1. CERT - Class 4 Disaster Medical Operations Session 2

2. Cell Phones, Pagers, etc. Please turn to OFF, VIBRATE, or SILENT

3. Class #3 Review The “Killers”: Airway obstruction Excessive bleeding Shock Life-threatening conditions must receive immediate treatment!

4. Class #3 Review Triage/treatment of mass casualties involves: Evaluation w/treatment of life threatening problems. Tagging for transfer.

5. Triage Review - RPM R espiration R espiration Breathing? Rate? P erfusion P erfusion Blanch Test? Pulse? M ental Status M ental Status Simple Commands

6. Session Introduction Topics: Organization of disaster medical operations. Conducting victim assessments. Establishing treatment areas. Treating injuries. Public health concerns.

7. Session Objectives Perform head-to-toe patient assessment. Establish a treatment area. Apply splints to suspected fractures and sprains, and employ basic treatments for other wounds. Take appropriate measures to protect the public health.

8. Organization Of Disaster Medical Operations

9. Establishing Treatment Areas TREATMENT SITE Site selected should be: In a safe area Close to incident But, Uphill, Upwind of any hazard Accessible by transportation vehicles Able to grow

10. TRANSPORTATION TREATMENT AREAS INCIDENT SITE COMMAND POST Establishing Treatment Areas DEAD IDM STAGING COMMUNICATIONS

11. Treatment Area Organization DOCUMENTATION: AVAILABLE INDENTIFYING INFORMATION. DESCRIPTION. CLOTHING. INJURIES. TREATMENT. TRANSFER LOCATION.

12. Documentation If they are not tagged, they are not triaged. Keep track of what you do. Write it down. Have a scribe to help.

13. Alternate Tagging Options Colored Surveyors Tape Shipping Tags Tape Flags Cloth Flags ????

14. PPE Personal Protection Equipment Size-up Helmet Vest Goggles Gloves Boots

15. Head-to-Toe Assessment Wear PPE’s Gloves, Goggles, Mask Determine extent of injuries and plan Tx Document injuries. Assess all persons involved at incident. Use verbal & hands-on approach Look, Listen, Feel.