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Special Operations

Special Operations. Lesson 47: Special Operations. You Are the Emergency Medical Responder. You are the emergency medical responder (EMR) the scene of a construction site cave-in. On arrival you find a man who was working in an open trench that has collapsed around him to mid-chest level.

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Special Operations

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  1. Special Operations

  2. Lesson 47: Special Operations You Are the Emergency Medical Responder You are the emergency medical responder (EMR)the scene of a construction site cave-in. On arrival you find a man who was working in an open trench that has collapsed around him to mid-chest level.

  3. Special Operations Units • Tactical Emergency Medical Services (EMS) Unit • Hazardous Materials (HAZMAT) EMS Response Unit • Fire Rehabilitation Unit • Disaster/Multiple-Casualty Incident (MCI) Response Unit • Search and Rescue (SAR) Unit • Specialized Vehicle Response Unit

  4. Drowning • A drowning is an event in which a victim experiences respiratory impairment due to submersion in water. Drowning may or may not result in death • Fifth most common cause of death from unintentional injury, but rises to second among those 1 to 14 years of age • Home pools the site of drowning for most young children • Highest rates of drowning in children younger than 5 years and young adults from ages 15 to 24 years

  5. Three Types of Water-Related Victims • Distressed swimmer • Drowning victim—Active • Drowning victim—Passive

  6. Activity You are assigned to a local waterfront as part of the EMR team because you have received training in swimming rescues. You are stationed near a lake and notice that a young teenage swimmer has been treading water for the past several minutes and then begins to move her arms wildly.

  7. Non-Swimming Rescues and Assists • Reaching assists • Reaching with an object • Throwing assist • When beyond your reach; floating object with line • Wading assists • Safe and shallow enough

  8. Activity You are assigned to a local waterfront as part of the EMR team because you have received training in swimming rescues. You are stationed near a lake and notice that a young teenage swimmer has been treading water for the past several minutes and then begins to move her arms wildly.

  9. Ice Rescue • Call for ice rescue team immediately • Never go onto the ice to attempt a rescue • Use reaching and throwing assists if patient is drowning • Provide care for hypothermia if you are able to pull the person from the water

  10. Hazardous Terrain • Challenges • Evacuation possibly rough and difficult for maneuvering • Patient’s position in relation to terrain • The greater the angle of the terrain, the greater the risk

  11. Confined Spaces • At, above or below ground • Silos, grain bins and grain elevators • Underground vaults • Utility vaults • Cave-ins • Specialized rescue team needed • No one to enter trench or area immediately around it due to increased risk of secondary cave-in

  12. Crime Scene • Law enforcement officers are in charge • EMR responsibility – maintain integrity of evidence • Four types: • Closed access to an unsecured crime scene―hazard still exists • Limited-access crime scene―critical evidence could be destroyed or compromised; hazards still may be present • Open-access crime scene―evidence still needs to be collected, but personnel have access to entire area • Cold crime scene―no evidential concerns or hazards are present

  13. Activity You arrive at the scene of a convenience store robbery in which a store employee was shot in the leg. The suspect has been caught and is in police custody. You are to provide care to the store employee.

  14. Basic Guidelines for Fires • Do not approach a burning vehicle • Never enter a burning or smoke-filled building • If you are in a building that is on fire, always check doors before opening them. If a door is hot to the touch, do not open it • Since smoke and fumes rise, stay close to the floor • Never use an elevator in a building that may be burning

  15. Special Event/Stand-by • Special event EMS incident commander in charge • Staff certified in BLS or ALS • Personnel available to care for special event spectators or participants within 10 minutes of notification of the need for emergency care

  16. You Are the Emergency Medical Responder You find that the patient is conscious but appears to be in respiratory distress from the compression of the soil surrounding him.

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