what is sectorisation? and how can it apply to the second crew on scene
role of the second crew may be to suplicated the TO/TO roles in the case of an event requiring sectorisation
After TO/TO roles assigned with first crew, what is a role you can consider for the second crew?
Safety Officer. To oversea the safety of the overall scene and patient management and OHS issues.
WHo becomes the health commander on scene?
the first manager on scene
what is the role of the health commander?
- provide regular sitreps
- scene control
- represents ambulance resources
- responsible for distribution of patients
What are considerations with major incidents in urban locations?
- may be greater number of patients
- greater availbility of resources
- generally shorter transport time to hospital
- greater access to specialist hospitals
- normal business continues irrespective of complex incident
What are considerations with major incidents in rural locations?
- casualty may be just as large
- resources further away
- crew configurations different
- access to appropriate hospitals
- community response peculiar to rural area (eg. community is familiar with supporting emergency services CFA etc)
- CFA may be volunteer services with delayed or limited response
- Locating and accessing incident
what resources exists to deal with major incidents?
• Urban Search And Rescue (USAR) • Aquatic and wilderness response • Chemical, Biological and Radiological (CBR) - specialised PPE - non emergency operators
What are the three levels of specialised PPE?
• Level A - Fully encapsulated gastight chemical suits with self-contained
breathing apparatus (SCBA)
• Level B – Chemical splash suits with SCBA
• Level C – Chemical splash suits with positive pressure battery powered
respirators
what resources from other services exists to deal with major incidents?
Police
• Incident Control
• Traffic / people management
• Crime scene management
Fire Services • Fire suppression or prevention • Chemical, Biological or Radiological (CBR) incident Rescue • Safety • Patient extrication
Armed Forces
• Self-contained: do not add to burden on support agencies
• Scale must be sufficiently large or involve militarya
what resources from hospitals exists to deal with major incidents?
Roles and capacities of Hospitals • ERP: distribution to hospitals • Ambulance patients • Self presentations: walking wounded, health scare, large scene, protracted incident • Normal business • Bypass: distribution of patients • Staffing: numbers / specialities • Hospital triage
what resources are therefrom the department of health to deal with major incidents?
Roles and capacities of DoH
FEMC
• Designated medical practitioner located inside ambulance
emergency control centre
• Coordinates dispatch of Victorian Medical Assistance Team
• Liaises with hospital system to provide information and assist in
decision making as to patient destinations, triage and
treatments
Field Emergency Medical Officer
• Dispatched to scene and manages VMAT
• Reports to HC
what resources are there from local doctors and hospitals to deal with major incidents?
• Have a role as part of SHERP
• HC controls health response
• Medical response on scene is coordinated by Field Emergency Medical
Coordinator (FEMC) who is given direction from the HC
• Local doctors and hospitals may be best positioned to receive patients
at hospitals / clinics rather than assist on scene or in CCP after
patients have been triaged
What is an emergency response plan (ERP)?
a plan that helps to identify and separate the management
and coordination of major incidents from normal business.
What are the key concepts underlying the Emergency response plan (ERP)?
- Separation of incident management from normal business;
- Structured processes across all types of incidents;
- Staged and scalable approach to incidents
What are the steps to the Emergency response plan?
- Initial SITREP will alert control room of potential scale and severity of incident.
- METHANE format provides details and updates.
- Triage patients and regularly provide updates on patient acuity.
• Primary triage needs to be rapid, simple and reproducible.
• Triage sieve, then sort - Operations Communication centre will notify relevant managers and departments depending on level of response required.
What are the categories of the scalable response?
White
Green
Orange
Red
What are the classifications for WHITE on the scalable response?
Low impact on normal operations
- handled as normal business
What are the classifications for GREEN on the scalable response?
Medium impact on normal operations
- Health Commander responded.
- Regional CIM managing
- State CIM advised
What are the classifications for ORANGE on the scalable response?
Major impact on normal operations
- Health Commander responded.
- Regional CIM advised
- State CIM managing
- AEOC stood up
What are the classifications for RED on the scalable response?
Sever impact on normal operations
- Health Commander responded.
- Regional CIM advised
- State CIM managing
- AEOC and AV regions stood up
