techniques for preserving evidence at a crime scene - Don't clean the patient or remove
any blood
- Don't allow family to enter the crime scene until permission is granted from medical examiner,
law enforcement or coroner
- Preserve the chain of evidence
- Avoid disturbing the scene unless necessary for medical care
- Take one way in one way out
- Touch only what you need to touch and remember to tell police if you touch or move anything
- Move only what is necessary to provide proper emergency care
- If the police aren't present, move the patient only if the patient is in danger or must be move
for you to provide care
- Observe and document anything unusual
- If possible, dont cut through holes in clothing from possible stabbings or bullet
- Don't cut through any knot in a rope or tie, cut away from the knot, don't cover patient with a
sheet (possible clues)
- If raped, don't wash or allow patient to wash. Ask the patient not to change clothing, use the
bathroom, or take anything by mouth
- put evidence in a paper bag not a plastic bag because plastic bags sweat
identifying a weapon of mass destruction event They will always large scale casualties
and MCI - Chemical Biological Radiological Nuclear Explosive
,indications for body substance isolation (standard precautions) - Intended to reduce
transmission of infectious agents among patients and to reduce the risk of transmission
- If a risk is present, wear appropriate PPE and disinfect/sterilize appropriately
additional resources for an electrical emergency - Local electric service company
components of START triage assessment - 8+ years old or 100+lbs
- 30 second assessment to initially categorize patients for triage
- Based on respiratory status, perfusion status, and mental status
- Green = walking/wounded
- Yellow = delayed treatment
- Red = immediate treatment
- Black = dead or fatal injuries
components of scene size up - Determine if extra resources are needed
- Take necessary standard precautions
- Evaluate the scene for safety hazards
- Determine the mechanism of injury or nature of the illness (why were you called?)
- Determine number of patients
maintaining scene safety - Consider contact with all body fluids as a hazard
, - Wear examination gloves for every patient in contact with blood, infectious disease, or other
body fluids
- Consider the dispatch information
- EMT must adjust his actions and precautions as information become available
identifying the need for additional resources at a MCI - Mass causality incidents place
excessive demand on personnel and equipment
- Involves 3+ patients
- Make sure there is enough or more than enough rescuers with advanced life saving skills
- Number of resources depends on number of patients
components of primary survey - Check for danger
- Check for a response
- Open airway
- Check breathing
- Check circulation
- Treat the steps as needed
components of scene size up with gunshot patient - EMT wear (in some areas)
bulletproof vests if they are in a situation that may involve
gun violence. Police usually tell EMTs to avoid gun violence situations.
- Allow police to clear and secure the scene before approach the patient