Firefighter Pre Hospital Care Program Module 25. Triage

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1 Firefighter Pre Hospital Care Program Module 25 Triage

will demonstrate an understanding of how to: triage a multi-patient

2 Firefighter Pre Hospital Care Program Module 25 At the end of the lesson and upon completion of the FETN post test quiz, the participant will demonstrate an understanding of how to: triage a multi-patient scene and/or mass casualty incident according to commonly accepted guidelines.

3 What are M.C.I s? Any medical or trauma incident involving multiple patients and agencies Car Accidents Structure Fires Natural Disasters Terrorism Workplace Incidents

4 Responding to a M.C.I s? Consider your call information Consider your Mechanism of Injury Follow directions from the Incident Commander

5 Your Arrival at the M.C.I s? Most knowledgeable First Responder becomes triage officer Perform primary assessment on all patient s first Advise Incident Commander of your findings and follow their direction

6 M.C.I. M.C.I. Response. Response. Co-ordination Co-ordination of of the the key key to to safe safe and and efficient efficient personnel personnel is is Get This...

7 Basic Triage A french word meaning to sort Quick assessment of patients involved in a MCI Used as a priority for receiving treatment based on severity of their illness or injuries

8 Basic Triage The GOAL of triage is to provide the best care for the greatest number of people.

9 Triage Flowchart

10 Triage Tags

11 Deceased Vital Signs Absent Non-Patent Airway Trapped Patient who is apneic and bradycardiac below 30

12 Highest Priority Airway and breathing difficulties Uncontrolled or severe bleeding Decreased mental status

13 Second Priority Burns without airway problems Back injuries Major or multiple painful, swollen, deformed extremities

14 Lowest Priority Minor soft tissue injuries Minor painful, deformed, swollen extremities

15 Triage Tags While triaging a patient, always remember, the patient can only get worse.

16 Triage Tags While triaging a patient, always remember, the patient can only get worse. Not better

17 Being the Triage Officer Direct all walking wounded to a safe location, then quickly assess the remaining casualties

18 Being the Triage Officer 1. Is the patient s airway open? If no, open it and move on 2. If the patient is unresponsive, check for breathing and pulse? If there is no breathing or pulse, move on 3. Is the patient bleeding severely? If yes, apply pressure and move on. The only initial treatment you apply is airway and bleeding management

19 Rapid Patient Assessment Establish Responsiveness

20 Rapid Patient Assessment Establish Responsiveness Open Airway

21 Rapid Patient Assessment Establish Responsiveness Open Airway Check for Breathing Assess Circulation

22 Rapid Patient Assessment Establish Responsiveness Open Airway Check for Breathing Assess Circulation Control Major Bleeding

23 Rapid Patient Assessment Establish Responsiveness Open Airway Check for Breathing Assess Circulation Control Major Bleeding Position Patient

24 Rapid Patient Assessment Establish Responsiveness Open Airway Check for Breathing Assess Circulation Control Major Bleeding Position Patient Assign a Triage Code

25 Secondary Triage and Treatment Begins when adequate personnel are on scene & initial triage is complete. Patients are gathered in a triage sector & treatment begins.

26 Your Role at a M.C.I. Designate a triage area Direct walking wounded to assemble in a safe area Conduct a systematic, A-B-C, triage of all casualties

27 Your Role at a M.C.I. cont Update the Incident Commander, as often as possible Update the first arriving paramedic of your findings Once information has been transferred, report to your captain

28 E.M.S s Role at a M.C.I. Assume triage officer role Assign personnel to patient care roles Co-ordinate the transport of casualties ( i.e. which Red goes first ) Assist Ambulance Site Co- Ordinator and Traffic Control Officer

29 Call Related Stress Trauma can create overwhelming feelings Scenes such as amputations, shootings, terrorism and children can provoke strong emotions

30 Managing Personal Stress Physical Signs: Increased Pulse G.I. Discomfort Anxiety Headaches Fatigue

31 Managing Personal Stress Emotional Signs: Feeling on edge Depression Irritability Anger

32 Managing Personal Stress Behavioural Signs: Avoidance Withdrawal Aggression Procrastination Drug Abuse Overeating

33 Managing Personal Stress Critical Incident Stress Debriefing ( CISD ) helps the first responder deal with stressful incidents

34 For All Questions Pertaining to this Module, Contact Your E.M.S. Command Coordinator. North ( 416 ) South ( 416 ) East ( 416 ) West ( 416 )

Disaster Triage START/JUMPSTART

Disaster Triage START/JUMPSTART Finger Lakes Regional Training Center AGENDA Attendance Ground Rules Presentation Scenarios Additional Resources Evaluation/Certificate Objectives: Define a Mass Casualty