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Scene Size-Up. Initial evaluation of a sceneThree Basic GoalsIdentify possible hazardsIdentify what led to your being called to the sceneIdentify the need for additional assistance. Determine Scene Safety.
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1. SCENE SIZE-UP
2. Scene Size-Up Initial evaluation of a scene
Three Basic Goals
Identify possible hazards
Identify what led to your being called to the scene
Identify the need for additional assistance
3. Determine Scene Safety # 1 priority
Process is ongoing
EMT must exercise leadership and take control of the scene
4. Obtain Dispatch Information Remember scene safety begins upon receipt of call from dispatcher
BSI protection
Dispatchers may not have complete & accurate information to work with
Callers may deliberately give inaccurate information
Routine calls may present a greater threat than major accidents
5. BSI Precautions Eye protection
Gloves
Gown if necessary
Mask if necessary
6. Consider Scene Characteristics Remember that an injured EMT can not help a patient
Do not enter unstable scenes
Take extra precautions at crime scenes
Portable radios
Call for help from appropriate agencies
Remove yourself if scene turns hazardous
7. Crash Scenes Avoid “Tunnel Vision”
Is vehicle stable
Are power lines involved
Jagged metal or broken glass
Leaking fuel
Fire
8. Other Rescue Scenes Heights
Underground areas
Collapse/cave-ins
Storage tanks/vats
Silos/bins
Farm equipment
9. Special Situations Unstable surfaces & slopes
Ice
Water
Toxic substances and low oxygen areas
Multiple patients with similar symptoms consider toxic environment
10. Crime Scenes Potential for violence
Firearms
Stage unit
If at the scene you suspect a threat, retreat.
11. Arriving at the Scene Turn off lights & sirens several blocks away if necessary
Be aware of the “killing zone”
Always assess the crowd
Scene too quite
Chaotic don’t be pulled into the chaos
12. Approaching the Scene Scene can turn dangerous
Walk on grass
Hold flashlight to your side
Walk single file
Only front person carries the flashlight
Make a mental map of area for concealment
Check windows & corners
Stand to the side of the door when knocking
Never appear to block the patients route of escape