Vol.2-Ch.1 "Scene Size Up" Flashcards
(40 cards)
When does scene size up begin and end?
It starts when you first get your dispatch call and info and continues throughout the entire call
Where did the term “size up” originate?
In fire service (they would drive past fire to see 3 sides of building before decision making)
What are the 5 components of scene safety?
- Standard Precautions
- Scene Safety
- Resource Determination
- Location of patients
- MOI / NOI
What are the most common risks to health care workers?
HIV, HepB/C, Tuberculosis, any bacterial infection
What is Standard Precautions?
A strategy to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources
Minimum PPE on trucks includes: (6?)
- Hang Hygene (waterless antimicrobial hand wash or alochol based towelettes)
- Protective Gloves (change b/w pts and if torn/contaminated)
- Masks and Eyewear (Use when blood splatter or airbourne illness is expected)
- HEPA or N-95 Respirators (use for confirm TB pts or other airborne communicable diseases)
- Gowns (use when blood splatter is expected)
- Disposable Resuscitation Equipment
Where do you put contaminated items once finished with them?
Biohazard Bag
What is the most important infection control practice?
Hand washing (specific instructions for this on pg 5 near bottom)
What are common types of hazard experienced on emergency calls? (4)
- Environmental
- Materials
- Roadway Operations
- Violence
What is the order of Priority given to individuals on scene? (5)
- You
- Your Crew
- Other Personnel responding
- The PT(s)
- Bystanders
What are some Environmental Hazards? (5)
- Weather
- Terrain
- Water
- Electricity
- Confined Spaces
What is the most common environmental hazard?
Weather
What are 2 things to think of when in a hazardous terrain?
- The can be more than one movement or shift in the ground.
2. They also exist in building or sidewalks so carry a flashlight for when needed.
What is a simple water rescue method to remember?
Reach (with long pole)
Throw (flotation device)
Row (boat)
Go (water entry) (also last ditch effort if others fail)
When power lines are down what should you assume and do?
Assume lines are energized; secure a safe perimeter. (and do not allow responders to enter till power company shuts off power or isolates lines)
What still remains in top 3 causes of environmental death although assume to be very rare.
Lightning Strikes
OSHA defines a “confined space” as having one or more of what attributes?
- Contains or has potential to contain hazardous atmosphere
- Contains material able to engulf an entrant
- Has walls that converge inward or floors that slope downward and taper to a smaller area
- Contains other recognized safety hazards like unguarded machinery, exposed live wires, or heat stress
Where are hazardous materials found?
Everywhere
What are the 5 primary hazardous materials?
- Chemical
- Biological
- Radiological
- Nuclear
- Explosive
As a paramedic student, what level training do we have for hazardous materials and what are the responibilities?
Awareness level; Responsible for recognizing an incident involves a hazardous material, establish incident command, and control scene till help arrives.
What is the best tool to use for hazardous incidents? When that tool is not available what is the next best thing to do?
Binoculars; Use the “rule of thumb” which refers to using your thumb and backing up until the scene is contained in the parameters of your view blocked by thumb held outright
What are the 4 “don’ts” when you approach a hazardous scene?
- Don’t rush in
- Don’t assume anything
- Don’t become a victim
- Don’t test a foreign substance (smell, taste, touch)
When violence is known to be at scene what should you do and when should you go on scene?
Turn of lights and sirens, park a few blocks away where is cannot be seen; do not go on scene until law enforcement says it is safe to do so
If you are in immediate physical danger should you risk yourself to stay with pt? will the law expect you to place yourself in grave danger while providing care?
No and No
