Training

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C.E.R.T Disaster Medical Part 1
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Main Points

• Recognizing Life Threatening Conditions
• Treating Life Threatening Conditions
• Triage

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Life Threatening Conditions

• Obstructed or Closed Airway
• Severe Bleeding
• Inadequate Circulation ( Shock )

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Obstructed Airway

• Found in unconscious or semiconscious victims
• Most common cause is the Tongue
• Must be corrected quickly!

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Opening the Airway

• 1. Establish Unresponsiveness
• 2. If no response open airway with Head tilt Chin
  lift.
• 3. Look, Listen,and Feel
• 4. Try this procedure twice if unsuccessful move
  on.
• 5. Remember the greatest good for the greatest
  number.

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Severe Bleeding

• 1. Know the three types of bleeding
• Arterial - High pressure ( spurting )
• Venous - Low pressure ( flowing )
• Capillary - Low pressure ( oozing )
• 2. Over ninety percent of bleeding can be easily
  controlled.
• 3. Protect yourself WEAR GLOVES

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Bleeding Control

• Direct Pressure
• Elevation
• Pressure Points
• Tourniquets ( Last resort Life over Limb )

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Shock

• 1. Use the 30-2-Can Do rule
• Respiration's greater than 30 per minute
• Capillary refill greater than 2 seconds
• - Can a patient follow simple directions?
• 2. Treatment if needed should be done quickly.

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Treatment Of Life-Threatening Conditions
Test Greater than 30 per minute Capillary
refill Response to simple commands
Symptom Rapid, shallow Cold,
pale Anxious/Apathetic unconscious/comatose
Sign Breathing Skin Consciousness
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S.T.A.R.T

• Simple
• Triage
• And
• Rapid
• Treatment

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Triage

• French verb means to sort
• Evaluate victims quickly
• Place victims into 1 of 4 groups.
• Triaged victims can change be ready.
• The goal of triage is the greatest good for the
  greatest number.
• Can use Voice Triage

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Triage
Triage pitfalls

• Inadequate medical size-up
• No team plan, organization, or goal
• Indecisive leadership
• Too much focus on one injury
• Treatment (rather than triage) performed

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Everyday Triage

• Relate triage to everyday things
• Looking in the refrigerator
• Dirty Clothes
• Garage Sales
• Newspaper Ads

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Triage Tagging

• Red - Immediate
• Yellow - Delayed
• Green - Walking Wounded
• Black - Dead
• Place on Left wrist
• Can Use Surveyors Tape

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Immediate

• Life threatening injuries.
• Must be treated ASAP
• Need constant monitoring.

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Delayed

• May need professional help.
• Could become immediate
• Keep close to immediate victims.

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Walking wounded

• Minor injuries only
• Can be used to help with other victims
• Could be come delayed .

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Dead

• Need to be moved after all triage and first aid
  has been done.
• Set up the morgue out of sight from treatment
  area, place a guard.
• Mark with a black tag or ribbon.

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