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.
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Nature of Injury or Illness & Mechanism of Injury |
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Brief Summary of Injury or Illness
(Ex: Unconscious, Struck by Falling Tree) |
Evacuation Request |
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Air Ambulance / Short Haul/Hoist Ground Ambulance / Other |
Patient Location |
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Descriptive Location & Lat. / Long. (WGS84) |
Incident Name |
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Geographic Name + Medical (Ex: Trout Meadow Medical) |
On-Scene Incident Commander |
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Name of on-scene IC of Incident within an Incident (Ex: TFLD Jones) |
Patient Care |
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Name of Care Provider (Ex: EMT Smith) |
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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:
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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:
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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
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6.COMMUNICATIONS: Identify State Air/Ground EMS Frequencies and Hospital Contacts as applicable
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7. CONTINGENCY: Considerations: If primary options fail, what actions can be implemented in conjunction with primary evacuation method? Be thinking ahead..
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8. ADDITIONAL INFORMATION: Updates/Changes, etc.
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REMEMBER: Confirm ETAs of resources ordered. Act according to your level of training. Be Alert. Keep Calm. Think Clearly. Act Decisively. |
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Ver 0.2
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