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Incident Command System

Whoever the first person on scene is=Establishes Incident Command

• Establishment and Transfer of Command: The Incident Commander (1st on scene) should clearly establish the command function at the beginning of an incident. The jurisdiction or organization with primary responsibility for the incident designates the individual at the scene responsible for establishing command and protocol for transferring command. When command transfers, the transfer process includes a briefing that captures essential information for continuing safe and effective operations, and notifying all personnel involved in the incident.

"C-FLOP": (Memory tool for the I.C & the 4 section Chiefs)

• Incident Command: Sets the incident objectives, strategies, and priorities and has overall responsibility for the incident.

• Finance/Administration: Monitors costs related to the incident. Provides purchasing and accounting support.

"NIMS"

Incident Command System

Whoever the first person on scene is=Establishes Incident Command

• Establishment and Transfer of Command: The Incident Commander (1st on scene) should clearly establish the command function at the beginning of an incident. The jurisdiction or organization with primary responsibility for the incident designates the individual at the scene responsible for establishing command and protocol for transferring command. When command transfers, the transfer process includes a briefing that captures essential information for continuing safe and effective operations, and notifying all personnel involved in the incident.

"C-FLOP": (Memory tool for the I.C & the 4 section Chiefs)

Pharmacology (EMT Medications)

• Albuterol

• Nitroglycerin

• Epinephrine

• Naloxone

• Activated Charcoal

Appendicitis

• Bacterial infection

• Inflammation=Swelling

• Biggest concern=Ruptured appendix=Peritonitis=Shock

• Danger-The pt. states suddenly, I have NO pain, and it feels better

• Pain starts in umbilicus---goes to the RLQ

Pediatrics

• Neonates-15 mL/kg

• Peds-20 ml/kg

• Adults-20 mL/kg

• Adults Sepsis-30 ml/kg

• Epi-0.01 mg/kg

Next Session-Airway/Ventilation

• ETCO2

• COPD

• Pneumonia

• Asthma

• CPAP/BiPap

• Remember for Trauma, we do a head-to-toe exam and for medical, we do a focused exam

• Example of a focused exam-c/o abdominal pain (OPQRST)-onset, provoked, quality, radiate, severity, time-Do you have any N.V? any diarrhea? any fever?

Scene Size up

• Scene safety/BSI

• NOI vs MOI-Nature of illness vs Mechanism of injury

• Number of patients

• Adventitious Lung Sounds

Adventitious Lung Sounds (Abnormal Lung Sounds)

Stridor (Upper Airway)

• High pitched whistling, heard on inhalation

• Indicates a partial upper airway obstruction

• Epiglottitis

HTN Meds

• End result-It will lower the BP or prevent increases in BP

ACE Inhibitors

• Blocks the ACE enzyme from the lungs, thus preventing vasoconstriction, resulting in lowered BP

• "ACE cough

Alpha-1-Vessels-excitability=vasoconstricts