Rapid Treatment
RPM - - ANSWER Respiration, Pulse, Mental status
Triage - Identifying the injured - ANSWER and categorizing them into priority
groups
Start triage is intended to be completed in about - ANSWER 30 seconds per patient
Priorities - ANSWER • 1 - Treatable life threatening injury or illness
• 2 - Serious but non-life threatening
• 3 - Walking wounded
• 4 - Dead
START-National standard for rapid primary triage - ANSWER • Respirations
• Pulse
• Mental status
• Conscious
• Able to follow commands
• Able to walk
Triage - ANSWER Quickly assessing patients
, The first triage can be done with a bull horn, pa system or loud voice to - ANSWER
driect all patients capable of walking (priority 3) to move to a particular area.
Triage supervisor - - ANSWER Person responsible for trige
EMS Branch Functions - ANSWER • Command center
• Extrication
• Staging area
• Triage area
• Treatment area
• Transportation area
• Rehab Area
Two types of command
• Single incident
• Unified command - ANSWER - Single agency
- Several agencies
Scene size up - Getting an overall view of the incident and deciding - ANSWER
what resources are needed
Communication - Make an initial scene report, request - ANSWER additional
resources and give direction
Transportation is an - ANSWER intervention
Disaster plan - A predefined___ __ ____ for a community emergency responders -
ANSWER set of instructions
EMS COMMAND-is the senior _____ _____ on scene who over sees medical
aspects of an MCI - ANSWER EMS person
Leading cause of injury or death for ages __to __ is trauma - ANSWER 1 - 44
Platinum ten minutes - refers to an optimum limit of __minutes at the scene with a
serious trauma patient - ANSWER 10
Golden hour - refers to an optimum limit of 1 hour between time of - ANSWER
injury and surgery
Patient care for shock (2008 Lt test)
• Maintain airway/admin O2
• Control any external bleeding
and - ANSWER • Apply PASG if approved and ordered by medical direction (not to
be used with a chest wound, if pregnant)or elvevate legs if no PASG
• Splint if needed
• Prevent heat loss
• Transport
Patient assessment for shock
