PREVIEW OF

EMT/EMR SCENE SIZE UPPOWERPOINT TRAINING

PRESENTATION

DESCRIPTION

Enhances the EMT-B/ EMR’s ability to evaluate a scene for potential hazards, determine by the number of patients if additional help is necessary, and evaluate mechanism of injury or nature of illness. Estimated teaching time 2 hours. Meets or exceeds USDOT NHTSA 2009 EMT/EMR training requirements.

WHILE ENROUTE

Review dispatch informationObserve scene for

Smoke FireRailroads WaterIndustry Electric wires

Other responders present or enrouteLISTEN TO DISPATCH

ENVIRONMENTAL

HAZARDOUS SUBSTANCES

ChemicalBiological

VIOLENCE

PatientBystandersCrime ScenesEstimated 700,000 attacks against fire & EMS

personal annually in the US88,000 injuries & 2,000 were life-threatening

PATIENT & BYSTANDER VIOLENCE

Many people legally & illegally carry weaponsThe patient or a bystander may become agitated

by not understanding your patient care which could cause them to become violent

The attacker may try to stop you from treating patient

EXTRICATION HAZARDS

EMT’s need to enter & work on damaged vehicles during extrication

Instability & extrication may cause vehicle to move causing injury

Vehicles have sharp edges and broken glass which can cause lacerations

SPECIAL SITUATIONS

SCENE EVALUATION

Is the scene safe?Yes -- establish patient contact and proceed

with patient assessmentNo -- is it possible to quickly make the scene safe?Yes – assess patientNo -- do not enter any unsafe scene until

minimizing hazardsRequest specialized resources immediately

PROTECT THE PATIENT

After making the scene safe for the EMT, the safety of the patient becomes the next priority

If the EMT cannot alleviate the conditions that represent a health or safety threat to the patient, move the patient to a safer

environment

PROTECT THE BYSTANDERS

Minimize conditions that represent a hazard for bystanders

If the EMT can not minimize the hazards, remove the bystanders from the scene

REQUEST RESOURCES

REMEMBER the sooner the additional resources arrive the sooner you and the patient gets out of danger

SPECIFIC SCENES

Hazardous MaterialFiresVehicle AccidentsDangerous Environments

HAZARDOUS MATERIALS

CRIME SCENES

ADDITIONAL RESOURCES

Only specially trained responders should wear or use the specialized equipment

STANDARD PRECAUTIONSBased on the principle that all blood, body fluids, secretions, excretions (except sweat),

non-intact skin, and mucous membranes may contain transmissible infectious agentsIncludes a group of infection prevention practices that apply to all patients, regardless

of suspected or confirmed infection status, in any healthcare delivery setting

INPLEMENATION

The extent of standard precautions used is determined by the anticipated blood, body fluid, or pathogen exposure

Hand washingGlovesGownsMasksProtective eyewear

PPEGloves Shoes

SCBA

HelmetEye protection

50 FOOT DANGER ZONE

Minimum distance fromFuel SpillFireHazardous MaterialsDowned power lines

UTILITY HAZARDS

RULE OF IMPORTANCE

#1 YourselfYou want to be around to save someone tomorrow

#2 Your partner(s)He is the one protecting you

#3 BystandersYou do not want to create more patients

#4 The patientThe patient may already be dead

MULTIPLE PATIENT SUTUATIONS

AKA Mass Causality Incidents (MCI)

NUMBER OF PATIENTS &NEED FOR ADDITIONAL SUPPORT

How many patients?Does the dispatch suggest

the need for additional support?

Protection of the patientWeather or extreme temperaturesUnstable conditions

NEED FOR ADDITIONAL RESOURCES

Incident Command System (ICS or IMS)Consider if this level of commitment is required

To purchase this EMT/EMR Scene Size UP presentation go to

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