G-EMSR Emergency Medical Response Part 2

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Questions and Answers

What should TFS Incident Commander ensure is communicated to the TFS Communications Centre?

Only safety issues and medical updates

Only patient contact and entry issues

Updates including patient contact, safety issues, and medical updates (correct)

Only action underway by fire personnel and approximated rescue duration time

What should be announced over the radio when crews make patient contact?

Patient's chief complaint and incident type

Arrived at the Patient Location (correct)

Medical update including the patient's approximate age

Safety issues at the scene

What is the responsibility of the Paramedic Services CACC?

Notifying TFS of response times

Notifying the TFS Communications Centre for TFS response (correct)

Confirming with TFS that fire personnel are responding

All of the above

What should personnel use during communication between Paramedic Services and fire personnel?

Clear language to describe circumstances Signup and view all the answers

What should TFS Communications Centre personnel do after receiving an update from on-scene personnel?

Forward the information to the Paramedic Services CACC Signup and view all the answers

What is included in the medical update that is communicated to the TFS Communications Centre?

The patient's approximate age, level of responsiveness, and breathing Signup and view all the answers

Why does the Paramedic Services CACC notify the TFS Communications Centre?

For both Tiered Response Agreement incidents and incidents where Paramedic Services arrival is expected to be delayed Signup and view all the answers

What is the purpose of the Tiered Response Agreement?

To coordinate responses between Paramedic Services and fire personnel Signup and view all the answers

What is the responsibility of the TFS Communications Centre in emergency situations?

To notify Paramedic Services CACC in specific situations Signup and view all the answers

What information must TFS Communications Centre personnel determine when a call is received for medical assistance?

Relevant information including number of patients, safety issues, and medical information Signup and view all the answers

When will the TFS Communications Centre notify Paramedic Services CACC in fire events?

Immediately on receiving information about a potential patient Signup and view all the answers

What is the purpose of providing additional patient information to Paramedic Services CACC?

To prioritize responses and upgrade Paramedic response Signup and view all the answers

What is the minimum number of trained and certified crew members required for every patient?

Two Signup and view all the answers

What is the responsibility of Paramedic Services personnel when they arrive on scene?

To assume responsibility for the patient Signup and view all the answers

What is the purpose of the primary assessment?

To assess and intervene rapidly for life-threatening conditions Signup and view all the answers

What should on-scene personnel do to ensure no patients are missed?

All of the above Signup and view all the answers

What should firefighters do when Paramedic Services personnel arrive?

Transfer care to Paramedic Services personnel Signup and view all the answers

What should TFS personnel do when accompanying a patient in an ambulance unit to hospital?

Request permission from the TFS Communications Centre to proceed to the hospital Signup and view all the answers

Study Notes

TFS Communications Centre Updates

The TFS Incident Commander ensures updates are communicated to the TFS Communications Centre, including:
- Patient contact ("Arrived at the Patient Location")
- Safety issues
- Medical update (chief complaint, incident type, patient's approximate age, level of responsiveness/alertness, breathing, and uncontrollable bleeding)
- Entry issues (e.g., entry codes)
- Action underway by fire personnel
- Approximated rescue duration time

Communication Between Paramedic Services and Fire Personnel

Personnel should use clear language to describe circumstances and avoid jargon during communication
The Paramedic Services CACC is responsible for:
- Notifying the TFS Communications Centre for TFS response (as per the Tiered Response Agreement)
- Confirming with TFS that fire personnel are responding as per Tiered Response Agreement

TFS Communications Centre Responsibilities

Notification of Paramedic Services for:
- Emergency events with potential patients
- Fire events with known or suspected persons in a confined space with smoke or flames
- Fire events with confirmed Working Fire in a structure
Determining relevant information for medical assistance calls, including:
- Number of patients at the scene
- Safety issues
- Medical information (chief complaint, incident type, patient's approximate age, conscious/alert, breathing, and severe bleeding)
- Entry issues (e.g., entry codes)

Toronto Fire Services First on Scene

The provision of additional patient information assists the Paramedic Services CACC in prioritizing responses and upgrading Paramedic response
Patient updates are immediately relayed to Paramedic Services CACC by the TFS Communications Centre if different from initial dispatch
Requests by personnel at scene for a high priority response by Paramedic Services should include an appropriate update

Scene Survey and Assessment

On scene personnel conduct a scene survey (EMCAP: Environment, Mechanism of injury, number of Casualties, Additional resources, Personal Protective Equipment) and search of the scene to ensure no patients are missed
Assessment and treatment of the patient(s) are carried out according to approved training, medical directives, and protocols for the TFS

Fire Resources and Patient Care

The fire resources needed solely for patient care are two (2) trained and certified crew members for every patient
Additional apparatus should be requested as necessary by the Incident Commander

Paramedic Services Arrival and Responsibility

When Paramedic Services arrives, Paramedic Services personnel assume responsibility for the patient
Firefighters continue to apply treatment until otherwise directed by Paramedic Services personnel

Transportation and Retrieval

When TFS personnel accompany a patient in an ambulance unit to hospital, the apparatus the Firefighter was aboard may proceed to the hospital for retrieval provided it is within the response district of the apparatus and the TFS Communications Centre is notified and approves
If outside of the apparatus response district, the Firefighter shall contact the TFS Communications Centre from the hospital to arrange pickup and transportation by other means
NOTE: The primary assessment is intended to assess and intervene rapidly for lifethreatening conditions in critically ill or injured patients. This includes determining the adequacy of airway, breathing and circulation as well as the acquisition of the patient’s oxygen saturation (SpO2), blood pressure and tympanic temperature.

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Description

Learn about the updates that the TFS Incident Commander should communicate to the TFS Communications Centre, including patient contact, safety issues, and medical updates.