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7 Things You Need To Know To Respond To Bus Incidents

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Every day in your community, vehicles travel the road carrying large numbers of potential victims; some children, some elderly, some with special medical issues, and all your responsibility. Every year 63,000 inter-city, transit, and school buses crashes result in over 14,000 injuries and hundreds of fatalities. This program will help make you ready when it happens in your area. Presenting lessons learned from around the world along with personal experience managing school bus and inter-city tour bus incidents Rom Duckworth lays out the 7 key steps to managing major (and minor) motor coach collisions in your response area.

Published in: Healthcare
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7 Things You Need To Know To Respond To Bus Incidents

  1. 1. Articulating Amphibious Alternative Fuel Low Floor High Floor Half Cab Cab Over Double Decker Tri-Axle Trolley Sleeper Inflatable Converted Prisoner Transport
  2. 2. Chief or Executive Officers Company Officers and Front Line Supervisors Emergency Responders
  3. 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. 4. Lots of Patients Lots of Problems Lots of Partners
  5. 5. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS 7 Steps
  6. 6. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS
  7. 7. Lots of Patients Lots of Problems Lots of Partners
  8. 8. Lots of Patients Lots of Problems Lots of Partners
  9. 9. The Scene The Situation The Victims The Driver The Vehicle
  10. 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. 11. –Stakeholders –Needs –Resources –Expectations –Understandings –Agreements –Plan –Practice –Perfect
  12. 12. Size Up Set Up Move Forward
  13. 13. BEFORE ARRIVE ACCESS TRAIGETREAT TRANSPORT TRAPS
  14. 14. –Conditions –Actions –Needs –Command –Control –Communications –Assign •Triage •Treatment •Transport
  15. 15. Unit Conditions Actions Needs
  16. 16. Set Perimeter Hazards Other Vehicles Other Patients
  17. 17. Inside / Over / Under Patients Problems Opportunities Access
  18. 18. Patients Problems Partners
  19. 19. Keep In Keep Out Clear Route
  20. 20. Keep In Keep Out Clear Out
  21. 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. 22. Triage Treatment Transport
  23. 23. Size Up •UCAN Set Up •CCC Move Forward •TTT
  24. 24. AHEAD ARRIVE ACCESS TRAIGETREAT TRANSPORT TRAPS
  25. 25. –Entry –Exit –Standard –Emergency –Extrication –Portage –Protect in Place
  26. 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. 27. Entry Exit Standard Emergency Extrication CAN Report
  28. 28. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS
  29. 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. 30. Access & Exit Pt. Estimate Triage •Global •Individual
  31. 31. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS
  32. 32. – Structure – Staff – Stuff – Structures – Staff – Stuff – Casualty Collection Point – Portage – Clear Routes (Clear Outs) – Treatment • First In, Last Out- • Delayed– • Immediate –
  33. 33. Portage Structures Staff Stuff
  34. 34. BEFORE ARRIVE ACCESS ASSESSTREAT TRANSPORT TRAPS
  35. 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. 36. Specialty Centers Pre-Notify Sort Partners Later
  37. 37. Patients Ambulances Destinations
  38. 38. BEFORE ARRIVE ACCESS ASSESSTREAT TRANSPORT TRAPS
  39. 39. Lots of Patients Lots of Problems Lots of Partners
  40. 40. Pictures Pain / Pathogens PTSD Preview Practice
  41. 41. Lots of Patients Lots of Problems Lots of Partners
  42. 42. AHEAD ARRIVE ACCESS TRIAGETREAT TRANSPORT TRAPS 7 Steps
  43. 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.

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