203.01 EMS Responsibilities
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Questions and Answers

What is the primary responsibility of the first-arriving company officer at the scene of a multi-patient or mass casualty incident?

  • Call for additional resources
  • Assess the number of patients
  • Establish Command (correct)
  • Provide medical treatment to the injured
  • What is the primary tactical objective of the Incident Commander at a multi-patient or mass casualty incident?

  • Ensure the functions of triage, extrication, treatment and transportation are established
  • Provide for the safety, accountability and welfare of rescue personnel and victims
  • Stabilize the incident and provide for life safety
  • Remove endangered occupants and treat the injured (correct)
  • At what point does the initial Incident Commander relinquish Command?

  • When the first patient is transported to the hospital
  • When the incident is stabilized and Command is terminated (correct)
  • When additional resources arrive
  • When the triage process is complete
  • What is the responsibility of the Incident Commander regarding the tactical objectives?

    <p>To complete the tactical objectives</p> Signup and view all the answers

    What is the term for the process of sorting patients based on the severity of their injuries?

    <p>Triage</p> Signup and view all the answers

    What is the first action of the first arriving officer at a multiple-patient incident?

    <p>Give an on-scene report and assume command</p> Signup and view all the answers

    What is the purpose of the Triage Report?

    <p>To signify that triage has been completed and communicate the size of the incident</p> Signup and view all the answers

    What is the priority order for treating and transporting patients?

    <p>IMMEDIATE, DELAYED, MINOR</p> Signup and view all the answers

    What is the role of the Incident Commander?

    <p>To drive the Command system towards tactical objectives</p> Signup and view all the answers

    What should be established early in a multiple-patient incident?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of early sectorization?

    <p>To improve initial scene organization</p> Signup and view all the answers

    What is the purpose of using colored salvage covers in a treatment area?

    <p>To designate treatment areas for IMMEDIATE, DELAYED, or MINOR patients</p> Signup and view all the answers

    What is the purpose of the Staging Sector?

    <p>To manage the flow of apparatus and resources</p> Signup and view all the answers

    What is the purpose of the Triage Sector?

    <p>To determine the location and number of patients</p> Signup and view all the answers

    When should Level II Staging be implemented?

    <p>Early in the incident</p> Signup and view all the answers

    What is the purpose of the 'Triage Report'?

    <p>To communicate with Command</p> Signup and view all the answers

    Why should units be parked at a distance from the scene?

    <p>To keep the scene clear and maintain access</p> Signup and view all the answers

    What is the primary purpose of the Extrication Sector?

    <p>To determine the location and number of patients</p> Signup and view all the answers

    What is the role of the Triage Sector in relation to the Assembly Area?

    <p>To assess patients and deliver them to the Treatment Area</p> Signup and view all the answers

    What is the preferred approach to patient treatment in the Treatment Sector?

    <p>Treating patients in a centralized area</p> Signup and view all the answers

    What is the role of the Transportation Sector in relation to hospitals?

    <p>To determine hospital availability through the Dispatch Center</p> Signup and view all the answers

    What is the role of the LZ Sector in a mass casualty incident?

    <p>To keep track of patient destination and communicate landing instructions</p> Signup and view all the answers

    What is the purpose of the Safety Sector in a mass casualty incident?

    <p>To ensure scene safety and avoid congestion</p> Signup and view all the answers

    What is the purpose of the Staging Sector in a mass casualty incident?

    <p>To identify a Level II staging area to avoid scene congestion</p> Signup and view all the answers

    What is the purpose of the Triage Sector?

    <p>To sort patients based on the severity of their injuries</p> Signup and view all the answers

    In a multi-patient incident response, what is the typical sequence of resource commitment?

    <p>Extrication, Treatment, Transportation</p> Signup and view all the answers

    In a multi-patient incident response, what is the purpose of the Level II Staging area?

    <p>To stage all resources</p> Signup and view all the answers

    What is the role of the LZ Sector?

    <p>To manage helicopter operations</p> Signup and view all the answers

    Study Notes

    Phoenix Regional Standard Operating Procedures for EMS Responsibilities

    Scope and Policy Statement

    • Establishes a standard structure and guideline for Fire Department units at multi-patient/mass casualty incidents
    • Integrates with the overall incident management system
    • Applies to incidents with varying numbers of patients (multi-patient, mass casualty, disaster)

    Definitions

    • Multi-patient incident: fewer than 25 patients
    • Mass casualty incident: 25-100 patients
    • Disaster: more than 100 patients

    Procedure

    • First-arriving company officer establishes Command and assumes responsibility for tactical objectives
    • Tactical objectives:
      • Remove endangered occupants and treat the injured
      • Stabilize the incident and provide for life safety
      • Establish triage, extrication, treatment, and transportation functions
      • Ensure safety, accountability, and welfare of rescue personnel and victims
      • Conserve property
    • Command is responsible for building a command structure to match the organizational needs of the incident

    Triage and Patient Assessment

    • Triage should be initiated early in the incident
    • Patients should be treated and transported in priority order: IMMEDIATE, DELAYED, MINOR
    • Triage Report should be radioed to Dispatch, including patient numbers and conditions

    Arrival and Scene Size-up

    • First-arriving company officer should:
      • Give an on-scene report and assume Command
      • Initiate triage
      • Perform a rapid hazard assessment and establish a safe zone
      • Call for additional resources
      • Radio a Triage Report to Dispatch

    Staging

    • Additional resources should be requested using standard assignments and alarms
    • Staging area should be established to keep the scene clear and maintain access
    • Units should be assigned to sectors, and medical equipment should be stockpiled in the treatment area

    Command Responsibilities

    • Incident Commander (IC) is responsible for:
      • Determining strategy and setting priorities
      • Obtaining and assigning resources
      • Communicating objectives to tactical units
      • Initiating a Unified Command with other agencies

    Basic Sectors

    • Triage Sector: determines patient location, number, and condition; assigns and supervises triage teams
    • Extrication Sector: determines patient location, number, and condition; assigns and supervises extrication teams
    • Treatment Sector: determines patient treatment needs; assigns and supervises treatment teams
    • Transportation Sector: obtains transportation modes; determines hospital availability; coordinates patient allocation with Treatment Sector

    Additional Sectors

    • Safety Sector: ensures scene safety and monitors hazards
    • Medical Supply Sector: procures, delivers, and stockpiles medical supplies
    • LZ Sector: coordinates helicopter operations and ensures safe landing zones

    Branches

    • Medical Branch: directs all medical-related sectors; ensures completion of medical objectives
    • Transportation Branch: directs all transportation-related sectors; ensures completion of transportation objectives

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    Description

    This quiz covers the standard operating procedures for Fire Department units in multi-patient/mass casualty incidents in the Phoenix region. It outlines the guidelines and structure for incident management and response.

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