FFICM Emergency Response Procedures 2

Question 1

During a mass casualty incident in the ICU, the START triage system categorizes a patient who is breathing at 22 breaths/min, has a radial pulse, and can follow commands. What color tag should be assigned?

Accepted Answer

Red (immediate)

Answer

A patient breathing spontaneously, with a radial pulse, and able to follow commands is tagged Red (immediate) under START triage, indicating life-threatening but salvageable injuries.

Question 2

When activating a hospital Code Blue for an adult ICU patient, which immediate action takes highest priority before the crash team arrives?

Accepted Answer

Begin high-quality chest compressions

Answer

High-quality chest compressions are the single most important intervention in cardiac arrest, as they maintain coronary and cerebral perfusion until advanced care arrives.

Question 3

A fire is reported in the ICU medication room. Using the RACE acronym, what is the FIRST action staff should take?

Accepted Answer

Rescue persons in immediate danger

Answer

RACE stands for Rescue, Alarm, Contain, Extinguish/Evacuate — Rescue of persons in immediate danger is always the first priority.

Question 4

During rapid sequence intubation (RSI) in a hemodynamically unstable trauma patient, which induction agent best preserves cardiovascular stability?

Accepted Answer

Ketamine 1–2 mg/kg

Answer

Ketamine maintains sympathetic tone, making it the preferred induction agent in hemodynamically unstable patients requiring emergency RSI.

Question 5

A patient on mechanical ventilation develops sudden hypotension, decreased SpO2, and absent breath sounds on the right. After ETT displacement is excluded, what is the most urgent next step?

Accepted Answer

Perform needle thoracostomy on the right at the 2nd intercostal space midclavicular line

Answer

These findings indicate tension pneumothorax, which is a clinical diagnosis requiring immediate needle thoracostomy without waiting for imaging.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Emergency Response Procedures 2