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Chapter Special  Operations Twenty-Eight
[object Object],[object Object],[object Object],[object Object],CORE CONCEPTS Chapter Twenty-Eight (Continued)
[object Object],[object Object],[object Object],CORE CONCEPTS Chapter Twenty-Eight
[object Object],and decision making. ,[object Object],easier with unified command. Incident Management System
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],EMS Sectors in Incident Command
Point out to new EMT-Bs that the EMS commander who doesn’t delegate, but instead attempts to wear all the vests, cannot possibly get the overall picture of the incident, because he or she has taken on too much responsibility. P RECEPTOR  P EARL
[object Object],[object Object],sector officer. ,[object Object],[object Object],to officer. Role of EMT-B in EMS
Multiple-Casualty Incident (MCI) An incident that places a great demand on EMS equipment and personnel Sorting multiple casualties into priorities (3 levels) for care or transportation Triage K EY TERMS
Encourage new EMT-Bs to practice declaring EMS Command, establishing a triage sector, donning sector vests, giving an arrival report to dispatch, and applying triage tags at all incidents involving three or more ambulances. In this way, the procedures will be second nature to them at larger incidents. P RECEPTOR  P EARL
[object Object],[object Object],[object Object],MCI Triage Priority 1 (Continued)
[object Object],problems ,[object Object],[object Object],MCI Triage Priority 1 (Continued)
[object Object],[object Object],joint injuries ,[object Object],MCI Triage Priority 2 (Continued)
[object Object],[object Object],[object Object],MCI Triage Priority 3 (Continued)
MCI Triage Tag
[object Object],[object Object],triage officers. ,[object Object],all patients first. (Continued) MCI Procedures
[object Object],equipment to P-1 patients first. ,[object Object],[object Object],[object Object],[object Object],MCI Procedures
START S imple  T riage  A nd  R apid  T reatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],START S imple  T riage  A nd  R apid  T reatment
START Before beginning assessment: ,[object Object],[object Object]
If patient is not breathing, and opening airway does not cause patient to start, he is priority 4. START Step #1: Assess respirations.
START Step #1: Assess respirations. ,[object Object],[object Object],[object Object]
If the patient has no pulse, is unresponsive, and is not breathing, he is priority 4. START Step #2: Assess radial   pulse .
[object Object],[object Object],START Step #2: Assess radial pulse.
[object Object],[object Object],START Step #3: Assess mental status.
Assess all the patients who walked to the designated area using the same 3 steps. START Re-triage the walking wounded.
Hazardous Materials ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Hazmat Identification (Continued)
Identify substances from a distance.
Hazmat Placard
Vehicle with Placards
Approach to Scene ,[object Object],[object Object],[object Object],[object Object],[object Object],Hazmat Incident (Continued)
Approach to Scene ,[object Object],[object Object],[object Object],Hazmat Incident
Emphasize to new EMT-Bs that they must not rescue people from the hot zone unless they have been trained to the proper level and are dressed with the appropriate protection for the chemical involved. P RECEPTOR  P EARL
Hazmat Resources ,[object Object],[object Object],[object Object],(Continued)
Emergency Response Guidebook
[object Object],[object Object],Hazmat Training
[object Object],[object Object],[object Object],[object Object],[object Object],OSHA 1910.120
Point out to new EMT-Bs that it is important to ask if patients have been properly decontaminated and exactly how this was done before patients are loaded into their ambulance. The last thing anyone wants to do is transport contaminated patients to the hospital. This could lead to a shutdown of the entire ED in order to decontaminate the department’s personnel. P RECEPTOR  P EARL
1. What should an EMT-B do when first to arrive at a hazmat scene? 2. What resources are available to  identify hazardous substances? 3. What are the responsibilities of the EMS   sector officers at an MCI? 4. What is the difference between the NFPA    704 and DOT UN placards systems?  R EVIEW QUESTIONS

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Special Operations

  • 1. Chapter Special Operations Twenty-Eight
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  • 6. Point out to new EMT-Bs that the EMS commander who doesn’t delegate, but instead attempts to wear all the vests, cannot possibly get the overall picture of the incident, because he or she has taken on too much responsibility. P RECEPTOR P EARL
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  • 8. Multiple-Casualty Incident (MCI) An incident that places a great demand on EMS equipment and personnel Sorting multiple casualties into priorities (3 levels) for care or transportation Triage K EY TERMS
  • 9. Encourage new EMT-Bs to practice declaring EMS Command, establishing a triage sector, donning sector vests, giving an arrival report to dispatch, and applying triage tags at all incidents involving three or more ambulances. In this way, the procedures will be second nature to them at larger incidents. P RECEPTOR P EARL
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  • 20. If patient is not breathing, and opening airway does not cause patient to start, he is priority 4. START Step #1: Assess respirations.
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  • 22. If the patient has no pulse, is unresponsive, and is not breathing, he is priority 4. START Step #2: Assess radial pulse .
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  • 25. Assess all the patients who walked to the designated area using the same 3 steps. START Re-triage the walking wounded.
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  • 33. Emphasize to new EMT-Bs that they must not rescue people from the hot zone unless they have been trained to the proper level and are dressed with the appropriate protection for the chemical involved. P RECEPTOR P EARL
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  • 38. Point out to new EMT-Bs that it is important to ask if patients have been properly decontaminated and exactly how this was done before patients are loaded into their ambulance. The last thing anyone wants to do is transport contaminated patients to the hospital. This could lead to a shutdown of the entire ED in order to decontaminate the department’s personnel. P RECEPTOR P EARL
  • 39. 1. What should an EMT-B do when first to arrive at a hazmat scene? 2. What resources are available to identify hazardous substances? 3. What are the responsibilities of the EMS sector officers at an MCI? 4. What is the difference between the NFPA 704 and DOT UN placards systems? R EVIEW QUESTIONS