First Responder – Initial Assessment and Management -aka 第一个响应–初步评估和管理-又名

1、SAFE TACAIMS OF THIS PRESENTATION By the end of this presentation you will: Have a structured method in which to approach an incident - known as SAFE TAC Know how to signal for help Know how to send a (M)ETHANE reportBACKGROUND Why you should know this: Any one of us can come across an emergency sit

2、uation, anywhere, at any time. People look towards those with medical training for help. If you have a general system to work through: You will be calmer You will be more organised It will help afterwards when you reflect on what has happened.S SHOUT / SIGNAL / SEND FOR HELPSHOUT FOR HELP6 BLASTS ev

3、ery minuteFIRE AT NIGHT, SMOKE IN THE DAY999KEEP LINE OF COMMUNICATION OPEN! SURVIVAL BAG / OTHER GROUND TO AIR SIGNALSA ASSESS SCENE What has happened? What danger is there? What injuries is the casualty likely to have? Always walk the last 5m in, gives you time to think.F FREE SCENE FROM DANGER, F

4、IND (& FREE) CASUALTY Free from danger Stop traffic- Don IPE Turn off engines - Put out fires Find casualty Actively search for casualties, especially in mass incidents. Free casualty If too dangerous to assess / treat (4Fs: fire, flood, fumes, fuel)E- EVALUATE CASUALTY QUICK evaluation as you w

5、alk towards the casualty Noisy breathing = airway problem Chest rising & falling too quickly / not enough = breathing problem Blood spurting = circulation problem QUICK primary survey (i.e. sufficient for triage) Remember: Catastrophic Haemorrhage is dealt with before anything else.T - TRIAGECan

6、 the patient walk?P3 - DelayedIs the patient breathing?DeadTwo rescue breaths.Any response?P1- ImmediateRepiratory Rate10 or 30120P2 - UrgentOpen airway, if neededYNNNNNYYYY“Dont pause to treat or you will have failed in your task”A - ASSESS Full Primary Survey:Airway ALOABreathing RR, Sound, TWELVE

7、 FLAPSCirculation Pulse, CR, Blood on floor + 4 moreDisability AVPU, PEARLExposure / Environment / Evacuation(DEFG = Dont Ever Forget Glucose)C - COMMUNICATION (M)ETHANE: (Major Incident or My call sign military )Exact locationType of IncidentHazardsAccess / EgressNumber of CasualtiesEmergency servi

8、ces / Equipment requiredC - COMMUNICATIONE Exact location: Simonside Hills, Grid Ref NU 030990T Type of incident: Man fallen out of treeH Hazards: Possible falling branches A Access and Egress: Forestry track 50m due West, can be accessed from road running SE from Gt Tosson, right turn approx 1.5 km

9、 from village.N Number of casualties: One casualty adult maleE Emergency services required Mountain Rescue Any questions?AIMS OF THIS PRESENTATION By the end of this presentation you will: Have a structured method in which to approach an incident Know how to signal for help Know how to send a (M)ETHANE reportSUMMARY Send / Shout / Signal for help Assess the scene Free scene from danger, find (&free) casualty Evaluate casualty Triage Assess ABCs Communication ETHANE reportReferences / Acknowledgements MIRA course handbook Wilderness SSC