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Emergency Care, 13e (Limmer et al.)
Chapter 37 Hazardous Materials, Multiple-Casualty Incidents,
and Incident Management
1) You are in charge of your department's personnel at the scene of a mass-casualty incident. As
the incident progresses, you request additional resources and a neighboring department assists
you. As part of this department's response, a battalion chief responds to oversee operations. At
the command post, you and the battalion chief work together to manage the incident. This
cooperative management effort is known as:
A) dual command.
B) redundant command.
C) unified command.
D) incident command.
Objective: 37.1
2) In which of the following settings should the EMT be alert to the possibility of hazardous
materials emergencies?
A) Manufacturing industries
B) Farm service agencies
C) Shipping ports
D) All of the above
Objective: 37.2
1
3) You are called to a garden center where four shoppers have collapsed after a section of
shelving fell and dumped hazardous products on the floor. When you arrive on the scene, you
should:
A) think hazmat, secure the scene by limiting access, isolate the possible contaminated from the
noncontaminated, and request hazmat response.
B) think hazmat, dress in a Tyvek suit, secure the scene by limiting access, isolate the possible
contaminated from the noncontaminated, and request hazmat response.
C) secure the scene quickly, triage each patient, and move to fresh air.
D) think hazmat, dress in a Tyvek suit, access the scene to identify the spilled product, secure the
MSDS sheets, and remove victims to fresh air.
Objective: 37.2
4) Which of the following agencies have developed regulations for dealing with hazardous
materials emergencies?
A) OSHA and EPA
B) DOT and FCC
C) NAEMT and NHTSA
D) NHTSA and NRC
Objective: 37.3
2
5) To respond to a hazardous materials incident, the EMT should be trained at which of the four
levels?
A) Operations
B) Specialist
C) Technician
D) Awareness
Objective: 37.3
6) As it pertains to hazardous materials, the Occupational Safety and Health Administration
requires employers to:
A) train employees to handle any type of hazardous materials incident.
B) document the appropriate level of training for each employee.
C) have knowledge of all hazardous materials on the premises.
D) ensure there is at least one person on-site trained at the technician level.
Objective: 37.3
3
7) Johnny is an EMT with a local ambulance service. As part of his job, he is trained to recognize
the existence of a potentially dangerous scene involving hazardous materials and know when to
request a hazmat response. Johnny's level of hazardous materials training is at the ________
level.
A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist
Objective: 37.3
8) Soraya is an EMT who volunteers for a local fire department. On the scene of a hazardous
materials incident, she helps prevent the incident from becoming larger and ensures bystanders
remain safe. Soraya's level of hazardous materials training is at the ________ level.
A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist
Objective: 37.3
4
9) Eduardo is an EMT with a major metropolitan fire department. He is assigned to a station
within an industrial complex. On the scene of a hazardous materials incident, Eduardo functions
on a team where he plugs a leaking drum. Eduardo's level of hazardous materials training is at
the ________ level.
A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist
Objective: 37.3
10) Andrea is an EMS supervisor with a combined EMS/Fire department. On the scene of a
hazardous materials incident, she uses her knowledge of hazardous materials to support the
activities of other responders and manage the scene. Andrea's level of hazardous materials
training is at the ________ level.
A) First Responder Awareness
B) First Responder Operations
C) Hazardous Materials Technician
D) Hazardous Materials Specialist
Objective: 37.3
5
11) You are beginning triage at the scene of a mass-casualty incident in which a commuter train
has derailed. Which of the following should you do first?
A) Do a quick pulse check on all patients at the scene.
B) Identify all Priority 1 patients.
C) Announce that everyone who can get up and walk needs to go to the parking lot of a nearby
building.
D) Check the airway status of all patients who do not appear to be moving.
Objective: 37.4
12) Which of the following is NOT the role of the first arriving EMT at the scene of a possible
hazardous materials emergency?
A) Requesting special resources to respond
B) Recognizing a hazardous materials emergency
C) Establishing a safe zone
D) Rescuing any victims still in the area of the spill
Objective: 37.4
6
13) Which of the following should be considered during the scene size-up of a hazardous
materials emergency?
A) Potential for spread of the substance
B) The properties and potential dangers of the substance
C) Identification of the substance
D) All of the above
Objective: 37.4
14) Which of the following is NOT a responsibility of an EMT at the scene of a hazardous
materials emergency?
A) Rehabilitating the hazmat team
B) Decontaminating injured victims
C) Treating injured patients
D) Staying in the cold zone
Objective: 37.4
7
15) You are called to a local hardware store for a male patient complaining of difficulty
breathing. As you pull into the parking lot you notice several people in front of the building
coughing and in obvious distress. What would be an appropriate course of action at this point?
A) Locate the patient for whom you were requested and begin treatment while another
ambulance is en route for the other patients.
B) Request a hazardous materials incident response and begin treating all patients displaying
respiratory difficulties.
C) Evaluate the scene further for indications of a hazardous environment and request a hazardous
materials response.
D) Move the people with respiratory difficulties to a distant corner of the parking lot and set up a
treatment sector.
Objective: 37.4
16) Which of the following are desirable characteristics of the "safe or cold zone" in a hazardous
materials incident?
A) Upwind, uphill from the spill
B) Upwind, on the same level as the spill
C) Downwind, uphill from the spill
D) Downwind, downhill from the spill
Objective: 37.5
8
17) In which of the following zones is the EMT expected to be staged at the scene of a hazardous
materials incident?
A) Warm zone
B) Hot zone
C) Cold zone
D) Ground zero
Objective: 37.5
18) Where is the decon corridor located where patients, personnel, and equipment are
decontaminated?
A) Hot zone
B) Cold zone
C) Warm zone
D) Cool zone
Objective: 37.5
19) An area near a hazardous materials incident that is upwind from the incident and on higher
ground is a good location for a:
A) danger zone.
B) hot zone.
C) safe zone.
D) treatment zone.
Objective: 37.5
9
20) Which of the following is NOT an acceptable way of attempting to identify a hazardous
material?
A) Checking the material safety data sheet
B) Collecting a sample of the material for laboratory analysis
C) Asking the driver of the tractor-trailer truck involved in the incident
D) Using binoculars to obtain information from the placard on a container
Objective: 37.6
21) Signs that identify the hazardous material contained within a transport vehicle are called:
A) indicators.
B) placards.
C) panels.
D) warnings.
Objective: 37.6
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