Mass Casualty

Mass casualty events are defined as >___ patients, at least _____ of them severely wounded, and a noticeable impact on healthcare system and access to vital services

Up to ____% of MCE patients are < _____ years old

Pediatric pts are at an inc. risk of morbidity and mortality in a MCE generally d/t inc. susceptibility to the effects of ________ , ______, and other agents used in bioterrorism

Pediatric pts have an increased respiratory exposure risk d/t their _______

Kids have _____ & more _____ skin w/ less ______ to protect them from chemicals that cause burns

Kids have a larger _______ compared to their _____ r/in more exposure to the chemical/toxic agent

Kids have inc. vulnerability in MCE involving a contagious component d/t to their

Pediatric patients are at increased risk of exposure problems such as ______ and _______ d/t their larger ______

Kids have a higher incidence of head & neck injury b/c they have a larger ________

Kids have higher risk for penetrating & blunt head injuries b/c their _______

Kids are at inc risk of fractures & secondary injuries d/t ________

The acceptable range for over triage is ___ to ____ & under triage is ___ to ____

Pediatric pts are generally ____ triaged. They require more ______ & longer ____ d/t this

In the JumpSTART pediatric multiple casualty incident triage algorithm--> Black indicates _____

In the JumpSTART pediatric multiple casualty incident triage algorithm--> Red indicates _____. These pts require interventions for _______

In the JumpSTART pediatric multiple casualty incident triage algorithm--> Yellow indicates _____. These pts have _______ injuries but are not expected to _____

In the JumpSTART pediatric multiple casualty incident triage algorithm--> Green indicates _____. These pts may be able to _______

____% of total patients effected arrive in 1st hour & usually have _____ injuries

To determine how many ICU beds you need during MCE, you multiply the ________

Primary explosion injury is a ________ of the explosion or the ________ from the blast wave

Secondary explosion injuries are a result of ______

Tertiary explosion injuries are caused by the ______; so this is the result of the pt being _____ or being ______

Quarternary explosion injuries occur as a result of the bombings effect on ______, _______, or bridge collapse, etc.

An aural blast injury is a _____ injury resulting from _______ around the pt, specifically affecting their _____ membrane & ______

An aural blast injury may present with _____, _____, ______, or a _______

Aural blast injury tx includes _____, ______, & ______

Pt. w/ a blast lung injury will present with ______, _______, & ______

________ is the most common life threatening injury as a result of a blast

Blast lung is a _____ injury that is the result of ________ from the _____ between the _____ leading to _____, ______, hypoxia, & ______. A _____ can also occur

Blast lung classic X-ray findings is the _____ or _____ shape in the center that extends to the ______

The classic _____ shape on X ray seen in pts w/ Blast lung is a result of the _______

A __________ w/ ____% O2 is the best option for pt. w/ blast lung bc you want to avoid ______ if possible

Cardiac contusion blast injury (aka cardiac stun) present w/ ________. They lose the ability to mount a ____ response to _____ or _____

Pt. w/ cardiac contusion blast injury often present in _______ What is important to remember when resuscitating them?

Traumatic amputation: if there's obvious tearing of limb--> washout, control bleeding, but _________ &look for life threatening ______ & ____ injuries

Diffuse axonal injury (DAI) from a blast d/t ________

Sinus, mandible, and other facial fractures from a blast can lead to _______ that can cause _______ in the brain

Vesicant chemical agents are agents that will _____. There is no _______

Choking chemical agents cause ______ resulting in the __________. There is no ______

Asphyxiant chemical agents will actually _______

______ & ______ are the antidotes for nerve gas/chemical agents

You are going to prioritize decontamination based on the patients who need _______ and only decontaminate what is _______

Nerve chemical agents (VX, Sarin gas, Tabun) will result in ______ & ______ injuries: ______, ______, ____, _____, & ______

Vesicant chemicals (mustard gas, nitrogen mustard) result in ______, ______, & ______ of the eyes; _____ & ____ of the skin; also ____, ____, & ____

Choking chemical agents (chlorine, phosgene) result in _____, ____, & _____

Asphyxiant chemical agents (cyanide) result in ______ without ______ initially, _______ skin, & ______

There are 3 antidotes for asphyxiant chemical agents (cyanide): ______, inhaled _______, & ________

Acute radiation syndrome occurs when there is _________ to radiologic materials. Toxicity will occur _________ and usually within the 1st _____

Pts w/ acute radiation syndrome will also sustain ________ related to the blast

Acute radiation syndrome: Radiologic material affects the ___ & _____cells r/in ________ suppression, radiation _______, changes to the _____ leading to ______, & swelling leading to increased _______

Acute Radiation Syndrome tx: Supportive care: IVF, ______, nutrition, skin care; tx seconday injuries, & ________ within _____