EMERGENCY SERVICES DEPARTMENT
- Arrive on scene (announce over radio how far you are and when you arrive if possible)
- Announce yourself
- If downed, /do checks pulse (patient should return /do has pulse)
- Check for additional injuries (proper command procedure)
- Stabilize on scene (stop blood, put pressure, smelling salts, etc)
- Determine if patient needs to be brought back to hospital to be treated depending on the wound (and proper command procedure)
Badge# responding to latest distress/10 code | 700 responding to latest distress call
Badge# on scene | 700 on scene of latest distress call
Badge# plus (how many passengers) 76/enroute to destination | 700 plus one 76 to Eclipse
Code 1 – No sirens or lights.
Code 2 – Lights no sirens.
Code 3 – Lights and sirens are on.
Only go code 3 when responding to an emergency. Otherwise code 2.
We follow the same 10 codes as the LEO departments which can be found here: 10 System & MDT
medical protocols & Procedures
See where the bleedings located, bandage the wound, give ice pack.
- Ask to state name, date, and location. (Checks for fuzziness on instructions and memory)
- Do a balance test if well enough to stand. (Standing feet together, standing one foot infront of other, standing on one foot all eyes closed)
- Visual test (ability of eyes to follow movement back and forth and together inward)
- CT scan ONLY if at high risk for skull fractures or bleeding in brain
Give oxygen mask OR put on ventilator – slide laryngoscope down throat, insert breathing tube and turn on ventilator.
Check Vitals – Pulse, Breathing, Skin color or feeling
- Is it a surface/graze?
- Is there an exit wound?
- What type of bullet?
- Does it need stitches?
- If yes, follow through with stitching procedure.
- If no, bandage and care for wound without stitching.
– Exit Wound?
– If there’s internal damage, apply pressure to control bleeding (may need surgery)
If no exit wound, look for the bullet.
Once found, as long as it’s not lodged in an organ or a bone- carefully extract by making a 1in incision with scalpel to grab and remove bullet. Then bandage and care for as necessary.
Bullet in organ or bone requires surgery to handle.
If bullet is visible from surface, remove the bullet, irrigate the wound to ensure it’s clean- then stitch and dress wound as usual.
CBT (Cognitive Behavioral Therapy) Roadmap
- Orient the Patient to CBT.
- Assess Patient Concerns.
- Set Initial Treatment Plan/Patient Goals.
- Begin/Continue Intervention Techniques.
- Discuss Ending Treatment and Prepare for Maintaining Changes.
- End Treatment and Help Patient Maintain Changes.
- Strong Motivation to Change
- Time Commitment
- Life Stressors
- Cognitive Functioning
Help patient deal with emotions like anger and sadness through helpful emotional exercises.
- Put together a journal.
- Reflect on your own emotions.
- Be observant (of your own emotions).
- Use “the pause” (take a moment before thinking).
- When criticized, don’t take offense. Instead, ask: What can I learn?
RANKS & DEPARTMENTS
- Student Paramedic – Entry level into the wild world of EMS RP, can only do ride alongs and assist with simple tasks primarily with Paramedics. Option to go on patrol with Paramedics and higher.
- Paramedic – First responders, their job is to stabilize patients on location and transport them to the hospital. They can assist with simple tasks asked by Doctors. Option to go on patrol, but must answer all calls where needed.
- Intern Doctor – Interns are on their way to becoming a doctor. They still do all of the tasks Paramedics can do, but are working with doctors and assisting general surgeons in learning all the ins and outs of how to be a doctor. Option to go on patrol, but must answer all calls where needed.
- Fellow Doctor – Trusted members of staff, they are now general practitioners who have completed doctor and surgery training, they will now be tasked with interns and may ask for help from Paramedics as an assistant only. Can issue prescription drugs and run surgeries. Option to go on patrol or handle business away from hospital while still on duty, but must answer all calls where needed.
- General Surgeon – The primary surgeon on staff, if on duty they will be the main person in charge of surgeries and assigning out surgery incidents to Fellow Doctors. They have control over surgical procedures/rooms/training and assigning people to perform surgery. Option to go on patrol or handle business away from Hospital while still on duty, but must answer all calls where needed.
- Attending Physician – Completed all residency training and moving on to another form of subspecialty area. These doctors will be on call to assist with hospital duties, but will be primarily working in other forms of practice or as leads in other facilities.
- Resident Doctor – Senior doctors in the hospital, they have experience with all of the above and have the ability to learn how to fly/be Ambulance-One certified. They also manage staff when they are the highest ranking doctor on duty and will still need to perform surgeries if needed when asked by a General Surgeon. Option to go on patrol or handle business away from general Hospital while still on duty, but must answer all calls where needed.
- 2nd Assistant Chief – Third in command, responsible for the overall well-being of the hospital, with the 1st asst Chief, and it’s staff, reporting only to the Chief of Medicine. Responsible for creating programs/training to maintain and improve the hospital. Option to go on patrol or handle business away from general Hospital while still on duty, but must answer all calls where needed.
- 1st Assistant Chief – Second in command, responsible for the overall well-being of the hospital, with the 2nd asst Chief, and it’s staff, reporting only to the Chief of Medicine. Responsible for creating programs/training to maintain and improve the hospital. Option to go on patrol or handle business away from general Hospital while still on duty, but must answer all calls where needed.
- Chief– First in command, in charge of all medical matters and superior physician. Overseeing operations of the hospital as a whole, responsible for employee management/maintenance. Serving as a mediator between administration and staff. Option to go on patrol or handle business away from general Hospital while still on duty, but must answer all calls where needed.
EMERGENCY SERVICES JOB CODES
/setjob (ID) ambulance (Grade)
Student Paramedic : /setjob (ID) ambulance 0
Paramedic : /setjob (ID) ambulance 1
Intern Doctor : /setjob (ID) ambulance 7
Fellow Doctor : /setjob (ID) ambulance 2
General Surgeon : /setjob (ID) ambulance 8
Attending Physician : /setjob (ID) ambulance 6
Resident Doctor : /setjob (ID) ambulance 3
2nd Assistant Chief : /setjob (ID) ambulance 9
1st Assistant Chief : /setjob (ID) ambulance 4
Chief of Medicine : /setjob (ID) ambulance 5