SOG (exam)3

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Jbrand
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92089
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SOG (exam)3
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2011-06-26 18:21:22
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SOG exam
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SOG (exam)3
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  1. MCI levels
    • • MCI LEVEL 1 – 5 – 10 VICTIMS
    • • MCI LEVEL 2 – 11–20 VICTIMS
    • • MCI LEVEL 3 – 21 – 100 VICTIMS
    • • MCI LEVEL 4 – 101–1000 VICTIMS
    • • MCI LEVEL 5 – OVER 1000 VICTIMS, OR WHEN REGIONAL RESOURCES ARE EXHAUSTED OR OVERWHELMED
  2. THE FIRST-ARRIVING UNIT SHALL PROCEED AS FOLLOWS:
    • 1. Size-up
    • 2. Determine # of victims
    • 3. Request MCI level based on # of victims prior to triage
    • 4. Est. Command (FOG #2)
    • 5. BEGIN INITIAL TRIAGE.
    • 6. IDENTIFY A STAGING AREA.
    • 7. LOCATE AND REMOVE THE WALKING WOUNDED.
    • Remove and assess ASAP
  3. LEVELS OF RESPONSE WILL BE
    IN ADDITION TO THE UNITS ALREADY ON SCENe
  4. AS ADDITIONAL UNITS ARRIVE, COMMAND WILL DESIGNATE THE FOLLOWING OFFICERS:
    • • TRIAGE (ALREADY BEGUN)
    • • TREATMENT
    • • TRANSPORT
  5. ADDITIONAL OFFICERS MAY BE REQUIRED DEPENDING ON THE COMPLEXITY OF THE INCIDENT.
    THESE OFFICERS MAY INCLUDE THE FOLLOWING:
    • • LANDING ZONE
    • • EXTRICATION
    • • HAZMAT
    • • CISD
  6. MEDICAL BRANCH OFFICER
    • OVERSEES
    • MEDICAL OPERATIONS (TRIAGE, TREATMENT, AND TRANSPORTATION
    • SECTORS) AT THE SCENE
    • • FIRST-ARRIVING RESCUE CHIEF
    • • WILL PERFORM DUTIES AS OUTLINED IN FOG #3
  7. TRIAGE OFFICER
    • DIRECTS TRIAGE OF ALL VICTIMS
    • • COMPANY OFFICER OF THE FIRST-ARRIVING RESCUE UNIT
    • • WILL PERFORM DUTIES AS OUTLINED IN FOG #4
    • TREATMENT OFFICER
  8. TREATMENT OFFICER
    • • COORDINATES THE RE-TRIAGE OF ALL VICTIMS AND ON-SITE MEDICAL CARE, AS
    • NECESSARY
    • • COMPANY OFFICER OF THE SECOND-ARRIVING RESCUE UNIT
    • • WILL PERFORM DUTIES AS OUTLINED IN FOG #5
  9. TRANSPORTATION OFFICER
    • • TRACKS AND ENSURES TRANSPORT OF VICTIMS TO APPROPRIATE MEDICAL FACILITIES
    • • WILL PERFORM DUTIES AS OUTLINED IN FOG #6
  10. STAGING OFFICER
    • • COORDINATES ACTIVITIES IN THE STAGING AREA
    • • WILL PERFORM DUTIES AS OUTLINED IN FOG #7
  11. INDEPENDENT DECISIONS SHOULD BE MADE FOR EACH VICTIM AND SHOULD BE DONE IN
    LESS THAN 60 SECONDS. IF IN DOUBT, ALWAYS TRIAGE TO THE HIGHER PRIORITY.
  12. IF RESPIRATORY RATE IS 30 PER MINUTE OR LESS,
    MOVE ON TO PERFUSION
  13. IF RESPIRATORY RATE IS 31 PER MINUTE OR MORE,
    TAG RED
  14. IF CAPILLARY REFILL IS 2 SECONDS OR LESS,
    MOVE ON TO MENTAL STATUS
  15. IF CAPILLARY REFILL IS 3 SECONDS OR MORE,
    IN ADDITION,
    • TAG RED
    • ANY MAJOR BLEEDING SHOULD BE CONTROLLED AT THIS TIME
  16. ASSESS THE PATIENT’S ABILITY TO FOLLOW SIMPLE COMMANDS AND THEIR ORIENTATION TO:
    • • TIME
    • • PLACE
    • • PERSON
  17. IF THE VICTIM EXHIBITS ANY SIGNS OF ALTERED LEVEL OF CONSCIOUSNESS,
    TAG RED
  18. ATU
    important to call___ ASAP This will alert ___to the seriousness of situation and need for ATU
    • Cardiac and trama reds and/or trama alerts
    • FRCC,other units
  19. ___ can call for ATU
    any JFRD personnel
  20. ATUs will not be launched on the basis of___ unless from a reliable___
    • Telephone orThird party reports
    • Authorized source (FHP, local police,other FD,physician,other medical personnel,ect.)
  21. Consider the following when determining use for ATU
    • Immediate surgical or life saving intervention
    • Distance from ED
    • traffic
    • Extended scene times due to extrication
  22. Suspected spinal injuries may be trans by ground when...
    When pt is properly imobilized
  23. SPINAL INJURIES
    ATU SHOULD BE CONSIDERED IF
    Terrain is difficult and a LZ is convenient
  24. ATUs are not usually indicated for
    Cardiac pt or cardiac arrest
  25. ___ will be dispatched upon any request for an ATU. he will respond to___ to eval___
    • Rescue chief
    • Scene or hospital
    • Pt care
  26. LZ criteria
    Min size
    Free of
    If loose sand is a factor
    Ground slope
    • 60x60 day
    • 100x100 nite
    • Wires, poles, loose obj, and loose sand
    • Attempt alternate if not wet with booster
    • Less than 10°
    • Open approch and take off
  27. •Marking LZ•
    >whenever possible
    • Use emr lights in ATU kit
    • Reduce scene lights around LZ so emr lights will stand out
    • Use police cars to identify hazards
  28. ___ must be designated as soon as possible after calling for ATU
    Ground guide
  29. The ground guide will provide the following to ATU PILOT
    • Location-distance from major roads landmarks
    • Definition-terain and slope
    • Obstructions-wires,light pole, trees ect.
  30. The following safety equipment shall be used by the ground guide
    • Eye and Ear protection
    • Helmet
    • Reflective vest
    • Orange batons(flashlight)
    • Turnout coat and pants
  31. With ATU on the ground stay___,following these safety rules:
    • Keep personnel. Ack 100'
    • Keep bystandards back 200'
    • Dont approach until signaled by crew
    • Never approach from rear
    • Trans of pt away from ATU IN BACK OF RESCE
    • Use fewest personnel practical
  32. Use caution when using ATUs in areas where
    Haz-mat are present
  33. Make flight crews aware of
    Explosives, flammable, toxic,or haz environment

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