GSI Emergency Procedures & Incident Management 3 — Questions and Answers
Question 1: Which of the following best describes the 'STOP the Bleed' concept of wound packing?
- Place a bandage loosely over the wound
- Fill the wound cavity tightly with gauze and apply firm, continuous pressure (Correct answer)
- Cover the wound with a clean cloth and elevate the limb only
- Irrigate the wound with saline before packing
Correct answer: Fill the wound cavity tightly with gauze and apply firm, continuous pressure
Wound packing requires filling the cavity completely with gauze and applying sustained direct pressure to compress bleeding vessels.
Question 2: A student reports dizziness, pale skin, and rapid weak pulse after a laceration. These signs most likely indicate:
- An allergic reaction to gunpowder residue
- Hypovolemic shock from blood loss (Correct answer)
- Heat stroke
- Carbon monoxide poisoning
Correct answer: Hypovolemic shock from blood loss
Pale skin, rapid weak pulse, and dizziness following blood loss are classic signs of hypovolemic (hemorrhagic) shock.
Question 3: When calling 911 after a range shooting injury, which information should you provide FIRST?
- The victim's insurance information
- Your location and the nature of the emergency (Correct answer)
- The make and model of the firearm involved
- The number of students on the range
Correct answer: Your location and the nature of the emergency
Dispatchers need your location first so they can route emergency responders even if the call is cut short.
Question 4: A gun safety instructor witnesses a student suffer a cardiac arrest on the range. The AED is 30 seconds away. What should the instructor do immediately?
- Wait for the AED before touching the patient
- Begin hands-only CPR immediately while someone retrieves the AED (Correct answer)
- Place the patient in the recovery position
- Administer rescue breaths only until the AED arrives
Correct answer: Begin hands-only CPR immediately while someone retrieves the AED
Hands-only CPR should begin immediately for cardiac arrest; every minute without CPR reduces survival by approximately 10%.
Question 5: Which type of wound requires a chest seal (occlusive dressing) in the field?
- A graze wound to the arm
- A penetrating chest wound that may cause a sucking chest wound (Correct answer)
- A blunt force bruise to the ribs
- A superficial abdominal laceration
Correct answer: A penetrating chest wound that may cause a sucking chest wound
Penetrating chest wounds can allow air to enter the pleural space with each breath; a vented chest seal prevents tension pneumothorax while allowing air to escape.
Question 6: After a range incident is resolved and EMS has departed, what is the instructor's next critical administrative step?
- Post about the incident on social media to warn the public
- Complete a detailed written incident report as soon as possible while details are fresh (Correct answer)
- Refund all students their range fees
- Destroy any video footage to protect privacy
Correct answer: Complete a detailed written incident report as soon as possible while details are fresh
A timely, accurate written incident report protects the instructor legally and provides an official record for authorities, insurers, and the range.
Question 7: A student complains of ringing ears and temporary hearing loss after firing without hearing protection. The instructor should:
- Tell the student it will resolve and continue the class
- Stop the session, document the incident, and advise the student to seek medical evaluation (Correct answer)
- Have the student wear double hearing protection for the rest of the day
- Administer ear drops from the first aid kit
Correct answer: Stop the session, document the incident, and advise the student to seek medical evaluation
Acoustic trauma from gunfire without hearing protection can cause permanent damage; medical evaluation is warranted and the incident must be documented.
GSI Emergency Procedures & Incident Management 3
Which of the following best describes the 'STOP the Bleed' concept of wound packing?