The duties of the first ambulance crew arriving on the scene of an incident, particularly in New South Wales, Australia is to check first the safety of the area where the incident occurred. This includes checking the area for possible electrical, oil or petrol hazards which may…
Those who are categorized as serious have a deathly consequence in their circumstances; those categorized as major may suffer from a major permanent loss of function; next comes those who may suffer with a permanent reduction in bodily functions; those categorized as minor require increased level of care; and finally those classified as minimum are patients with no injury or increased level of care (New South Wales Government, 2005). Based on corporate consequence, impact on staff, visitors, services, finances, and the environment shall also be assessed by the first responder. The likelihood of the incident happening again shall also be assessed by the first responder. He shall classify the likelihood from the rating ‘frequent’ (the highest possible rating) to ‘rare’ (the lowest possible rating) (New South Wales Government, 2005). The risk or the magnitude of the incident also needs to be assessed by the first responder. The incident is rated at 1 if the risk is extreme; 2 if the risk is high; 3, if there is medium risk; and 4 if the risk is low (New South Wales Government, 2005).
The initial triage of the first responder is to assess the patients with life threatening conditions. The first responder has to deliver immediate treatment to these patients first by delivering CPR after airway clearance. For those classified as urgent or are unable to walk with RRs at 10 bpm-29 bpm and CRT at 2 seconds or less, urgent treatment has to be delivered by the crew. For those with minor injuries, but are walking, their treatment may be delayed; and for those who are dead, no treatment can be delivered. The crew then has to render appropriate emergency care and then transport the patients to the nearest hospital the soonest time possible, starting with those needing immediate care.
In case of possible contagion, the emergency ambulance crew also has the duty of decontaminating the patients and themselves ...
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