Practical Exercise Andrew L. Garrett, MD Richard V. Aghababian, MD

Pediatric Disaster Life Support Practical Exercise Andrew L. Garrett, MD Richard V. Aghababian, MD

Purpose • One of the goals of PDLS is to provide you with tools to better take care of children during a disaster • Triage is not a difficult process technically, but the stress of performing triage in the field can not be done in the classroom

Scenario • As we are teaching this segment, a moderate earthquake strikes this region

Scenario • During the shaking, a schoolbus full of children and some adults swerves off of the road, down an embankment, and comes to rest in a parking lot. It has rolled over at least once.

Request for Volunteers • You are asked to join a quickly formed medical team to assist down the street • There is a hospital with a small emergency room just down the street • You have access to one ambulance, which can carry two patients

Accident Scene • There were reportedly 16 students and one driver • Many of the students are off of the bus • There was a fire after the crash • Fire and EMS personnel are removing patients

Your Mission • Triage the patients that are being deposited in the parking lot by fire department and EMS personnel • Categorize them as RED, YELLOW, GREEN, or BLACK • When you are done, tell the Loading Officer the order to transport to the hospital or place them at a treatment area at the school

Patients on Scene

Time • Identifying the sickest patients needs to be done quickly • Triage should take less than 15-30 seconds per patient • Slower while you are learning… • Keep moving as much as possible

No. 12 Each patient will have a number and a description of their injuries and vital signs AGE: 10 years INJURIES: head injury MENTAL STATUS: awake AMBULATORY: no RESP. RATE: 28 PALPABLE PULSES: yes

Make a List • In a disaster you will probably not have preprinted forms • Use a number or a triage tag to identify each patient • Make a list for the Loading Officer • Number on Patient • Triage Category (color) • Disposition (load them now, hold them on site for the time being)

Triage Identification • Colored tape or tags can be used, or a simple list can be made

Group Patients by Color A colored cloth, or a flag, or sign can help identify treatment areas on scene

Practical Exercise Andrew L. Garrett, MD Richard V. Aghababian, MD

Practical Exercise Andrew L. Garrett, MD Richard V. Aghababian, MD

Presentation Transcript

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