Disaster Management Flashcards
6 cards from real TNCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Disaster Management flashcards as text
In the JumpSTART pediatric triage system, what additional step is performed for a non-breathing child that differs from adult START triage?
Answer: Five rescue breaths before classifying as Expectant
JumpSTART includes five rescue breaths for apneic children with a palpable pulse, recognizing that pediatric cardiac arrest is more commonly respiratory in origin and potentially reversible with ventilation.
A hospital is preparing for a surge of 200 patients from a mass casualty incident. Which strategy best manages this surge capacity?
Answer: Activating discharge protocols, opening auxiliary treatment spaces, and calling in off-duty staff
Surge capacity management requires a multi-pronged approach: rapidly discharging stable inpatients, opening overflow treatment areas, and activating callback systems for additional staff.
Which type of disaster agent causes delayed symptom onset of hours to days, making initial triage particularly challenging?
Answer: Biological agents such as anthrax
Biological agents often have incubation periods of hours to days, meaning exposed individuals may appear asymptomatic during initial triage and present later with severe illness.
After a building collapse, a trapped patient is extricated after 6 hours of limb compression. The nurse should anticipate which life-threatening complication upon release?
Answer: Crush syndrome with hyperkalemia and acute renal failure
Crush syndrome occurs when prolonged compression causes rhabdomyolysis, releasing myoglobin, potassium, and other toxic metabolites into the circulation upon reperfusion, leading to hyperkalemia, cardiac dysrhythmias, and acute renal failure.
The concept of 'reverse triage' in disaster management refers to:
Answer: Discharging current inpatients to create capacity for incoming casualties
Reverse triage involves evaluating current hospital inpatients and rapidly discharging those who can safely leave to free beds, staff, and resources for incoming disaster casualties.
Which communication system is recommended for inter-facility coordination during a multi-hospital disaster response?
Answer: Regional Healthcare Coalition radio network and unified communication platform
Regional Healthcare Coalition (HCC) radio networks and unified communication platforms provide redundant, standardized communication across multiple hospitals during disasters when normal infrastructure may fail.