Cert unit3 jan2011

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Cert unit3 jan2011

  1. 1. Disaster Medical Operations— Part 1CERT Basic TrainingUnit 3
  2. 2. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-2Assumptions● Need for CERT members to learn disastermedical operations is based on twoassumptions: Number of victims could exceed local capacityfor treatment Survivors will assist others‒ They will do whatever they know how to do‒ They need to know lifesaving first aid or post-disaster survival techniques
  3. 3. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-3Importance of Quick Action● Phase 1: Death within minutes, result ofsevere trauma● Phase 2: Death within several hours,result of excessive bleeding● Phase 3: Death in several days or weeks,result of infection
  4. 4. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-4CERT Training● Treatment for life-threatening conditions Airway obstruction, bleeding, shock● Treatment for other, less urgent conditionsProvide greatest good for greatest numberby conducting simple triageand rapid treatment
  5. 5. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-5START● STart = Simple Triage Victims sorted based on priority of treatment● stART = And Rapid Treatment Rapid treatment of injuries assessed andprioritized in first phase
  6. 6. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-6Unit Objectives● Identify “killers”● Apply techniques for opening airway,controlling bleeding, and treating for shock● Conduct triage under simulated disasterconditions
  7. 7. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part3-7Unit Topics● Treating lifethreatening injuries● Triage
  8. 8. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-8Three “Killers”● Emergency medicine “killers” Airway obstruction Bleeding Shock● First priority of medical operations: Open airway Control excessive bleeding Treat for shock
  9. 9. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-9How to Approach a Victim● Be sure victim can see you● Identify yourself Your name and name of your organization● Request permission to treat, if possible● Respectcultural differences
  10. 10. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-10Open the Airway
  11. 11. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-11Open vs. Obstructed Airway
  12. 12. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-12Head-Tilt/Chin-Lift Method
  13. 13. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-13Types of Bleeding - 1● Arterial bleeding Bleeding from artery spurts● Venous bleeding Bleeding from vein flows● Capillary bleeding Bleeding from capillaries oozes
  14. 14. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-14Types of Bleeding - 2
  15. 15. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-15Control Bleeding● 3 main methods forcontrolling bleeding: Direct pressure Elevation Pressure points
  16. 16. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-16Pressure Points
  17. 17. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-17Shock● Result of ineffectivecirculation of blood● Remaining in shockwill lead to death of: Cells Tissues Entire organs
  18. 18. CERT Basic TrainingUnit 3 Disaster Medical Operations — Part 13-18Recognizing Shock● Main signs of shock Rapid and shallow breathing Capillary refill of greater than 2 seconds Failure to follow simple commands, such as“Squeeze my hand”● Symptoms of shock are easily missed…pay careful attention to your patient!
  19. 19. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-19Responding to Mass Casualty Event● Have a plan● Follow that plan● Document youractionsthroughout
  20. 20. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-201. Gather Facts2. Assess Damage3. Consider Probabilities4. Assess Your Situation5. Establish Priorities6. Make Decisions7. Develop Plan of Action8. Take Action9. Evaluate ProgressREMEMBER:CERT SIZEUP IS ACONTINUALPROCESSCERT Sizeup
  21. 21. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-21What Is Triage?● Process for managing mass casualtyevent1. Victims are evaluated2. Victims are sorted by urgency of treatmentneeded3. Victims are set up for immediate or delayedtreatment
  22. 22. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-22Triage● Immediate (I): Victim has life-threateninginjuries (airway, bleeding, or shock)● Delayed (D): Injuries do not jeopardizevictim’s life; treatment can be delayed● Minor (M): Walking wounded andgenerally ambulatory● Dead (DEAD): No respiration after twoattempts to open airway
  23. 23. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-23Rescuer Safety During Triage● If hazmat or terrorist event is suspected, CERTmembers DO NOT respond Evacuate as safely as possible● ALWAYS wear PPE: Helmet Goggles N95 mask Work gloves Sturdy shoes or boots Non-latex exam gloves
  24. 24. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-24Triage Process● Step 1: Stop, Look, Listen, and Think● Step 2: Conduct voice triage● Step 3: Start where you stand; followsystematic route● Step 4: Evaluate each victim and tag● Step 5: Treat “I” victims immediately● Step 6: Document triage results
  25. 25. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-25Step 4: Triage Evaluation● Check airway and breathing● Check circulation and bleeding● Check mental status
  26. 26. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-26Triage Pitfalls● No team plan,organization, or goal● Indecisive leadership● Too much focus onone injury● Treatment (ratherthan triage)performed
  27. 27. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-27Unit Summary● You should now beable to: Identify 3 “killers” Apply techniques foropening the airway,controlling bleeding,and treating for shock Conduct triage undersimulated disasterconditions
  28. 28. CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 13-28Homework Assignment1. Read unit to be covered in next session2. Bring necessary supplies for the nextsession3. Wear appropriate clothes for the nextsession

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