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PDF Editor FAQ

What zone should an EMT conduct a patient assessment in during a hazardous materials incident?

What zone should an EMT conduct a patient assessment in during a hazardous materials incident?I really like your question. It has quite a few unintended dimensions to it. HAZMAT incidents are anything with a potential knock on environmental or health effect. One of these bad boys can be as simple as a blood spill in your rig, or as bad as the Exxon Valdez. And size does matter.In general, your standard approach will look a little something like this:https://www.fireengineering.com/articles/2014/05/hazmat-101.html(FYI: For a more in depth information, follow this link.)Notice how indecent command, treatment, and transport are all outside site access control. This is not only to reduce the contamination of spreading, but also limit exposure to rescuers, and the community (read: dumb ass looky loos).This system is rather standard. Unfortunately the nomenclature; not so much. Other resources might name anything outside Site Access Control, the Green/Safe/Support/Cold zone. The Contamination Reduction Zone can be the Yellow/Warm Zone. And the spill site itself, and immediate dangerous surrounds, the Exclusionary/Red/Hot zone.(And I appologise for jumping between these terms. It is a byproduct of my disparate education.)Notices how I did not mention zone sizes as these are idealized thought concepts. Consider my blood spill: The red zone is the spill, yellow is about 10cm around it, and the rest are green.Consider now an atomic explosion: The red zone is the immediate blast area, yellow can be hundreds of kilometers depending on multiple factors, and green is anything outside that.Generally speaking, only the rescue team(s) will enter the hot zone, and the medical/treatment point will be in the cold zone. Thus, it stands to reason, that patient assessment and treatment are done in the cold zone after the rescue team have brought him/her out and he/she has been decontaminated.And this is where we find the root of your problem.Patient Assessment flow chart. www.cprnmore.com | CPR | Emergency medical technician, Emt basic, Emergency medical servicesNot the best flow chart, but it will do to illustrate my point.General patient assessment have 5 distinct sub-assessments built into it. But, because we have segregated the scene into components, it stands to reason that we will also segregate the patient assessment.Thus:IN THE HOT ZONE: the rescue team will do steps one and two, integrated with a triage plan.DURING DECONTAMINATION: another triage might be used if more than one treatment area is in useIN THE COLD ZONE: the medical team(s) will go on to do steps 3–5Add questions in the comments, and I will answer as I am able.

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