Medical Incident Plan

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FOR A NON-EMERGENCY INCIDENT, WORK THROUGH CHAIN OF COMMAND TO REPORT AND TRANSPORT INJURED
PERSONNEL AS NECESSARY. FOR A MEDICAL EMERGENCY: IDENTIFY ON-SCENE INCIDENT COMMANDER BY NAME AND POSITION AND ANNOUNCE "MEDICAL EMERGENCY" TO INITIATE RESPONSE FROM IMT COMMUNICATIONS/DISPATCH.

THIS IS AN EXERCISE

 Use the following items to communicate situation to communications/dispatch.

1. CONTACT COMMUNICATIONS / DISPATCH (Verify correct frequency prior to starting report)
    Ex: "Communications, Div. Alpha. Stand-by for Emergency Traffic."
2. INCIDENT STATUS: Provide incident summary (including number of patients) and command structure.
    Ex: “Communications, I have a Red priority patient, unconscious, struck by a falling tree. Requesting air ambulance to Forest Road 1 at (Lat./Long.)
    This will be the    Trout Meadow Medical, IC is TFLD Jones. EMT Smith is providing medical care.”

Severity of Emergency / Transport Priority RED / PRIORITY 1 Life or limb threatening injury or illness. Evacuation need is IMMEDIATE.
        Ex: Unconscious, difficulty breathing, bleeding severely, 2o – 3o burns more than 4 palm sizes, heat stroke, disoriented.
YELLOW / PRIORITY 2 Serious Injury or illness. Evacuation may be DELAYED if necessary.
        Ex: Significant trauma, unable to walk, 2° – 3° burns not more than 1-3 palm sizes.
GREEN / PRIORITY 3 Minor Injury or illness. Non-Emergency transport
        Ex: Sprains, strains, minor heat-related illness.
Nature of Injury or Illness & Mechanism of Injury Brief Summary of Injury or Illness
(Ex: Unconscious, Struck by Falling Tree)
Evacuation Request Air Ambulance / Short Haul/Hoist Ground Ambulance / Other
Patient Location Descriptive Location & Lat. / Long. (WGS84)
Incident Name Geographic Name + Medical (Ex: Trout Meadow Medical)
On-Scene Incident Commander Name of on-scene IC of Incident within an Incident (Ex: TFLD Jones)
Patient Care Name of Care Provider (Ex: EMT Smith)

3.I NITIAL PATIENT ASSESSMENT: Complete this section for each patient as applicable (start with the most severe patient)

Patient Assessment:(See IRPG PAGE 106):

Treatment:

4. EVACUATION PLAN:
Evacuation Location (if different): (Descriptive Location (drop point, intersection, etc.) or Lat. / Long.) Patient's ETA to Evacuation Location:

Helispot / Extraction Site Size and Hazards:

5.ADDITIONAL RESOURCES / EQUIPMENT NEEDS:
Example: Paramedic/EMT, crews, immobilization devices, AED, oxygen, trauma bag, IV/fluid(s), splints, rope rescue, wheeled litter, HAZMAT, extrication

6.COMMUNICATIONS: Identify State Air/Ground EMS Frequencies and Hospital Contacts as applicable


Make a transport decision.
Function Channel Name/Number Receive (RX) Tone/NAC * Transmit (TX) Tone/NAC *
7. CONTINGENCY: Considerations: If primary options fail, what actions can be implemented in conjunction with primary evacuation method? Be thinking ahead..
8. ADDITIONAL INFORMATION: Updates/Changes, etc.
REMEMBER: Confirm ETAs of resources ordered. Act according to your level of training. Be Alert. Keep Calm. Think Clearly. Act Decisively.

Date/Time    

 Location    

   Latitude and longitude: LAT       LON         MGRS      Grid       
    LAT/LON and MGRS default to the center of the grid square listed in Express Settings,  unless a GPS is used or Lat/LON  or MGRS must be entered
    manually.
  Without properly formatted GPS coordinates this form cannot be mapped in Winlink Express.

                                                                                      Ver 0.2

 

 

EMERGENCY MEDICAL PROCEDURES ICS 206 – Block 8 – “Dutch Creek Protocol”

In the event of a medical emergency, provide the following information to the Incident Communications Center, if established, or appropriate dispatch/coordination center.

1. Declare the nature of the emergency.
   a. Medical injury / illness?
   b. If injury/illness, is it Life Threatening?

2. If Life Threatening, then request that the designated frequency be cleared for emergency traffic.

3. Identify the on-scene Point of Contact (POC) by Resource and Last name (i.e. POC is TFLD Smith).

4. Identify nature of incident, number injured, patient assessment(s) and location (geographic and GPS coordinates).

5. Identify on-scene medical personnel by position and name (i.e. EMT Jones).

6. Identify preferred method of patient transport.

7. Request any additional resources and/or equipment needed.

8. Document all information received and transmitted on the radio or phone.

9. Identify any changes in the on-scene Point of Contact or medical personnel as they occur.

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Initial Patient Assessment

Initial Patient Assessment
• General impression of patient
• Major bleeding control
• Airway
• Breathing
• Circulation
• Wrist or neck pulse

Patient Information
• Chief complaint
• Age and weight

Level of Consciousness
• Alert and oriented
• Verbal (responds to voice)
• Pain (responds to painful stimuli)
• Unresponsive

Breathing
• Normal
• Difficult/labored breathing
• Not breathing? -Start rescue breathing.

Pulse
• Present
• Absent – Start CPR

Skin Color
• Normal
• Pale
• Bluish
• Flushed/red

Skin Moisture
• Normal
• Dry
• Moist/clammy
• Profuse sweating Skin

Temperature
• Normal/warm
• Hot
• Cool
• Cold

Pupils
• Equal or unequal?
• Reactive to light
• Fixed or slow response
• Dilated or constricted

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