7 Things You Need To Know To Respond To Bus Incidents

1. Articulating Amphibious Alternative Fuel Low Floor High Floor Half Cab Cab Over Double Decker Tri-Axle Trolley Sleeper Inflatable Converted Prisoner Transport

2. Chief or Executive Officers Company Officers and Front Line Supervisors Emergency Responders

3. Prepare your agency for response to bus accidents in your area. Use the tools to manage a bus accidents response. Use a system to respond to a bus accident.

4. Lots of Patients Lots of Problems Lots of Partners

5. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS 7 Steps

6. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS

9. The Scene The Situation The Victims The Driver The Vehicle

10. Police Fire / Rescue EMS Hospital Bus Company Bus Sponsor Highway / DPW EPA / DEP Media Family Members Traffic & Investigation Extrication Their Patient(s) All Patients Bus & Driver Control Passenger Control Roadway Haz Mat Public Interest Immediate Interest

11. –Stakeholders –Needs –Resources –Expectations –Understandings –Agreements –Plan –Practice –Perfect

12. Size Up Set Up Move Forward

13. BEFORE ARRIVE ACCESS TRAIGETREAT TRANSPORT TRAPS

14. –Conditions –Actions –Needs –Command –Control –Communications –Assign •Triage •Treatment •Transport

15. Unit Conditions Actions Needs

16. Set Perimeter Hazards Other Vehicles Other Patients

17. Inside / Over / Under Patients Problems Opportunities Access

18. Patients Problems Partners

19. Keep In Keep Out Clear Route

20. Keep In Keep Out Clear Out

21. Police Fire / Rescue EMS Hospital Bus Company Bus Sponsor Highway / DPW EPA / DEP Media Family Members Traffic & Investigation Extrication Their Patient(s) All Patients Bus & Driver Control Passenger Control Roadway Haz Mat Public Interest Immediate Interest

22. Triage Treatment Transport

23. Size Up •UCAN Set Up •CCC Move Forward •TTT

24. AHEAD ARRIVE ACCESS TRAIGETREAT TRANSPORT TRAPS

25. –Entry –Exit –Standard –Emergency –Extrication –Portage –Protect in Place

26. Conditions  Window access  Approx. 25 patients  Rear Exit Blocked  Driver trapped Actions  Beginning Triage Needs  Portage through side window.  Extrication of trapped driver C.A.N. Reports

27. Entry Exit Standard Emergency Extrication CAN Report

29. –Access –Patients –Exit –Triage –Casualty Collection? – Global Triage • Green Exit 1st • Red Triaged 1st – Individual Triage • Breathing? -> B • Obeys, Periph Pulse, Breathing is OK, Bleeding is OK-> • Might Survive? ->

30. Access & Exit Pt. Estimate Triage •Global •Individual

32. – Structure – Staff – Stuff – Structures – Staff – Stuff – Casualty Collection Point – Portage – Clear Routes (Clear Outs) – Treatment • First In, Last Out- • Delayed– • Immediate –

33. Portage Structures Staff Stuff

34. BEFORE ARRIVE ACCESS ASSESSTREAT TRANSPORT TRAPS

35. – Patients – Ambulances – Destinations – Patient Tracking – Clear Routes/Clear Outs – Communications • Local Dispatch • Regional Dispatch • Hospitals – Track Patients • Priority / ID • Ambulance • Destination – Clear Routes/Clear Outs • Patient(s) • Ambulance • Destination – Communicate • Local Dispatch • Regional Dispatch • Hospitals

36. Specialty Centers Pre-Notify Sort Partners Later

37. Patients Ambulances Destinations

38. BEFORE ARRIVE ACCESS ASSESSTREAT TRANSPORT TRAPS

40. Pictures Pain / Pathogens PTSD Preview Practice

42. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS 7 Steps

43. Prepare your agency for response to bus accidents in your area. Use the tools to manage bus accidents in your area. Use a system to respond to bus accidents in your area.

7 Things You Need To Know To Respond To Bus Incidents

Rommie Duckworth

7 Things You Need To Know To Respond To Bus Incidents