203.04 Treatment Sector

Extrication Sector Responsibilities

• Determine location, number, and condition of all patients, coordinating with Triage
• Decide on triage location: in place or at the treatment area entrance
• Determine resources and assign/supervise extrication teams
• Extricate and deliver patients to treatment areas or casualty collection points
• Provide frequent progress reports to Command
• Ensure patient and personnel safety and accountability
• Coordinate with other sectors
• Notify Command when all patients are removed and companies are available for reassignment

Extrication Sector Officer Guidelines

• Wear a sector vest for identification
• Position in a visible, accessible location with a view of the scene
• Maintain face-to-face communication within the sector
• Use messengers to relay information to the sector officer
• Provide frequent progress reports to Command

Patient Removal Priorities

• IMMEDIATE patients removed to treatment areas without delay
• DELAYED patients removed after IMMEDIATE patients, unless access is restricted
• Non-ambulatory patients moved on backboards with cervical spine precautions if necessary

Resource Allocation

• Initial commitment: one company per five victims
• Assign companies to specific areas or groups of patients
• Company officers responsible for patient needs and requesting assistance
• Divide responsibility geographically in large incidents, with designated sector names (e.g., "North Extrication")

ALS Personnel and Specialized Equipment

• Most ALS personnel assigned to the Treatment Sector
• Some paramedics may be assigned to the Extrication Sector for critical patients
• Ladder companies assigned for forcible extrication
• Request specialized equipment (wreckers, cranes, cutting torches) through Command

Safety and Congestion Control

• Ensure safety of the extrication area
• Commit personnel with protective lines and extinguishing equipment where a fire risk exists
• Reduce confusion and congestion by directing MINOR patients to a specific area
• Extrication Sector responsible for further assessing and transporting MINOR patients to an "Assembly Area"

Treatment Sector Overview

• A Treatment Sector is established to manage the treatment of multiple IMMEDIATE and DELAYED patients.
• The Treatment Sector is responsible for setting up a treatment area to provide stabilization and continuing care of patients until they can be transported to a medical facility.

Treatment Sector Responsibilities

• Identify whether patient treatment will occur “in place” or in a designated treatment area.
• Determine resources and assign treatment teams.
• Ensure all patients have been triaged, assessed, and re-triaged as needed.
• Provide aggressive treatment and rapid packaging of patients.
• Provide frequent progress reports to Command.
• Ensure safety and accountability of all patients and assigned personnel.
• Verify transportation priorities with Transportation Sector.
• Coordinate with other sectors.

Establishing a Treatment Area

• The Treatment Sector officer establishes a large treatment area, separate from the incident scene.
• If the incident is large, separate "IMMEDIATE" and "DELAYED" treatment areas are established.
• The treatment area must be readily accessible for patient entry and transportation loading, away from dangerous conditions.
• The area should be large enough to absorb all patients and treatment personnel.

Treatment Area Operations

• Patients are arranged in an orderly manner, with adequate space provided between patients for treatment personnel.
• First arriving patients are placed near the exit point, and rescuers fill from exit towards the entrance as patients are delivered.
• Non-triaged patients arriving at the treatment area are triaged and tagged at the entrance.
• ALS treatment is given primarily in the "IMMEDIATE" treatment area, with less intensive patient monitoring and treatment in the "DELAYED" treatment area.
• Medical information is documented on the triage tag.

Treatment Sector Officer Responsibilities

• The Treatment Sector officer assigns personnel to meet and direct first arriving litter-bearers.
• The officer advises Command when ready to receive patients.
• The officer ensures treatment is rapid, adequate, and appropriate numbers of treatment personnel are assigned to each patient.
• The officer maintains awareness of which patients are ready for transport.
• The officer ensures close coordination with the Transportation Sector officer for rapid transportation.

This quiz covers the roles and responsibilities of the extrication sector in emergency response, including patient assessment, triage, and resource allocation. It also touches on communication and coordination with other sectors.