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Emergency Medical Response
You are the emergency medical responder (EMR) the scene of a construction site cave-in. On arrival you find a man who was working in an open trench that has collapsed around him to mid-chest level.
Lesson 47: Special Operations
You Are the Emergency Medical Responder
Emergency Medical Response
Special Operations Units
Tactical Emergency Medical Services (EMS) Unit
Hazardous Materials (HAZMAT) EMS Response Unit
Fire Rehabilitation Unit Disaster/Multiple-Casualty Incident (MCI)
Response Unit Search and Rescue (SAR) Unit Specialized Vehicle Response Unit
Emergency Medical Response
Drowning
A drowning is an event in which a victim experiences respiratory impairment due to submersion in water. Drowning may or may not result in death
Fifth most common cause of death from unintentional injury, but rises to second among those 1 to 14 years of age
Home pools the site of drowning for most young children
Highest rates of drowning in children younger than 5 years and young adults from ages 15 to 24 years
Emergency Medical Response
Three Types of Water-Related Victims
Distressed swimmer
Drowning victim—Active
Drowning victim—Passive
Emergency Medical Response
Activity
You are assigned to a local waterfront as part of the EMR team because you have received training in swimming rescues. You are stationed near a lake and notice that a young teenage swimmer has been treading water for the past several minutes and then begins to move her arms wildly.
Emergency Medical Response
Non-Swimming Rescues and Assists
Reaching assists Reaching with an object
Throwing assist When beyond your reach; floating object
with line Wading assists
Safe and shallow enough
Emergency Medical Response
Activity
You are assigned to a local waterfront as part of the EMR team because you have received training in swimming rescues. You are stationed near a lake and notice that a young teenage swimmer has been treading water for the past several minutes and then begins to move her arms wildly.
Emergency Medical Response
Ice Rescue
Call for ice rescue team immediately Never go onto the ice to attempt a rescue Use reaching and throwing assists if
patient is drowning Provide care for hypothermia if you are
able to pull the person from the water
Emergency Medical Response
Hazardous Terrain
Challenges Evacuation possibly rough and difficult
for maneuvering Patient’s position in relation to terrain
The greater the angle of the terrain, the greater the risk
Emergency Medical Response
Confined Spaces
At, above or below ground Silos, grain bins and grain elevators Underground vaults Utility vaults
Cave-ins Specialized rescue team needed No one to enter trench or area
immediately around it due to increased risk of secondary cave-in
Emergency Medical Response
Crime Scene
Law enforcement officers are in charge EMR responsibility – maintain integrity of evidence Four types:
Closed access to an unsecured crime scene―hazard still exists
Limited-access crime scene―critical evidence could be destroyed or compromised; hazards still may be present
Open-access crime scene―evidence still needs to be collected, but personnel have access to entire area
Cold crime scene―no evidential concerns or hazards are present
Emergency Medical Response
Activity
You arrive at the scene of a convenience store robbery in which a store employee was shot in the leg. The suspect has been caught and is in police custody. You are to provide care to the store employee.
Emergency Medical Response
Basic Guidelines for Fires
Do not approach a burning vehicle Never enter a burning or smoke-filled
building If you are in a building that is on fire,
always check doors before opening them. If a door is hot to the touch, do not open it
Since smoke and fumes rise, stay close to the floor
Never use an elevator in a building that may be burning
Emergency Medical Response
Special Event/Stand-by
Special event EMS incident commander in charge
Staff certified in BLS or ALS Personnel available to care for special
event spectators or participants within 10 minutes of notification of the need for emergency care