ICEMA Protocols Flashcards

Questions and Answers

What is the purpose of the HERT team in San Bernardino County?

To respond to trauma scenes to provide advanced surgical care at the scene

Describe the principles (A, B, and C) of the HERT team in San Bernardino County.

Utilized where life saving procedures are required to allow for extrication of a trauma patient; the team is ready to respond within 20 minutes with predetermined, preassembled life saving equipment

HERT team access to the emergency medical scene will be at the discretion of whom?

The incident commander

What triage criteria constitutes trauma base contact?

Patients meeting all trauma triage criteria; trauma base station contact shall be made Signup and view all the answers

What is the expected on scene time (under normal circumstances) on trauma calls?

5-10 minutes Signup and view all the answers

In the Glasgow Coma Scale Operational Definitions, compare the Child GCS with the infant GCS. What are the differences?

All three areas are similar with variances from the adult scale in verbal and motor responses Signup and view all the answers

What is the most important part of the GCS if the patient is intubated?

Motor response Signup and view all the answers

List the contraindications for utilization of airship transportation.

Non decontaminated patients, violent patients, drunk patients, stable patients, ground transport is less than 30 minutes, traumatic full arrest Signup and view all the answers

If the trauma patient does not meet the 'Obvious Death Criteria,' what base hospital contact must be made for determination of death?

Contact a trauma base for determination of death; document asystole in at least two contiguous leads, and no reported vital signs during the EMS encounter Signup and view all the answers

If an adequate airway cannot be maintained with a BVM device and the paramedic is unable to perform a successful needle cricothyrotomy, what shall happen?

Transport to the closest receiving hospital; RSI should be performed in a hospital setting and not on scene Signup and view all the answers

If there is associated physiologic or anatomic trauma criteria meeting one or more of the mechanisms of injury, who determines the patient's destination?

A base hospital physician, once consulted Signup and view all the answers

What physiological and anatomical criteria must be present for trauma base hospital contact to be made?

GCS Signup and view all the answers

Study Notes

HERT Team Overview

Purpose: The HERT (Hazardous Environment Response Team) in San Bernardino County provides advanced surgical care at trauma scenes.
Response readiness: The team is prepared to respond within 20 minutes with preassembled lifesaving equipment, focusing on life-saving procedures for trauma patients.

Access and Triage

Scene access: Granted at the discretion of the incident commander.
Triage criteria: Contact with a trauma base station is required for patients meeting all trauma triage criteria.

On-Scene Protocols

Expected on-scene time: Typically 5-10 minutes for trauma calls.

Glasgow Coma Scale (GCS)

Child versus infant GCS: The three assessment areas are similar, but there are differences in verbal and motor responses when comparing to the adult scale.
Critical component for intubated patients: Motor response is the most crucial part of GCS for patients who are unconscious or preverbal.

Airship Transportation Contraindications

Categories for contraindication: Non-decontaminated patients, violent patients, patients under the influence, stable patients when ground transport is under 30 minutes, and those in traumatic full arrest.

Determination of Death

Protocol if "Obvious Death Criteria" is unmet: Contact a trauma base for death confirmation; document asystole in two contiguous leads and lack of vital signs during EMS encounter.

Airway Management

Actions if BVM is ineffective: If a successful needle cricothyrotomy cannot be performed or indicated, transport to the nearest hospital is necessary; RSI (Rapid Sequence Intubation) should occur in a hospital setting, not on scene.

Patient Destination Decisions

Determination of patient destination: A base hospital physician decides upon consultation when physiologic or anatomic trauma criteria meet specified mechanisms of injury.

Trauma Base Hospital Contact Criteria

Required criteria: Glasgow Coma Scale (GCS) must meet specific physiological and anatomical conditions for trauma base hospital contact.

Description

This quiz covers key concepts related to the ICEMA protocols and the role of the HERT team in San Bernardino County. Test your knowledge on the purpose and principles of emergency response in trauma situations. Perfect for healthcare professionals and emergency responders!