Transcript EMS Disaster Response and Equipment

©
PDLS :
EMS Disaster Response
and Equipment
Practical Matters
Learning Objectives:
 List and describe the Three Phases of
Disaster
 List specific equipment tools that can be used
during a disaster response
 List five groups that must be targeted for
Pre-Disaster education
 List and describe six positions of the Incident
Command System
Learning Objectives:
 Describe the procedure for formal declaration
of a disaster
 List and describe the different types of
communication devices that can be utilized
during a disaster
Phases of Disaster
 Phase One:
0-48 hours
 Phase Two:
2-7days
 Phase Three: beyond 7 days
Pre-Incident Preparation Education
 Human Resources
 Transportation
 Equipment
 Supplies
 Communication
Equipment
 Child specific
 Pre-packaging
 Containment shells
 Rapid access
 BLS / ALS
 Transportation of equipment
Equipment
 Monitoring - Check off procedure
 Rotation
 Security
 Special needs
Containment Shells
 Easy access
 Water proof
 Insect resistant
 Isolated from extremes of temperature
 Isolated from extremes of humidity
 Portable
 Monitored
Packaging
 Top to bottom
 BLS / ALS specific
 Pre-determined scope of practice rules
 Policy formulation
 Incident specific arrangements
 Sectioning shell - age specific
Supplies:
 Oral pharyngeal
airways
 Bag Valve Mask’s
 O2 / delivery devices
 Pulse oximeter
 P.O. ear probes
 CO2 monitors
 Trauma scissors
 Stethoscopes
 Blood pressure cuffs
 Cervical collars
 Portable suction
 Padded board splints
 Obstetrics kit
 Blankets
 Sheets
Supplies
 Car seats
 Needles
 Toys
 Sharps containers
 Airway rolls
 Glucometer
 O2 multiplexer
 I.O. needles
 Naso-gastric tubes
 Broselow Tape
 Chest tubes
 Adhesive tape
 Nebulizers
 Medications
 I.V. solutions
 Clean water / cups
Supplies
 Formula
 Ground clothes
 Purifier / preservative
 Paper / waterproof
pens
 hand lights with
batteries
 Disaster Tags
 Light sticks
 Disposable bags
 Candles / waterproof
 Chlorine bleach
matches
 Rain tarps/ poles
 Soap / towels
 Hand tools
Supplies
 Radio CB/am/fm
 Trauma dressings
 Whistle
 Gauze
 Meals Ready to Eat
 Hydrogen peroxide
 Bandage
 Alcohol
 Triangular bandage
 Cold / hot packs
 Kling
 Gloves
 Aluminum foil
 Instaglucose
 Vaseline gauze
 Sterile water /
saline
Supplies
 Backboards/ straps
 Optional / Monitors defibrillators
 AED / SAED
 Other regional specific adjuncts
Supplies
 Expanded practice
 Special needs
Nutritional needs
 Specific to age
 Specific to region
 Disaster type
 Transportation availability
 Packaging requirements
Personal Protection Equipment
 Hazardous Environments
 Bombs
 Radiation
 Chemicals
Child Protection
 Security
 Safe/Rapid - event removal
 Psychological Trauma
 CISD - Child specific
 Lost children
 Child Care Agencies referral
 Parental / family death’s
MCI Critical Functions
 Scene size-up
 Initial notification
 Establish Command System
 Identify patients - Triage
 Tagging
 Treatment
 Prioritized Evacuation
 Stabilization and Treatment
 Communication Coordination
 Loading and Transportation
Incident Command System Overview
 EMS Incident Commander
 Triage Officer
 Tagging Officer
 Loading Officer
 Treatment Officer
 Transportation - Staging Officer
 Communications Officer
 Safety Officer
 Public Information Officer
EMS Incident Command
 Coordinates EMS activities - activates MCI
response plan
 Supervises and manages: Triage-Tagging-
Treatment-Transportation
 Selects EMS Command Post -Treatment -
Loading and Staging Officers and areas
 Assigns incoming personnel
 Guides Medical decisions
Triage Officer
 Rapidly assess ALL victims
 Focuses on immediate life-threatening
problems
 Limited Treatment
 Supervises personnel in active incident area
 Directs and Prioritizes evacuation until all
victims have been Triaged-Tagged and
Evacuated
Tagging Officer
 Classifies Individuals using METTAGS
 Determines order of evacuation to
Treatment area
 Reviews the status of each patient
 Tags and records major injury sites on
METTAG
 Moves to Loading Officer when tagging
task completed
Loading Officer
 Supervise loading of patients after initial
stabilization and treatment
 Coordinates order of departure and
destinations of patients
 Responsible for time critical transportation
decisions
Treatment Officer
 Best Trained most experienced
 Sets up treatment area
 Oversees and monitors patients
 Treats patients when necessary
 Reviews and updates classifications
 Assembles available equipment and supplies
 Arranges sub areas for METTAG
classification
Staging Officer
 Coordinates movement of vehicles in the
staging area
 Coordinates off loading of equipment to
pooling area
 Directs Incoming personnel to
appropriate areas
 Coordinates travel routes with the
Incident Commander
Communication’s Officer
 Coordinates all communication activity
 Establishes radio flow patterns
 Integrates multi-agency activity
 Limits radio access
 Assigns talk groups and linkages
 Assists Loading and Treatment Officers
with out-flow communications
Safety Officer
 Assists the Incident Commander regarding
safety procedures
 Reviews all scene activity and identifies
potential hazards
Public Information Officer
 Assists the Incident Commander with release
of information
 Sets up Media-Public Information area
 Coordinates information for public release
with the Incident Commander
Communication
 Telephones
 Cellular phones
 Pager systems
 Radios: HAM / CB
 UHF / VHF
 Whistles
 Loudspeakers / Megaphones
Communication Failures
 Environmental
 Geographics
 Failure to have priority arrangements
 Properly trained manpower
 Software options
 Terminology
Transportation
 Stages of patient movement
 Vehicle:
- Types
- Fuel
- Maintenance
- Staff
- Travel routes
- Accessories
Patient delivery systems
 Ground specific
 Air specific
 Water specific
 Specialized
Educational Resources
 Schools
 Training Academy’s
 Institutions of professional medical education
 Coordinating Body / Lead Agency
identification
Responders
 Public -Training/Education
 First Responders
 Emergency Medical Services:
Basic/Advanced levels
 R.N.’s / M.D.’s / Specialists
 C.I.S.D. - Children's team