PT Care Notes Flashcards
What is an example of an MCI
any time the number of pts exceeds available resources
What does IMS stand for?
Incident Management System
If IMS is effectively implemented what does it allow the involvement of?
- Single Jurisdiction; single agency
- single jurasdicition; muliagency
- Multijurisdiction; multiagency
IMS allows for the expansion of a scenario from a ___________ ____________ incident to major incident in a logical manner
Non-major incident
Who controls the IMS command structure
Incident Commander
What are the 2 conditions needed to establish IMS at a medical incident
- Number of casualties
- Nature of event
What are things to do en route to the MCI as the first unit in?
- get info from CACC
- Prepare mentally
- Consider the possibility for hazardous material
- determine if other ambulances/allied resources are responding
- decide who is going to have each role
What are the 3 Main roles in basic incident management structure
- incident commander
- ambulance site coordinator
- Triage officer
Describe the role of the Incident commander
- person designated to oversee the entire on-site response and coordinate the efforts of all responding agencies
- can be singular or unified
- usually senior officer from Police, Fire, EMS
- Ensures scene safety
Describe the role of the Ambulance Site coordinator
- senior paramedic of first responding ambulance
- identify self as site coordinator
- inform CACC of your role
- Ensure scene safety and wear PPE
What is the responsibility or the Ambulance Site coordinator
- Establish ambulance command post
- Point person to communicate to other agencies and CACC
- Determine the need for additional resources
- Establish a staging area
- determine access/egress routes
record keeping (vehicle departure and patients on board)
What is the role/responsibility of the triage officer?
- assinged to one or more of the first arriving paramedics
Identify self as triage officer - conduct triage
- inform site coordinator of number of casualties, triage codes, and resources needed
As an additional unit responding to an MCI what info should you ask CACC for?
- potential hazards
- location of staging area or access route
- site radio frequency
On arrival as an additional unit what do you do?
- notify CACC of arrival
- report to site coordinator
- wear PPE
- perform role as directed
- transport as directed
- record pt care on triage tag and retain the numbered corner after transport
When Triaging, you assess the severity of injuries based on?
- abnormal physiological signs
- anatomic injury
- concurrent disease factors
Principles of Primary Triage
- categorize patient condition for treatment
- document patient location and transport needs
- labels patient with triage labels, tags, or tape
- focuses on speed to sort pts
- only lifesaving airway or hemorrhage control rendered
Principles of Secondary Triage
- performed at treatment area
- pts re-triaged and re-labelled
What does START triage stand for?
“Simple Triage and Rapid Treatment”
What do you evaluate in the START Triage?
- 60 second assessment
Evaluate
- ability to walk
- respiratory effort
- pulse/perfusion
- neurological status
When doing a SALT Triage, how do you first divide pts?
- if they are still, or have an obvious life threat
- If they can wave or make purposeful movement
- walk
When doing a SALT triage what do you evaluate first?
LSI
- control major hemmorhage
- open airway (if child consider 2 rescue breaths)
- Chest decompression
- auto injector antidotes
4 questions to ask while doing SALT triage if the pt is breathing
- obeys commands
- has a peripheral pulse
- not in respiratory distress
- major hemorrhage is controlled
If any of these are answered no
Is the to likely to survive with the current resources?
If no - Expectant
If yes - Immediate
- obeys commands
- has a peripheral pulse
- not in respiratory distress
- major hemorrhage is controlled
If all of these are yes and they only have minor injuries what priority is the pt?
Minimal (Green)
- obeys commands
- has a peripheral pulse
- not in respiratory distress
- major hemorrhage is controlled
if the pt has all of these and non minor injuries what is the priority of the pt?
Delayed
