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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 Basic Disaster Life Support
Objectives • List and discuss the Incident Survey • List and discuss the Casualty Survey • List and discuss Immediate Life Saving Skills
“RED Survey” Rapid Evaluation of DISASTER • Step 1: Incident Survey • Step 2: Casualty Survey • Step 3: Immediate Life Saving Skills
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!
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!
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
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?
Casualty Survey A: Airway B: Breathing C: Circulation D: ? E: ?
Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: ?
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
Casualty Survey A: Airway B: Breathing C: Circulation D: Differential Dx, Detection & Delivery E: Evaluate or Evacuate (Exit)
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
When can you transport a patient from the scene? • Answer:(if “Tunnel Vision” on pat.) • When the Casualty Survey is complete to EXIT.
When can you transport a patient from the scene? • Correct Answer: • When BOTH the Incident Survey and the Casualty Survey both are in EXIT.
Summary Now you can: • List and discuss the Incident Survey • List and discuss the Casualty Survey • List and discuss Immediate Life Saving Skills
Thank You!Any Questions? Basic Disaster Life Support
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