Scene Size up Flashcards
1
Q
scene management challenges
A
- crowd control
- resources
- biohazards, radiological and toxic
2
Q
preparedness
A
- mitigation
- when on the scene of an incident, you must rely on training and reference sources
- know how and when to access specific toxicologic information
- understand how a hazardous materials scene is organized and where you fit in
- know where to find the emergency response plan in your facility
3
Q
general considerations
A
- emergency operations must be conducted in a structured, consistent manner
- strong emphasis is placed on standard operating procedures (SOPs)
- it is critical to ensure your own safety
- it may not be possible to identify what hazards are present
- warning signs include:
- signs and symptoms from patients
- placards and labels
4
Q
if you suspect an attack:
A
- ensure scene safety and personal safety
- notify dispatch and/or supervisor
- request additional specialized resources
- establish or coordinate with command
- initiate mass casualty incident procedures
5
Q
general consideration steps
A
- approach scene with caution and UPWIND
- carry out scene assessment
- establish incident command (each responding agency)
- recognize signs and indicators of CBRN incidents
- determine whether CBRN or hazardous material incident
- estimate the number of causalities/victims
- estimate resource requirements (certain hospitals dont take certain trauma patients -> OB)
- carr out primary triage, decontamination, secondary triage, medical care, and transport
- consider specialist advice/resource requirements
6
Q
scene safety
A
- do not enter the scene if there is any doubt that it is not safe
- the best location for staging is upwind and uphill
- wait for assistance from trained personnel
7
Q
pre-arrival information
A
- pre-arrival information
- size up begins with dispatch
- the name, location, and nature of the incident help the first responders anticipate what might be happening at the scene
8
Q
scene size up
A
- sizing up the incident
- size up is a systematic process of gathering and processing information to evaluate a situation
- the end result is an incident action plan
- an experienced provider will adjust the plan as more information becomes available
9
Q
Lloyd Layman’s 5 step size up process
A
-facts
-probabilities
-situation
-decision
-plan of operation
-
10
Q
scene size up: facts
A
- things that are known about the incident
- time of day- you have less resources at night -> be prepared
- weather
- resources
- location of incident
11
Q
scene size up: probabilities
A
- things that are likely to happen or can be anticipated
- what other bad things can happen
12
Q
scene size up: situation
A
- the situation assessment involves 3 considerations:
- are the resources on scene and en route sufficient to handle the incident
- what are the specific capabilities and limitations of responding resources (equipment) in relation to the problem
- what are the specific capabilities and limitations of the personnel based on training and experience
13
Q
scene size up: decisions
A
- make a judgement call
- be decisive
- plan is dynamic -> change plan if you need to
- gather the facts before your decision
- are there enough resources responding to and on the scene to mitigate the situation
- are there sufficient resources available and do conditions allow for an interior attack
- what is the most effective assignment of on scene resources
- what is the most effective assignment of responding resources
14
Q
scene size up: plan of operation
A
-develop the actual plan that will be used to mitigate the incident
15
Q
plan of operation: goal
A
- life safety
- incident control/stabilization
- environmental protection
- systems/infrastructure protection
- property protection
- mode of operation
16
Q
operation actions
A
- make immediate contact with incident commander for coordination
- isolate the area upwind and uphill initially
- > then in specified directions as per the incident commander or hazmat team
- identify a safe staging location for incoming units
- give access and egress to these units if necessary
- mobilization points for resources may be set up away from the scene and resources deployed as necessary
