A catastrophic event occurs involving a bridge collapse, resulting in a multiple-car pileup with numerous fatalities and casualties. Emergency responders arrive at the scene, which includes patients with various injuries, including fractures, chest trauma, burns, and mass casualties. Among the injured, a pregnant woman with a history of female genital mutilation (FGM) is about to give birth. Considering the scenario described, what should be the priorities in triaging patients at the scene of the disaster?
immediate evacuation of all survivors to nearby hospitals for comprehensive care
Implementing a separate triage system for the pregnant woman with FGM due to her unique medical history
Prioritizing treatment of patients based on the severity of their injuries using the START (Simple Triage and Rapid Treatment) system
Providing advanced life support interventions to all patients before transportation to hospitals
The Correct Answer is C
Rationale:
A. While rapid transport is important, evacuating all survivors without prioritization can overwhelm available resources and delay care for those most critically injured. Mass casualty management requires triage to allocate limited resources effectively.
B. All patients, including those with special considerations, are triaged using the same system initially. Unique medical histories are considered during treatment but do not warrant a separate triage system at the scene.
C. In mass casualty incidents, triage systems like START help responders quickly categorize patients into immediate (red), delayed (yellow), minor (green), or deceased (black) based on injury severity and likelihood of survival. This ensures that limited resources are used efficiently and those who need urgent intervention receive it first.
D. Providing advanced interventions to every patient on scene is impractical and delays care for critically injured patients. The priority in mass casualty incidents is rapid assessment, categorization, and stabilization of those most likely to benefit from immediate care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Rationale:
A. Spinal shock refers to a temporary loss of all neurologic activity (motor, sensory, and reflexes) below the level of spinal cord injury. Reflex activity is initially absent and gradually returns over hours to weeks, with the return of reflexes often signaling the end of spinal shock.
B. Neurogenic shock is a distributive type of shock caused by disruption of sympathetic pathways after a spinal cord injury, leading to unopposed parasympathetic activity and loss of autonomic control below the lesion.
C. Several of the statements (A, B, D, E) accurately describe spinal or neurogenic shock.
D. Spinal shock typically begins immediately or within minutes after acute spinal cord injury and may last days to weeks depending on severity.
E. Loss of sympathetic tone in neurogenic shock leads to vasodilation (causing hypotension), unopposed vagal tone (causing bradycardia), and impaired thermoregulation (leading to hypothermia). These features differentiate neurogenic shock from other forms of shock such as hypovolemic shock.
Correct Answer is ["B","C","D"]
Explanation
Rationale:
A. This statement is true for both teamwork and collaboration, but it does not distinguish between the two. Since the question asks for differences, this option is not correct.
B. Collaboration typically involves integrating diverse perspectives and expertise in a structured way to generate new ideas or solutions, making it distinct from general teamwork.
C. Teamwork emphasizes coordinated effort toward a shared objective, which may not necessarily involve the deeper integration of ideas seen in collaboration.
D. Collaboration requires active idea-sharing, innovation, and compromise among members, which differentiates it from basic teamwork that may involve simply completing assigned roles.
E. While related, they are not identical; collaboration is typically more interactive, creative, and integrative than general teamwork.
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