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Patient Casualty

And Handling
EMERGENCY RESCUE
is a rapid movement of pat
ient from unsafe place to
a place of safety.
Indications for Emergency Rescue

Danger of fire or explosion


Danger of toxic gases or asphyxia due to
lack of oxygen.
Serious traffic hazards
Risk of Drowning
Danger of Electrocution
Danger of Collapsing Walls
is moving a patient fro
m one place to another
after giving first aid.
Selection will depend upon the following:
1. Nature and severity of the injury.
2. Size of the victim.
3. Physical capabilities of the first aider.
4. Number of personnel and equipment
available.
5. Nature of evacuation route.
6. Distance to be covered.
7. Sex of the victim.
(Last consideration)
Pointers to be observed during transfer:
1. Victims airway must be maintained open
2. Hemorrhage is controlled.
3. Victim is safely maintained in the correct
position.
4. Regular check of the victim s condition
is made.
5. Supporting bandages and dressing
remain effectively applied.
6. The method of transfer is safe, comfortable
and as speedy as circumstances permit.
7. The patients body is moved as one unit.
8. The taller first aiders stay at the head side of
the victim.
9. First Aiders/bearers must observed
ergonomics in lifting and moving of
patient.
Methods of Transfer
1. One-man assist/carries/drags
Assist to Walk Carry in Arms (Cradle)
Pack strap Carry Piggy Back Cary
Firemans Carry Blanket Drag
Cloth Drag Armpit/Shoulder Drag
Feet Drag Inclined Drag
2. Two-man assist / carries
Assist to Walk Four Hand Seat
Hand as a Litter Chair as a Litter
Carry by Extremities Firemans Carry (Assistance)
3. Three-man carries
Bearers alongside (for narrow alleys)
Hammock carry
3. Four/Six/Eight-man carry
Blanket Carry Commercial stretchers
Improvised stretcher using two poles with:
Blanket , Empty sacks, Shirts
or coats, Triangular bandages

Ambulance or Rescue Van


Other vehicles
INITIAL TRIAGE AND TAGGING
TRIAGE
is a process use in sorting patients in
to categories of priority for care and
transport based on the severity of inj
uries and medical emergencies.
The cardinal rule of TRIAGE is to do the
greatest good for the greatest number.
The START system: Patients evaluation is
based on 3 primary observation (RPM):
Respiration
Perfusion
Mental Status
Tagging of Patient
Priority one (red tag) immediate care;
life threatening.
Priority two (yellow tag) delayed care; can delay
transport and treatment to one hour.
Priority three (green tag) hold care; can delay
transport up to three hours.
Priority four (black tag) no care required; patient is
dead.
S.T.A.R.T. ASSESS
Simple Triage and Rapid Treat
ment RESPIRATIONS
Remember RPM (Respiration,
Perfusion, Mental Status)
YES N
O

> 30/MIN < 30/MIN POSITION AIRWAY

IMMEDIATE ASSESS YES NO


(RED) PERFUSION

CAPILLARY REFILL IMMEDIATE DECEASED


RADIAL PULSE

> 2 SEC < 2 SEC


PULSE PULSE PRESENT

CONTROL ASSESS
BLEEDING MENTAL STATUS

CAN FOLLOW SIMPLE


IMMEDIATE COMMANDS
(RED)

NO YES

IMMEDIATE DELAYED
(RED) (YELLOW)
THANK YOU! ^^,)