Operations Paramedic Latest Update 100% Pass

Operations Paramedic Latest Update 100% Pass Type I conventional truck cab-chassis w/ a modular ambulance body Type II standard van, forward control integral cab-body ambulance Type III specialty van, forward control integral cab-body ambulance DOT KKK 1822 F influence safety standards as well as standarize the look of ambulance Medium Duty Vehicle heavy loads, 24,000lbs Primary areas of responsibility ambulances may be relocated throughout the day as the population moves reserve capacity addtional crews when systems resources are taxed by a MCI Due Regard exempts ambulance drivers from certain laws but at the same time holds them to a higher standard When do motorists see/hear the siren? 50-100 ft from their vehicles Parking at a Scene 50-100ft from the wreckage upwind and uphill; beyond the scene Limitations of Fixed Wing transport must land and take off from established airports, delays definitive care Limitations of Rotar Wing transport weather Landing Zone size 100ft x100 ft square Marking a Landing Zone turn cones sidewise with flashlights crossing the zone; use red and white strobes at night LZ hazards-HOTSAW Hazards, Obstructions, Terrain, Surface, Animals, Wind/Weather MCI overwhelm the system or a certain # of pts Diaster overwhelms regional resources Incident Command System a mangement system/philosophy that takes the basic tenets of good, sound management and adapts them to the needs of an emergency scene National Incident Management System comprehensive, standarized management system Major functional areas of NIMS and ICS-CFLOP Command, Fiance/administration, Logistics, Operations, Planning Span of Control # of ppl or tasks that a single individual can monitor; 3-7; ideal 5 Who should establish command? 1st arriving public safety unit Intial/Ongoing Scene Size Up Priorities Life safety, incident stablization, property conservation Triage Officer sorts patients based on the severity of injuries Open/Uncontained incident potential to generate more pts at anytime Closed/Contained incident injuries have already occured Singular Command small command don't involve outside agencies Unified Command multiple agencies will coordinate activities and share responsibilities Preliminary Report type of incident, approx # of pts by priority, request for additonal resources, staging instructions, plan of action Section Chief leads a section of the IMS (Finance/Administration, Logistics, Operations, Planning) Command Staff Officers Safety, LIaison, Information, Mental Health Officers; report directly to command Safety Officer compliance for infection control, PPE, crowd control, lifting of pts and equipment and quality of scene lighting; stop any action deemed unsafe Liaison Officer coordinates all incident operations that involve outside agenceis Information Officer collects data about the incident and releases it to the public Logistics Section coordinates procurement and distribution of equipment and supplies-medical, food, water, restrooms, lighting, power Operations workers; Branches part of operations; based on function roles or geographic locations; supervised by a director who report to the section chief; further divided into groups and divisions Group part of an operations branch; specific jobs tasks based on function Division part of an operations branch; specific jobs tasks based on geography Units part of an operations branch and a group or division; task specific Sector interchangeable name for a branch, group, or division EMS Branch w/ functional groups triage, tx, transport Primary Triage first contact; quick categorized Secondary Triage ongoing, tx area, given appropriate medical care and transported off scene START Triage Simple Triage and Rapid Transport; focused on ability to walk, resp effort, pulses/perfusions, neurologic status Ability to walk anyone who can walk and follow commands is green Respiratory Effort open airway if pt starts to spontaneously breathe they are red if RR30 red, RR30 assess pulse/perfusion Pulse/Perfusion Radial pulses and cap refill; absent radial pulses is red; RR30 and radial pulse present assess neurologic status Neurologic Status if pt can grip both hands they are yellow; if they can't follow simple comands they are red JumpSTART System designed for peds and their anatomic and physiologic differences Disaster Management Stages Mitigation, planning, response, recovery 7 general phases of a rescue operation Arrival and size-up, hazard control, patient access, medical tx, disentanglement, pt packaging and removal/transport