Post on 23-Dec-2015
Emergency Medical Response
EMS Support and Operations
Emergency Medical Response
You are an EMR approaching the scene of a two-car collision at a busy intersection. It is rush hour and traffic is heavy. One of the involved cars is situated on the median strip, and the other is off the road on the shoulder, just past the intersection. There are multiple occupants in each vehicle.
Lesson 42: EMS Support and Operations
You Are the Emergency Medical Responder
Emergency Medical Response
Roles of the EMRin the EMS System
Traditional EMR Functions within the 9-1-1 system
Affiliated with a servce: fire, ambulance, law enforcement, search and rescue
Non-traditional EMR Has same training as traditional EMR Works in less traditional settings
Athletic trainers Health and human performance
Emergency Medical Response
Nine Phases of EMS Response
1. Preparation for an emergency call2. Dispatch3. En-route to the scene4. Arrival at the scene and patient contact5. Transferring the patient to the ambulance6. En-route to the receiving facility7. Arrival at the receiving facility8. Clear medical facility9. Available for next emergency call
Emergency Medical Response
General Criteria for RequestingAir Medical Transport
Vehicle rollover with an unrestrained passenger(s) Motorcycle accident with driver thrown at a
speed >20 mph Multiple injured or ill people Pedestrian struck with vehicle travelling at >10
mph Fall from a height >15 feet Critical stroke and cardiac patients if ground
transport >45 minutes Critical trauma patient if ground transport >30
minutes
Emergency Medical Response
Air Medical TransportConsiderations
Types: Rotorcrafts: used for areas not
accessible to any other type of rescue craft
Fixed-wing crafts: used for transport over long distances
Considerations Weather Space and weights
Emergency Medical Response
Landing Zone Considerations (LZ)
A minimum area of 10,000 square feet (100 feet by 100 feet)
Flat, firm land An area clear of any obstacles, such as
trees or utility poles An area clear of any type of vehicular
traffic or pedestrians An area that is well lit that can easily be
seen by the pilot
Emergency Medical Response
Emergency Vehicle Safety
Vehicle preparedness Equipment preparedness – includes PPE Use of lights and sirens Responding with due regard
Obey traffic laws Weather and road conditions
Emergency Medical Response
High-Risk Situations
Intersections and highway access
Speeding Driving distractions Inclement weather Aggressive driver Unpaved roadways Responding
alone/first on the scene
Fatigue Downed electrical
lines Leaking fuel or
fluids Smoke or fires Broken glass Trapped or ejected
patients
Emergency Medical Response
ActivityYou are the first to arrive at the scene involving a tree that has fallen onto a house after a violent thunderstorm. The house is located in a rural section of the town. The wind is blowing hard and rain continues to fall, somewhat heavy at times. The tree has hit the second story of the house, damaging the roof and several windows. Tree branches, window shards and pieces of the roof litter the ground. The utility pole in front of the house is leaning toward the house. The family members, who were on the second floor when the tree hit, are outside sitting on the grass. They are dazed and have numerous cuts and lacerations that are oozing blood. Fire and utility crews have been notified but have yet to arrive.
Emergency Medical Response
Safety and Patient Care in the Ambulance
All personnel seated and secured Patient properly secured with all straps Keep three of the five essential body parts
(two hands, feet and backside) “hugging” the ambulance at all times during patient care
All moveable equipment secured
Emergency Medical Response
Jump Kit Oral airways Suction equipment Artificial ventilation
devices Basic wound supplies Other items, such as—
PPE and hand sanitizer Scissors, blood pressure cuff,
stethoscope and flashlight Maps, notepad and pen
Emergency Medical Response
You Are the Emergency Medical Responder
Additional fire rescue, police and EMS units arrive. You see that one of the occupants of the vehicle that is on the shoulder of the road apparently was not wearing a seat belt, was ejected from the vehicle and is not moving. The driver of the car on the median strip is conscious, but because of traffic you cannot get to that vehicle.
Emergency Medical Response
EnrichmentOperational Safety and Security
Begin each shift with an in-person briefing or review of written notes about any issues
Never leave an ambulance or rescue vehicle running or unattended with the key in the ignition
Monitor all vehicles, in and out of service Track all vehicle use