1. INCIDENT SITE MANAGEMENT

2. Incident Site Management The effective and systematic use of all resources to deal with a situation involving a patient All involved should use teamwork –anticipation –good communication skills Injuries can occur anywhere and at anytime One or more persons may be injured The severity of injuries may range from cuts and bruises to life-threatening problems 2

3. Scene Survey and Approach

4. Mark the Site Mark the site above Methods –Flashy part of their skis in a crossed fashion –Signs –Flashing LED light on a pole –Public to warn or redirect skiers –Ensure that all possible avenues to the incident are marked 4

5. Approach Without Toboggan Ski/board under control to the site Mark the incident site Evaluate the situation quickly to determine the potential for further injury Gloves should be used Approach the patient face-to-face I am a Canadian Ski Patroller, trained in first aid. May I help you? Remove and keep equipment secure and visible or keep equipment on for mobility 5 I am a Canadian Ski Patroller, trained in first aid. May I help you?

6. Approach With Toboggan Taking the toboggan from the cache –Required contents and equipment are packed and secured in the toboggan –Running surface of the toboggan is clean and clear of ice or dirt –Runners and chain are securely attached to an intact shell 6

7. Approach With Toboggan Slow down and stops before reaching the incident site Assesses the situation Obtains direction from the patroller-in-charge or, if they are first on the scene, secures the toboggan The toboggan is never to be left unsecured on a slope Assist the patient All equipment should be placed near and clear of the site to allow space for treatment 7

8. Patient Assessment & Management Avoid moving or knocking the patients equipment Never step over the patient and should remain downhill of the patient as much as possible Reassure the patient by communicating with them Determine what happened Bystanders may be utilized in some capacities The patient should be told in a reassuring manner what actions are being taken 8

9. Patient Assessment & Management Avoid talking about suspected injuries as if they are fact The patient should not be left alone until all treatment is completed Continually monitor vital signs Reassure the patient that their equipment is being taken care of properly Keep good records 9

10. Assisting patrollers Offer help to the patroller in charge without removing their equipment. If not required, the patroller should continue on If required –Mark the site –Unpack the toboggan –Reassure the patient –Assembling the toboggan –Remove or assist in removing equipment –Keeping the site clear –Mark or tag the patients equipment. –Cleaning up the site –Complete or start the note taking for medical aid 10

11. Extrication Is there sufficient working space It is generally easier to remove the patient from the confined space by reversing the process that got them there. Sliding a patient up the backboard is less space consuming than the standard log roll or lift Be wary of dangers above, too 11

12. Loading the toboggan Toboggan must be secured before a patient is loaded Patient is always secured into the toboggan Where a patroller is in the handles of a toboggan, the patient will normally be loaded with their head to the front of the toboggan 12

13. Evacuation Good route selection –Distance –Trail conditions –Terrain –Patient condition and comfort –Number of guests on the trail –Steep pitches and icy areas should be avoided. A safe, smooth and efficient ride down is the goal 13

14. Clean-up of the site After the toboggan has left, the patrollers at the site clean up by –filling in sitzmarks and other potential hazards –arranging transportation and storage of equipment –arranging transportation and proper disposal of medical waste –covering blood spots on the snow –repairing the ski tracks 14

15. Dealing with the Public Only patrollers involved with the treatment should be with the patient Witnesses and friends should be requested to remain near Onlookers should be politely requested to leave In the case of an injured child, the presence of a parent is often reassuring and therefore, is appropriate 15

16. In Area Transportation & Equipment A variety of equipment exists at each area –stretchers –scoops –lift evacuation –oxygen –AED –splints –backboards –lifters –medical equipment 16

17. Transportation to Medical Aid Appropriate method of transportation is often determined by –type of emergency encountered –condition of the patient –distance from medical facilities Other considerations: –Whenever life-threatening priorities are encountered; however, early entry into EMS is appropriate –Some injuries are not life-threatening but still require immediate transport –When an ambulance is required, it should be requested as early as possible in the assessment 17

18. Report Reports have many uses –Follow-up –Analysis of diagnosis and treatment –Hill and trail hazard surveys –Area insurance Remember that a report must be completed for each patient treated, and should include only the facts Area specific forms 18