Enhances the EMT-B/ EMR’s ability to evaluate a scene for potential hazards, determine by the number of patients if additional help is necessary, and evaluate mechanism of injury or nature of illness. Estimated teaching time 2 hours. Meets or exceeds USDOT NHTSA 2009 EMT/EMR training requirements.

1. PREVIEW OF
EMT/EMR SCENE SIZE UP
POWERPOINT TRAINING
PRESENTATION

2. DESCRIPTION
Enhances the EMT-B/ EMR’s ability to evaluate a
scene for potential hazards, determine by the
number of patients if additional help is
necessary, and evaluate mechanism of injury or
nature of illness. Estimated teaching time 2
hours. Meets or exceeds USDOT NHTSA 2009
EMT/EMR training requirements.

3. WHILE ENROUTE
Review dispatch information
Observe scene for
Smoke Fire
Railroads Water
Industry Electric wires
Other responders present or enroute
LISTEN TO DISPATCH

4. ENVIRONMENTAL

5. HAZARDOUS SUBSTANCES
Chemical
Biological

6. VIOLENCE
Patient
Bystanders
Crime Scenes
Estimated 700,000 attacks against fire & EMS
personal annually in the US
88,000 injuries & 2,000 were life-threatening

7. PATIENT & BYSTANDER
VIOLENCE
Many people legally & illegally carry weapons
The patient or a bystander may become agitated
by not understanding your patient care which
could cause them to become violent
The attacker may try to stop you from treating
patient

8. EXTRICATION HAZARDS
EMT’s need to enter &
work on damaged
vehicles during
extrication
Instability & extrication
may cause vehicle to
move causing injury
Vehicles have sharp edges and broken glass which
can cause lacerations

9. SPECIAL SITUATIONS

10. SCENE EVALUATION
Is the scene safe?
Yes -- establish patient contact and proceed with
patient assessment
No -- is it possible to quickly make the scene
safe?
Yes – assess patient
No -- do not enter any unsafe scene until
minimizing hazards
Request specialized resources immediately

11. PROTECT THE PATIENT
After making the scene safe for the EMT, the
safety of the patient becomes the next
priority
If the EMT cannot alleviate the conditions that
represent a health or safety threat to the
patient, move the patient to a safer
environment

12. PROTECT THE BYSTANDERS
Minimize conditions that represent a hazard for
bystanders
If the EMT can not minimize the hazards,
remove the bystanders from the scene

13. REQUEST RESOURCES
REMEMBER the sooner the additional resources
arrive the sooner you and the patient gets
out of danger

14. SPECIFIC SCENES
Hazardous Material
Fires
Vehicle Accidents
Dangerous Environments

15. HAZARDOUS
MATERIALS

16. CRIME SCENES

17. ADDITIONAL RESOURCES
Only specially trained responders should wear
or use the specialized equipment

18. STANDARD PRECAUTIONS
Based on the principle that all blood, body
fluids, secretions, excretions (except sweat),
non-intact skin, and mucous membranes may
contain transmissible infectious agents
Includes a group of infection prevention
practices that apply to all patients, regardless
of suspected or confirmed infection status, in
any healthcare delivery setting

19. INPLEMENATION
The extent of standard precautions used is
determined by the anticipated blood, body
fluid, or pathogen exposure
Hand washing
Gloves
Gowns
Masks
Protective eyewear

20. PPE
Gloves Shoes SCBA
Helmet Eye protection

21. 50 FOOT DANGER ZONE
Minimum distance from
Fuel Spill
Fire
Hazardous Materials
Downed power lines

22. UTILITY HAZARDS

23. RULE OF IMPORTANCE
#1 Yourself
You want to be around to save someone tomorrow
#2 Your partner(s)
He is the one protecting you
#3 Bystanders
You do not want to create more patients
#4 The patient
The patient may already be dead

24. MULTIPLE PATIENT SUTUATIONS
AKA Mass Causality Incidents (MCI)

25. NUMBER OF PATIENTS &
NEED FOR ADDITIONAL SUPPORT
How many patients?
Does the dispatch suggest
the need for additional
support?
Protection of the patient
Weather or extreme temperatures
Unstable conditions

26. NEED FOR ADDITIONAL RESOURCES
Incident Command System (ICS or IMS)
Consider if this level of commitment is required

27. To purchase this EMT/EMR Scene Size UP
presentation go to
www.bravetraining.com
Or tap the above link