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Showing posts with label pre-hospital-care. Show all posts
Showing posts with label pre-hospital-care. Show all posts

The Incident

 OBJECTIVES:

upon completion of this lesson,you will be able to;

1)List the five items of information to obtain when receiving a call for assisstance.

2)Name five factors to consider when responding to a call

3)List the three steps for scene size-up ,in proper order.

4)List the six items of information that should be included in the initial report when arriving at the scene.

5)List the three priorities for securing the scene

6)Name five basic tools used to gain access to a patient trapped in a vehicle

7)List two ways to gain access to a patient trapped in a vehicle.


The incident 

definition : an event caused by a natural phenomenon or human acitivity that requries the intervention of emergency services personnel to prevent or mitigate loss of life and damages to property and the envoriment.


Call for Assisstance

information to obtain:

1)Address /location of the incident.

2)Identify the origin of the call (telephone,radio,in-person,etc)

3)Incident type(what is happening)

4)Vicitms(Quality and condition)

5)Actions taken.


Response

When responding to an incident ,the following factors should be considered;

*Day of the week (traffic,etc)

*Time of the day (school ,business hours,people at home,etc)

*Weather(Rain,wind,storms,etc)

*Social Disturbances

*Topography(winding roads,etc)

*Hazardous materials(fuel leaks,radiation,etc)

*Acess routes (freeways,crossings,bridges,height,weidth,road maintance,etc)

*Power lines

*Proper vehicle placement



Types of Incidents


*Motor vehicle collision

*Structural Fire

*Natural phenomena

*Water rescue

*Medical Emergency

*Hazardous materials

*Structural collapse

*Electrical

*Aircraft accident


Scene Size-up

definition:The evaluation of factors that are used in the decision-making process to establish the strategy and tactics.


Scene Size-up Criteria

using the following criteria for scene size-up ,in this order:

1) (determine actual state)

2)Where is it going?(determine potential situation)

3)How do i control it?(determine operations and resources needed)


Reporting 


The following information should be included in the intial report:

1)Address/location..............................................................

2)Type of incident................................................................

3)Envorimental conditions..................................................

4)Current situation...............................................................

5)Number of victi............................................................

6)Resources needed............................................................






Exercise :Scene Size-up


Scene-Size up



what is the current situation ?(actual state)....................................................................................................................................................................................................................


What is it going?(potential situation)...............................................................................................................................................................................................................................


(operations and resources needed)


Guide to reporting scene Information (To Dispatch Office)


Address/location......................................................

Type of incident........................................................

Environmental conditions........................................

Problems present....................................................

Number of victims...................................................

Resources needed...................................................



securing the scene


there are three priorities when securing the scene:

1) Place your vehicle properly...............................................................

2)Isolate and mark the scene...............................................................

3)Mitigate risks.....................................................................................



Gaining Access


The MFR should always analyse the need for personal protection, such as helmet, eye protection ,mask ,self-contained breathing apparatus,gloves,etc,before attempting to gain access to a patient. In case the incident occours in water ,cliffs,etc,the MFR  should request assisstance from specially trained personnel.


Basic Tools


fill in the local names used for the tools lsited below:

*Pliers 

*Pry bar

*screwdriver

*Vise grips

*Tin snips

*Axe

*Hammer

*Hacksaw

*Knife

*Rubber mallet

*Rope

*Automatic center punch

*Kelly tool

*personal protective equipment



Gaining Access to buildings


Always look for alternate means of entry. Consider the easiest route for entry and exit based on the situation and the patient's neeeds.


NOTES......................................................


Doors........................................................


Windows..................................................



Gaining Access to Vehicles Using Basic Tools


Generally and if possible ,medical treatment should begin before the patient in extricted .The patient should be removed in  such a way as to minimize futher injury . Access may be simple (not requiring tools) or complex (requiring tools and special training). Take only those steps you are trained to take .Call for additional resources.

NOTES...............................................................................

Doors.................................................................................

Windows...........................................................................


Post-Test The Incident


1)List the five item of information to obtain when receiving a call for assisstance.

*

*

*

*

*

2)List Five factors to consider when responding to a call

*

*

*

*

*

3)List the Three steps to scene size-up ,in proper order.

*

*

*

4)List the six items of information that should be included in the initial report to the dispatch office when arriving at the scene.

*

*

*

5)List the Three steps to secure the scene

*

*

*

6)List Five Basic tools used to gain access to a patient trapped in a vehicle.

*

*

*

*

*

7)List two ways to gain access to a patient trapped in a vehicle

*

EMS & MFR

 EMS System

a network of resources linked together for the purpose of providing emergency care and transport to victim of sudden illness or injury.


Medical first responder(MFR)

the first person on the scene of an incident with emergency medical care skill ,typically to most basic EMS level.


Quality of the MFR

*responsibility

*honesty

*pride(hygiene,uniform,personal appearance)

*emotional stability

*professional demeanour 

*good physical condition

*demonstrated ability


Duties of the  MFR

1)protect your saftey and saftey of your crew, the patient, and bystander

2)gain access to the patient

3)assess the patient to identify life-threatening problems

4)alert additional EMS resources

5)provides care based on assessment findings

6)assisst other EMS personnel

7)participate in record-keeping and data collection as received

8)act as liaison with other public saftey workers

9)perform patient packaging and preparation for the movement and transportation.


Responsibilities of the MFR

MFR responsibility refers to the legal and ethical obligations that all person who practice an art or profession must be accountable before the law for any acts that cause harm as a results of carrying out that activity.


scope of care :

actions that are legally allowed by the MFR when providing patient care.

Notes.......................................................................................................................................................

Duty to act:

The contractual or legal obligation of the MFR to provide care.

Notes......................................................................................................................................................


Breaches of Responsibility

Abandonment: Discontinuing emergency medical care without making sure that another health care professional with equal or better training has taken over

Notes......................................................................................................................................................

Negligence: Failure to provide the expected standard of care , causing injury or death of the patient.

Notes...........................................................................................................................................................



Rights of the Patient

*To solicit and receive pre-hospital care

*confidentiality regarding personal information and condition

*To purse legal resources for acts of negligence ,abandonment,and/or violations of confidentiality

*In some situations,the patient has the right to refuse care.The patient may be required to sign a refusal form in the presence of a witness


Consent

Impalied Consent:Consent assumed on the part of an unconscious,confused or seriously injuried or,in a minor patient (according to local legislation)that cannot make decisions.

i.e , Its is assumed that if the person were concious .he/she would authorize care.Likewise ,one assumes that if a relitive or the minor's guardian were present,he/she would authorize care.

Notes.............................................................................................................................................................................................................................................................


Expressed Consent:Permission that must be obtained from every responsive .competent adult patient before providing emergency care.

Notes.....................................................................................................................................................................................................................................................


Basic Equipment of the MFR

Basic peronal protective Equipment (PPE)

*...............................

*...............................

*..............................

*..............................

*..............................


pre hospital care

Is a creating and invigorating area of crisis practice. It involves an assortment of crisis care spaces, including emergency vehicle and crisis clinical benefits (EMS) practice, clinical salvage, prehospital doctor reaction and clinical course, recovery medication, (counting airplane and seaborne exercises), dispatch and correspondences, telemedicine, fiasco medication. Progressively, there is more prominent collaboration between different crisis specialists, including fire administration, police, common protection, military specialists. More noteworthy association with clinic crisis offices is additionally being supported.




The serious issue has been reviewing the viability of prehospital care and whether it is savvy, or even worth the work by any stretch of the imagination! Compelling feelings and effective assessments exist

among the two allies and naysayers. The key issue has been the absence of proof based evaluation of prehospital practice. An essential contributor to the issue has been the absence of solid pointers to gauge viability, ordinarily in view of the huge assortment of factors usable around here. In numerous EMS frameworks reaction times and on scene times are utilized as norms of framework effectiveness.4,5 Because of this, there have been reports scrutinizing the viability of prehospital care.The decrees exuding from these superb establishments likely could be right and proper in such exceptional focuses, served by top of the line EMS, with short prehospital times. Care should be taken, thusly, in deciphering such orders.