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Emergency Response Procedures Flashcards

7 cards from real FACEM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Emergency Response Procedures flashcards as text

  1. A patient presents 6 hours after a crush injury to the lower limb that is now released. Which life-threatening complication requires IMMEDIATE anticipatory management?

    Answer: Hyperkalemia-induced cardiac arrest

    Crush syndrome releases potassium from injured myocytes, causing potentially lethal hyperkalemia which can precipitate cardiac arrest upon reperfusion.

  2. When treating organophosphate poisoning, what is the clinical endpoint for atropine dosing in emergency response?

    Answer: Drying of secretions and clearing of bronchospasm

    The endpoint of atropine therapy in organophosphate poisoning is drying of excessive secretions and resolution of bronchospasm, not pupillary response or heart rate.

  3. During a fire in the emergency department, the RACE acronym guides staff response. What does the letter 'C' stand for?

    Answer: Confine the fire

    In the RACE acronym (Rescue, Alarm, Confine, Extinguish/Evacuate), 'C' stands for Confine, meaning close doors and windows to prevent fire spread.

  4. A hospital experiences an internal disaster with structural damage to one wing. Under which hospital emergency phase should patient evacuation to alternate care sites be considered?

    Answer: Response phase

    The response phase is when active emergency operations are underway, including patient evacuation to alternate care sites when the facility is compromised.

  5. In a nerve agent exposure, which antidote combination is given FIRST to a symptomatic casualty?

    Answer: Atropine and pralidoxime

    Atropine (for muscarinic effects) and pralidoxime (to reactivate acetylcholinesterase before aging) are the primary antidotes given together for nerve agent exposure.

  6. Which physiological finding would place a patient in the RED (immediate) category under START triage?

    Answer: Respiratory rate of 32, no radial pulse, does not follow commands

    A respiratory rate >30, absent radial pulse, or inability to follow commands places a patient in the red (immediate) category under START triage.

  7. During an active shooter event in the ED, which response framework uses 'Run, Hide, Fight' as core guidance for healthcare staff?

    Answer: DHS/FBI active shooter guidance

    The Department of Homeland Security and FBI recommend 'Run, Hide, Fight' as the core active shooter response for civilian settings including healthcare facilities.