Scenario 1: You Are the Emergency Medical Responder

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Scenario 1 You Are the Emergency Medical
Responder
Lesson 48 Putting It All Together

• You are the first to arrive on the scene of a
  small commuter jet crash in a rural field. The
  plane is engulfed in flames, and black smoke is
  billowing for miles. There is a pungent odor in
  the air. Debris is strewn all over the ground.
  The plane was carrying six passengers in addition
  to the pilot and co-pilot. The pilot and co-pilot
  still are in the cockpit of the plane and are not
  moving. There are four adults visible on the
  ground about 150 to 200 feet from the plane. They
  are not moving. Two of the adults are unconscious
  but breathing. Both have burns over several areas
  of their body and open wounds that are bleeding.
  Another adult is unconscious and not breathing.
  The fourth adult is responsive to painful
  stimuli. After a search of the area surrounding
  the crash, you do not find the two remaining
  passengers. Fire sirens are heard in the
  distance, and a small group of bystanders are
  beginning to gather nearby.

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Scenario 2 You Are the Emergency Medical
Responder

• You are among several other EMRs who arrive at
  the scene of an incident involving an explosion
  at a chemical warehouse. The explosion is
  believed to be the result of a terrorist attack.
  Four people are lying on the ground approximately
  15 feet from the building. Each of them has
  significant open wounds that are bleeding.
  Approximately 5 to 10 more people with various
  types of injuries have been moved across the
  street to a nearby park. Most of these
  individuals have walked to the area. You report
  to the incident commander and are assigned to
  assist with caring for the patients who have been
  moved.

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Scenario 3 You Are the Emergency Medical
Responder

• You are called to the scene of a motor-vehicle
  crash in which a car went off the road, hit a
  tree and came to rest on the bank of a small
  river. The hood of the car is in about 5 feet of
  water. The driver of the car does not appear to
  be moving. Another individual, a passenger, has
  gotten out of the car and waded into the river.
  She is seen chest high in the water,
  approximately 15 feet from the car, waving her
  arms frantically and calling out for help.
•  

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Putting It All Together

• Nine phases of the EMS response
• Extrication involves the safe and appropriate
  removal of a patient trapped in a motor vehicle
  or dangerous situation
• HAZMAT incidents
• Priorities Safety of the rescuers and patients
• Three zones hot, warm and cold
• Contamination/decontamination

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Putting It All Together (contd)

• Incident command for MCI
• Triage
• Tagging systems green, red, yellow, black and
  white
• START system for assessment
• WMD/CBRNE chemical, biological,
  radiological/nuclear and explosives
• Special operations units for rescues from water
  or ice, hazardous terrain, confined spaces and
  cave-ins crime scenes or special events