Information Covered:

A. Role of EMS

      1. Personal safety

      2. Provide patient care

      3. Initiate/operate in an incident command system (ICS)

      4. Assist with operations

B. Safety

      1. Personal

            a. First priority for all EMS personnel

            b. Appropriate personnel protective equipment for conditions

            c. Scene size-up

            d. Time, distance, and shielding for self-protection

            e. Emergency responders are targets

            f. Dangers of the secondary attack

      2. Patient

            a. Keep them informed of your actions

            b. Protect from further harm

            c. Signs and symptoms of biological, nuclear, incendiary, chemical and explosive (B-NICE) substances

            d. Concept of “greater good” as it relates to any delay

            e. Treating terrorists/criminals

      3. 360-degree assessment and scene size-up

            a. Outward signs and characteristics of terrorist incidents

            b. Outward signs of a weapons of mass destruction (WMD) incident

            c. Outward signs and protective actions of biological, nuclear, incendiary, chemical, and explosive (B-NICE) weapons

      4. Determine number of patients (implement local multiple-casualty incident (MCI) protocols as necessary)

      5. Evaluate need for additional resources

      6. EMS operations during terrorist, weapons of mass destruction, disaster events

            a. All hazards safety approach

            b. Initially distance from scene and approach when safe

            c. Ongoing scene assessment for potential secondary events

            d. Communicate with law enforcement at the scene of an armed attack

            e. Initiate or expand incident command system as needed

            f. Perimeter use to protect rescuers and public from injury

            g. Escape plan and a mobilization point at a terrorist incident

      7. Care of emergency responders on scene

            a. Safe use of an auto injector for self and peers

            b. Safe disposal of auto injector devices after activation

Content Creator: Chris Hunt
CAPCE Course Number: 20-EMTP-F3-4301
NJ Course Number: 141100
Total CE Hours: 1.25
Level: Basic
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.