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Rapid Evaluation of DISASTER The “R.E.D” Survey

Rapid Evaluation of DISASTER The “R.E.D” Survey. Objectives. List and discuss the Incident Survey List and discuss the Casualty Survey List and discuss Immediate Life Saving Skills. “RED Survey”. R apid E valuation of D ISASTER Step 1: Incident Survey Step 2: Casualty Survey

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Rapid Evaluation of DISASTER The “R.E.D” Survey

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  1. Rapid Evaluation of DISASTER The “R.E.D” Survey Basic Disaster Life Support

  2. Objectives • List and discuss the Incident Survey • List and discuss the Casualty Survey • List and discuss Immediate Life Saving Skills

  3. “RED Survey” Rapid Evaluation of DISASTER • Step 1: Incident Survey • Step 2: Casualty Survey • Step 3: Immediate Life Saving Skills

  4. Why an Incident Survey? Two key questions: • Is the scene safe to enter? • The “ABCDE” exam of the scene • Is an MCI present? • Capabilities / Resources assessment • Please note: • We have not mentioned patient care yet!

  5. Incident Survey Incident “ABCDE” exam A = Aware of All-hazards B = Barrier C = Contain D = D.I.S.A.S.T.E.R. E = Enter (Exit) Before Patient Care Initiated!

  6. Incident Survey

  7. D-I-S-A-S-T-E-R Paradigm D – Detect I – Incident Command S – Scene Security and Safety A – Assess Hazards S – Support T - Triage and Treatment E – Evacuation R – Recovery

  8. At the Risk of Rocking the Boat…

  9. Casualty Survey • Every healthcare provider can recite their “ABC”s of patient assessment • But do we really communicate the next steps appropriately in traditional “D” and “E” approaches?

  10. Casualty Survey A: Airway B: Breathing C: Circulation D: ? E: ?

  11. Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: ?

  12. Casualty Survey D: Differential Dx, Detection & Delivery: • What could be causing this casualty? • What antidote or intervention needed? • Head & Neck: • Pupils, Secretions, Neuro, Tenderness, Trauma • Chest: • Breathing, Heart R&R, Tenderness, Trauma • Abdomen: • Pain, N&V, Diarrhea, Tenderness, Trauma

  13. Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: Evaluate or Evacuate (Exit)

  14. Casualty Survey

  15. Immediate Life Saving Skills, for example... • Airway: • Manual, ET Intubation, Needle Cricothyroidotomy • Breathing: • Needle Decompression • Circulation: • Uncontrolled bleeding management, • Pericardiocentesis • Detection of agents and antidote delivery

  16. When can you transport a patient from the scene? • Answer:(if “Tunnel Vision” on pat.) • When the Casualty Survey is complete to EXIT.

  17. Casualty Survey

  18. When can you transport a patient from the scene? • Correct Answer: • When BOTH the Incident Survey and the Casualty Survey both are in EXIT.

  19. Incident Survey

  20. Summary Now you can: • List and discuss the Incident Survey • List and discuss the Casualty Survey • List and discuss Immediate Life Saving Skills

  21. Thank You!Any Questions? Basic Disaster Life Support

  22. Contact information Ray E. Swienton, MD, FACEP Co-Director, EMS, Disaster Medicine & Homeland Security Section Division of Emergency Medicine, Department of Surgery University of Texas, Southwestern Medical Center at Dallas 5323 Harry Hines Blvd. Dallas, Texas 75390-8579 Email: BearDogMD@AOL.com Voice: (817) 271-7801

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