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Yes |
No |
| Objective 1: mass casualty triage |
| Assesses scene |
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| Wears appropriate personal protective equipment |
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| Asks for additional help |
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| Acknowledges limited resources and need for triage |
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| Asks facilitator for condition and vital signs for all victims |
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| Appropriately assigns triage tags as follows: |
| Van - victim A (black) |
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| Van - victim B (black) |
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| Car - victim A (red) |
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| Car - victim B (green) |
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| Car - victim C (yellow) |
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| Car - victim D (black) |
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| Allocates available resources appropriately (i.e. attends to victims in the following order: red→ yellow → green → black) |
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| Objective 2: effective team communication |
| Encourages closed-loop communication of all team members |
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| Delegates tasks appropriately to other team members |
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| Appropriately uses the SBAR (Situation, Background, Assessment, Response) approach when communicating with accepting providers |
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| Objective 3: to perform a systematic trauma assessment with associated stabilization in a prehospital setting |
| Car victim A (red tag): |
| Reassesses vitals |
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| Assesses airway |
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| Acknowledges need for intervention |
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| Selects appropriately-sized oropharyngeal airway (may demonstrate on mannequin) |
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| If demonstrated, uses appropriate technique. |
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| Bag-mask ventilation (may demonstrate on mannequin) |
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| If demonstrated, uses appropriate technique. |
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| Maintains C-Spine immobilization throughout airway intervention |
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| Assesses breathing (auscultation) *prompt: reduced air entry to right lung |
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| Acknowledges potential causes (hemothorax, pneumothorax) |
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| Suggests chest tube Insertion (may demonstrate with task trainer) |
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| If demonstrated, uses appropriate technique |
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| Obtains IV access x 2 (large-bore) |
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| Administers fluid bolus |
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| Reassesses vitals |
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| Immobilizes patient in preparation for transport |
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| Allocates team member to continue monitoring patient |
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| Car victim B (yellow tag): |
| Reassesses vitals |
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| Airway assessment (patent) |
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| Assesses breathing |
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| When provided with physical findings, suggests potential causes for victim’s problem (including tension pneumothorax) |
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| Suggests needle thoracostomy (may demonstrate on mannequin if available) |
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| If available: demonstrates appropriate technique |
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| Obtains IV access x 2 (large bore) |
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| Administers fluid bolus |
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| Reassesses vitals |
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| Immobilizes patient in preparation for transport |
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| Allocates team member to continue monitoring patient |
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| Car victim C (Green) |
| Reassesses vitals |
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| Assesses airway (patent) |
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| Assesses breathing |
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| Assesses circulation |
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| Obtains IV access x 2 (large bore) |
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| Administers fluid bolus |
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| Acknowledges that fracture likely contributing to tachycardia/hypotension |
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| Suggests reduction of fracture |
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| Suggests tourniquet or direct pressure |
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| Reassesses vitals |
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| Immobilizes patient in preparation for transport |
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| Re-assessment of car victims A-C |
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| Reassesses vitals |
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| Ensures adequate exposure |
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| Neurological exam, including digital rectal exam for rectal tone |
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| Ensures patients are appropriately covered to maintain normothermia |
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| Objective 4: to prepare a patient for safe transport to hospital care |
| Acknowledges the need to call ahead to the accepting facility |
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| Calls ahead and provides appropriate information |
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| Appropriately prioritizes transport of sickest patient first (red tag) |
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