Module 20
Section outline
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This module examines a number of situations that are of high risk for the people involved and the paramedic. These include toxicological and hazardous material emergencies, mass casualty incidents, and crime scenes. This module will also discuss information pertaining to abuse and assault of the patient.
Toxicological emergencies have become more prevalent in recent years. These emergencies can be challenging to the paramedic because there are so many substances that can cause accidental or intentional overdoses. This will expand on that base to discuss incidents in which hazardous materials are spilled or released as a result of an accident, equipment failure, human error, or intentional actions. Students will learn about the role of the paramedic in such hazardous materials incidents and about medical care for patients contaminated with a hazardous material.
Situations such as multiple-vehicle accidents, natural disasters, or terrorism can be much more complicated and involve many more patients. Efficient response to multiple-patient incidents depends on the skills and discipline. Because EMS providers almost always interact in the larger situations with police, firefighters, or even disaster officials the module will introduce students to the logistics of working with other types of emergency personnel.
In addition, basic guidelines for collaboration with law enforcement when EMS providers need to provide medical care at a crime scene. The discussion will help to understand the principles of evidence preservation and documentation.
Abuse (which can be physical, psychological, or both) and assault (physical violence toward another person) are overwhelmingly serious and common problems. These are complex situations for paramedics to handle because the provider must address physical and psychological issues of medical care and provide appropriate management from the perspective of law enforcement. It can be very difficult to support a distraught patient, perform an adequate assessment and medical intervention, and obtain evidence for possible legal action. In some cases, providers must also remain aware that the patient’s safety, and perhaps their own, is not secure.
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Lectures
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Nancy Caroline's Emergency Care in the Streets
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