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This comprehensive guide outlines the R.E.D Survey - Rapid Evaluation of Disaster - focusing on the Incident Survey, Casualty Survey, and Immediate Life Saving Skills. Learn the key steps and protocols for assessing disaster scenes, casualties, and providing critical care. Presented in clear steps with essential information for healthcare providers in emergency situations.
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Rapid Evaluation of DISASTER The “R.E.D” Survey Basic Disaster Life Support
Objectives • List and discuss the Incident Survey • List and discuss the Casualty Survey • List and discuss Immediate Life Saving Skills
“RED Survey” Rapid Evaluation of DISASTER • Step 1: Incident Survey • Step 2: Casualty Survey • Step 3: Immediate Life Saving Skills
Why an Incident Survey? Two key questions: • Is the scene safe to enter? • The “ABCDE” exam of the scene • Is an MCI present? • Capabilities / Resources assessment • Please note: • We have not mentioned patient care yet!
Incident Survey Incident “ABCDE” exam A = Aware of All-hazards B = Barrier C = Contain D = D.I.S.A.S.T.E.R. E = Enter (Exit) Before Patient Care Initiated!
D-I-S-A-S-T-E-R Paradigm D – Detect I – Incident Command S – Scene Security and Safety A – Assess Hazards S – Support T - Triage and Treatment E – Evacuation R – Recovery
Casualty Survey • Every healthcare provider can recite their “ABC”s of patient assessment • But do we really communicate the next steps appropriately in traditional “D” and “E” approaches?
Casualty Survey A: Airway B: Breathing C: Circulation D: ? E: ?
Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: ?
Casualty Survey D: Differential Dx, Detection & Delivery: • What could be causing this casualty? • What antidote or intervention needed? • Head & Neck: • Pupils, Secretions, Neuro, Tenderness, Trauma • Chest: • Breathing, Heart R&R, Tenderness, Trauma • Abdomen: • Pain, N&V, Diarrhea, Tenderness, Trauma
Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: Evaluate or Evacuate (Exit)
Immediate Life Saving Skills, for example... • Airway: • Manual, ET Intubation, Needle Cricothyroidotomy • Breathing: • Needle Decompression • Circulation: • Uncontrolled bleeding management, • Pericardiocentesis • Detection of agents and antidote delivery
When can you transport a patient from the scene? • Answer:(if “Tunnel Vision” on pat.) • When the Casualty Survey is complete to EXIT.
When can you transport a patient from the scene? • Correct Answer: • When BOTH the Incident Survey and the Casualty Survey both are in EXIT.
Summary Now you can: • List and discuss the Incident Survey • List and discuss the Casualty Survey • List and discuss Immediate Life Saving Skills
Thank You!Any Questions? Basic Disaster Life Support
Contact information Ray E. Swienton, MD, FACEP Co-Director, EMS, Disaster Medicine & Homeland Security Section Division of Emergency Medicine, Department of Surgery University of Texas, Southwestern Medical Center at Dallas 5323 Harry Hines Blvd. Dallas, Texas 75390-8579 Email: BearDogMD@AOL.com Voice: (817) 271-7801