Post on 11-Feb-2016
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Safety at the Medical or Rescue Emergency
6-1
Chapter 6
Learning Objectives
• Discuss the hazards faced by responders at emergency medical or rescue incidents.
• Explain methods of minimizing and preventing injuries associated with hazards found at emergency medical incidents.
• List various requirements and uses of commonly used personal protective equipment.
Cont. 6-2
Learning Objectives
• Explain the requirements for infection control.• Discuss procedures that can be used to meet the
requirements of infection control.• Discuss the systems used for scene accountability
and incident management.
6-3
Introduction
• This chapter focuses on the type of incidents that most responders face most of the time
• Not uncommon to find rural, suburban, and urban departments involved in EMS
• EMS safety is a critical and integral part of any department’s safety and health program
• Information presented in the chapter relates to Life Safety Initiatives 11 and 12
6-4
Hazards Faced by Responders
• General hazards for all EMS incidents– Four phases
1. Gaining access
2. Approach and firstcontact with the patient
3. Providing care
4. Packaging andplacement in unit
Cont. 6-5
Hazards Faced by Responders
• Vehicle accidents• Incidents on roadways• General safety principles
6-6
Infection Control
• 2009 H1N1 flu pandemic• Must understand
– Dose– Virulence– Host resistance– Route of exposure– Means of transmission
6-7
Personal Protective Equipment
• EMS PPE vs. Firefighting PPE• Body substance isolation (BSI)• The right PPE for the task• Universal precautions
6-8
PPE Matrix
6-9
Incident Management Systems
• Senior EMS responder assumes many of the roles in the command staff
• One common factor is the Incident Safety Officer• Components• Elements at EMS incidents
– IMS structure– Accountability
6-10
PPE
6-11
Example Expanded EMS IMS
6-12
Summary
• EMS emergencies comprise the highest percentage of incidents
• Hazards are increased by uncertainties and need to interact closely with patients
• Anticipate hazards of vehicle incidents with training• Utilize law enforcement• Infection control is important• Engineering, education, and PPE are three
requirements essential to the safety program 6-13