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Sizing a scene

Question	Answer
What is a scene size up and when does it begin?	Initial and continuous assessment of a scene that begins once the call has been made
What information did you want to ask the despatcher in regards to the call?	Exact location, Type of occupancy, Number of patients, Type of situation, Hazards, Unique problems (injuries, access problems)
Why is it important to receive updates from the despatcher?	To work out what resources are needed. Do we need more ambos, firefighters, police.
What are environmental hazards?	Weather-- cold and hot
What is the process for a patient in the hot weather?	Move patients into a cooler/shady area (if able), careful of hyperthmia. Example: moving a patient onto a hot stretcher that hasnt been covered first
How to care for a patient being treated in the cool weather?	Unable to regulate tempertature if unwell/injured. Remove wet clothing, remove them from the wind/ extreme weather conditions, cover patient with warm blankets,
What do paramedics need to assume when treating a patient in thunderstorms?	Assume that wired hanging down from strong winds are fully charged and verified that they are safe. Protect yourself and patient
Many environmental hazards require emergency services. What are some examples?	Rescues on ice, low light conditions
What are some important things to remember when there are chemical/biological/radiological/explosive hazards?	Paramedics should be alert to these hazards, large groups with similar signs/symptoms should signal this hazard, carefully assess the scene, begin from a distance (binoculars), indications of potential hazards, enter once safe
What are some indicators for a chemical/ biological/explosive scene?	Smoke, container shape, fires, placards
What factors could cause violence at a scene?	Agression by loved ones, drugs
When do you need to be aware of weapons on a scene?	ALL SCENES
What is considered a weapon?	Knives, guns, tools, kitchen appliances, household chemicals
Do we need to ask the patient if they have a weapon?	Yes
If a patient is carrying a weapon, how would you remove it from the scene?	Make sure it is securely removed by police
Are pets/other animals considered hazards?	Yes
How would you remove pets from the scene?	Ask family members to contain pets. If not able, call local animal specialists
What do you do when responding to a violent crime scene?	Stay in a safe position until police have secured the area, crime scenes arent safe even when the police are present so always stay alert for scene esculation etc.
What do motor vehicle collisions usually involve?	Patient extrication, sharp metal, broken glass, leaking fluids that increase fire risk
What should a paramedic do before caring for the patient in a car collision?`	Put the car in park and turn off the ignition if it is safe to do so
Extrication may create other hazards such as?	Tools, shifting vehicle, chance that the air bags will violently deploy
Paramedics should remain in the vehicle during patient extrication. True or False?	No, unless appropriately trained
Who should monitor the scene at all times?	Safety officer
What are some scenes that would require special services and advanced levels of training?	High and low angle rescue, tranches, confined space, water rescue, unstable structures. Paramedics should not enter until safe for entry
Before entering a scene, what should a Paramedic always ask?	Is this scene safe? The D part of DR ABCD
When would you consider making the scene safe?	Only when it can be done without significant risk to the paramedic and patient
What should we do for all emergency calls?	A quick visual survey of scene
What should we do for medical calls?	Determine the nature of the illness, be observant of the patients surroundings (causing danger/harm)
What should we look out for and observe on a medical call?	Pill bottles/drug paraphernalia, medical alert bracelets, unusual odours, hazards
What should we observe for trauma calls?	Mechanism of injury and visual clues on the happenings. Watch for vehicle damages, restraints, helmets and other protective gear, length of knives during a stabbing, other hazards
What environmental conditions and hazards would affect patient care or safety of all?	Weather, gases/chemicals, secondary collapses/falls, unstable conditions
When does it become a priority to treat the patient?	Once the paramedics and bystanders are all safe
What is the standard precautions principle?	That all blood, body fluids, secretions, excretions (except sweat), non-intact skin and mucous membranes may contain tranmissable infectious agents
What is our PPE gear?	Gloves, mask, gown, protective eye wear
What can the "other" PPE gear include?	Steel cap boots, Bullet vests, heat resistant wear, helmets, reflective clothing, hearing protection, self contained breathing apparatus, leather gloves
What do large scale scenes and major incidents require?	Command system
What is the ICS and IMS?	Incident Command System and Incident Management System

Created by: maddunn23

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