Emergency Medical Response
Lesson 8: Scene Size-Up
Scene Size-Up
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Lesson 8: Scene Size-Up
Scene Size-Up
You Are the
Emergency Medical Responder
You are summoned to a neighbor's home after the 43-year-old mother and her two children from next doorwere apparently overcome by carbon monoxide fromusing a gas oven. The power went out earlier and hasnot been restored. The family members were found bya concerned neighbor. When you arrive, you see themother and one of the children who are conscious andcomplaining of nausea and severe headaches. You alsosee a 6-year-old boy who appears to be unresponsiveand not breathing.
What should you be concerned with prior to conducting an assessment and providing care?
Scene Safety
Use the senses:
Look and feel for hazards
Listen for unusual sounds
Smell to detect any unusualor unexpected odor
360-degree assessment
Look in all directions
Safety includes both personal safety and the safetyof others, including patients and bystanders
Scene Safety
cont.
Observe the scene for dangers
Traffic
Electrical wires
Unstable structures
Fuels/fluids
Take safety measures appropriate to scene
Continually reassess the situation
True scene safety is a continuous process!
Number of patients
Identify the number of patients at the scene
Call for additional help if more patients than EMR
Guidelines for Others’ Safety
Never move a patient unless there is immediatedanger
Continuously scan for possible hazards
Use appropriate emergency moves if inimmediate danger
Be alert for potential bystander dangers
Mechanism of Injury (MOI)
Vehicle/motorcycle collisions – energy in motion
Head-on crash
Rear-end crash
Side impact
Rotational impact
Rollover
Blunt or penetrating injuries
Falls
Blast injuries
Nature of Illness (NOI)
In some situations, you may be called because aperson is ill and no evidence of trauma
Recognizing NOI helps with immediate care
Conscious/unconscious
Family members/bystanders
Scan scene for clues to problems
Record observations
Additional Resources
Advanced Life Support - ALS
Air medical transport
Air Med/Lifeflight
Utility department
Rocky Mountain Power
Questar
Fire department
Law enforcement
Specialized resources, such as HAZMAT