Paramedics Exam Major Incident Response 2 — Questions and Answers
Question 1: In the METHANE major incident report format, what does the letter 'H' stand for?
- Hazards present at the scene (Correct answer)
- Hospital notifications required
- Helicopter landing zone established
- Hemorrhage control priority
Correct answer: Hazards present at the scene
H in METHANE stands for Hazards, alerting incoming resources to dangers such as chemical spills, fire, or structural collapse.
Question 2: During a mass casualty incident, a patient is breathing only after repositioning the airway and has a respiratory rate of 30/min. Using START triage, this patient is tagged:
- Black
- Green
- Yellow
- Red (Correct answer)
Correct answer: Red
In START triage, a patient who breathes only after airway repositioning is immediately tagged Red (immediate) due to airway compromise.
Question 3: Which ICS position is responsible for all tactical operations at a major incident scene?
- Incident Commander
- Operations Section Chief (Correct answer)
- Logistics Section Chief
- Safety Officer
Correct answer: Operations Section Chief
The Operations Section Chief directs all tactical field operations and reports directly to the Incident Commander.
Question 4: A patient at a hazmat MCI is ambulatory, follows commands, and has a radial pulse. Under START triage, they are classified as:
- Immediate (Red)
- Delayed (Yellow)
- Minor (Green) (Correct answer)
- Expectant (Black)
Correct answer: Minor (Green)
Ambulatory patients who can walk to a designated area are tagged Green (minor) under START triage.
Question 5: At a multi-agency MCI, the system that integrates communications, facilities, and resources from different jurisdictions is called:
- Emergency Operations Center
- Unified Command
- Area Command
- Multi-Agency Coordination System (Correct answer)
Correct answer: Multi-Agency Coordination System
The Multi-Agency Coordination System (MACS) coordinates resources and information among agencies without having on-scene authority.
Question 6: When establishing a treatment sector at an MCI, the immediate (red) treatment area should be positioned:
- Furthest from the incident to protect patients
- Closest to the casualty collection point for rapid movement
- Upwind and uphill from any hazmat release (Correct answer)
- Adjacent to the staging area for quick transport loading
Correct answer: Upwind and uphill from any hazmat release
The immediate treatment area should be upwind and uphill from hazmat releases to prevent secondary contamination of the most critical patients.
Question 7: In SALT triage, the first step in sorting patients is to:
- Assess respirations on all patients simultaneously
- Direct all who can walk to move to a designated area (Correct answer)
- Check radial pulses on all supine patients
- Identify and tag all obviously dead patients first
Correct answer: Direct all who can walk to move to a designated area
SALT triage begins with a global sort by asking ambulatory patients to walk to a designated area, quickly separating the least injured.
Paramedics Exam Major Incident Response 2
In the METHANE major incident report format, what does the letter 'H' stand for?