11 Questions
What is the first priority for removal to the treatment area?
IMMEDIATE patients
How should non-ambulatory patients be moved?
On backboards, with cervical spine precautions if indicated
Who is responsible for the patients in a specific area or group of patients?
The Company Officer
What is the purpose of assigning paramedics to the Extrication Sector?
To provide ALS treatment for critical patients undergoing extended extrication efforts
What type of equipment may be required for forcible extrication?
Wreckers, cranes, and cutting torches
What is the purpose of the 'Assembly Area'?
To hold MINOR patients until further assessment
What is the main responsibility of the Extrication Sector in a multiple patient incident?
Removing and delivering patients to a treatment area
Who should be positioned in a readily visible location that is accessible to arriving companies?
Extrication Officer
Who should coordinate activities with other sectors?
Extrication Officer
What is the first step in the Extrication Sector's standard operations?
Determine the location, number and condition of all patients
When should the Extrication Sector notify Command?
When all patients have been removed and companies are available for reassignment
Study Notes
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"
Learn about the standard operating procedures for extrication sector in multiple patient incidents, including patient disentanglement and removal, and assisting triage with patient treatment.
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