EMS Responsibilities 203.01 Flashcards
A multi-patient is defined as any incident with fewer than how many patients?
25 patients
A mass casualty incident is defined as any incident involving how many patients?
25 to 100 patients
A disaster is defined as any incidents involving how many patients?
Involving more than 100 patients
What are the general tactical objectives for multi-patient or mass casualty incident?
- Remove endangered occupants and treat injured
- Stabilize the incident and provide for life safety
- Ensure functions of triage, extrication, transportation are established as needed
- Provide for safety, accountability, welfare of rescuer personnel and victims
- Conserve property
What are the EMS tactical objectives to be completed during multi-patient/ mass casualty incident?
- Completion of a triage report
- Declaration of all immediates transported
Patients should be transported in what priority order?
- IMMEDIATE
- DELAYED patients upgraded to IMMEDIATE
- DELAYED
- MINOR
Initial actions on a multi patient/ mass casualty should include?
- Give an on-scene report and assume command. Initiate triage.
- Perform a rapid hazard assessment and establish a safe zone to operate.
Initiate traffic control and provide a safe work/treatment area. - Provide for occupant protection (charged hand line).
- Call for additional resources.
- Radio a Triage Report to Dispatch.
- Stabilize hazards and/or remove patients to a treatment area.
- Assign crew(s) specific task(s) to accomplish.
- Early sectorization (triage, extrication, treatment, and transportation) or by location (north, south, east, west).
- Initiate patient assessment and treatment functions.
- Coordinatepatienttransportation.
When should triage tags be used?
- any time there are three or more immediates or more than 10 patients
What units will go directly to the scene on greater alarms (ie.. 2-1 medical, 1st alarm medical, 2nd alarm medical)
- First arriving company will go directly to the scene
- first paramedic unit
- first ladder
- first Chief Officer
- first rescue
- All other companies will use level 1 staging
IC is responsible for the strategic level of the command structure and should?
- Determine the appropriate strategy
- establish over all incident objectives
- set priorities
- develop an action plan, communicate plan
- obtain and assign resources
- planning- based on evaluating intervention and predicting outcomes
- communicate specific objectives to tactical level units
- initiate a unified command with other agencies
Most multiple- patient incident require what Basic sectors?
Patient Triage
Extrication
Treatment
Transportation
Staging sector is a major consideration action durning larger incidents
The purpose of Triage sector is?
- Determine in slope coordination with extrication the location, number and condition of patients
- whether triage should be performed before or after patients are extricated.
- Supervise triage teams
- provide command with a triage report when triage is completed.
- Forward tracking slips to command
The purpose of Extrication Sector is to?
- Determine In close coordination with Triage, Location, number, and condition of patients.
- Whether or not triage will be performed before or after extrication
- Assign and supervise extrication teams
- extricate and deliver patients to treatment area
- Notify Command when all patients have been removed from impact area
- Minor patient will be assessed by Extrication and delivered to treatment if further medical care is warranted
The purpose of Treatment Sector is?
- Determine if treatment will occur in place or in designated treatment area.
- A centralized treatment area is preferred
- Responsible to assign and supervise treatment teams
- Ensure all patients have been triage, assessed and treatment as needed
- Coordinate patient allocation with Transportation Sector
- Notify Command when all patients have been treated
The purpose of transportation Sector is?
- Obtain all modes of transportation needed to take patient to the hospital
- Determine in conjunction with command the location of staging area, Rescue area, and Helicopter landing zone
- Determine hospital availability through dispatch
- supervise the movement of patients from treatment area to ambulance loading area or helicopter zone
- Determine hospital destination and notify hospitals of rescue or ambulance arrival through dispatch
- Remove tracking slips from triage tag prior to transport
- Notify Command when all Immediate’s have been transported and maintain an accounting of all patients
