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IMPOSSIBLE SCENARIOS


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The issue of accurately communicating the situation to dispatch so that they can start adequate resources to the scene cannot be overstressed. An important part of that communications would be to make sure all inbound units are aware of the street conditions, in order to hopefully prevent a pileup.

Officially, you are the triage officer, meaning you do not involve yourself in rescue or treatment. However, in this situation, I agree that it is probably reasonable to assume that your partner is the only victim who may be in a relatively safe position to approach. Not to mention that she is the hands-on favourite for the sympathy vote. So...

Burn victims - unsafe to approach. Require properly equipped extrication resources before triage.

Crash victims - unsafe to approach. Should be wearing protective equipment, so in a better position to help themselves than you are to help them.

Partner - The only patient you can reasonably be expected to approach, meaning all of your attention should be focused on her. If she is in immediate danger (still in the road), then an emergency move is indicated.

Hopefully, other medical resources will safely arrive before more patients are brought into the safe zone. If not, at least you have had a moment to secure ABC's on your partner before you have to resume triage.

Of course, you can what-if the scenario to death. Radio system fails. More apparatus crashes. Building collapses on firefighters. Meth lab explodes. News helicopters and medical helicopters collide. Guy who started fire starts sniping at responders with an AK-47 from across the street. Pit bulls escape from back yard and go on rampage protecting their owners.

Good times! :lol:

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The evolution of this scenario eventually gets to all-out thermonuclear war. It gets to a point when there quite simply IS no right answer. Going home for a beer mught be the best one.

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vs-eh? wrote:

So you get 8 more ambulances and 47 more fire trucks (hey it's a fire, you need at LEAST 47). Because of the aforementioned poor road conditions they all approach the scene and ALSO crash into each other and various surrounding buildings. Everything is on fire, everyone is burning alive and looking at YOU to save them.

As you stand there adequately practicing BSI and scene safety... 4x4 and epipen in hand, a bus looses control and smashes into the scene as well. You get the feeling this isn't any normal bus....

With his last gasping breath, the bus driver says "This.....*gasp*....this bus is FULL OF BABIES!!!!!!....." Then he dies. Shortly thereafter the bus explodes sending like oh say 40 babies everywhere.

Keep in mind you still have those 4x4's, plenty of NRB's that you are dying to give oxygen at 15L/min with, and of course a fist full of epi-pens...

NOW WHAT DO YOU DO?

Remove uniform shirt, mingle with crowd...........

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