mobey Posted April 10, 2009 Share Posted April 10, 2009 Although it is possible for everyone to have been exposed to the flu at the same time, I didn't realize there were respiratory symptoms at play....... so far just N&V and some decreased LOC. Any birds around (like clusters) where bacteria could have ran into the water pond? Link to comment Share on other sites More sharing options...
Lone Star Posted April 10, 2009 Share Posted April 10, 2009 I'm more leaning toward food poisoning and mass hysteria Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted April 10, 2009 Author Share Posted April 10, 2009 What kind of food? Properly cooled? Any fish/chicken/meat that could have spoiled? Vegetarian family, no meat products except for some fish sticks for the kids. simply salads and other vegetarian dishes. Link to comment Share on other sites More sharing options...
FireMedic65 Posted April 10, 2009 Share Posted April 10, 2009 Vegetarian family, no meat products except for some fish sticks for the kids. simply salads and other vegetarian dishes. I bet it's the miracle whip... that stuff will kill ya! Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted April 10, 2009 Author Share Posted April 10, 2009 1) Triage. Aside from the unresponsive patient do I have anyone else that would not be considered a green tag? 2) If no other Red priority patients one medic will begin assessment of that patient. I'd like findings from a standard primary assessment please. 3) Other medic can begin corraling the other minor patients (provided no other serious patients) and attempt to obtain incident history. 4) Can you paint me a better picture for scene size-up Ruff? How bad do they look (degree of distress, etc?) 5) 35 people is a large amount to transport if they are all N/V with no other symtpoms. I'm going to request a city bus or school bus to respond for transport with a medic escort. Nothing more specific from me until I have a better handle for what's going on. 7 unresponsive patients - they are ages 4, 6, (2) 9 year olds, 10, 11 and 14 Others are yellow and green this is a park with one shelter and a small pond. Many of the sick are being comforted by their respective families City bus is available Odors, near by municipal structures to release gases, etc? Eating any wild picked plant life? We had a small MCI w/ 15 victims, after they ate a plant, they incorrectly identified. No odors no municipal structures, there is a pool about 1/2 mile away Salads are present. Any recent landscaping, chemicals to treat grass, shrubs? no recent landscaping or chemicals used in past 2 weeks That's the way I'm leaning. Picnic in the park, spring day, probably recently treated by pesticides/fertilizers, etc. I'd also begin to worry about possible decon here-did they accumulate the poison by touch, contact or ingestion, etc. Watch for S/S of possible organo-phosphate poisoning. no decon needed on this one. no recent chemical use I didn't realize there were respiratory symptoms at play....... so far just N&V and some decreased LOC. Any birds around (like clusters) where bacteria could have ran into the water pond? No respiratory issues here - no dead birds and the pond is quite clear And you have many unresponsive children So far we have one ambulance on the scene. several unresponsive children More history is that several salads shared the same ingredients from the same wood loving family. One bit of history that a male was able to give you is they ate at about 11am and all were done by 11:30. It is now 6pm Link to comment Share on other sites More sharing options...
FireMedic65 Posted April 10, 2009 Share Posted April 10, 2009 What kind of salads? Lettuce ones? Macaroni, pasta, potato, brocholi? Those all use dairy products such a mayo or miracle whip that could have spoiled in the summer heat. Request more personal to come and declare MCI. Also request the city bus for transport. Any family there that is medically trained? Such as first aid, other EMT's or medic, any nurses or DRs maybe (I know, that would be too easy, but wouldn't hurt to ask). If so, see if they can assist in helping. How are the vitals of the more critical patients? S/S of patients that can answer questions. Do they have similar responses? Link to comment Share on other sites More sharing options...
Chief1C Posted April 11, 2009 Share Posted April 11, 2009 Who the hell brings fish sticks to a picnic? Link to comment Share on other sites More sharing options...
joesph Posted April 11, 2009 Share Posted April 11, 2009 Ok start with at least ten transport ambulances the bus and 4 fire department engines. Set up a command post with the following over head IC, Operations Chief, Triage Group sup. Transport Group sup. Traffic Control Strike Team Leader. and a Public Relations Officer. Place some EMT"S in Triage group probably 5 and use firemen to help load ambus. Use FF's to set up a LZ or two. Put a FF and a EMT in charge of site analysis for contaminants make them a group if you like but i would merge them with triage so you dont exceed your span of control. After that its simply a matter of working threw the process. Link to comment Share on other sites More sharing options...
FireMedic65 Posted April 11, 2009 Share Posted April 11, 2009 Who the hell brings fish sticks to a picnic? It's those silly vegetarians! Fish sticks and tofu dogs. Also, meat "flavored" soy burgers. Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted April 11, 2009 Author Share Posted April 11, 2009 What kind of salads? Lettuce ones? Macaroni, pasta, potato, brocholi? Those all use dairy products such a mayo or miracle whip that could have spoiled in the summer heat. Request more personal to come and declare MCI. Also request the city bus for transport. Any family there that is medically trained? Such as first aid, other EMT's or medic, any nurses or DRs maybe (I know, that would be too easy, but wouldn't hurt to ask). If so, see if they can assist in helping. How are the vitals of the more critical patients? S/S of patients that can answer questions. Do they have similar responses? Generic lettuce salads, a couple of dairy based salads but these were hardly touched. The majority ate the salads which had that one ingredient from the one family. Vitals of critical patients Poor vitals - shocky, pale in color, diaphoretic and there is vomit around them also. All patients have most of the same symptoms. Started out as nausea and progressed to vomiting. The symptoms all started around 6pm when the families were supposed to start heading home. Link to comment Share on other sites More sharing options...
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