FACEM Emergency Response Procedures 3

Question 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?

Accepted Answer

Hyperkalemia-induced cardiac arrest

Answer

Fat embolism syndrome

Answer

Compartment syndrome of the arm

Answer

Pulmonary contusion

Question 2

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

Accepted Answer

Drying of secretions and clearing of bronchospasm

Answer

Heart rate greater than 100 bpm

Answer

Pupil dilation to 4 mm

Answer

Resolution of miosis

Question 3

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

Accepted Answer

Confine the fire

Answer

Call for backup

Answer

Clear all corridors

Answer

Check for casualties

Question 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?

Accepted Answer

Response phase

Answer

Standby phase

Answer

Recovery phase

Answer

Mitigation phase

Question 5

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

Accepted Answer

Atropine and pralidoxime

Answer

Diazepam and atropine

Answer

Physostigmine and pralidoxime

Answer

Diazepam and pralidoxime

Question 6

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

Accepted Answer

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

Answer

Respiratory rate of 22, radial pulse present, follows commands

Answer

No respirations after repositioning airway

Answer

Ambulatory with minor laceration

Question 7

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

Accepted Answer

DHS/FBI active shooter guidance

Answer

FEMA shelter-in-place protocol

Answer

ALICE training methodology

Answer

LOCKDOWN plus protocol