Presentation on theme: "Emergency Scene Management"— Presentation transcript:
1 Emergency Scene Management ESMEmergency Scene Management
2 Emergency Scene Management Is the sequence of actions you should follow at the scene of an emergency to ensure that safe and appropriate first aid is given.
3 Priority!The order of the steps in ESM, including the priorities of first aid, may change , depending on the circumstances.
4 The ESM had four steps (usually in this order) Scene SurveyPrimary casualty surveySecondary casualty surveyOngoing casualty
5 Scene Survey Stop Environment Traffic Unkown Hazards Personal Barriers Take charge of the sceneCall out for helpAssess hazards and make area safeFind out history, number of casualties mechanism of injury.Identify yourself as first aider and offer help
6 Primary Casualty Survey Picks up where scene survey left offIn the primary survey you check for the priorities of first aid the ABCD’sAirway- a clear airwayBreathing- effective breathingCirculation- effective circulationDeadly bleeding control
7 Even if there is more than one casualty, you should perform a primary survey on each one in turn. Give life-saving first aid only.The primary survey should be performed on the casualty in the position he/she has been found, unless it is impossible to do so.Unresponsive Victim:A- open the airwayEither use the head-tilt-chin- liftB-check for breathingLook, listen and feel
8 C-check for circulation Check for a carotid pulseIf pulse is absent, start CPR ( 2 breaths, 30 compressions).Stop- find pulses. What do they tell us? How should they be?DeformationsOpen woundsTendernessSwelling
9 Secondary Casualty survey Rapid body survey- head to toe sweep-checking for:bleeding, lumps, hardness, bruising, softness-watch the face & the person’s reaction or lack ofStart from head and move down to toesDon’t move casualty unless there is danger- never step over casualtyShould take 30 seconds or less