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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