Uploaded byRommie Duckworth
Five keys to Emergency Scene Management
The document outlines the five key strategies for managing emergency incidents, emphasizing the importance of situational awareness, effective communication, and systematic decision-making. It introduces the OODA loop concept and discusses practical techniques such as checklists and prioritization of tasks during emergencies. Overall, the focus is on enhancing cognitive resources and teamwork to ensure efficient incident management.
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Five keys to Emergency Scene Management
- 1. The Five Keys ToManaging any Emergency Incident
- 3. SITUATIONAL AWARENESS Defined as • “Knowing what is going on so you can figure out what to do." And • "What you need to know to not be surprised."
- 4. SITUATIONAL AWARENESS You canperceive many cues in the environment and still miss CRITICAL ones. You can perceive CRITICAL CUES and still not be able to make SENSE of them.
- 5. SITUATIONAL AWARENESS Situational Awareness / Attention Management is the prioritization of applying brain resources to: Visiting Nurse is ConcernedTrouble Breathing Allergic to Peanuts!!! PERCEPTION – 1 Distress, Dyspnea,Recent Antibiotic Prescription IdentifyingInhalers Cues Sister has medical Power of Attorney Wheezing, Old Tachypnea, st Had a lovely time at the flower show on Wednesday!Pulse 118 bpm ECG = Sinus Rhythm w/ PVCs Respirations– PROCESSING 32/min. BP 180 / 100 Sensemaking Asthma 2nd SpO2 88% Weak !!!!!!! Leg Pain Diaphoretic Anxiety EtCO2 28% Surgery in 2004 for cysts. Urine has been “green-ish” Pale!! Elderly PREDICTING Problem Nebulizer Solving 3rd Petechiae Now
- 6. THE OODA LOOP •Col. Boyd • Observe F-86 Sabre • Orient • Decide • Act • Loop MiG 15
- 8. 5 Keys: StayKeen CODE - EASY
- 9. CODE - Easy •Cognition: We need more brains! • Crew Resource Management Tip
- 10. CODE - Easy •Observation: Sense and Perception • Systematic (not robotic) • Crew Resource Management • Concise, systematic Hand-Off Reports
- 11. CODE - Easy •Distractors: The Medic needs quiet time! • Assessment Prioritization • Checklists • Good Scene Management
- 12.
- 13. CODE - Easy •Experience: Knowing is half the battle! • Education • Simulation • Visualization • Practice • Mentorship
- 14. CODE - Easy •Easy: A Lazy Medic is a good Medic • Field Guides / Apps • Checklists / Tactical Boards • Streamlined Protocols and Algorithms
- 15. CODE - Easy Cognition Observation Distractors Experience Easy
- 17. Your Job! • IncidentCommander • Liaison • Healer • Technician • Consultant • Driver • Radio operator • Equipment Specialist
- 18. The Five Keys •Size Up • Call for Help • Secure the Scene • Identify Objectives • Complete the “Next Task”
- 19. SIZE UP •Through theWindshield • Address / Area / Access • Command location • Actions • Number of patients • Dangers • Operational Needs
- 20. The Five Keys •Size Up • Call for Help • Secure the Scene • Identify Objectives • Complete the “Next Task”
- 21. WHAT CAN Reports One patient pinned Planning to roll up Manpower Conditions Actions Needs under dash dash Send FD to assist Difficulty with lower Removing glass extremities from windshield Dispatch helicopter Stable vital signs Establishing I.V. on patient
- 22. HOW • Mobile /Vehicle • Portable • Walkie-Talkie • Face to Face • In person • Runner • Bullhorn
- 23. WHO • NIMS • Own Agency • Local • County / Region • State • Federal
- 24. The Five Keys •Size Up • Call for Help • Secure the Scene • Identify Objectives • Complete the “Next Task”
- 25. SECURE THE SCENE •Isolate and Deny Entry • Me, Us, You, Them • Hot, Warm, and Cold • Triage, Treatment, and Transport
- 26. The Five Keys •Size Up • Call for Help • Secure the Scene • Identify Objectives • Complete the “Next Task”
- 27. IDENTIFY OBJECTIVES • Command& Control • Identify • Objectives • Resources • Delegate • Tasks • Authority
- 28. The Five Keys •Size Up • Call for Help • Secure the Scene • Identify Objectives • Complete the “Next Task”
- 29. NEXT TASK • Identify • Priorities • “Next Task” • Make it so • Say • Do
- 32. STAY KEEN Cognition Observation Distractors Experience Easy
- 33. ON SCENE Size Up Callfor Help Secure the Scene Identify Objectives Complete the “Next Task”
- 35. Thank You! EMS,
Editor's Notes
- #4 DEFINITION
- #5 Are we looking INTO these items (implications) or simply AT them (past them).
- #6 Baloon frame example.
- #7 Col. John Boyd in VietnamF-86 Sabre vs MiG 15
- #9 “Solutions” - Because we’re the fire service and I’m here to help.
- #11 Automatic Mutual Aid, Etc.
- #13 Because this is the fire service and we’re here to help.
- #36 The purpose of this presentation was to help make you confident that you were not falling prey to common cognitive illusions so that you could make better, faster decisions with more confidence.