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 (D)</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 (A)</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 (C)</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 (B)</p> Signup and view all the answers

What is the priority order for treating and transporting patients?

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

What is the role of the Incident Commander?

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

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

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

What is the purpose of early sectorization?

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

What is the purpose of the Staging Sector?

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

What is the purpose of the Triage Sector?

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

When should Level II Staging be implemented?

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

What is the purpose of the 'Triage Report'?

<p>To communicate with Command (C)</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 (A)</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 (A)</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 (A)</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 (B)</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 (D)</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 (B)</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 (C)</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 (A)</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 (B)</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 (A)</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 (A)</p> Signup and view all the answers

What is the role of the LZ Sector?

<p>To manage helicopter operations (A)</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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