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What is an Incident Command System? (ICS) a local organization that coordinates personnel, facilities, equipment, and communication; it is federally mandated; it is the center of operations; one person is the incident commander
What is the Hospital Incident Command System? (HICS) It's a clear chain of command with specific responsibilities within the hospital during an incident of mass casualty
What positions does the HICS include? Incident Commander, Public Information Commander, Safety & Security Office, Liaison Officers, Specialty Personnel as needed
What are the focused areas of HICS? Planning, Logistics, Finance, Operations
How does non-disaster situations get prioritized? Highest priority and most resources go to the most critically ill.
How does triage prioritize disaster situations? Decision is based on likelihood of survival gets treated first.
Who is #1 priority during mass casualty? Immediate-Red: life threatening injuries but survivable with minimal intervention
What are examples of the red category? Sucking chest wound, open fx of long bone, tension pneumothorax
What is #2 priority during mass casualty? Delayed-Yellow: significant injuries but can wait hours without threat to life or limb
What is #3 priority during mass casualty? Minimal-Green: injuries are minor and treatment can be delayed by hours to days; should be moved away from main triage area
What is #4 priority during mass casualty? Expectant-Black: injuries are extensive and chances of survival are unlikely; comfort measures should be provided
Examples of "Black" Injury penetrating head wounds, high SCI, 2nd and 3rd degree burns, profound shock, agonal respirations, pupils fixed dilated
How do you start triage? send all who can walk to a specific location, separate green victims.
What is the 2nd step of triage? Assess respirations: if greater then 30/min then triage as red and move to next patient, if less then 30/min continue assessing
What is the 3rd step in triage? Assess perfusion: if cap refill is >2 sec then triage as red and continue to next pt, if <2 sec then continue assess pt
What is 4th step in triage? Assess mental status: if can't follow simple commands then triage as red, if they can follow commands then triage as yellow
What are exceptions to the triage system? Pregnant women, children & fellow rescuers
What is a level A PPE? self-containing breathing apparatus (SCBA), vapor tight chemical resistant suit, gloves, and boots
What is Level B PPE? high level of respiratory protection (SCBA) but lesser skin and eye protection; chemical resistant suit
What is Level C PPE? air purified respirator, coverall with splash hood, chemical resistant gloves and hood
What is Level D PPE? Typical work uniform
What are the steps of decontamination? remove all of patient's clothing and jewelry and rinse with water; thorough soap and water wash and rinse
What are primary injuries due to blast? due to direct effect of increases in atmospheric pressure that cause barotrauma: ruptured ear drums, pneumothorax, hemorrhage, DIC and ARDS
What are secondary injuries due to blast? as a result of flying debris: minor lacerations, contusions; dust or smoke inhalation
What are tertiary injuries due to blast? as a result of being thrown through the air by the blast and hitting another object
Created by: 1001380947