![Page 1: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/1.jpg)
Disaster Medical Operations — Part 1
CERT Basic TrainingUnit 3
![Page 2: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/2.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-1
Assumptions● Need for CERT members to learn disaster
medical operations is based on two assumptions: Number of victims could exceed local capacity
for treatment Survivors will assist others
‒ They will do whatever they know how to do‒ They need to know lifesaving first aid or post-
disaster survival techniques
![Page 3: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/3.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-2
Importance of Quick Action
● Phase 1: Death within minutes, result of severe trauma
● Phase 2: Death within several hours, result of excessive bleeding
● Phase 3: Death in several days or weeks, result of infection
![Page 4: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/4.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-3
CERT Training
● Treatment for life-threatening conditions Airway obstruction, bleeding, shock
● Treatment for other, less urgent conditions
Provide greatest good for greatest number by conducting simple triage
and rapid treatment
![Page 5: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/5.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-4
START
● STart = Simple Triage Victims sorted based on priority of treatment
● stART = And Rapid Treatment Rapid treatment of injuries assessed and
prioritized in first phase
![Page 6: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/6.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-5
Unit Objectives
● Identify “killers”● Apply techniques for opening airway,
controlling bleeding, and treating for shock ● Conduct triage under simulated disaster
conditions
![Page 7: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/7.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-6
Unit Topics
● Treating life threatening injuries
● Triage
![Page 8: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/8.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-7
Three “Killers”
● Emergency medicine “killers” Airway obstruction Bleeding Shock
● First priority of medical operations: Open airway Control excessive bleeding Treat for shock
![Page 9: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/9.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-8
How to Approach a Victim
● Be sure victim can see you● Identify yourself Your name and name of your organization
● Request permission to treat, if possible● Respect
cultural differences
![Page 10: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/10.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-9
Open the Airway
![Page 11: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/11.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-10
Open vs. Obstructed Airway
![Page 12: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/12.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-11
Head-Tilt/Chin-Lift Method
![Page 13: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/13.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-12
Types of Bleeding - 1
● Arterial bleeding Bleeding from artery spurts
● Venous bleeding Bleeding from vein flows
● Capillary bleeding Bleeding from capillaries oozes
![Page 14: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/14.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-13
Types of Bleeding - 2
![Page 15: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/15.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-14
Control Bleeding
● 3 main methods for controlling bleeding: Direct pressure Elevation Pressure points
![Page 16: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/16.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-15
Pressure Points
![Page 17: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/17.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-16
Shock
● Result of ineffective circulation of blood
● Remaining in shock will lead to death of: Cells Tissues Entire organs
![Page 18: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/18.jpg)
CERT Basic TrainingUnit 3 Disaster Medical Operations — Part 1
3-17
Recognizing Shock
● Main signs of shock Rapid and shallow breathing Capillary refill of greater than 2 seconds Failure to follow simple commands, such as
“Squeeze my hand”● Symptoms of shock are easily missed…
pay careful attention to your patient!
![Page 19: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/19.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-18
Responding to Mass Casualty Event
● Have a plan ● Follow that plan● Document your
actions throughout
![Page 20: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/20.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-19
1. Gather Facts2. Assess Damage3. Consider Probabilities4. Assess Your Situation5. Establish Priorities6. Make Decisions7. Develop Plan of Action8. Take Action9. Evaluate Progress
REMEMBER:CERT SIZEUP IS A
CONTINUAL PROCESS
CERT Sizeup
![Page 21: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/21.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-20
What Is Triage?
● Process for managing mass casualty event
1. Victims are evaluated2. Victims are sorted by urgency of treatment
needed3. Victims are set up for immediate or delayed
treatment
![Page 22: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/22.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-21
Triage● Immediate (I): Victim has life-threatening
injuries (airway, bleeding, or shock) ● Delayed (D): Injuries do not jeopardize
victim’s life; treatment can be delayed● Minor (M): Walking wounded and
generally ambulatory ● Dead (DEAD): No respiration after two
attempts to open airway
![Page 23: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/23.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-22
Rescuer Safety During Triage
● If hazmat or terrorist event is suspected, CERT members DO NOT respond Evacuate as safely as possible
● ALWAYS wear PPE: Helmet Goggles N95 mask Work gloves Sturdy shoes or boots Non-latex exam gloves
![Page 24: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/24.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-23
Triage Process
● Step 1: Stop, Look, Listen, and Think ● Step 2: Conduct voice triage ● Step 3: Start where you stand; follow
systematic route ● Step 4: Evaluate each victim and tag ● Step 5: Treat “I” victims immediately ● Step 6: Document triage results
![Page 25: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/25.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-24
Step 4: Triage Evaluation
● Check airway and breathing● Check circulation and bleeding● Check mental status
![Page 26: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/26.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-25
Triage Pitfalls
● No team plan, organization, or goal
● Indecisive leadership● Too much focus on
one injury● Treatment (rather
than triage) performed
![Page 27: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/27.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-26
Unit Summary
● You should now be able to: Identify 3 “killers” Apply techniques for
opening the airway, controlling bleeding, and treating for shock
Conduct triage under simulated disaster conditions
![Page 28: Disaster Medical Operations Part 1 - Mrs. Jessica Barker](https://reader031.vdocuments.us/reader031/viewer/2022013101/61d20685623ce3625041126e/html5/thumbnails/28.jpg)
CERT Basic TrainingUnit 3: Disaster Medical Operations — Part 1
3-27
Homework Assignment
1. Read unit to be covered in next session2. Bring necessary supplies for the next
session3. Wear appropriate clothes for the next
session