CEP CEP Mass Casualty Incidents & Disaster Response 2

Question 1

What is the SALT triage system's initial step that differs from START?

Accepted Answer

Sort all patients by global sorting (walk, wave, still) before individual assessment

Answer

SALT begins with global sorting — asking the walking wounded to move aside, then looking for those waving or moving, then approaching those who are still — before individual assessment.

Question 2

Which blast injury pattern results from the overpressure wave of an explosion damaging hollow organs?

Accepted Answer

Primary blast injury

Answer

Primary blast injury is caused by the overpressure wave and most commonly affects air-filled organs such as lungs, ears, and bowel.

Question 3

In a nerve agent (organophosphate) exposure, which finding is NOT expected?

Accepted Answer

Dry, flushed skin

Answer

Nerve agents cause cholinergic crisis with wet secretions; dry flushed skin is a sign of anticholinergic poisoning, which is the opposite toxidrome.

Question 4

What is the antidote combination used for nerve agent (organophosphate) poisoning in the field?

Accepted Answer

Atropine and pralidoxime (2-PAM)

Answer

Atropine blocks muscarinic effects while pralidoxime (2-PAM) reactivates acetylcholinesterase if given early before aging occurs.

Question 5

A paramedic arrives at an active shooter MCI. What is the correct tactical EMS action before rendering care?

Accepted Answer

Enter warm zone with law enforcement escort and apply hemorrhage control

Answer

In TECC (Tactical Emergency Casualty Care), paramedics work in the WARM zone with law enforcement escort to apply hemorrhage control and move patients to the cold zone for definitive care.

(CEP) Certified Emergency Paramedic Practice Test

(CEP) Certified Emergency Paramedic Practice Test

CEP CEP Mass Casualty Incidents & Disaster Response 2