Disaster medicine.

/10

Which response is INCORRECT concerning an EDs response to a disaster?

A media liason officer must be allocated and updates be in a dedicated area away from clinical areas.

Increase surge capacity by doubling patients in rooms.

Allow media to speak to medical staff to improve communication.

Decontamination should outside the normal clinical area.

Plan for 2 way radios as mobile networks are often overloaded.

/10

Regarding blast injuries, which of the following is TRUE.

As you can probably guess eyes are susceptible to multiple injuries from blasts.

If the patient has no ruptured tympanic membrane they do not need a CXR.

If a patient does not show symptoms of lung injury in the first 6hours it will not occur.

Shockwave pressure difference in the abdomen can cause intestinal ischemia.

Fortunately the eye is usually protected in primary blast injuries.

/10

If you are thrown by a blast into a wall at 28kph what is your approximate mortality rate?

It is the stop at the wall that does it.

About 90%.

About 25%.

About 70%.

About 50%.

/10

The 1931 Central China floods are considered the deadliest natural disaster in human history. About how many people died?

Millions died of drowning, starvation or water bourne diseases like cholera.

250, 000 to 5000, 000.

500,000 to 1 million

3 to 4 million.

8 to 10 million.

/10

How long did Vladimir Putin think it would take to take control of Ukraine?

When he invaded Ukraine on Feb 24, 2022 he believed that Ukraine civilians would rise up in Ukranian cities against Volodymyr Zelensky and allow a rapid victory.

28 days.

2 months.

3 days.

6 months.

/10

In the disaster course MIMMS what is the first C in the CSCATTT mnemonic

CSCATTT is the seven principles of MIMMS.

Command, Safety, Communication, Assessment, Triage, Treatment, Transport.

Command.

Communication.

Create.

Criticize.

/10

During a declared disaster what does a "Black" Triage colour mean?

The first option is Green triage colour, second Red, third Yellow.

If you are well enough to notice you have a black triage card (unlikely) I would remove it and find a red one quickly.

Not life threatening injuries that can be treated with a delay.

Life threatening injuries that need immediate intervention.

Serious injuries but could wait a short time.

Survival is unlikely even with treatment.

/10

Thinking about crush syndrome which of the following is FALSE.

You need to estabish urine output before using an osmotic diuretic like mannitol.

Give IV Mannitol 1gm/kg IV if the patient is anuric.

Early fasciotomies are often required.

You can get hyperkalemia and a high CK.

Look to give aggressive IV fluids.

/10

Which of the following is FALSE about acute radiation sickness?

It is possible to decrease the effects of radioactive material on your skin with removal of clothes and showers but you cannot wash away ionising radiation (as in the nuclear bomb dropped on Hiroshima).

Alexander Litvinenko died of radioactive poisoning ---he was a critic of Vladamir Putin and was buried in a lead lined coffin.

It often causes nausea and vomiting.

Severe cases can cause gastrointestinal bleeding.

Organs with rapidly turning over cells are less affected than those with slow turn over.

The dose threshold is about 1000mSv.

/10

Which of the following is FALSE about the "Titanic"?

The water temperature was -2 degrees centigrade.

1517 people died.

The movie is 3hrs 14min long. The Titanic sunk in 2hrs 40min.

The movie is longer than the time it took for the real Titanic to sink.

It was licensed to carry 64 life boats but only carried 20.

Over 1500 people died.

The water temperature was 2 degrees celsius.

{number correct}/{number of questions} correct answers

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