Mass Casualty Incidents Flashcards

1
Q

Define a major incident in the prehospital setting

A

the incident requirements of the scene are greater than the capacity or the available resources
- an incident is spread over a large distance, it is difficult to assess, has multiple patients, and is not eat to immediately assess or control
- Each individal incident needs to be assessed on its own merits and the roles of triage office (TO) and transport officer (TO) initiated as soon as possible

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2
Q

Describe the role of triage officer

A

Triage officer (senior paramedic), transport officer (junior paramedic)

  • locate the blue emergency folder, portable radio and smart triage pac

Triage officer
- assume scene leadership
- direct the activities of the transport officer
- reconnaissance of the scene
- ensure patients are triage adn tagged usng the smart triage pac cards and allocate clinical priority
- establish scene layout - location of casualty collecting point, loading point, holding point and any other requirements
- ensure that timely and accurate sitreps are provided
- liase with other services at scene
- report to oncoming incident health commander (IHC) when established
- liase with duty manager and transport officer

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3
Q

What does ETHANE stand for?

A
  • Exact location
  • Type of incident
  • Hazards at scene
  • Access and Egress
  • Number of casualties
  • Emergency services on scene and additional services required
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4
Q

What do you do if you identify an ASHE incident?

A
  • escape
  • hide
  • tell
  • dont be a hero
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5
Q

Where can there paramedic operate in an ASHE incident?

A

Only in the cold (safe) zone

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6
Q

What is the algorithm for a response to an ASHE?

A

THREAT

  • Threat supression
  • Haemorrhage control
  • Rapid Extrication to safety
  • Assessment by medical providers
  • Transport to definitive care
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7
Q

What is the role of the transport officer?

A
  • supporting the triage officer in the management of the scene and works at their discretions
  • their tasks may include
  • undertaking BLS measures (airway + circualtion control)
  • supervising the casulaty clearing point
  • commence and maintain the casualty movement log record transport of all patients:
  • allocate numbers to trauma triage cards
  • record patients name + brief description of injuries where possible
  • destination hospital decision and documentation
  • coordinate transport vehicles to ensure the appropriate transfer of patients
  • ensure appropriate access and egress for responding vehicles
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8
Q

What are the three assessments triage is based off?

A
  • walking at scene
  • respiratory status
  • heart rate
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9
Q

What does the smart triage pac consist of?

A
  • 20 adult smart cards
  • 10 black deceased cards
  • 5 red glow sticks
  • 2 pencils
  • paediatric chart
  • 20 CBR tags
  • a casualty count care
  • adult triage sieve
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10
Q

What is the adult triage sieve?

A
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11
Q

What is the triage sort?

A
  • Triage sort is based on the Triage Revised Trauma Score (TRTS). Individual score is assigned for Resp Rate, BP and GCS. Add up these and assign a triage priority.
  • This is used as a secondary assessment of priority.
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12
Q

What do you use to triage patients less than 10?

A
  • Paediatric triage tape
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13
Q

What do you use to triage patients >10?

A
  • sieve and sort cards
  • it will over triage paediatric patients due to their higher physiological values
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14
Q

Where should a casualty clearing point be located?

A
  • a safe distance from the scene (uphill and upwind)
  • a location with sufficient space for the number of patients within each priority group
  • somewhere that will provide shelter
  • near the ambulance holding post
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15
Q

what should the ambulance holding point include:

A
  • easily accessible including ease of egress
  • large enough to accomodate all responding vehicles
  • close enough to the loading point to allow for appropriate communication to occur
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