1. Emergency Medical Response Scenario 1: You Are the Emergency Medical Responder You are the first to arrive on the scene of a small commuter jet crash in a rural field. The plane is engulfed in flames, and black smoke is billowing for miles. There is a pungent odor in the air. Debris is strewn all over the ground. The plane was carrying six passengers in addition to the pilot and co-pilot. The pilot and co-pilot still are in the cockpit of the plane and are not moving. There are four adults visible on the ground about 150 to 200 feet from the plane. They are not moving. Two of the adults are unconscious but breathing. Both have burns over several areas of their body and open wounds that are bleeding. Another adult is unconscious and not breathing. The fourth adult is responsive to painful stimuli. After a search of the area surrounding the crash, you do not find the two remaining passengers. Fire sirens are heard in the distance, and a small group of bystanders are beginning to gather nearby. Lesson 48: Putting It All Together

2. Emergency Medical Response Scenario 2: You Are the Emergency Medical Responder You are among several other EMRs who arrive at the scene of an incident involving an explosion at a chemical warehouse. The explosion is believed to be the result of a terrorist attack. Four people are lying on the ground approximately 15 feet from the building. Each of them has significant open wounds that are bleeding. Approximately 5 to 10 more people with various types of injuries have been moved across the street to a nearby park. Most of these individuals have walked to the area. You report to the incident commander and are assigned to assist with caring for the patients who have been moved.

3. Emergency Medical Response Scenario 3: You Are the Emergency Medical Responder You are called to the scene of a motor-vehicle crash in which a car went off the road, hit a tree and came to rest on the bank of a small river. The hood of the car is in about 5 feet of water. The driver of the car does not appear to be moving. Another individual, a passenger, has gotten out of the car and waded into the river. She is seen chest high in the water, approximately 15 feet from the car, waving her arms frantically and calling out for help.

4. Emergency Medical Response Putting It All Together  Nine phases of the EMS response  Extrication involves the safe and appropriate removal of a patient trapped in a motor vehicle or dangerous situation  HAZMAT incidents Priorities: Safety of the rescuers and patients Three zones: hot, warm and cold Contamination/decontamination

5. Emergency Medical Response Putting It All Together (cont’d)  Incident command for MCI  Triage Tagging systems: green, red, yellow, black and white START system for assessment  WMD/CBRNE: chemical, biological, radiological/nuclear and explosives  Special operations units for rescues from water or ice, hazardous terrain, confined spaces and cave-ins; crime scenes; or special events