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RES0605Basic Disaster Life Support1 Rapid Evaluation of DISASTER The “R.E.D” Survey.

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Presentation on theme: "RES0605Basic Disaster Life Support1 Rapid Evaluation of DISASTER The “R.E.D” Survey."— Presentation transcript:

1 RES0605Basic Disaster Life Support1 Rapid Evaluation of DISASTER The “R.E.D” Survey

2 RES06052 Objectives List and discuss the Incident SurveyList and discuss the Incident Survey List and discuss the Casualty SurveyList and discuss the Casualty Survey List and discuss Immediate Life Saving SkillsList and discuss Immediate Life Saving Skills

3 RES06053 “RED Survey” Rapid Evaluation of DISASTER Step 1: Incident SurveyStep 1: Incident Survey Step 2: Casualty SurveyStep 2: Casualty Survey Step 3: Immediate Life Saving SkillsStep 3: Immediate Life Saving Skills

4 RES06054 Why an Incident Survey? Two key questions: Is the scene safe to enter?Is the scene safe to enter? The “ABCDE” exam of the sceneThe “ABCDE” exam of the scene Is an MCI present?Is an MCI present? Capabilities / Resources assessmentCapabilities / Resources assessment Please note:Please note: We have not mentioned patient care yet!We have not mentioned patient care yet!

5 RES06055 Incident Survey Incident “ABCDE” exam A = Aware of All-hazards B = Barrier C = Contain D = D.I.S.A.S.T.E.R. E = Enter (Exit) Before Patient Care Initiated!

6 RES06056 Incident Survey

7 RES06057 D-I-S-A-S-T-E-R Paradigm D – Detect I – Incident Command S – Scene Security and Safety A – Assess Hazards S – Support T - Triage and Treatment E – Evacuation R – Recovery

8 RES06058 At the Risk of Rocking the Boat…

9 RES06059 Casualty Survey Every healthcare provider can recite their “ABC”s of patient assessmentEvery healthcare provider can recite their “ABC”s of patient assessment But do we really communicate the next steps appropriately in traditional “D” and “E” approaches?But do we really communicate the next steps appropriately in traditional “D” and “E” approaches?

10 RES060510 Casualty Survey A: Airway B: Breathing C: Circulation D: ? E: ?

11 RES060511 Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: ?

12 RES060512 Casualty Survey D: Differential Dx, Detection & Delivery: What could be causing this casualty?What could be causing this casualty? What antidote or intervention needed?What antidote or intervention needed? Head & Neck:Head & Neck: Pupils, Secretions, Neuro, Tenderness, TraumaPupils, Secretions, Neuro, Tenderness, Trauma Chest:Chest: Breathing, Heart R&R, Tenderness, TraumaBreathing, Heart R&R, Tenderness, Trauma Abdomen:Abdomen: Pain, N&V, Diarrhea, Tenderness, TraumaPain, N&V, Diarrhea, Tenderness, Trauma

13 RES060513 Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: Evaluate or Evacuate (Exit)

14 RES060514 Casualty Survey

15 RES060515 Immediate Life Saving Skills, for example... Airway:Airway: Manual, ET Intubation, Needle CricothyroidotomyManual, ET Intubation, Needle Cricothyroidotomy Breathing:Breathing: Needle DecompressionNeedle Decompression Circulation:Circulation: Uncontrolled bleeding management,Uncontrolled bleeding management, PericardiocentesisPericardiocentesis Detection of agents and antidote deliveryDetection of agents and antidote delivery

16 RES060516 When can you transport a patient from the scene? Answer:(if “Tunnel Vision” on pat.)Answer:(if “Tunnel Vision” on pat.) When the Casualty Survey is complete to EXIT.When the Casualty Survey is complete to EXIT.

17 RES060517 Casualty Survey

18 RES060518 When can you transport a patient from the scene? Correct Answer:Correct Answer: When BOTH the Incident Survey and the Casualty Survey both are in EXIT.When BOTH the Incident Survey and the Casualty Survey both are in EXIT.

19 RES060519 Incident Survey

20 RES060520 Summary Now you can: List and discuss the Incident SurveyList and discuss the Incident Survey List and discuss the Casualty SurveyList and discuss the Casualty Survey List and discuss Immediate Life Saving SkillsList and discuss Immediate Life Saving Skills

21 RES0605Basic Disaster Life Support21 Thank You! Any Questions?

22 RES060522 Contact information Ray E. Swienton, MD, FACEP Co-Director, EMS, Disaster Medicine & Homeland Security Section Division of Emergency Medicine, Department of Surgery University of Texas, Southwestern Medical Center at Dallas 5323 Harry Hines Blvd. Dallas, Texas 75390-8579 Email: BearDogMD@AOL.com Voice: (817) 271-7801

23 RES060523

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