1. PDLS © : EMS Disaster Response and Equipment Practical Matters

2. Learning Objectives: List and describe the Three Phases of Disaster List and describe the Three Phases of Disaster List specific equipment tools that can be used during a disaster response List specific equipment tools that can be used during a disaster response List five groups that must be targeted for List five groups that must be targeted for Pre-Disaster education List and describe six positions of the Incident Command System List and describe six positions of the Incident Command System

3. Learning Objectives: Describe the procedure for formal declaration of a disaster Describe the procedure for formal declaration of a disaster List and describe the different types of communication devices that can be utilized during a disaster List and describe the different types of communication devices that can be utilized during a disaster

4. Phases of Disaster Phase One:0-48 hours Phase One:0-48 hours Phase Two:2-7days Phase Two:2-7days Phase Three:beyond 7 days Phase Three:beyond 7 days

5. Pre-Incident Preparation Education Human Resources Human Resources Transportation Transportation Equipment Equipment Supplies Supplies Communication Communication

6. Equipment Child specific Child specific Pre-packaging Pre-packaging Containment shells Containment shells Rapid access Rapid access BLS / ALS BLS / ALS Transportation of equipment Transportation of equipment

7. Equipment Monitoring - Check off procedure Monitoring - Check off procedure Rotation Rotation Security Security Special needs Special needs

8. Containment Shells Easy access Easy access Water proof Water proof Insect resistant Insect resistant Isolated from extremes of temperature Isolated from extremes of temperature Isolated from extremes of humidity Isolated from extremes of humidity Portable Portable Monitored Monitored

9. Packaging Top to bottom Top to bottom BLS / ALS specific BLS / ALS specific Pre-determined scope of practice rules Pre-determined scope of practice rules Policy formulation Policy formulation Incident specific arrangements Incident specific arrangements Sectioning shell - age specific Sectioning shell - age specific

10. Supplies: Oral pharyngeal airways Oral pharyngeal airways Bag Valve Mask’s Bag Valve Mask’s O2 / delivery devices O2 / delivery devices Pulse oximeter Pulse oximeter P.O. ear probes P.O. ear probes CO2 monitors CO2 monitors Trauma scissors Trauma scissors Stethoscopes Stethoscopes Blood pressure cuffs Blood pressure cuffs Cervical collars Cervical collars Portable suction Portable suction Padded board splints Padded board splints Obstetrics kit Obstetrics kit Blankets Blankets Sheets Sheets

11. Supplies Car seats Car seats Toys Toys Airway rolls Airway rolls O2 multiplexer O2 multiplexer Naso-gastric tubes Naso-gastric tubes Chest tubes Chest tubes Nebulizers Nebulizers I.V. solutions I.V. solutions Needles Needles Sharps containers Sharps containers Glucometer Glucometer I.O. needles I.O. needles Broselow Tape Broselow Tape Adhesive tape Adhesive tape Medications Medications Clean water / cups Clean water / cups

12. Supplies Formula Formula Purifier / preservative Purifier / preservative hand lights with batteries hand lights with batteries Light sticks Light sticks Candles / waterproof matches Candles / waterproof matches Rain tarps/ poles Rain tarps/ poles Ground clothes Ground clothes Paper / waterproof pens Paper / waterproof pens Disaster Tags Disaster Tags Disposable bags Disposable bags Chlorine bleach Chlorine bleach Soap / towels Soap / towels Hand tools Hand tools

13. Supplies Radio CB/am/fm Radio CB/am/fm Whistle Whistle Meals Ready to Eat Meals Ready to Eat Bandage Bandage Triangular bandage Triangular bandage Kling Kling Aluminum foil Aluminum foil Vaseline gauze Vaseline gauze Trauma dressings Trauma dressings Gauze Gauze Hydrogen peroxide Hydrogen peroxide Alcohol Alcohol Cold / hot packs Cold / hot packs Gloves Gloves Instaglucose Instaglucose Sterile water / saline Sterile water / saline

14. Supplies Backboards/ straps Backboards/ straps Optional / Monitors defibrillators Optional / Monitors defibrillators AED / SAED AED / SAED Other regional specific adjuncts Other regional specific adjuncts

15. Supplies Expanded practice Expanded practice Special needs Special needs

16. Nutritional needs Specific to age Specific to age Specific to region Specific to region Disaster type Disaster type Transportation availability Transportation availability Packaging requirements Packaging requirements

17. Personal Protection Equipment Hazardous Environments Hazardous Environments Bombs Bombs Radiation Radiation Chemicals Chemicals

18. Child Protection Security Security Safe/Rapid - event removal Safe/Rapid - event removal Psychological Trauma Psychological Trauma CISD - Child specific CISD - Child specific Lost children Lost children Child Care Agencies referral Child Care Agencies referral Parental / family death’s Parental / family death’s

19. MCI Critical Functions Scene size-up Scene size-up Initial notification Initial notification Establish Command System Establish Command System Identify patients - Triage Identify patients - Triage Tagging Tagging Treatment Treatment Prioritized Evacuation Prioritized Evacuation Stabilization and Treatment Stabilization and Treatment Communication Coordination Communication Coordination Loading and Transportation Loading and Transportation

20. Incident Command System Overview EMS Incident Commander EMS Incident Commander Triage Officer Triage Officer Tagging Officer Tagging Officer Loading Officer Loading Officer Treatment Officer Treatment Officer Transportation - Staging Officer Transportation - Staging Officer Communications Officer Communications Officer Safety Officer Safety Officer Public Information Officer Public Information Officer

21. EMS Incident Command Coordinates EMS activities - activates MCI response plan Coordinates EMS activities - activates MCI response plan Supervises and manages: Triage-Tagging- Treatment-Transportation Supervises and manages: Triage-Tagging- Treatment-Transportation Selects EMS Command Post -Treatment - Loading and Staging Officers and areas Selects EMS Command Post -Treatment - Loading and Staging Officers and areas Assigns incoming personnel Assigns incoming personnel Guides Medical decisions Guides Medical decisions

22. Triage Officer Rapidly assess ALL victims Rapidly assess ALL victims Focuses on immediate life-threatening problems Focuses on immediate life-threatening problems Limited Treatment Limited Treatment Supervises personnel in active incident area Supervises personnel in active incident area Directs and Prioritizes evacuation until all victims have been Triaged-Tagged and Evacuated Directs and Prioritizes evacuation until all victims have been Triaged-Tagged and Evacuated

23. Tagging Officer Classifies Individuals using METTAGS Classifies Individuals using METTAGS Determines order of evacuation to Treatment area Determines order of evacuation to Treatment area Reviews the status of each patient Reviews the status of each patient Tags and records major injury sites on METTAG Tags and records major injury sites on METTAG Moves to Loading Officer when tagging task completed Moves to Loading Officer when tagging task completed

24. Loading Officer Supervise loading of patients after initial stabilization and treatment Supervise loading of patients after initial stabilization and treatment Coordinates order of departure and destinations of patients Coordinates order of departure and destinations of patients Responsible for time critical transportation decisions Responsible for time critical transportation decisions

25. Treatment Officer Best Trained most experienced Best Trained most experienced Sets up treatment area Sets up treatment area Oversees and monitors patients Oversees and monitors patients Treats patients when necessary Treats patients when necessary Reviews and updates classifications Reviews and updates classifications Assembles available equipment and supplies Assembles available equipment and supplies Arranges sub areas for METTAG classification Arranges sub areas for METTAG classification

26. Staging Officer Coordinates movement of vehicles in the staging area Coordinates movement of vehicles in the staging area Coordinates off loading of equipment to pooling area Coordinates off loading of equipment to pooling area Directs Incoming personnel to appropriate areas Directs Incoming personnel to appropriate areas Coordinates travel routes with the Incident Commander Coordinates travel routes with the Incident Commander

27. Communication’s Officer Coordinates all communication activity Coordinates all communication activity Establishes radio flow patterns Establishes radio flow patterns Integrates multi-agency activity Integrates multi-agency activity Limits radio access Limits radio access Assigns talk groups and linkages Assigns talk groups and linkages Assists Loading and Treatment Officers with out-flow communications Assists Loading and Treatment Officers with out-flow communications

28. Safety Officer Assists the Incident Commander regarding safety procedures Assists the Incident Commander regarding safety procedures Reviews all scene activity and identifies potential hazards Reviews all scene activity and identifies potential hazards

29. Public Information Officer Assists the Incident Commander with release of information Assists the Incident Commander with release of information Sets up Media-Public Information area Sets up Media-Public Information area Coordinates information for public release with the Incident Commander Coordinates information for public release with the Incident Commander

30. Communication Telephones Telephones Cellular phones Cellular phones Pager systems Pager systems Radios: HAM / CB Radios: HAM / CB UHF / VHF UHF / VHF Whistles Whistles Loudspeakers / Megaphones Loudspeakers / Megaphones

31. Communication Failures Environmental Environmental Geographics Geographics Failure to have priority arrangements Failure to have priority arrangements Properly trained manpower Properly trained manpower Software options Software options Terminology Terminology

32. Transportation Stages of patient movement Stages of patient movement Vehicle: Vehicle: - Types - Fuel - Maintenance - Staff - Travel routes - Accessories

33. Patient delivery systems Ground specific Ground specific Air specific Air specific Water specific Water specific Specialized Specialized

34. Educational Resources Schools Schools Training Academy’s Training Academy’s Institutions of professional medical education Institutions of professional medical education Coordinating Body / Lead Agency identification Coordinating Body / Lead Agency identification

35. Responders Public -Training/Education Public -Training/Education First Responders First Responders Emergency Medical Services: Basic/Advanced levels Emergency Medical Services: Basic/Advanced levels R.N.’s / M.D.’s / Specialists R.N.’s / M.D.’s / Specialists C.I.S.D. - Children's team C.I.S.D. - Children's team