History
What does NIMS stand for?
National Incident Management System.
What does Safety stand for?
What hazards still remain? Fire, electrical, shooter, gas, structural collapse.
SALT Stands for what?
Sort, Assess (RPM), Lifesaving Intervention, Treatment/Transport.
What is the Incident Commander's Job?
Life safety, incident stabilization, property conservation.
What happens at Choke Point?
brief secondary exam by triage supervisor, Stat Band, apply sticker to triage board, direct to RED or YELLOW treatment areas.
After RED and YELLOW pt, reassess the GREENS too.
Most common mess ups when tagging?
Triage based on distracting injury.
Triage based on closest to where you parked.
Who is the creator of NIMS?
George W. Bush
What does Size up stand for?
(Use your scene size up as a guide)
Nature of incident, number of pt, how bad are the injury's, setting (school, mall, hospital), concerns, what needs to get done?
How do we Sort Pt's.
Get on the PA system, anyone can walk send them to a safe location (green), tell people to raise hands or look at you (yellow), anyone not looking at you or moved is RED. Anyone obviously dead is black.
What is the Role of Medical Branch Director?
Reports to incident Commander only if that role has been given to someone else.
Responsible for all medical operations and SUPPLIES.
Assigns, briefs, and commands triage, treatment, and transport.
Officer of first arriving unit.
You are the Triage Supervisor you have tags from pt's bands in your pocket.
You pull out a tag with yellow, red, and green.
What COLOR is your PT.
Black.
Main difference between MPS (multiple pt scene) and MCI (multi casualty incident)?
One stresses resources, the other overwhelms resources.
There is about one 40 pt MCI per month in the US.
Define Send Help?
Initial Radio Report, Start Command, Declare MCI, ADDITIONAL RESOURCES (law enforcement, utilities, SORT)
How do we define Assess?
Assign triage teams of two responders. Grab box of gloves, and kits (Surveyor Tape, Israeli bandage, chest seal, tourniquets)
Start with non responsive, then move to could raise hands, greens will be assessed later.
Airway, pulse, major bleed, LOC.
Apply tape and KEEP A PIECE FOR YOURSELF.
What is the Role of the Triage group supervisor?
Develop and deploy triage teams and harvesting teams.
Preforms secondary at Choke Point apply band and barcode label.
REPORTS TO Medical.
Who takes role of triage group supervisor?
The first units DRIVER.
You are the Triage Supervisor you have tags from pt's bands in your pocket.
You pull out a tag with green.
What COLOR is your PT.
YELLOW.
What is Thurston County's main source of MCI's?
Motor Vehicle Accidents.
Define Set Up?
Establish perimeter, choke pt, treatment area (secondary split between yellows and reds), loading area, transport corridor, staging area for resources. Stage greens away from chaos.
How to define RPM?
Resp (Fast, slow, noisy)
Pulse (Present or absent? Major bleeding?)
Mentation (follow commands? Wiggle finger and toes.)
What is the treatment group supervisor role?
Paramedic should be on this role.
Overlooks treatment given green, red yellow.
Coordinate transport, reports to MEDICAL.
Why do we skip going to the nearest hospital?
Because all the greens that can drive will take themselves to the nearest place for help.
You are the Triage Supervisor you have tags from pt's bands in your pocket.
You pull out a tag with yellow, and green
What COLOR is your PT.
RED.
Name the Five S's.
1. Saftey
2. Size - up
3. Send help
4. Set - up
5. START
Define Sort?
Sort by color.
Green can walk and follow orders.
Yellow can follow orders but cannot walk away.
RED not following orders cannot walk away.
BLACK obviously deceased (No RPM).
How to know what color to tag a pt?
Not breathing try open airway if still no tag BLACK (1 to 8y/o give 2 breaths).
Begins breaths tag RED, breathing fast, slow, noisy tag RED.
Breathing normal continue, radial pulse absent tag RED, pulse present continue, CONTROL MAJOR BLEED.
Can't move finger and toes tag RED, if they can YELLOW.
What is the Role of Transport group supervisor?
Coordinate vehicle load up with treatment supervisor.
Obtains hospital destination, finds out how many beds each has through (DMCC).
Supervises Loading teams.
What does DMCC stand for?
Disaster Medical Control Center.
St Peter's is primary.
Transport Aide is the one who usually contacts them.