Acid Attack Scenario

Question 1 of 15

1. Question

What should be your first priority?

Make sure the scene is deemed safe by police

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Locate the patients quickly as they require treatment

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Wait for your second ambulance crew so you can treat safely in numbers

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Await a scene commander to issue taskings

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Question 2 of 15

2. Question

As you are unsure of the substance, should you contact your control for potential specialist support for the treatment of these patients?

Yes

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No

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Question 3 of 15

3. Question

You contact HART due to the unknown substance, they are aware and on route, but 30 minutes out. The police have a CBRN advisor in attendance and you they report that they think the substance is strong hydrochloric acid. Would your basic nitrile gloves be sufficient enough to protect against this acid?

No

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Yes

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Question 4 of 15

4. Question

You decide to approach the patient taking extreme precautions. What advice do NARU give for approaching patients with a potentially hazardous substance on them?

Remove, Remove, Remove

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Report, Remove, Rinse

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Step 123

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Methane

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Question 5 of 15

5. Question

The patient’s remove their outer clothing which should remove most of the contaminant. They are in a lot of pain so you look to treat from a distance. You look at the first patient with burns to their left outer arm as they have shielded their face during the attack. How should you cool an acid burn?

Copious amounts of fluid, up to an hour

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20 minutes of using tepid fluid

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10 minutes of using tepid fluid

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20 minutes of using cold water

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Question 6 of 15

6. Question

Should you use a weak alkali to counteract the acidic injury and neutralise the acidic pH?

No

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Yes

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Question 7 of 15

7. Question

The second patient your crew-mate looks at has burns to the face and is complaining of pain in his left eye. Again you look at irrigating with copious amounts of tepid fluids. With eye injuries, you should…

Make sure the fluid runs away from the other eye to avoid contaminating it

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Use saline water and not plain water

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Place an eye pad over the effected eye and get the patient to keep their eye shut

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Get the patient to keep blinking to encourage tears and to push out any contaminant

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Question 8 of 15

8. Question

Once cooled, a patient should have their chemical burns dressed with cling film, True or False?

False

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True

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Question 9 of 15

9. Question

If available, should you consider the use of fluids if the patient has large burns of over >15%, similar to guidelines for thermal burns?

Yes

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No

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Question 10 of 15

10. Question

You have IV access but do not give fluid as both patients have <10% of body burns. What pain relief is appropriate to give for burns patients where indicated?

Methoxyflurane

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IV Paracetamol

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IV Morphine

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Entonox

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Question 11 of 15

11. Question

The second crew arrives and takes care of the second patient with the eye injury. You look to take your patient with the isolated left arm burn to the appropriate destination. Where do you go?

Local emergency department

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Specialist burns unit

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Local medical assessment unit

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Local surgical assessment unit

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Question 12 of 15

12. Question

If there are copious amounts of contaminant that makes the scene unsafe or makes treatment of the patient impossible due to the chance of responder injury, you should consult HART for attendance as they have specialist PPE

True

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False

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Question 13 of 15

13. Question

Some police forces may have acid response kits with additional appropriate PPE, at least 5L of water, and pH strips to help decipher what the substance is, True or False?

True

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False

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Question 14 of 15

14. Question

In recent years, the rate of acid attacks has increased by what percentage in the UK?

75%

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20%

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50%

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10%

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Question 15 of 15

15. Question

What tool can you use to determine an estimated percentage of body mass burned?

Rule of nines

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Mersey burns App

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Lund and Browder chart

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Parkland Formula

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Ottawa Rule

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