Organization on Scene

The rescue organizers on scene are including fire-brigade, police, medical personnel.

Other resources and helpers are also including government, military, expects and

even volunteer corps.

The chief of the fire brigade will be the incident commander. He has the overriding

responsibility in the whole incident. His responsibilities include making the scene

more safe–avoid further risk situation; setting stop point entrance to the scene;

providing first aid to victims before the ambulance come; releasing injured people;

making command place and making casualty assembly point; clarify the

transportation possibilities -- direct or indirect ways -- helicopter and the landing

platform for it.

The chief of the police officer will be the police director on scene. He will be

responsible for traffic organization; roped-off the area; evacuation; guarding of the

area; searching for missed people; registration and identification; bringing stuff

together and investigation about what caused the disaster or accident.

The first ambulance arrives at the scene will be on the chief position. The main job of

them are conduct medical help to people; exploring the scene and information to

SOS Alarm and hospital; -provide medical help together with other ambulance

personnel, for example triage and so on; collaboration with dispatched doctors and

nurses from hospitals.

Alarm dispatch

When the SOS Alarm rings (in Sweden, rescue people take alarms from 112), it

should simultaneously provide the accurate information about what happened,

where is it and how many people has been involved. The alarm will go straight to

fire-brigade, police and ambulance and instantly a dispatch should be planning. In

some big disastrous or accident, the hospital will be informed too in case of over

casualties.

The key role of SOS Alarm is help one person collaboration with other chief persons

on scene. By doing this, the SOS Alarm system should not only assist for more help

and dispatch but also help to take and give information to everyone.

Prehospital care

The prehospital care offered by medical group, those who are dispatched from

hospital and/or primary health care. The main medical first help they are going to use

is ABC, which are representing Airway position -- oxygen/intubation, bleeding

infusions and circulation position – infusions. Other emergency treatment include

giving drug-injection in order to help casualties against pain; stabilization if suspect

fractures happened to the casualties; putting neck collar if suspect head or neck

injured; provide sheet to keep the casualties warm.

First ambulance will be make decision more qualified cares or professionals when has

many victims.
Disaster plan at hospital

The hospital needs special planning. It should be requires a practicable and well

trained plan for such cases. The disaster medicine help and treatment they provide

should as many as possible, as fast as possible and as simple as possible.

In extreme cases, doctors and nurses are dispatched from hospital or primary health

care. When they arrive at the scene, they have to contact with incident commander

and medical chief for information in order to have an overview of the scene and then

work on the casualty assembly point. Medical assessment and triage can be

provided. And they can assess more help, for example: helicopter, if it is needed.

Information

Information is very important for the rescue work, including information of fire

brigade chief, information of hospital, operation partners and police, information of

friends and relatives. The SOS Alarm collects the information, helps assess the need

of care and collaboration all participants with on scene.

Evacuation

Evacuation is a very demand task. It is mainly done by the police on scene.

The priorities for evacuation should be followed. (Priority I thoracic injuries, airway

problems, shock. Priority II stabilized patients in danger of shock, abdominal trauma,

widespread burns, closed head injury and deteriorating level of consciousness.

Priority III patients with spinal cord injuries, eye injuries, hand injuries, compound

fractures or injuries to large area of muscle. Priority IV patients with lesser fractures

and soft tissue injuries. Priority V walking wounded.)

The police director needs to have serious planning and a good concept about what to

do and how to do it. If it doesn’t have good planning they will get as fail.

Environmental aspects and also references

Environmental aspect is an element of an organization’s activities; medical materials,

products and services. It includes chemical risks, explosive risks, nature-water-air

damaged and so on. That can interact with the environment and health of patients. A

safe environment is the first thing rescue team should make sure in their rescue

work. I think the sanitation and hygiene problem are part of environment problem.

I am going to discuss about environment problem by reference it to ammonia—a

widely used chemical substance. Ammonia mainly has been used as fertilizer; it is

also used as cleaner in our household. Furthermore, ammonia is used in refrigeration

and even as fuel sometimes. Meanwhile, the toxicity of ammonia might cause some

environment problem. In this case, we should handle these kind of chemical

substances carefully. That includes: careful transportation and storage, precaution

while using it, knowledge and information about ammonium we use. Ammonium do

not always cause problem for human, but it is highly toxic to aquatic animals. So, well

protect the environment from toxic waste product like ammonium from water is an

important task for disaster preventing.

Media and information

The main role of media is to provide information to people who are urging to know

about the emergences. Apart from this, people do have the right to know what is

going on on this our living earth, which is also a democracy right!

The first phase of what media do is to provide both information and background

information; explain casual things people should pay attention to; prevent rumors

and control panics; reduce uncertainty and convey group sense of sorrow. The

second phase is to obtain relevant facts and explain complicated contexts in a

simplified way in order to give the readers, listeners, surfers and viewers information

from their own point of views. The third phase is the investigative phase. Media

should obviously dissemination the discussion and result the causes of the disaster.

Rules and regulations

All the disaster operation groups including both government and private

organizations have to follow certain rules and regulations. For example: HSL (Hälso
och sjukvårdslagen) for health care, county or country law and other plan for

irregular events.

References

 Burell, M. (n.d.). Rescue organization on scene (Version PPT) [Data file]. MDH

Blackboard Learning

System Ht 09 Disaster Medicine Västerås: Medicinsk vetenskap.

 Burell, M. (n.d.). The role of media in emergencies, disasters (Version PPT)

[Data file]. MDH Blackboard Learning

System Ht 09 Disaster Medicine Västerås: Medicinsk vetenskap.

 Burell, M. (n.d.). PRE-HOSPITAL CARE (Version PPT) [Data file]. MDH

Blackboard Learning

System Ht 09 Disaster Medicine Västerås: Medicinsk vetenskap.

 CHP12 Safety precautions. (n.d.). Ammonia. Retrieved April 3, 2010, from

http://en.wikipedia.org/

wiki/Ammonia