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The response to an explosion can be difficult, but have it at an airport and across the street from your EOC can really make things interesting. We use this case to delve into scene management and hazardous materials.
Now the response to this is pretty obvious, but what about the call for the guy sleeping in his car? When you arrive he appears unconscious. Is it a heart attack, hypoglycemia, or stroke? Do you throw open the door and begin assessing? 99 times out of 100 you’ll do this and be OK, but what if his unconsciousness is really death? What if his method of killing himself was a chemical suicide? These are growing in prevalence and by quickly trying to get in there you may actually be putting yourself in danger.
We finally conclude our podcast by expecting the unexpected. Was the MVC a result of poor driving or was the patient overcome as the result of chemicals? If your first EMT drops, do you send in more?
Join Wilma Vinton, Brad Buck, Steve Murphy, Charlotte Crawford, Tim Loucks, David Rockney, Kyle David Bates, with Rick Russotti from the Mitigation Journal Co-Hosting!
Sad to report but a veteran Connecticut State Trooper, Trooper First Class Kenneth Hall, was killed in I-91 accident on September 2, 2010.
On Tuesday, August 31, 2010 Air Evac 30 out of Arkansas crashed killing the 3 crew members on board. Pilot Ken Robertson, flight paramedic Gayla Gregory and flight nurse Kenneth Meyer Jr. were all killed.
Tags: ambulance, Chemical assisted suicide, disaster, EMS, EMT, hazardous materials, ICS, IMS, MVC, paramedic, safety, self care, triage
Category Management, Safety, Triage |
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In this special edition of the First Few Moments podcast we discuss SAFETY, MANAGEMENT, TRIAGE, CARE at the scene of roadway traffic collisions (RTC) with one of our favorite paramedics from across the pond and Chronicles of EMS, Mark Glencorse.
Please join Scott Kier, Natalie Quebodeaux, Jeremiah Bush, Steve Murphy, and Kyle David Bates as we talk with Mark about differences and similarities when responding to and caring for those involved in roadway collisions (sounds so…cool doesn’t it?).
Also listen to how Natalie made all of us speechless….
Category Care, Management, Safety, Triage |
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Hearing that your call involves an injured pediatric patient, yet alone multiple pediatric patients, is enough to get even the most experienced provide a little nervous. Why is this? Is it that they cannot tell us what is wrong or is it that w have little experience with kids. Maybe it is a little of each.
Join Tim Loucks, Wilma Vinton, Steve Murphy, Dan McGuire, Rick Russotti, Dr. Jeff Myers, and Kyle David Bates as they delve a little deeper into this subject.
Tags: ambulance, CISM, EMS, EMT, health, ICS, IMS, medical, medicine, MVC, NIMS, paramedic, pediatrics, self care, triage
Category Care, Management, Triage |
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This week we discuss responding to an MVC that involves one of our own.
There have been numerous crashes of ambulances and fire apparatus that have lead to injuries as well as fatalities.When it comes down to it, is our response different? Should it be different? What about triage? How do we and how should we deal with the aftermath?
Join Scott Kier, Wilma Vinton, Natalie Quebodeaux, Jeremiah Bush, Charlotte Crawford, Chris Montera, Dan McGuire of CISM Perspectives, and Kyle David Bates as we dissect and discuss this topic.
Firefighters Killed in Virginia
Collision keeps ambulance from emergency call
Vehicle collides with ambulance
Georgia paramedic dies after ambulance crash
Rainy Ambulance Crash
2 killed in Iowa ambulance crash
Fatal Boston fire truck crash
Tags: ambulance, CISM, EMS, EMT, ICS, IMS, line of duty death, LODD, MVC, NIMS, paramedic, safety
Category Management, Safety, Triage |
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This week we discuss triage. Not just categorizing patients but where they should go and how they should get there.
Between February and July 2010 there have been 6 HEMS crashes killing 16 people. Should we reevaluate the use of helicopters?
Join Kyle David Bates, Greg Friese, Rick Russotti, Steve Murphy, Tim Loucks, and Chris Mitchell as we discuss the use of helicopters as well as the CDC guidelines for patient triage to trauma centers.
A new article: Air medical industry ‘resisting upgrades’
Also listen for Rick as he becomes possessed!
Tags: ambulance, CDC, EMS, EMT, helicopter, HEMS, medical, medicine, paramedic, safety, triage
Category Care, Safety, Triage |
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You are the first unit to arrive on the scene of a multi-patient motor vehicle crash…what do you do now?
Join Rick Russotti, Wilma Vinton, Chris Montera, and Kyle David Bates as they discuss priorities such as vehicle placement, determining scene safety, and establishing incident command.
Category Management |
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This week we talk about self-care. After a scary situation that Kyle put himself into, he realized this week’s topic.
Join Rick Russotti, Tim Loucks,Steve Murphy, and Wilma Vinton from Fairbanks, Alaska as we discuss caring for ourselves and a term that Rick brought up: Prehab.
Tags: ambulance, EMS, EMT, environmental illness, health, ICS, IMS, medicine, NIMS, paramedic, safety, self care
Category Safety |
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This week Chris Montera hosts the inaugural episode of the First Few Moments podcast. Kyle discusses the First Few Moments program, how it was created, and where it is going. We also share a significant First Few Moments event that we had in our career. We discuss NIMS and ICS as well as roadway safety following a fatal accident in April.
Bahena is survived by his father and two sisters and a memorial fund has been established at the San Diego Fire Fighter Credit Union:
Esteban Bahena Memorial Fund
San Diego Fire Fighters Credit Union
4926 La Cuenta Dr.
San Diego, CA 92124
Account No. 1214D
Featuring:
Chris Montera
Kyle David Bates
Rick Russotti
Tim Loucks
Steve Murphy
Tags: ambulance, disaster, EMS, medical
Category Uncategorized |
I would like to welcome you to the launching of the First Few Moments(TM) website!
The First Few Moments: managing the scene of a motor vehicle crash, started out as a program put together in 2003 for a rural EMS service in Maine. They had wanted to learn more about how they could respond to motor vehicle crashes (MVCs) in a more efficient manner after a couple of recent incidents did not go as planned.
Over the next seven years Kyle David Bates (KyleDavidBates.com) grew the program into a 1-day course. Starting with the first dispatch until the patients are extricated from the vehicle or scene, the First Few Moments covers topics of disaster mitigation, roadway safety, incident command, patient triage, and patient care. This is not your typical disaster course but deals with the everyday disaster: the multi-patient MVC and soon to expand to other topic areas as well.
The First Few Moments: managing the scene… website will become a comprehensive website for dealing with the First Few Moments of various forms of incidents. Based on the concepts of Safety – Management – Triage – Care, that are part of the original FFM program, we will educate emergency responders on recognizing and mitigating situations effectively within the First Few Moments(TM).
Category From Kyle David Bates |
