Disaster Medical Operations Part 1 CERT Basic Training
Disaster Medical Operations — Part 1 CERT Basic Training Unit 3 Fall 2019 For online course
● Slide deck is a subset of FEMA CERT slides ● Slides are for in-class companion to the online CERT basic training course provided by the University of Utah ● The complete FEMA CERT slide deck is available here - https: //www. fema. gov/medialibrary/assets/documents/27669 Unit 3 DMO #1 for online course 3 -1
Personal Protective Equipment - PPE ● More supplies in team bags – we’ll discuss in SAR (Search and Rescue) training ● Come fully equipped whenever you mobilize with CERT § § ● CERT backpack checklist in unit 5 Water, food Sun protection Sturdy footwear Unit 3 DMO #1 for online course 2019 -08 -28 3 -2
Personal Protective Equipment - PPE ● How to put on and take off Non-Latex Gloves https: //www. youtube. com/watch? v=Am. Hz. LAXHdr. A&t=35 s ● Practice! ● New gloves for every victim ● Wash or sanitize hands after de-gloving Gloves Unit 3 DMO #1 for online course 3 -3
Putting on an N 95 mask https: //www. youtube. com/watch? v=0 d_Ra. Kdqeck Masks Unit 3 DMO #1 for online course 3 -4
Personal Protective Equipment - PPE IF IT’S WET AND NOT YOURS DON’T TOUCH IT! Unit 3 DMO #1 for online course 3 -5
Triage This is the tag that WC CERT uses You’ve been given a handout of this tag Unit 3 DMO #1 for online course 3 -6
Triage Some groups use FLAGGING TAPE for identification purposes Unit 3 DMO #1 for online course 3 -7
R P M’s Determine Urgency There are 3 things to check (non-walking victims): ●Respirations § Adults (12 yrs +) under 30 § Children (0 -11) 15 -45 ●Perfusion § Less than 2 seconds ●Mental Status § Can follow simple directions Unit 3 DMO #1 for online course Remember 30 2 Can do 3 -8
Triage ● Minor (M): Walking wounded and generally ambulatory Pass ALL RPMs ● Delayed (D): Injuries do not jeopardize victim’s life; treatment can be delayed Fail ANY RPM 30 -2 -Can Do ● Immediate (I): Victim has life-threatening injuries (airway, bleeding, or shock) ● Dead (DEAD): No respiration after two attempts to open airway Unit 3 DMO #1 for online course 3 -9
Airway, Triage, Recovery Position Let’s Practice Bring your FOG Unit 3 DMO #1 for online course 3 -10
Control Bleeding Direct Local Pressure over the actual bleeding site by putting a clean pad over the wound and pressing firmly. Maintain compression by wrapping the wound firmly with a pressure bandage. Elevate the wound above the level of the heart. Pressure Point - apply pressure on the nearest pressure point between the wound and the heart to slow the flow of blood to the wound. The pressure point to be used depends on the location of the wound. Unit 3 DMO #1 for online course 3 -11
Bandaging • Pressure bandage – demo • When foreign object is impaled in body https: //www. youtube. com/watch? v=--TTkm. DPCdc o Do not attempt to move or remove! o Immobilize affected body part o Try to control bleeding – apply pressure at object base (arrows) o Stabilize impaled object during bandaging Unit 3 DMO #1 for online course 2019 -08 -28 3 -12
Tourniquet (Demo) Only a physician should remove a tourniquet. If you apply a tourniquet: ●Use something (~2 -3 inches) wide and a strong windlass (“stick/lever”) ●Twist until bleeding stops ● Leave it in plain sight (don't bandage over it) ● Attach a label to victim's forehead stating time/date the tourniquet was applied. Unit 3 DMO #1 for online course 2019 -08 -28 3 -13
Bandaging and Tourniquets Let’s Practice Unit 3 DMO #1 for online course 3 -14
Recognizing Shock ● Signs of approaching circulatory failure § Rapid and shallow breathing § Capillary refill of greater than 2 seconds § Failure to follow simple commands, such as “Squeeze my hand” Unit 3 DMO #1 for online course 2019 -08 -28 3 -15
Treatment of Shock ● Control major bleeding ● Maintain normal body temperature ● Loosen restrictive clothing ● No food or drink ● Reassure/keep calm ● Leg elevation Unit 3 DMO #1 for online course 3 -16
Video: Search & Rescue Triage https: //www. youtube. com/watch? v=MDLla 8 Jtc. Xc https: //www. youtube. com/watch? v=-uahsgmpvfs FEMA videos with additional notes to highlight important information Unit 3 DMO #1 for online course 3 -17
TRIAGE RELAY There are 3 things to check (non-walking victims): ●Respirations § Adults (12 yrs +) under 30 § Children (0 -11) 15 -45 ●Perfusion § Less than 2 seconds ●Mental Status § Can follow simple directions Unit 3 DMO #1 for online course Remember 30 2 Can do 3 -18
HOMEWORK Complete homework list in class handout. Partial list follows: ●Triage practice – complete triage homework handout from class ●Watch PPE video – watch video - time 072: 6 thru 08: 56 https: //www. youtube. com/watch? v=RS-x. Eb. Spg 6 g&t=7 m 26 s ●Gloves (non-Latex) - practice putting on and take off. §Video - https: //www. youtube. com/watch? v=Am. Hz. LAXHdr. A&t=35 s ●Recovery position - Practice putting a friend or family member in the recovery position (imagine that you are the rescuer who is rolling the victim while your partner stabilizes the head and neck) §Video - Watch video: https: //www. youtube. com/watch? v=DXafn 3 j. Sz. Gw ●Immobilizing the head and neck – practice on a friend or family member. §Video - https: //www. youtube. com/watch? v=NLTf. OXqpl 34&t=37 s - stop at 1 m 27 sec Unit 3 DMO #1 for online course 3 -19
- Slides: 20