Výsledková listina a přehled úkolů Rallye Rejvíz 2010

Plukovník D RLP Rozhodčí:
D RZP Rozhodčí:
Colonel D INT Judges:
Time limit for task:
max. 15 min.
Pavol Kačenga, Renata Bakošová, Stanislav Harviš RALLYE REJVÍZ 2010
Juraj Povinský, Ludmila Neumannová, František Majerský
R. Okan Erol (TR), Matthew Edward Cheavers (USA), Katarína Lukačínová
Story get to team at task start.
•
•
•
A
B
C
D
F1
F2
F3
F4
F5
F6
Story for team:
Dispatch centre received emergency call:
Accident of 2 vehicles, number of injured unknown, fire brigade and police on their way.
Your task:
assess scene and correct work management on site
examine, secure, treat and prepare patients for transport
triage and routing of patients
Local situation:
Nearest hospital is 20 km by ground transport with surgery, internal medicine (neurologists on duty nonstop),gynecology and obstetric and biochemistry.
Higher level hospital 42 km by ground transport, dept. as A + ED, anaesthesia and General Intensive Care, ENT, CT, neurologic dept. with ICU, psychiatry, infectious diseases and pediatric dept.
Specialized centre 55 km by ground. Depts. as B + traumacentre, burn unit, cardiocentre, stroke unit, NMR.
Helicopter rescue not available.
Situation:
1. vehicle with minimal damage - 1 person - driver not injured
2. older vehicle minor deformation of interier - total of 5 persons: 2 injured inside (non trapped), 2 outside, 5th is sitting in the undamaged car. Police present, fire brigade arrives.
Injuries:
Driver of vehicle 2, sitting in dirver seat, fastened seatbelts, desoriented, complains about pain on chest, abdomen, left hip joint with restriced movability, GCS 4-4-6, BP 140/100, capillary refill > 2 sec.,
HR 110/min., RR 15/min., SpO2 90 %
passenger back right, seatbelts not fastened (child - teenager), complains about big pain on right femur: fracture of right femur, flesh wound on head, GCS 4-4-6 , capillary refill > 2 sec., BP 100/60, HR
120/min., RR 20/min., SpO2 85 %
Walking passenger back left (child - teenaer), seatbelts not fastened. Complains about small headache, minor flesh wound of head and upper extremities, GCS 4-5-6, pulse on aa. Radialis full, capillary
refill < 2 sec., BP 110/70, HR 110/min., RR 15/min., SpO2 98 %.
Passenger back mid (child - teenager), seatbelts not fastened, in this time in other vehicle: complains about small headache, flesh wound on front of head - treated, pulse na aa.radialis full, otherwise no
signs of injury, GCS 4-4-6, capillary refill < 2 sec., BP 100/70, HR 120/min., RR 16/min., SpO2 95 %
Walking co-driver, fastened seatbelts, in this time outside, alone, tries to look like a by-walker, on repeated questioning answers that he was in the car but asks the crew to prefer other patients, denies any
injuries, after repeated questioning announces chest pain (left side), exam by palpation painfull left hemithorax - fracture of ribs, otherwise no signs of injury, GCS 4-5-6, capillary refill < 2 sec., BP 130/90,
HR 100/min., RR 12/min., SpO2 97 %.
Vehicle 1 driver: no injuries, denies any complications, GCS 4-5-6, BP 150/100, HR 105, SpO2 95 %
Point of task:
To check basic rescuer experience at car accident with bigger number of injured and basic co-operation with Dispatch Center. Main point of task is correct triage.
max points
Team scoring 1 2 3 4 5 Correct decision + performance
2400
Co-operation with
FD and PD: fire
brigade -
contacting the
chief officer,
Finding of all
asking about the
injured Communication
personal safety Security safety on accident
(6 x 20), with Dispatch
1 Scene assessment (3x10) assessment site, co-operation
410
Center METHANE
during extrication
(3x10), police:
closing of accident
site, cleared
leaving roads
(2x10)
use of triage cards
(5x20, no for F6)
30 20 50 220 70
Treatment:
C fixation, 2 x IV
Examination and
Paramedics crew:
line, analgesia, splinter, vacuum commotion, flesh
2 F2 monitoring
yellow, transport 410
3 F1
inhal. O2
(5x20)
Extrication,
preparation for
transport:
lying, extensive
mattrace
(backboard,
scoop) SpO2
(4x20)
Dg.: fracture of
right femur,
v.s.brain
wound on head
routing:
B
Triage: crew with
physician: IIb.
priority: 2
(20+20)
160 100 80 30 40
Examination and
monitoring
Treatment:
C fixation, 2 x IV
line, analgesia,
inhal. O2
(5x20)
Extrication,
preparation for
transport:
lying, VM
(backboard,
scoop) SpO2
(3x20)
Dg.: susp. Triage: crew with
polytrauma (chest, physician IIa,
abdomen, left paramedics crew:
lower extremity), yellow, transport
routing: priority: 1
C
(20+20)
160 100 60 30 40
Dg.: susp. Brain
preparation for
Treatment:
concusion, flesh
Examination and
transport:
paramedics crew
C fixation, IV line
wound on head,
4 F4 monitoring
transport in semisitting
yellow, transport 280
(2x20)
position
routing:
B (or A)
Triage: crew with
physician: IIb,
priority: 4
(20+20)
160 40 20 20 40
Dg.: flesh wound
Preparation for
Treatment:
on head, susp.
Examination and
transport:
paramedics crew
C fixation, Splinter
Forearm fracture,
5 F3 monitoring
transport in sitting
green, transport 260
right forearm
position
routing:
A
Triage: crew with
physician III,
priority: 5
(20+20)
150 20 20 30 40
Preparation for
Triage: crew with
Dg.: chest
Treatment: transport:
physician IIb,
contusion, v.s.
Examination and C fixation, IV line, transport in semisitting
position,
yellow, transport 320
paramedics crew
Ribs fracture,
6 F5 monitoring analgesia
(3x20)
SpO2
(2x20)
routing:
A
priority:3
(20+20)
160 60 40 20 40
Triage: without
Extrication,
injury (no card),
Examination and
Treatment: preparation for without dg., left at transport priority:
7 F6 monitoring
210
transport: accident site no transport
(20+20)
150 0 0 20 40
6 Players 120
120
390
At arrival safety equipment (uniform), after
communicating with fire brigade - safe zone,
communication with other branches (fire brigade,
police) about next procedures, finding of all 6 injured
at first check, reporting to dispatch center:
M My call sign, E Exact location, T Type of incident, H
Hazard, present and potential, A Access, routes,
landing, egress, N Number and severity of casualties,
E Emergency services present and required
Priority of injured F2 and F1 first, others after. If
otherwise, score is decreased by 50 %. For each
correctly triaged 20pts, means 6x20, max. 120 pts. All
injured complete secondary examination: each part of
body 10pts: head, pupils, nech, chest, abdomen,
pelvis, upper limbs, lower limbs, capillary return,
GCS,neurological status - movability and sensitivity
of limbs, HR, BP, breathing, SpO2, glycaemia at F2,
F1, F4 ,
At triage in car analgesia and securing before
extrication.
Gentle extrication F1 and F2 with the use of
extricational equipment or in co-operation with fire
brigade under lead of crew member (Kendrik's vest,
scoop) monitoring.
Transport in at least 3 ambulance cars, triage positive
F1, F2 routing to traumacentre.
Subjective rating of player.
6x20 points.