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IMF-074-01-0001-en	Scarcity changes priorities in disaster and austere medicine. What does it not change?	It does not suspend clinical reasoning or accountability, because the task is to achieve the greatest justified benefit without abandoning individual dignity.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0002-en	What distinguishes a mass-casualty incident from a disaster?	A mass-casualty incident is patient need exceeding immediately available resources, whereas a disaster disrupts community function beyond local capacity and may be sudden or slowly evolving.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0003-en	Why can prevention in the disaster cycle save more lives than heroic response?	Impact depends on vulnerability and exposure as much as on the hazard, so resilient buildings, vaccination, land use, heat planning and supply chains reduce harm before the event occurs.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0004-en	Why are remote, rural and resource-limited settings not interchangeable categories?	Remote means far from timely definitive care, rural may mean stable communities with limited specialist and retrieval capacity, and resource limitation includes temporary scarcity even in wealthy systems.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0005-en	How does mass-casualty triage differ in priority from everyday triage?	Everyday triage prioritises the sickest, whereas mass-casualty triage may prioritise those most likely to survive with immediate limited intervention, because resources cannot meet all needs.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0006-en	Why does initial triage deliberately sacrifice diagnostic detail, and how can simple actions alter the result?	Speed matters more than detail when many patients await sorting; opening an airway, controlling haemorrhage or giving an antidote can change a patient's category.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0007-en	Why is triage repeated, and what harm do over-triage and under-triage each cause?	Deterioration, treatment response, resource arrival and evacuation delay change priorities; over-triage consumes scarce resources, while under-triage delays salvageable patients.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0008-en	What does expectant classification mean, and what obligations remain?	Survival-directed resources cannot currently achieve benefit relative to competing needs; analgesia, symptom relief, warmth, communication and presence remain obligations, and category is reconsidered as capacity changes.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0009-en	Why should clinical expertise inform but not replace incident command, and why are redundant communications needed?	Command creates clear roles for leadership, operations, planning, logistics and safety within a limited span of control; power, internet and cellular networks may fail.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0010-en	Why must scene safety precede patient contact, and how do the hot, warm and cold zones differ?	Responders must not become additional casualties; hot zones contain active danger needing specialised protection, warm zones support decontamination, and cold zones permit safer treatment.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0011-en	Why should casualty distribution be coordinated rather than sending patients to the nearest facility?	Coordinating collection, transport and destination prevents uncontrolled movement toward the nearest facility, and destinations are chosen by capability and capacity rather than distance alone.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0012-en	After an explosion, what can tympanic rupture tell you, and what can it not?	It can indicate blast exposure but does not reliably predict primary lung injury, so its absence or presence should not decide pulmonary risk.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0013-en	Why is undirected washing not universally safe in chemical incidents?	Water-reactive or oily agents require substance-specific procedures, so decontamination must follow the agent rather than a single routine.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0014-en	Why does distinguishing radiological contamination from irradiation matter for staff safety?	External contamination can be reduced by removing clothing and gentle washing, while an irradiated but uncontaminated patient does not expose staff.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0015-en	In a radiological incident, what is treated first: life-threatening trauma or exhaustive decontamination?	Life-threatening trauma is treated first, unless the contamination itself creates immediate danger.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0016-en	What features suggest a biological event, and why should security concerns not override care?	Unusual clusters, rare syndromes, unexpected season or geography, severe disease in healthy people or animal illness; natural outbreak and deliberate release look identical initially, and patient care still comes first.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0017-en	Why should monitoring and treatment begin before extrication in crush injury where feasible?	Deterioration can follow release of compression through hyperkalaemia, acidosis and shock, so potassium-containing fluid is avoided and arrhythmia and dialysis need are anticipated.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0018-en	Which burn features threaten breathing or limb perfusion beyond depth and area?	Facial or enclosed-space burns can cause progressive airway oedema, and circumferential burns can impair ventilation or limb perfusion.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0019-en	What limits the use of permissive lower blood pressure before haemorrhage control?	It may limit bleeding only in selected trauma before control, requires context, and is inappropriate with severe brain injury.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0020-en	Why are rewarming and prevention of heat loss part of haemorrhage resuscitation?	Hypothermia worsens coagulation, acidosis and shock, so heat loss from ground, wind, wet clothing, exposed skin and cold fluids must be prevented alongside haemorrhage control.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0021-en	Why are descent and oxygen definitive for altitude illness while medication is only adjunctive?	The illness results from reduced inspired oxygen pressure causing hypoxaemia, which descent and oxygen address directly, and acute mountain sickness can progress to cerebral or pulmonary oedema.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0022-en	Why can flying after diving precipitate diving illness?	Flying lowers ambient pressure, which can provoke symptoms after a dive; neurological, vestibular, respiratory or joint symptoms then need oxygen and hyperbaric consultation.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0023-en	Why can chronic disease cause more morbidity than acute trauma after a disaster, and how is this prepared for?	Interrupted insulin, anticoagulation, dialysis, antiseizure drugs, psychiatric medication and oxygen create predictable crises, so a formulary and simplified continuity records belong in preparedness.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending
IMF-074-01-0024-en	How can external responders cause harm in remote and Indigenous communities, and why may official directions be distrusted?	Bypassing local leadership and imposing inappropriate systems ignores local knowledge of geography, language and evacuation, and historical mistreatment can make official directions reasonably suspect.	Integrated Medical Foundations; chapter 74, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 5bc38b44d53375096539c8d05a75a408626f060712d7d3a5c932038b193d0061; editorial review pending	imf lang::en chapter::074 module::074-01 review::pending