Prehospital Emergency Medicine Secrets

Hazardous Materials Response

Questions and Answers Initial Response Considerations 1 What is the best way to plan for potential hazardous material (HAZMAT) incidents in a particular region or community? Management of HAZMAT incidents begin well before the alarm goes off. Every organization involved…

Blast Injuries

Questions and Answers 1 Why is this chapter important and what is the chance that an EMS provider will see injuries from a blast or explosion? The frequency of blast injuries due to military conflict and terrorist activities has increased…

Radiation and Radiation Injury

Questions and Answers 1 Is it safe to treat patients who have been exposed or contaminated during a radioactive disaster? This is the first question because it is the most important. Like any other situation in the field, safe is…

Biological and Chemical Terrorism

Questions and Answers 1 What is the importance of preplanning regarding chemical and biological terrorism? Without preplanning, the risk of injury or death to first responders is greatly increased. Each responding organization should develop standard operating procedures (SOPs) to implement…

Mass Casualty Evacuation and Patient Movement

Questions and Answers 1 What are casualty collection points that are used during a mass casualty incident? These are areas that have been designated to move patients from the scene of the incident. They need to be in a safe…

Prehospital Triage for Mass Casualties

Questions and Answers 1 What is a mass casualty incident (MCI)? The World Health Organization describes an MCI as a disaster and major incident characterized by a quantity, severity, and diversity of injuries in patients that can rapidly overwhelm the…

Thermal Burns and Inhalation Injuries

Questions and Answers 1 What is the prevalence of burn injuries in children in the United States? Over 250,000 children require medical attention for burns; of these, 200,000 are scald injuries. Males outnumber females 2:1. Approximately 15,000 kids per year…

Extremity Injuries

Questions and Answers 1 You are en route to the local children’s emergency department having picked up a 3-year-old male who fell off the monkey bars at a playground. The patient has a left elbow deformity ( Fig. 44.1 ). What…

Chest, Abdominal, and Pelvic Injuries

Questions and Answers Case: You are called to the scene of a moderate-speed (45 miles per hour) motor vehicle crash and find a 10-year-old female in the back seat, restrained with a seat belt. Her mother’s vehicle was “T-boned” on…