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EMS Ops
Course cards
| Question | Answer |
|---|---|
| performance of learned rituals, habits, and routines throughout your life (daily unit inventory, signaling while driving, using a spotter to back up, keeping ambulance clean) | restored behavior |
| EMS oversight usually falls to _____ governments in statutes or regulations but national standards and trends influence the development | state |
| State standards usually set minimum rather than gold standards; ____ EMS systems tend to be more detailed and approaching gold standards | local or regional |
| Type Iv ambulance | medium duty rescue vehicle for heavier loads |
| in place of kkk standards what is in place? | NFPA 1917, CAAS |
| provides voluntary gold standards for EMS to follow requiring onboard medical equipment and supplies comply with state and local guidelines | CAAS |
| AED, glucometer, cardiac monitor, capnograph, O2 systems, vent, pulse Ox, suction, laryngoscopes; these are all supposed to be what before shift | regularly checked |
| strategies agency uses to maneuver ambulances and crews to reduce response times Must consider past community responses and projected demographic changes | deployment |
| involving peak load of time of day and day of the week First fluid(dynamic) deployment model was system status management (SSM) in 1980 | dynamic deployment |
| Those that don't have stations use ___(PARs)___ = trucks park and wait at high call volume locations | primary areas of responsibility (PARs) |
| lateral collision takes place on dry road during clear day in an intersection with a traffic light; what does this describe | profile of typical ambulance collision |
| most used and abused audible warning signs used on the ambulance | sirens |
| exceed speed limit, counter-flow, park anywhere, leave ambulance in middle of street or intersection, cautiously proceed through red light/flashing signal are all things we can do with what kind of precaution | due regard |
| what can ambulances not do during emergency traffic? | pass school buses and go through gates down on railroad |
| max distance for helicopter transport | 150-200 miles |
| there is two modes of flight rules with helicopters, which are they? which is the most used? | visual flight rules (most used) and instrument flight rules |
| what is the limit for instrument flight rules | weather especially ice |
| minimum landing zone for day and night when it comes to helicopter transport | day 75x75 ft, 100x100 |
| What does HOTSAW stand for with precautions for helicopter landing | hazards, obstructions, terrain, surface, animals, wind/weather |
| what direction into the wind does the helicopter need to land | approach into the wind |
| when should you bring the patient to the helicopter | you don't the crew will come to patient |
| how close can the ambulance get to the helicopter | never closer than 25 ft |
| what direction is the point of reference for the pilot/nose of the aircraft | 12 o'clock |
| domestic terrorist targets who? | corporations, executives, employers |
| foreign terrorists target who? | government buildings, symbols of government/leadership |
| objective of terrorists | to incite fear |
| what does CBRNE stand for when it comes to terrorism? | types of attack: Chemical ,biological, radiological, nuclear, and explosive/incendiary |
| most likely weapon used in terrorism | conventional explosive and incendiary agents |
| 1st phase or primary blast injury | pressure wave affecting hollow organs, lungs, ear drums |
| 2nd phase or secondary injury | flying debris/projectiles |
| 3rd phase or tertiary injury | victim thrown to another object or ground |
| 4th phase or quaternary injury | miscellaneous ailments (burns, PTSD, lung injury from inhalation etc) |
| what should first responders be aware of with terrorist explosions | secondary explosives |
| subset of explosive with less explosive power and greater heat/burn potential â Napalm, gasoline, white phosphorus, magnesium | incendiary agents |
| what are people in danger of from nuclear detonation | the fallout (contamination falling back to earth) which can be downwind for miles |
| what can you give to nuclear exposed patients to reduce uptake of radioactive iodine by thyroid | potassium iodide PI |
| measures passage of radioactive particles/rays through receiving chamber; notes exposure to patient | Geiger meter |
| used to record your total radiation exposure | dosimeter |
| GB(Sarin), VX(most lethal), GF, GD(Soman), GA(Tabun)--organophosphate and carbamate insecticides act in similar way; what are these agents | nerve agents |
| how does nerve agents produce their symptoms | blocking degradation of ACh by degrading AChE |
| Tx of nerve agent poisoning | 2mg atropine up to 20 and 600mg pralidoxime chloride up to 1g every hour |
| Mustard gas, sulfur mustard (HD), nitrogen mustard (HN), lewisite(L), phosgene oxime(CX) L and CX immediate symptoms, mustards slight at first then more severe with time; what are these agents | vesicants or blistering agents |
| Phosgene, chlorine, hydrogen sulfide; what are these agents | pulmonary agents |
| what are toxins produced by living organisms like ricin, staph enterotxin B and botulinum | biotoxins |
| Riot control, not meant to injure or harm (mace, tear gas) CS (tear gas), CN(mace), OC(peppery spray/bear spray), CR(tear gas); what kind of agents are these | incapacitating agents |
| Cluster of people with chemical exposure symptoms and presence of injured/dead/incapacitated animals/birds/insects ; similar signs and symptoms occurring rapidly among groups of individuals; what does recognizing these trends mean | chemical agent release |
| during the day what radius and miles downwind should we place the population? night? | Day: radius 700-2000ft, miles 1.5 night: radius 2000ft 6-7miles downwind |
| any incident that depletes available on-scene resources at any given time | MCI |
| what kind of impact MCI is this: managed by local personnel- tax local EMS but not overwhelm it (MVC with multiple patients and shooting with multiple victims) | low-impact |
| what kind of impact MCI is this: stresses local EMS, fire, police, hospitals (tornado, flood, structural collapse) | high-impact |
| what kind of impact MCI is this: overwhelms regional emergency response resources (major hurricanes, earthquakes, area-wide flooding, terrorist attacks) | disaster |
Created by:
Lindsey.George