16 Questions
What is the primary role of Paramedic Services personnel at a hazardous materials incident?
Providing medical care and transportation to exposed persons
Who is responsible for providing patient decontamination at a hazardous materials incident?
Fire personnel
What is the designated staging area for ambulance units established by?
TFS
What is the minimum safe distance for ambulance units to stage in the absence of specific staging information?
500 m
What is the role of Paramedic Services in providing baseline medical monitoring?
For TFS personnel if requested
What type of guidance do Paramedic Services provide to on-scene fire personnel?
Equipment, advice, and expertise for treating patients
What is the role of Paramedic Services in initiating contact with medical support services?
To provide specific guidance to all emergency responders regarding related health issues
What type of incidents should the Incident Commander make every effort to coordinate unified command with Paramedic Services?
Hazardous materials incidents and automobile accident extrications
What is the primary guideline for securing patient information from Toronto hospitals?
Standard Operating Guideline G-SECU
What should the TFS crew do if a patient cannot be found on scene at the address or location dispatched to?
Begin searching the surrounding area with the initial location information
What is the minimum PPE required for tiered response (medical) calls?
Disposable Medical Exam Gloves, Safety Glasses, and N95 Mask
When is Level 4 PPE required?
During patient assessment or care procedures with active and copious blood loss, vomiting, or diarrhea
What is included in the Officer's narrative?
The search efforts conducted to find the patient or person
What should the TFS crew do if a new exact address or location is obtained?
Search the new location with the same vigor
When is a non-permeable disposable gown or bunker coat required?
During procedures likely to cause blood or fluid splattering or outpouring of bodily fluids
What is the purpose of updating TFS Communications?
To notify dispatch that the patient was not found
Study Notes
Hazardous Materials Incidents
- Paramedic Services provide medical care and transportation to persons exposed to hazardous materials, within specified limitations.
- Fire personnel are responsible for providing patient decontamination.
- At hazardous materials incidents, Paramedic Services assume responsibility for:
- Providing dedicated operational response.
- Responding ambulance units/personnel to designated staging areas.
- Providing baseline medical monitoring for TFS personnel if requested.
- Providing equipment, advice, and expertise to on-scene fire personnel.
- Initiating contact with necessary medical support services.
Command
- The Incident Commander coordinates unified command with Paramedic Services for incidents such as:
- Automobile and other accident extrications.
- Hazardous materials incidents.
- Mass casualties.
Securing Patient Information
- To secure patient information from a Toronto Hospital, personnel refer to the Standard Operating Guideline G-SECU.
No Patient Found on Scene
- If a patient or person cannot be found on scene, TFS Communications must be updated and will call the initial contact number back.
- A reasonable search is conducted, and the efforts are detailed in the Officer's narrative.
Personal Protective Equipment (PPE)
- Level 3 PPE is required for tiered responses with patient contact, including procedures involving active airway management or likely to cause vigorous coughing.
- Level 4 PPE is required for:
- Patient assessment or care procedures with active and copious blood loss, vomiting, or diarrhea.
- Procedures likely to cause blood/fluid splattering or outpouring of bodily fluids.
- Minimum PPE requirements for tiered response (medical) calls include:
- Bunker Pants, Boots, or NFPA Approved Station Wear.
- Disposable Medical Exam Gloves.
- Safety Glasses.
- N95 Mask.
- Gowns or Bunker Coat are additionally required in the following conditions:
- Patients with possible communicable illness.
- Body fluid splash.
- Outbreak conditions.
This quiz covers the role of Paramedic Services in hazardous materials incidents, including providing medical care and transportation, and working with fire personnel to ensure patient decontamination.
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