emergency response team monthly training

EMERGENCY RESPONSE TEAM MONTHLY TRAINING

FIRST RESPONDER TO A SCENE OF AN INCIDENT.

Participants will gain an understanding of:

• On Scene Arrival & Scene Safety• Patient Assessment and Positioning• Rescue Breathing & Airway Management• Transfer of casualties to the Hospital• Recovery

On scene arrival & On scene safety

• Arriving on scene of a major incident can be both mentally challenging and physically dangerous

Site Awareness

• Staying alert and aware on the scene of any accident should be a responders number 1 duty. Remember, you can help no one if you are injured!

Mental Concerns

• Overwhelming number of victims• Difficulty finding a clear place to start• Tunnel Vision ( Situation without proper

regards for possible consequences or alternative approach).

• Need to control and direct both arriving support and victims

• Post Traumatic Stress Disorder (PTSD)

Techniques to Counter Mental Stressors

Stressor : An agent, stimuli which elicit a stress reaction.• Divide the scene into discernable section

(e.g. quadrants)• Begin triage i.e. decide the order of treatment of

( patients or casualties).• Move on to victim care• Avoid tunnel vision by a constant reassessment of

the situation

Techniques to Counter Mental Stressors

• PTSD is a serious condition that often effects personnel who have responded to large horrific events.

• Responders should be brought together after the event and given an opportunity to discuss their feelings and concerns.

• Mental health professionals should be made available to the responders.

Physical Concerns

• Unstable environment• Crowd Control• Risk of whatever caused the original event

(e.g. explosive, chemical spill, fire)

Techniques to Control Physical Concerns

• Thorough Scene Evaluation• Remember to not focus on just one thing –

keep an eye on the big picture• Employ any available help to assist in

crowd control• Proper Personal Protective Equipment.

Caution

• All scenes present a potential risk to responders

• The responders primary obligation is to ensure they do not become a victim

• An organized, controlled response ensures resources are adequately and appropriately used

Responsibilities at the Scene• Responsibilities for the first person on-scene may

include:• Taking appropriate personal protective measures• Advising personnel in the area of any potential threat and/or initiate evacuation procedures• Eliminate potential ignition sources• Notifying Supervisory Personnel and/or Incident Commander of the incident

Responsibilities

• • Take any other steps necessary to minimize any threat to health and safety• Request medical assistance, if necessary• Verify substance released and obtain Material Safety Data sheets, as necessary• Identify and isolate source to minimize product loss• Coordinate further response actions with Incident Commander and local responders

Responsibilities

• • Take any other steps necessary to minimize any threat to health and safety• Request medical assistance, if necessary• Verify substance released and obtain Material Safety Data sheets, as necessary• Identify and isolate source to minimize product loss• Coordinate further response actions with Incident Commander and local responders

Supervisory Personnel responsibilities may Include:

• Restrict access to the incident scene and surrounding area as the situation demands.• The number of personnel required to staff the

Emergency Response Team will depend on the size and complexity of the incident. The duties of each position may be performed by the Incident Controller directly or delegated as the situation demands.

Incident Controller.

• The Incident Controller should always be responsible for directing the response activities and should assume the duties of all the primary positions until the duties can be delegated to other qualified personnel. The more knowledgeable individuals are of their roles and responsibilities during an emergency event, the better prepared a team can be to implement a streamlined response.

What you might see.

Life saving techniques

• Basic life saving techniques with a goal of stabilizing victims and prolonging life until advanced care is available.

Assessment Basic

• The following items are the areas of assessment in order of performance– Airway – Breathing– Circulation– Control of Blood Loss– Other ancillary issues

(e.g. Broken Bones

Breathing Basic

• You may feel the victim’s breath against your chest.

• You may Hear the air entering or escaping the victim’s lungs.

• You may see the chest rise and fall with each breath.

• You may Smell the breath of the victim as they exhale.

Chest Compression

TechniqueThe goal is always to compress in the center of the chest, regardless of the shape or size of the patient. This means that compressions are to performed on the sternum or breastbone of the patient, in line with the casualty’s armpits or nipple line.Give 30 chest compression in a row, and then (2) rescue breaths.

Rescue Breathing

• The act of providing oxygen to a patient who has difficulty or is unable to breath on their own.

Rescue Breathing Steps

1. Attempt to open the airway using the methods the previous slide.

2. If patient does not begin to breath on their own insert a Mask

3. Begin using the Barrier mask

4. Maintain a rate of 12 breathes per minute

Shock & Treatment

• Shock can refer to a range of related medical conditions in which the victim’s heart, lungs and blood cannot deliver oxygen to the body properly. An emotion of sudden upset or surprise.

• Signs: Early Phase.• A fast pulse, Pale, cool, clammy skin, sweating

profusely, flushed face , Anxiety or agitation.

Signs

• Developing Phase.• Blue skin on lips & nail beds, Cold, damp skin.• Weakness & dizziness, Nausea & possible

vomiting. Thirst, rapid, shallow breathing.• Weak, very rapid “ thready” pulse. • Confusion, disorientation.

Shock signs

• Advanced phase.• Lack of pulse in wrists of feet.• Restlessness and aggressiveness• Yawning and gasping for air• Unconsciousness.• Final phase.• Multiple organ failure• Cardiac arrest.

Shock treatment

Treatment

• Apply the following steps. (WARRI)• Warm• ABC (Airways, Breathing, Circulation.)• Rest & Reassurance.• Immediate transport/ transfer of victim to the

hospital.

Transfer of victims