Immediate implementation of an incident management system is critical because:
A) many technical rescue incidents become complex and require a large number of assisting units and personnel.
B) there must be one person in charge of assigning tasks to incoming ambulances, rescue units, and other emergency resources.
C) each ambulance or rescue unit that responds to the scene must have one person who assumes the role of incident commander.
D) technical rescue incidents tend to attract large crowds and media who must be updated regularly on the status of the rescue situation.
Answer: A) many technical rescue incidents become complex and require a large number of assisting units and personnel.
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A 3-year-old female ingested six 0.25-mg digoxin tablets about 2 hours ago. She is awake, alert, and taking the bottle. Pulse is 50, strong, and regular. Respirations are 30, regular, unlabored. Capillary refill is less than 2 seconds. Skin is pink and warm. BP is 90 by palpation. ECG shows a sinus bradycardia with a first-degree AV block. You should administer:
a. 0.2 mg/kg atropine IV push. b. 0.01 mg/kg epinephrine IV push. c. 5 mg/kg calcium chloride IV push. d. oxygen by blow-by, monitor, and transport.
While starting an IV on a patient complaining of abdominal pain, you inadvertently get stuck with the needle before you can place it in the sharps container. You should:
A) continue with patient care, report the incident to your infection control officer, and schedule an appointment with your physician. B) complete your care of the patient, wash the affected area as soon as you reach the hospital, and report the incident to your supervisor. C) ask the driver to pull over, assume the role of driver, continue on to the hospital, and see a physician in the emergency department. D) immediately clean the affected area with isopropyl alcohol, ask the patient if he has any infectious diseases, and report the incident to your supervisor.