flight-lp Posted July 19, 2007 Share Posted July 19, 2007 Greens - Put them all on a bus and send them into town. Have one of those available nurses or an EMT ride with them. The local ER can see them throughout the night and the next morning. Yellows - To the trauma centers by ground or to the "18 bed ER" and others in the vicinity. Reds - Send them by air to the trauma centers. If they can't double load, start them by ground, either they will get there by ground or a helicopter can intercept along the way. Speed is the key. Start sending further out helicopters towards the scene. Blacks - Sucks to be you, get them out of the way............... Be cautious about automatically launching your helicopters. Unless you have an airport nearby that has 24 hour Jet-A, fuel will become an issue. Don't launch them until you can reasonably obtain access to the pt. It would really suck if you helicopter is now stuck on scene or can't make it to the trauma center because of insufficient fuel. Not sure where you are Ruff, but there are a lot of underpowered POS Bell 206's running around in rural America (No names mentioned ). Even full of fuel, you are looking at less than 3 hours capability. And they are only single pt. capable. Sometimes it is better to have a farther helicopter with better capabilities respond. Its good to know all of your available resources.................. Link to comment Share on other sites More sharing options...
whit72 Posted July 19, 2007 Share Posted July 19, 2007 Ship the one patient in the ER to the ICU with a nurse. Now you have two nurses and three patients. Send the other three nurses to the ER to open the clinic, gather equipment and call in neccesary help such as the doctors. Now you have 13 beds to play with. Close to all traffic except from the crash site. Send the 4 citicals with the best chance of survival in the helicopters, two to each trauma center. If you have four doctors at the community hospital they can take four critical and nine non lifethreatning. Load the available units with one patient an ambulance with signifigant injury, and two an ambulance that are less likey to decompensate enroute. Send the four ambulances with the single critical patients to the community hospital, and four of the double stacked ambulance to the community hospital, that leaves one bed for a critical not related to the crash. Send 5 of the double stacked ambulances to the 18 bed er Have the walking wounded put in a bus, with any extra techs or EMTs you have and driven to the most available hospital, have an ALS ambulance and a crusier escort them so if any decompensate in route they can offload to the ALS truck. Send them to the 18 bed ER to the south. So thats 24 patients by ambulance 6 with one 9 with two, 4 in a helicopter. Thats 28 patients by ambulance or helicopter. Nine on the bus. You have five dead out side. So four patients by helicopter Twenty-four by ambulance nine on the bus and five dead Thats 42 how did I do Only if it ran that smooth. Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted July 19, 2007 Author Share Posted July 19, 2007 Whit, great job. That's about what happened in this case. but it definately did not go smoothly Link to comment Share on other sites More sharing options...
whit72 Posted July 19, 2007 Share Posted July 19, 2007 Yeah these scenarios seem to run much smoother on the internet, and you don't even sweat It is good to refresh, keep things in the front of your mind, in case the need arises. (I am knocking on wood right now.) Link to comment Share on other sites More sharing options...
MeekoBB Posted July 19, 2007 Share Posted July 19, 2007 I should know this. We've had bus mvas here, train derailments, etc... Link to comment Share on other sites More sharing options...
certguy Posted October 2, 2007 Share Posted October 2, 2007 Mentally step back , take a deep breath , here we go ! Call a Med Alert . :shock: Are there any reports of walking wounded who can verify roughly how many victims and location of the bus ? What type of water ? river , lake , pond ? How deep ? Current ? Is there a possibility the bus drifted downstream before sinking ? Do we have dive rescue units in the area ? ETA ? Get em' rollin' Availability of boats ? Start your 2nd unit , and 6 additional ambulances , 2 helicopters ( the other 2 on standby ) Work with IC to establish staging ,copter landing sites , triage , and treatment areas , and communications . Sr. partner on 1st in EMS - medical Div . partner - Triage 2nd unit - establish treatment areas . Sr partner treatment officer As additional manpower arrives , assign transport officer and staging officer if not already in place . Activate CERT for additional manpower and equipment . Yes , they're MCI trained ! Availability of military resources ? Start an additional 4 ambulances to a secondary staging 5 miles out due to time factor . Request highway patrol shut down acess to all but responders if not already done . Additional FD resources ? IC decision . Notify coroner of likely fatalities and get them going . Establish rehab areas as personnel become available . Start critical incident debriefing personnel . GIT ER' DUN !!! Link to comment Share on other sites More sharing options...
zippyRN Posted October 2, 2007 Share Posted October 2, 2007 with 40+ casualties why has not one requested MIO, MMT and MST ? Link to comment Share on other sites More sharing options...
Dustdevil Posted October 2, 2007 Share Posted October 2, 2007 with 40+ casualties why has not one requested MIO, MMT and MST ? Because nobody but you has any idea what all that means. Link to comment Share on other sites More sharing options...
p3medic Posted October 2, 2007 Share Posted October 2, 2007 Because nobody but you has any idea what all that means. I think I just wet myself.... Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted October 2, 2007 Author Share Posted October 2, 2007 Please do not give abbreviations that people have no idea what they are. Link to comment Share on other sites More sharing options...
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