COPR Exam Test Questions and Answers|
Latest Update
Time and Distance Factors for Autolaunch ✔️✔️Wilderness Access, Ambulance impeded by road
conditions/weather or traffic,
>15 mins transport by ground ambulance
extrication > 20 mins
transport would induce loss of ground ambulance for local population
MCI ✔️✔️Multi-Casualty Incident, normally defined when # pt's overwhelms agencies resources.
Two or more units responding or tow or more patients = introduce Incident management
system. Most MCIs won/ lost in the first 10 minutes. Establish ICS!
unified command system ✔️✔️A command system used in larger incidents in which there is a
multiagency response or multiple jurisdictions are involved.
difference between open (unsustained) and closed (sustained) incident ✔️✔️likelihood to
generate more patients / continue to grow in size.
MCI incident priorities ✔️✔️1- Life safety (crew first)
2- Incident stabilization
3- Property destruction
Emergency Response guidebook ✔️✔️shows safe distances to park from hazmat situations as
well as
Zones in Hazmat ✔️✔️Hot - Warm - Cold.
EMS personnel stay in cold
,Types of contamination ✔️✔️Primary (direct contact)
Secondary (haz material transfer)
Types of effects to consider with WHMS ✔️✔️acute, delayed, local, systemic
Biotransformation ✔️✔️the chemical alteration that a drug undergoes in the body, usually in the
liver
Synergism ✔️✔️combination of two drugs causes an effect that is greater than the sum of the
individual effects of each drug alone
Pesticide Toxicity may cause.. ✔️✔️SLUDGE: salivation, lacrimation, urination, diarrhea,
gastrointestinal distress, and emisis . Caused by blocking of AChE (an enzyme that stopes the
action of acetylcholine, therefor overstimulation of muscarinic receptors)
carbon monoxide poisoning ✔️✔️-carbon monoxide binds with hemoglobin and reduces oxygen
supply to tissues
-cannot be seen. smelled, or tasted
-s/s include: nausea, vomiting, headache, weakness, and unconsciousness
-definitive treatment with oxygen therapy
-remove contaminated clothing protecting the airway.
-possible to require hyperbaric 02 chamber
cyanide asphyxiants ✔️✔️rapid onset of seizures, unconsciousness, and cardiopulmonary arrest.
tx follows local protocol with cyanide kit.
HAZMAT Classifications ✔️✔️corrosives, pulmonary irritants, chemical asphyxiants, hydrocarbon
solvents
, Methods of decontamination ✔️✔️Dilution, Absorption, Neutralization, Isolation/disposal
dilution ✔️✔️apply large quantities of water
absorbtion ✔️✔️usage of towels/ pads
Neutralization ✔️✔️using one substance to reduce toxicity of another (almost never used in
EMS)
isolation ✔️✔️separating from hazmat material. done with decontamination process.
Routes of disease transmission ✔️✔️Airborne, Direct Contact (blood / saliva /urine),
reproductive, fomite (on surfaces), Vector (insects).
RPM (in MCI) ✔️✔️Respirations ( over 30)
Perfusion (present or absent)
Mentation (follows commands)
Start procedure ✔️✔️Call for everyone who can walk to come to treatment zone. Check airway of
patients on ground. No breathing = one reposition then black, move on. RR over 30 ? = Red
under 30, Pulse present? Yes = Red No = Control bleeding or Dead. Can follow commands =
Green and Cannot follow = Red
Types of Leaders at MCI ✔️✔️Triage, Treatment, Transport and IC
Pathway of an allergen from entrance to inflammation ✔️✔️Allergen enters cells --- plasma cells
produce IGE -- IGE binds to mast cells -- allergens may now bind to receptor sites on mast cells -
-- histamine released --- systemic response (inflammation) occurs.
Latest Update
Time and Distance Factors for Autolaunch ✔️✔️Wilderness Access, Ambulance impeded by road
conditions/weather or traffic,
>15 mins transport by ground ambulance
extrication > 20 mins
transport would induce loss of ground ambulance for local population
MCI ✔️✔️Multi-Casualty Incident, normally defined when # pt's overwhelms agencies resources.
Two or more units responding or tow or more patients = introduce Incident management
system. Most MCIs won/ lost in the first 10 minutes. Establish ICS!
unified command system ✔️✔️A command system used in larger incidents in which there is a
multiagency response or multiple jurisdictions are involved.
difference between open (unsustained) and closed (sustained) incident ✔️✔️likelihood to
generate more patients / continue to grow in size.
MCI incident priorities ✔️✔️1- Life safety (crew first)
2- Incident stabilization
3- Property destruction
Emergency Response guidebook ✔️✔️shows safe distances to park from hazmat situations as
well as
Zones in Hazmat ✔️✔️Hot - Warm - Cold.
EMS personnel stay in cold
,Types of contamination ✔️✔️Primary (direct contact)
Secondary (haz material transfer)
Types of effects to consider with WHMS ✔️✔️acute, delayed, local, systemic
Biotransformation ✔️✔️the chemical alteration that a drug undergoes in the body, usually in the
liver
Synergism ✔️✔️combination of two drugs causes an effect that is greater than the sum of the
individual effects of each drug alone
Pesticide Toxicity may cause.. ✔️✔️SLUDGE: salivation, lacrimation, urination, diarrhea,
gastrointestinal distress, and emisis . Caused by blocking of AChE (an enzyme that stopes the
action of acetylcholine, therefor overstimulation of muscarinic receptors)
carbon monoxide poisoning ✔️✔️-carbon monoxide binds with hemoglobin and reduces oxygen
supply to tissues
-cannot be seen. smelled, or tasted
-s/s include: nausea, vomiting, headache, weakness, and unconsciousness
-definitive treatment with oxygen therapy
-remove contaminated clothing protecting the airway.
-possible to require hyperbaric 02 chamber
cyanide asphyxiants ✔️✔️rapid onset of seizures, unconsciousness, and cardiopulmonary arrest.
tx follows local protocol with cyanide kit.
HAZMAT Classifications ✔️✔️corrosives, pulmonary irritants, chemical asphyxiants, hydrocarbon
solvents
, Methods of decontamination ✔️✔️Dilution, Absorption, Neutralization, Isolation/disposal
dilution ✔️✔️apply large quantities of water
absorbtion ✔️✔️usage of towels/ pads
Neutralization ✔️✔️using one substance to reduce toxicity of another (almost never used in
EMS)
isolation ✔️✔️separating from hazmat material. done with decontamination process.
Routes of disease transmission ✔️✔️Airborne, Direct Contact (blood / saliva /urine),
reproductive, fomite (on surfaces), Vector (insects).
RPM (in MCI) ✔️✔️Respirations ( over 30)
Perfusion (present or absent)
Mentation (follows commands)
Start procedure ✔️✔️Call for everyone who can walk to come to treatment zone. Check airway of
patients on ground. No breathing = one reposition then black, move on. RR over 30 ? = Red
under 30, Pulse present? Yes = Red No = Control bleeding or Dead. Can follow commands =
Green and Cannot follow = Red
Types of Leaders at MCI ✔️✔️Triage, Treatment, Transport and IC
Pathway of an allergen from entrance to inflammation ✔️✔️Allergen enters cells --- plasma cells
produce IGE -- IGE binds to mast cells -- allergens may now bind to receptor sites on mast cells -
-- histamine released --- systemic response (inflammation) occurs.
