EMT Lesson Plans

8.10 EMS Operations Station: Incident Command Structure Objectives: Properly set up command structure for a large incident involving a significant medical component.

Preparation: Deploy on the tabletop or whiteboard the following figure:

EMS Branch Director

Triage

Treatment

Transport

Read to Students: “An apartment fire is raging downtown and the first ambulance is arriving just as the first victims are being removed from the structure. There are currently 24 victims. You are part of the fist arriving ambulance crew with an EMT and an EMT crew chief. Please set up your command structure and adjust it as necessary. You will get more resources as the scenario evolves.

Resources arriving: 1 EMT, 1 EMT Crew Chief

Ideal Assignments students should come up with:

EMT to triage, Crew Chief to EMS Branch Director

2 EMTs

Both EMTs to triage

1 EMT, 1 EMT Lieutenant

EMT to triage, EMT Lieutenant to EMS Branch Director, EMT Crew Chief becomes Triage Supervisor

/////// Read: “75% of the patients have been triaged. There are 6 Red patients identified ///////

2 Paramedics

Paramedics to treatment – one paramedic can be Treatment supervisor

1 EMT Captain

EMT Captain to EMS Branch Director, EMT Lieutenant becomes Transportation Supervisor

/////// Read: “All patients have been triaged. There are 9 Red patients identified. 24 patients need care. ///////

(students should express the need to take all resources from Triage and assign them to treatment)

2 EMTs

To Transport to pickup patients and leave immediately

2 EMTs

To Transport to pickup patients and leave immediately

2 Paramedics

To split and treat/transport patients who need ALS-level care

/////// Read: “A Fire-Fighter has collapsed in cardiac arrest from exertion. ///////

(students should express the need to detach 2 EMTs and 1 medic as a Task Force to deal with the separate operation of dealing with injured staff)

2 EMTs

To Transport to pickup patients and leave immediately

2 Paramedics

To split and treat/transport patients who need ALS-level care

2 EMTs

To Transport to pickup patients and leave immediately

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