Emergency Scene Management

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Presentation transcript:

Emergency Scene Management ESM Emergency Scene Management

Emergency Scene Management Is the sequence of actions you should follow at the scene of an emergency to ensure that safe and appropriate first aid is given.

Priority! The order of the steps in ESM, including the priorities of first aid, may change , depending on the circumstances.

The ESM had four steps (usually in this order) Scene Survey Primary casualty survey Secondary casualty survey Ongoing casualty

Scene Survey Stop Environment Traffic Unkown Hazards Personal Barriers Take charge of the scene Call out for help Assess hazards and make area safe Find out history, number of casualties mechanism of injury. Identify yourself as first aider and offer help

Primary Casualty Survey Picks up where scene survey left off In the primary survey you check for the priorities of first aid the ABCD’s Airway- a clear airway Breathing- effective breathing Circulation- effective circulation Deadly bleeding control

Even if there is more than one casualty, you should perform a primary survey on each one in turn. Give life-saving first aid only. The primary survey should be performed on the casualty in the position he/she has been found, unless it is impossible to do so. Unresponsive Victim: A- open the airway Either use the head-tilt-chin- lift B-check for breathing Look, listen and feel

C-check for circulation Check for a carotid pulse If pulse is absent, start CPR ( 2 breaths, 30 compressions). Stop- find pulses. What do they tell us? How should they be? Deformations Open wounds Tenderness Swelling

Secondary Casualty survey Rapid body survey- head to toe sweep-checking for: bleeding, lumps, hardness, bruising, softness -watch the face & the person’s reaction or lack of Start from head and move down to toes Don’t move casualty unless there is danger- never step over casualty Should take 30 seconds or less

Secondary Casualty Survey Symptoms Allergies Medications Previous History Last thing consumed Events prior

On Going Casualty Care care until hand over or place them in recovery position- best position because you can see both the front and back of the victim).