Scene Survey
The first thing done during scene survey
Take charge
How long RBS should take
30 seconds or less
The format time should be recorded in
24 hour time
What you should do if casualty is cold or exhibiting signs of shock
Give casualty a blanket
When initial treatment and treatment are done
- Initial Treatment: After injury is found
- Treatment: After Head to Toe
Type of consent given to unconscious casualties
Implied consent
The three qualities we check for in circulation
Temperature, Colour, Moisture
How to categorize level of consciousness
AVPU (Alert, Verbal, Pain, Unconscious)
How to monitor casualty condition during Ongoing Casualty Care
Repeat vitals to monitor casualty condition over time
What to say when doing RBS and Head-to-Toe
- Verbalize what is being checked
Information to gather about casualty
- Name, Age, Gender
- What Happened? (Mechanism of Injury)
- Head & Spinal?
How to check the airway for an unconscious casualty
Head tilt, chin lift
How often vitals should be checked for critical and non-critical casualties
Critical: Every 5 minutes
Non-Critical: Every 15 minutes
How long ongoing casualty care should last
The most important person in a scene
Yourself
From where should you approach the casualty
Approach from the feet
How to check breathing on unconscious casualty
- Place back of palm on stomach & ear next to casualty's mouth to listen for breathing
- Listen and feel for breathing for 5-10 seconds
How to check for eyes & motor in Head to Toe
- Eyes: Penlight or ask casualty to look near light source to check for pupil dilation
- Motor: check range of movement for each joint, starting from extremities
What you can offer to do for the casualty
- Remove tight clothing
- Call relatives
- Keeping an eye on valuables
- Aid them to move into more comfortable position
What to do when casualty refuses aid
- Have casualty sign written waiver & have bystander as witness
What should you do if the casualty is a child
- Ask bystanders about relationship with casualty
- Ask for consent from parents/guardian
The four critical things to remember to do during RBS
- Check for medication & medical bracelets
- Check the buttocks
- Take off shoes
- Have good casualty care
The follow-up questions you should ask if the casualty has said they have allergies
- What happens when you have an allergic reaction?
- What medication do you take for the allergic reaction?
What you should never say when reassuring casualty
- Promising casualty that they will be okay
Importance of paperwork
- Paperwork allows EMS to understand what happened and take over