EMRTs

1. Emergency Medical Response Procedure
•DrAshok Laddha
•Occupational health physician

2. Purpose
• To establish procedure for the administration of First -aid, Medical
emergency response treatment ,reduction in fatalities, prevent
injuries and further complications.

3. Objectives
• Timely responding to sudden onset of disaster/Medical
emergencies/Epidemic/Spills/Accidents/Flood/Earthquake/storms etc.on-
site or off-site
• Life safety
• Stabilization of incident
• To reduce evacuation time
• Administration of first aid and medical treatment with use of appropriate
PPEs by taking universal precautions against blood borne pathogens.
• To train additional staff for their usefulness in case of mass emergencies or
voluntary help as per good Samaritan law

4. Scope
• Victims involved in emergency as mentioned in ER plan

5. Procedure-1
• Contact emergency response coordinator
• State emergency
• Assess the situation
• Ensure the area is safe
• Identify the risk
• Neutralize the risk
• Use appropriate protective equipment as per the event
• Approach to victim
• Conduct primary survey
• Note down the patients record

6. Procedure-2
• Categorize casualties
• Stabilize the serious patient
• Treat minor injury cases on site—sent back in safe area
• Conduct secondary survey
• Mobilize ambulances
• Communicate to near by industries for help
• Casualties (serious and having threatening condition)required
hospitalization—immediately refer to higher center as per site
evacuation procedure

7. Procedure-3
• For minor injury cases and less serious cases follow the flow chart
• Regular follow up
• Record keeping as annexure -1
• Regular communication with ER Co-coordinator
• List of doctors and hospital attached for reference

8. Hospital and doctors list with contact details
S.No Name of Hospital/Doctor Contact number and
address
E-mail address

9. Victim Record Sheet-Annexure-1
SNO Name of
Injured
Person
Departme
nt
Type of
event
Vital
paramete
rs record
Brief
History
with
provision
al
diagnosis
Reference
record
with
hospital
name
Address
and
contact
number
of
hospital/d
octor
Follow up
record
with final
status

10. Emergency medical response team
• Introduction: EMRTs are group of health professionals that
treat/impart first aid /advanced first aid to the victim affected by an
emergency (as per state disaster management authority –state
emergency medical services act)

11. Purpose
• Timely responding to sudden onset of disaster/medical
emergencies/epidemic etc.

12. Objective
• Improve the quality of care provided
• Provide predictable and timely response in sudden onset of disaster
or events listed in ER plan
• Provide co-ordination between disaster health professional
team/local/state/private/government medical health
professionals/health professionals of nearby industries

13. Scope
• Victims at disaster /emergency site

14. EMRTs
• Site medical team/First aiders/Fire fighters
• Local private/Government doctors
• Civil hospital health professionals team
• State medical emergency service team
• Medical team of nearby industries
• State disaster management team

15. Evacuation Procedure
• Introduction: Transfer of victim/patient from remote place to the
nearest center or sometimes out of the region for emergency medical
care that is more suited to give appropriate care

16. Purpose
• The purpose of medical evacuation is to allow staff members and
their eligible dependents the opportunity to secure essential medical
care or treatment for serious illness or injury requiring medical
intervention which is locally unavailable or inadequate

17. Objective
• To save life
• To prevent further complications
• To provide appropriate medical care in time keeping golden hour rule
in mind

18. Scope
• Disaster victims
• Non occupational injury or illness
• Employees/Dependents/Contract workers/Community

19. Procedure as per flow chart-1
Patient reports to OHC (Non-occupational /Illness)
• Examine Patient-As per protocol & maintain appropriate ICP posture
• Sent patient to higher center along with health professional with reference letter-ensure that
his relative /department employee should accompany
• Communicate transport plan to all level of contacts
• Communicate transport plan to referring hospital and doctor
• Follow up
Patient not serious
• Treatment at site
• Sent back on duty or home after necessary treatment
• Follow up

20. Procedure as per flow chart-1
Patient not serious but needs monitoring
• Hold at site for monitoring
• After assessment sent him/her back on duty or higher center
• Follow up
• Maintain Record

21. EMR Procedure Flow chart-1
• Emergency situation
• Assess the situation-is it safe to approach the victim or incident area
• Yes
• Ensure the area is safe/identify the risk to rescuer
• Neutralize the risk to the best of your ability
• Identify the number of casualties/Missed
• Approach victim
• DE clear that you are leader
• Primary survey-Categorize the casualties
• Treatment to minor cases at site and sent back on duty
• Secondary survey
• Stabilize serious patient
• Sent serious patient to higher center with medical staff and necessary equipment's
• Follow up

22. EMR Procedure Flow chart-2
• If area is not safe
• Can area be made safe
• No----Emergency procedure to be followed
• If Yes
• Neutralize the risk and follow the steps as per previous slide

23. Role and Responsibilities
Particulars Responsibility
Implementation of SOP OHC Head
State emergency ER Co-coordinator
Communication to all concern ER Co-coordinator/OHC Head
Primary and secondary survey Site Medical Team
Prompt reference of serious patient to higher center OHC
Use of Appropriate PPEs as per event Individual
Regular follow up patient and maintenance of patient
record
OHC
Pass on communication to ER coordinator at regular
interval
OHC