TAILIEUCHUNG - mosby paramedic (55)

9/11/20121Chapter Awareness Objectives.• Describe factors that must be considered to .ensure appropriate timing of medical and .mechanical skills during a rescue• Outline each phase of a rescue operation• Identify the appropriate personal protective .equipment (PPE) for rescue © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Objectives.• Describe important considerations for .emergency medical services (EMS) crews in a .surface water rescue• Discuss important considerations for EMS .crews in rescues associated with hazardous .atmospheres, including confined spaces and .trench or cave‐in Objectives.• Describe hazards that may be present during .an EMS rescue operation on a highway• Describe important considerations for EMS .crews in a rescue involving hazardous terrain• Outline special considerations for and management during a rescue . Training for .Rescue Operations .• Rescue work requires training and expertise so .that medical and mechanical skills are .carefully balanced.– Helps to ensure patients get effective treatment .and timely extrication.– Rescue effort must be driven by patient’s needs, .both medical and physical.– Success of any rescue depends on coordinated .effort between medical care and specialized .rescue © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Training for .Rescue Operations .• Coordinated effort allows.– Patient access and assessment for treatment .needs.– Initiation of treatment at site.– Release of patient from entrapment or .imprisonment.– Continuous medical care throughout incident7Role of the Paramedic in .Rescue Operations .• Most rescues in . are accomplished .through systems operations approach.– In this form of rescue management, extrication is .performed by.• Fire service personnel.• Specialized units.• Both– Patient care is duty of EMS of the Paramedic in .Rescue Operations .• In another type of rescue system, rescue .services are provided by.– Fire.– EMS.– Law enforcement agencies that have cross‐trained .personnel.• In this system, roles and responsibilities for rescue and .patient care are © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning of the Paramedic in .Rescue Operations .• Primary role of paramedic in rescue .operations is to have proper training and .appropriate PPE that allow for safe access to .patient and treatment at site and throughout .incident.– Paramedics often are first responders to many .scenes that require rescue10Role of the Paramedic in .Rescue Operations .• Paramedics should.– Understand hazards associated with various .environments.– Know when it is safe to gain access or attempt rescue.– Have skills to perform rescue when it is safe and .necessary.– Understand rescue process and know when certain .techniques are indicated or contraindicated.– Be skilled in patient packaging techniques to allow .safe extrication and medical kind of emotions do you think .you would see in a critical life‐.threatening rescue?.12Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning .• Safety during any rescue operation is .paramount because of potential for .associated risks.– Example: rescues may involve.•.•.•.•.•Hazardous hazards•.•.•.•.•Toxic edges and ..• Essentials for every rescue operation.– Initial scene assessment for hazards.– Personal protective measures.– Constant monitoring throughout operation is .essential for every rescue response14Safety.• Priorities for safety in any rescue.– Personal safety.– Sa

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