Emergency Drill Triage Kit Instruction Guide
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Emergency Drill Triage Kit Instruction Guide During major emergencies schools must be prepared to be self-reliant This kit does not require because it is universally understood that local first responders will advanced training or be overwhelmed. Schools will need to be ready to rescue and treat equipment. The skills injured victims using only the skills and training of the school staff. This that this kit will review Emergency Drill Triage Kit was created in collaboration with the Pediatric are the same skills Disaster Resource and Training Center at Childrens Hospital Los Angeles. taught in Basic First Aid It is intended to support school personnel as they practice identifying, and CPR classes. reporting, transporting and treating injured victims. This kit is designed to help school personnel review their Basic First Aid training and practice those skills. m num ti b ic e v r Objects fell onto patient. 9 VISUAL CUES A key component of this kit is the 40 mock victim tags. These victim Cut on Non-bleeding scalp laceration; head and right foot swollen tags were created based on historical data of earthquake-related VICTIM INFORMATION and tender. rightEmergency Triage Drillfoot injuries. Experts from Childrens Hospital Los Angeles and Los Angeles pain. City Fire reviewed the mock victim scenarios and outlined first aid and medical responses. These victim tags represent the kinds of Mock Victim Tags injuries sustained by school aged children during an earthquake and 40 cards in clip pouches they are designed to review the First Aid procedures that could be Victim Checklist used during any traumatic emergency. By using this kit during drills, Emergency Drill Triage Kit Please make a photocopy of this form before the drill; save the master form for future drills. Before the drill: using the copy of this form, write the student names and the room number that they will be in during the drill as you hand out the numbered Victim Tags. During the drill: use this sheet to make sure all students were found, triaged, treated, and transported appropriately and you recovered the tag for the next drill. BEFORE THE DRILL DURING THE DRILL Victim Room Triage Tag schools will be able to review and practice the very skills they will be Student Name Treatment Transported ID # # Color Green Red Walked 1 Helped Yellow Black Carried Green Red Walked 2 Helped Yellow Black Carried called upon to use in the event of a major disaster. Green Red Walked 3 Helped Yellow Black Carried Green Red Walked 4 Helped Yellow Black Carried Green Red Walked 5 Helped Yellow Black Carried Green Red Walked 6 Helped Yellow Black Carried Green Red Walked 7 Helped What is in the kit? Do Not Write On Yellow Black Carried Green Red Walked 8 Helped Yellow Black Carried Green Red Walked 9 Helped Make Photocopy Yellow Black Carried In addition to this instruction guide, this kit contains the following Green Red Walked 10 Helped Yellow Black Carried Green Red Walked Helped 11 Yellow Black Carried Green Red Walked 12 Helped elements: Yellow Black Carried Green Red Walked 13 Helped Yellow Black Carried Green Red Walked 14 Helped Yellow Black Carried Green Red Walked Helped 1. 40 Mock Victim Tags. These numbered tags have all the 15 Yellow Black Carried Green Red Walked 16 Helped Yellow Black Carried Green Red Walked 17 Helped Yellow Black Carried information about the signs, symptoms and context for the mock Walked Green Red 18 Helped Yellow Black Carried Green Red Walked 19 Yellow Black Helped injuries. They are in re-usable plastic pouches with a clip. They are Carried Victim Checklist Form designed to be clipped to the student or staff member as they act 2-sided blank form out their role of victim. Victim Checklist Key 2. Victim Checklist Form. This form is designed to keep track of Emergency Drill Triage Kit Victim Chief Correct Ambulatory Medical Diagnosis First Aid Treatment ID # Complaint Triage Status From the Hospital Burned right hand & 1. Apply cool compress 1. 1st degree burn: right palm 1 GREEN 2. Encourage fluids nd degree burn: right hand & right thigh right thigh 3. Apply dry non-stick sterile dressing 2. 2 who has been issued a victim tag and where they can be found Headache & bump GREEN 1. Watch for any change in mental status 1. Closed head injury 2 on head 2. Watch for vomiting 1. Check circulation at wrist 3 Right wrist pain GREEN 2. Splint & apply ice pack 1. Right distal radius fracture 1. Keep in upright position 1. Respiratory insufficiency: possible asthma/reactive Difficulty breathing; 2. Keep calm airway disease/inhalation of dust/allergens, 4 states that has YELLOW 3. Attempt to get medication exacerbated by anxiety. asthma 4. Cover leg injury with sterile bandage 2. Superficial left leg lacerations (no sutures required) when the drill starts. This same form is then used to make sure that 1. Place c-collar if available Difficulty breathing, 2. Place child on right side 1. Right pneumothorax right chest pain, right 3. Monitor breathing 2. Multiple right rib fractures (4-7) 5 arm pain, right leg RED 4. Check circulation to right wrist & right foot Non-ambulatory 3. Midshaft fracture of right ulna pain 5. Apply splint 4. Right femoral shaft fracture. 6. Apply ice packs 1. Check circulation 6 Left ankle pain GREEN 2. Splint Non-ambulatory 1. Left ankle sprain 3. Apply ice pack all of the victims are found and treated. This is a “master” form, or 1. Check circulation to foot 7 Right leg pain YELLOW 2. Splint & cover wound with sterile dressing Non-ambulatory 1. Right fibula fracture 1. Open airway & give rescue breaths 8 Dead BLACK 2. Place in recovery position Non-ambulatory 1. Head trauma with intracranial injury 3. Raise legs 2. Hypovolemic shock 1. Cover scalp laceration 9 Cut on head & right GREEN 2. Check circulation to foot 1. Scalp laceration foot pain 3. Splint & apply ice pack 2. Right foot fracture template, and is designed to be photocopied for each drill. 1. Place on side 10 Abdominal pain RED 2. Cover with blanket & place pillow on left rib cage Non-ambulatory 1. Splenic injury (hemodynamically stable) 3. Give nothing by mouth 2. Left 11th & 12th rib fractures 1. Place on side 2. Cover with blanket 1. Crush injury Abdominal pain, 3. Check circulation to left hand 2. Splenic injury 11 vomiting & left arm RED 4. Splint left arm Non-ambulatory 3. Liver injury pain 5. Apply ice pack 4. Left humerus fracture 6. Give nothing by mouth 1. Place upright & leaning forward 2. Attempt to locate medication & administer if available 12 Difficulty breathing RED 3. Reassure 1. Respiratory distress 3. Victim Checklist Key. This key has the victim tag information 4. Monitor breathing 5. Have friend stay with victim 1. Check circulation to right hand & left leg Broken left leg, right 2. Splint arm & leg 1. Open tibia & fibula fracture 13 shoulder pain YELLOW 3. Cover leg wound with sterile dressing Non-ambulatory 2. Right clavicle fracture 4. Apply ice pack 3. Right glenohumeral dislocation 1. Check circulation to right foot 14 Right knee pain GREEN 2. Apply splint 1. Acute knee injury: possible meniscus or along with the expected triage and first aid treatment. For 3. Apply ice pack ligamentous tear 1. Check circulation to left leg 15 Left leg pain YELLOW 2. Apply splint Non-ambulatory 1. Left femoral shaft fracture 3. Apply ice pack 1. Keep flat with legs elevated 2. Monitor for change in mental status & vomiting 1. Fat emboli syndrome 16 Respiratory distress RED 3. Check circulation to right hand & left foot Non-ambulatory 2. Right humerus fracture 4. Splint if possible 3. Left hip fracture 5. Cover with blanket reference purposes, the key also contains the medical diagnosis 1. Crush syndrome 1. Keep flat with legs elevated 2. Dehydration 2. Monitor for change in mental status 3. Hypovolemic shock 17 Hypotension RED 3. Check circulation to both feet Non-ambulatory 4. Acute renal failure 4. Cover with blanket 5. Pelvic fracture 6. Left hip fracture Headache RED 1. Apply c-collar if available 1. Epidural hematoma 18 2. Monitor for change in mental status 2. Left temporal bone fracture that would be expected if the victim were to be treated at a 3. Cover with blanket hospital. This is also a “master” form or template and is designed Victim Checklist Key to be photocopied for each drill as well. 2-sided answer sheet Emergency Drill Triage Kit Instruction Guide (continued) How to use this kit Acknowledgements This kit is designed to be used during school emergency drills to review the skills that will be put into practice by school personnel The contents of this kit as they triage, transport and treat injured personnel. The drill can are a result of the generous be scaled up or down by including any number of victims, up to 40; contribution of time or by using different victim tags for different drills. and expertise from the Pediatric Disaster Resource 1. To prepare for the drill, photocopy the Victim Checklist form and and Training Center at the Victim Checklist Key. Keep the “masters” in a safe place and Childrens Hospital in Los only write on the copies. Angeles. The Childrens 2. The process starts with the selection of the students or staff who Hospital staff provided will become the victims. Some schools have used a designated hours of consultation and group, like the leadership class, while others randomly select content to insure that the people to be victims. Some schools have also selected specific kit accurately reflected individuals to be victims so that rescue personnel will be medical standards.