1. SCENE SIZE-UP

2. Scene Size-Up Initial evaluation of a scene Three Basic Goals Identify possible hazards Identify what led to your being called to the scene Identify the need for additional assistance

3. Determine Scene Safety # 1 priority Process is ongoing EMT must exercise leadership and take control of the scene

4. Obtain Dispatch Information Remember scene safety begins upon receipt of call from dispatcher BSI protection Dispatchers may not have complete & accurate information to work with Callers may deliberately give inaccurate information Routine calls may present a greater threat than major accidents

5. BSI Precautions Eye protection Gloves Gown if necessary Mask if necessary

6. Consider Scene Characteristics Remember that an injured EMT can not help a patient Do not enter unstable scenes Take extra precautions at crime scenes Portable radios Call for help from appropriate agencies Remove yourself if scene turns hazardous

7. Crash Scenes Avoid �Tunnel Vision� Is vehicle stable Are power lines involved Jagged metal or broken glass Leaking fuel Fire

8. Other Rescue Scenes Heights Underground areas Collapse/cave-ins Storage tanks/vats Silos/bins Farm equipment

9. Special Situations Unstable surfaces & slopes Ice Water Toxic substances and low oxygen areas Multiple patients with similar symptoms consider toxic environment

10. Crime Scenes Potential for violence Firearms Stage unit If at the scene you suspect a threat, retreat.

11. Arriving at the Scene Turn off lights & sirens several blocks away if necessary Be aware of the �killing zone� Always assess the crowd Scene too quite Chaotic don�t be pulled into the chaos

12. Approaching the Scene Scene can turn dangerous Walk on grass Hold flashlight to your side Walk single file Only front person carries the flashlight Make a mental map of area for concealment Check windows & corners Stand to the side of the door when knocking Never appear to block the patients route of escape