Basic Level Pre-Course Reading

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Chapter 6 Casualty Management Thinking Question Describe your local triage model (the system you will be using in your jurisdiction). 6.1.2 Triage Procedures Involving (Potentially) Contaminated Casualties Triage usually begins when first responders arrive on-scene and it is evident that there are casualties. However, if contamination is suspected, Initial Triage should take place in the Hot Zone by specialty teams, who are equipped with PPE. An unprotected rescuer can begin treatment of a patient only when the appropriate decontamination measures have been undertaken; therefore, patient care may have to be delayed until the patient reaches the Cold Zone. Do not treat contaminated casualties without proper PPE. 6.1.3 Procedures for Transporting Patients from CBRN Sites • Ideally, transport only decontaminated patients. If a contaminated patient is transported anywhere, the threat of spreading the contamination to other people, areas, and facilities may outweigh the benefits to the patient. The transport of patients who have undergone only Emergency Washdown is a risk-versus-benefit call. • Avoid transporting people with no symptoms to the hospital. In many jurisdictions, Public Health will be responsible for the disposition of these people. • Consider using public transit buses or school buses for shelter and transport, especially for minor injury (green-tagged) casualties. This will preserve ambulances for the more serious casualties. Paramedics assigned to the bus can provide ongoing assessment and care. 6.2 First Aid 6.2.1 Directed First Aid Directed first aid or “Bullhorn First Aid” as it is sometimes called, becomes necessary when casualties who are (potentially) contaminated cannot be approached or touched because they will pose a risk to responder safety. As well, crowd control and coaching will be necessary to prevent contaminated casualties from leaving the scene. In these situations, casualties may be directed to administer self-aid. CBRN First Responder Training Program 54 Basic Level Course
Chapter 6 Casualty Management 6.2.2 Self-Aid and First Aid/Treatment for Chemical Agents The effects caused by the deliberate release of chemical agents on humans vary according to the type and amount of chemical, the vulnerability of those exposed, etc. Both supportive treatment and antidotes should be considered, although few specific antidotes to chemical agents are available. The following are triage and treatment issues to consider when a chemical agent is involved. trauma/impact/burns aggravated natural illness antidote reactions hypothermia hyperthermia /dehydration stress reactions The treatment in the field will vary for each jurisdiction depending on types of supplies in the ambulances as well as personnel qualified to give pharmacological treatment. Thinking Question Describe the resources and supplies available in your area (i.e., Advanced Care Paramedics versus Basic Care Paramedics). CBRN First Responder Training Program 55 Basic Level Course
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Pre-course Reading BASIC LEVEL
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Foreword FOREWORD The Basic Level o
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Table of Contents 2.4 Summary .....
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Table of Contents 6.3.3 Measures to
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ACRONYMS CASCAD ..... Canadian Aque
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Glossary Body Substances Isolation
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Glossary Medical Officer of Health
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Chapter 1 CBRN Response Overview 1.
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Basic Level Pre-Course Reading

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