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Role and scope > Disaster > Flashcards

Disaster Flashcards

1
Q

A

A

Airway!

Check for:

  • Respiratory distress
  • Airway patency
  • Loose teeth or foreign objects
  • Assess for bleeding, vomiting, or edema
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2
Q

B

A

Breathing!

Check for:

  • Ventilation
  • Watch chest for signs of breathing
  • Paradoxical movement
  • Note use of accessory muscles
  • RR
  • Color of nail beds
  • Listen to lungs!
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3
Q

C

A

Circulation

Check for:

  • Carotid and/or femoral pulse
  • Palpate pulse for quality and rate
  • Assess skin color and temp
  • Check cap refill
  • Assess for bleeding
  • Measure blood pressure
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4
Q

D

A

Disability

NEURO
Check for:
- LOC and GCS
- Assess PERRLA

DEFORMITIES
Check for:
- Extremities for obvious deformities
- Determine ROM and muscle strength

Assess PAIN

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5
Q

F

A

Full Set of Vital Signs

Focused Adjuncts

Facilitate Family Presence

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6
Q

G

A

Give comfort measures

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7
Q

H

A

History and Head-to-Toe

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8
Q

I

A

Inspect Posterior Surfaces

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9
Q

Green

A

Minimal Group

STABLE with minor injuries

EXAMPLE:
Minor lacerations

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10
Q

Yellow

A

Delayed Group

ANY injury without a change in LOC

  • Conscious, but more injured than “green”
  • Typically cannot walk or move

EXAMPLE:
Deep cuts
Loss of fingers
ABD injuries

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11
Q

Red

A

Immediate Group

May die without proper interventions

Injury with alteration in LOC

  • Unable to follow commands
  • Unable to walk/move
  • Needs surgical/lifesaving interventions
EXAMPLE:
Airway obstructions
Cardiorespiratory failure
Burns to face or neck
Uncontrolled loss of blood
Shock
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12
Q

Blue

A

Expected Group

Expected to die soon

Pt would require too many resources

Pt does NOT meet criteria for “red” group

EXAMPLE:
Head injury with GCS <8
Burns with TBSA >85% 
Signs of impending death
Fatal radiation doses
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13
Q

Black

A

Dead Group

Should not be moved

Requires a medical examiner/coroner

ID with remains

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14
Q

What is decontamination?

A

Patients proceed from “dirty” to clean

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15
Q

What does MCI stand for?

A

Mass casualty incident

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16
Q

What does MCI mean?

A

Any incident that exceeds the responder’s capability to treat or transport

17
Q

What is M.A.S.S.?

A

Move
Assess
Sort
Send

18
Q

What is the purpose of M.A.S.S.?

A

It is a disaster triage system that helps handle a large number of casualties in an MCI

19
Q

What are the 3 steps to M.A.S.S.?

A
  1. Group the victims
  2. Sort individual victims
  3. Transport
20
Q

Who/which color receives treatment first?

A

Red - Immediate group

Red has the highest priority for treatment or transfer

21
Q

Intermediate or Red goes____.

A

First

22
Q

Delayed or Yellow goes_____.

A

Second

23
Q

Minimal or Green goes____.

A

Third

24
Q

What is the “green” group goal of “move”?

A

To group victims that can walk

“If you can hear me and can walk, move to the area with a green flag”

25
Q

What is the “green” group’s assumption?

A

Pt’s who can follow commands to walk are assumed to have stable, well compensated physiology, regardless of their injuries

26
Q

Why does minimal group get moved first?

A

They have major vital functions intact

They are A&O

They have only minor injuries

This group can be gathered, treated, and then released

27
Q

What is a minimal or green injury?

A

Minor lacerations

Contusions

Sprains

Superficial burns

Partial thickness burns <20% TBSA

28
Q

What is the “yellow” group goal of “Move”?

A

To sort victims who can’t walk but can MOVE

“If you need help, but cannot walk, move and arm or leg and we will come help you”

29
Q

What is the “yellow” group’s assumption?

A

The victim still has consciousness but has more injuries than the green group

30
Q

What does the yellow/delayed group need?

A

Definitive care

- But they should not worsen rapidly

31
Q

What is a yellow/delayed group injury?

A

Deep cuts

Open FX

Finger amputations

ABD injuries

Closed head with stable VS

Injuries without a change in LOC

32
Q

After moving green and yellow, you are able to identify who is left. These victims will be unable to walk or move and unable to follow simple commands. What is this group called?

A

IMMEDIATE/RED GROUP

33
Q

What needs to be done with the red/immediate group?

A

If medically trained, provide immediate life saving interventions, as these patients may die without interventions.

34
Q

What injuries are considered immediate/red?

A

Airway obstruction

Impending cardiopulmonary failure

Significant hemorrhage

Shock

Sucking chest wound

Burns on face or neck

Life or limb threatening injury

Unresponsive or altered LOC

Severe difficulty breathing

Cyanosis

Rapid or weak pulse

35
Q

Patient’s who do not meet the requirements for the red/immediate group fall into the “expectant” or blue group. What type of care do we provide to this group?

A

Comfort care

36
Q

What injuries are seen in the “expectant” group?

A

Head injury with GCS score of <8

Burns >85% of TBSA

Multisystem trauma

Signs of impending death

Fatal radiation doses

37
Q

What color is a pt labeled with if they are dead?

A

Black

38
Q

What do we do with black or dead patients?

A

Should NOT be moved

ID should be with remains

Evidence must be preserved

Role and scope (58 decks)

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