disaster medical operations part 1 - fema.gov 3: disaster medical operations — part 1 3-13 types...
TRANSCRIPT
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Disaster Medical Operations — Part 1
CERT Basic Training Unit 3
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Assumptions ● Need for CERT members to learn disaster
medical operations is based on two assumptions: Number of survivors could exceed local
capacity for treatment Survivors will assist others
‒ They will do whatever they know how to do ‒ They need to know lifesaving first aid or post-
disaster survival techniques
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Importance of Quick Action
● Phase 1: Death within minutes, result of severe trauma
● Phase 2: Death within several hours, result of excessive bleeding
● Phase 3: Death in several days or weeks, result of infection
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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CERT Training
● Treatment for life-threatening conditions Airway obstruction, bleeding, shock
● Treatment for other, less urgent conditions Provide greatest good for greatest number
by conducting simple triage and rapid treatment
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START
● STart = Simple Triage Survivors sorted based on priority of
treatment
● stART = And Rapid Treatment Rapid treatment of injuries assessed and
prioritized in first phase
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Unit Objectives
● Identify “killers” ● Apply techniques for opening airway,
controlling bleeding, and treating for shock ● Conduct triage under simulated disaster
conditions
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Unit Topics
● Treating life threatening injuries
● Triage
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Three “Killers”
● Emergency medicine “killers” Airway obstruction Bleeding Shock
● First priority of medical operations: Open airway Control excessive bleeding Treat for shock
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How to Approach a Survivor
● Be sure survivor can see you ● Identify yourself Your name and name of your organization
● Request permission to treat, if possible ● Respect
cultural differences
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Open the Airway
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Open vs. Obstructed Airway
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Head-Tilt/Chin-Lift Method
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Types of Bleeding - 1
● Arterial bleeding Bleeding from artery spurts
● Venous bleeding Bleeding from vein flows
● Capillary bleeding Bleeding from capillaries oozes
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Types of Bleeding - 2
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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Control Bleeding
● 3 main methods for controlling bleeding: Direct pressure Elevation Pressure points
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Pressure Points
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Shock
● Result of ineffective circulation of blood
● Remaining in shock will lead to death of: Cells Tissues Entire organs
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CERT Basic Training Unit 3 Disaster Medical Operations — Part 1
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Recognizing Shock
● Main signs of shock Rapid and shallow breathing Capillary refill of greater than 2 seconds Failure to follow simple commands, such as
“Squeeze my hand” ● Symptoms of shock are easily missed…
pay careful attention to your patient!
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Responding to Mass Casualty Event
● Have a plan ● Follow that plan ● Document your
actions throughout
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1. Gather Facts 2. Assess Damage 3. Consider Probabilities 4. Assess Your Situation 5. Establish Priorities 6. Make Decisions 7. Develop Plan of Action 8. Take Action 9. Evaluate Progress
REMEMBER: CERT SIZEUP IS A
CONTINUAL PROCESS
CERT Sizeup
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CERT Basic Training Unit 3: Disaster Medical Operations — Part 1
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What Is Triage?
● Process for managing mass casualty event
1. Survivors are evaluated 2. Survivors are sorted by urgency of treatment
needed 3. Survivors are set up for immediate or
delayed treatment
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Triage ● Immediate (I): Survivor has life-
threatening injuries (airway, bleeding, or shock)
● Delayed (D): Injuries do not jeopardize survivor’s life; treatment can be delayed
● Minor (M): Walking wounded and generally ambulatory
● Dead (DEAD): No respiration after two attempts to open airway
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Rescuer Safety During Triage
● If hazmat or terrorist event is suspected, CERT members DO NOT respond Evacuate as safely as possible
● ALWAYS wear PPE: Helmet Goggles N95 mask Work gloves Sturdy shoes or boots Non-latex exam gloves
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Triage Process
● Step 1: Stop, Look, Listen, and Think ● Step 2: Conduct voice triage ● Step 3: Start where you stand; follow
systematic route ● Step 4: Evaluate each survivor and tag ● Step 5: Treat “I” survivors immediately ● Step 6: Document triage results
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Step 4: Triage Evaluation
● Check airway and breathing ● Check circulation and bleeding ● Check mental status
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Triage Pitfalls
● No team plan, organization, or goal
● Indecisive leadership ● Too much focus on
one injury ● Treatment (rather
than triage) performed
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Unit Summary
● You should now be able to: Identify 3 “killers” Apply techniques for
opening the airway, controlling bleeding, and treating for shock
Conduct triage under simulated disaster conditions
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Homework Assignment
1. Read unit to be covered in next session 2. Bring necessary supplies for the next
session 3. Wear appropriate clothes for the next
session