commandingtrafficaccidents

Safe and Successful Traffic Incident ManagementEnsure the scene is setup for a safe successful outcome Request the necessary resourcesAccess and extricate the injuredTransport all patients to the hospital in 1 hourDemobilize resourcesI/C - Manage the scene, the work and the clock

11Risk vs. BenefitVehicle extrication incidents are high risk. When working at these incidents our goal is to keep responders safe and get the patient(s) to the hospital within the golden hour.

22Time of DayNight operations are more hazardous!Drivers are not as alertResponders are harder to seeHazards may not be as visibleWork is harder to get accomplished

Light the scene and use high visibility traffic warning devices (flares and pucks)

33WeatherWhat are the weather conditions?Drivers may have reduced visibilityVehicles are moving too fast for the conditionsStopping distances increaseWork is harder to get accomplished

44Scene setup and SafetyTraffic control zoneInner and outer circleIC 360Command and control

55Traffic Control ZonesSetup starts with the first arriving unit (PPE)Get traffic slowed Get your blockers in placeEnsure there is an adequate buffer between the work area and moving trafficEnsure the termination area returns traffic to normal operation

66Know Your Lanes7

Lane 2Lane 3Lane 4Lane 17

Traffic Incident Management Area4H-8Advance Warning AreaTransition AreaActivity AreaTermination AreaBuffer SpaceIncident SpaceAnimation: Click forward to make the Buffer and Incident Space labels appear A Traffic Incident Management Area is a type of TTC zoneA Traffic Incident Management Area has four main components:Advance Warning AreaTransition AreaActivity Area Termination Area The Activity Area is further comprised of a Buffer Space and an Incident Space [Click]The parts of a Traffic Incident Management Area are covered in greater detail in Lesson 7Note the general positioning of the responder vehicles, this will be covered more in Lesson 4Lesson Objective: 2.3| Full Version Reference Slide: 2-12

9

9Traffic Roulette 10

1011

11Zone 3 Divided Highway PolicyConsider adding units for safetyBlock the most dangerous firstUse a second upstream blocker if neededMake sure that adequate resources remain on scene so you can clear units safelyDont leave personnel exposedSlow traffic down!!The most dangerous period is early and late!

1212Size-upDo a size-up Initiate or assume commandName and locate itDetermine resource needsStart your timerMCI considerations1313Outer CircleTypically done by the first arriving officerBig Picture surveyIdentify hazards wires, unstable obstacles, etc. (were patients thrown from the vehicles?)Ensure a safe work area is being established

1414Inner CircleSurvey the crash site (ground zero)Leaking fluidsSmoke or fireNumber of patientsIs the engine runningPatient contactMechanism1515IC 360Scope of the problemMechanismResourcesNumber of patients1616Command and ControlConduct a windshield IRR (if first arriving)Request your timer (this is a 15 minute timer)Setup your command structureRemember TLOGive a more detailed follow up reportProvide periodic updates location of the transportation corridor, patients extricated, all reds transported, all patients transportedTerminate1717The Work BeginsTriage total patients and colorsMake assignments (access the most severely injured first)Divide the incident up as needed: Groups and or divisionsCompany officers have the responsibility of creating the disentanglement plan but you need to know what it is and buy off on it. STAY AHEAD OF THE WORK.

1818MCI ConsiderationsRapid transportFirst arriving company should identify an MCI and secure transportation corridor (mechanism of injury could drive this)Scale Patient tracking with the size and complexity of the incidentUpdates are required every 15 minutesTactical benchmarks All patients extricated (extracted), all reds transported, all patients transported

1919MCI Considerations Cont..Position your treatment area adjacent to the transportation corridorAssign the first arriving medic to establish a treatment area (MGS) and transition those responsibilities to the first arriving MSO - (TLO)

2020SummaryEnsure safety control zones are in placeIdentify MCI early and call for resourcesDivide the incident as neededStay ahead of the workGet the patients to the hospital within the golden hour

2121