Ambulance Ops Final Flashcards
The incident command team
Incident site manager, ambulance site coordinator, triage officer, traffic control officer, safety officer, CACC
Incident site manager role
Oversee the entire on site response, coordinates the efforts of all responding agencies
Ambulance site coordinator role
Senior paramedic on scene, organizing scene
Triage officer role
Triage pts, coordinate holding area
Traffic control officer roles
Scene safety, movement of ambulance, record pt movement
Red triage
immediate/emergent- CTAS 1 or 2
Yellow triage
Urgent- CTAS 3
Green triage
Delayed transport- CTAS 5 or 5
Only exception to VSA patients
Electrocutions
First check on MCI triage
Obviously dead
Airway when triaging
If its patent move on, if it not preform a jaw thrust.
If then it opens move on to breathing if still not open blue tag
Breathing triage
If rate is more than 10 or less than 30 move on.
If rate is less than 8 or greater than 30 they’re red.
Circulation triage
If radial pulse present, move on.
If not radial pulse, red.
LOC + potential life threats
Alert - Green or yellow
Verbal - Green or yellow
Pain - Yellow or Red
Unresponsive- Red
What kinds of vehicles does ontarios air ambulance have
Rotary, fixed wing and land ambulance
FFT physiological criteria
- Pt does not follow commands
- SBP <90mmHg
- Resp rate <10 or >30
If pt meets these criteria and land transport time is <30mins, go to LTH
FFT anatomical criteria
- Penetrations to head/neck/torso
- Two or more long bone fractures
- Crushed/pulseless extremities
- Chest wall instability
- Amputation
- Pelvic fracture
- Paralysis
- Open/depressed skull fracture
FFT if pt has penetration to head/neck/torso
Still transport to LTH even if survival is unlikely
FFR mechanism of injury
- Adults fall from >6metres
- Children falls from >3metres
- High risk auto crash (intrusion, ejection
- Pedestrian struck
- Motor cycle crash >30km/hr
FTT Special criteria
- Age (risk of death over 55/ SBP <110 after 65)
- Bleeding disorders
- Burns
- Pregnancy
Operational criterial for air ambulance
Land ambulance will take more than 30 mins to reach scene and air will reach it faster
Land ambulance will require more than 30 mins to travel to hospital and air will arrive faster
Both air and land will arrive at same time but pt needs air ambulance care
Clinics criteria for air ambulance
- a criteria from the FTT
- Shock
- Stroke with onset <6 hours
- GSC <10
- Resp failure/distress
- STEMI or lethal dysrhythmia
- Status epileptic
- Unstable airway
Air ambulance clinical criteria obstetrical
- Active labour with abnormal presentation
- Multiple gestation and active labor
- Unbiblical cord prolapse
- Significant vaginal bleeding