TREATMENT

Medical

Triage Treatment Transportation

Immediate Delayed Minor

Treatment Area Treatment Area Treatment Area

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l e O c e
Treatment Team(s) Treatment Team(s) Treatment Team(s)

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Sa Repro
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TREATMENT CHECKLIST
Treatment reports to Medical Assign and supervise Treatment Teams Leaders and assign incoming
personnel to Teams
Utilize Accountability system
Ensure that all patients have been triaged, filtered through funnel point,
Don appropriate vest for identification properly numbered, and tracked with Treatment Tracking Form
Ensure safety of patients and all assigned personnel Ensure rapid packaging and treatment of patients
Ensure that all personnel are wearing appropriate PPE Re-triage as needed
Obtain necessary supplies (treatment tracking forms, flags, Ensure that decontaminated patients have appropriate tape / tag applied
medical supplies)
Provide frequent progress reports to Medical
Coordinate with Triage, Extrication, and Transport
Request medical supplies or personnel through Medical
Obtain estimate of the number of patients
Verify transportation priorities with Transport
Consult with Medical to determine safe location for Treatment Areas
Notify Medical when all patients have been moved from the Treatment Areas
Ensure the Treatment Areas have easy access and egress for
transportation vehicles Participate in incident debriefing
Utilize tarps, traffic cones and /or flages to identify Treatment Areas Closely observe personnel and recognize need for Critical Incident Stress
Debriefing
Set up “Immediate”, “Delayed” and “Minor” Treatment Areas

GLASGOW COMA SCALE Rule of 9’s PARKLAND FORMULA*

ADULT
INFANT Eye Opening CHILD/ADULT Burn Chart (for determining IV fluids for the first 8 hours)
4 Spontaneously Spontaneously 4 (count only 9
3 To speech To command 3 2 and 3 burns) % Burn Area x Patient’s Weight in kg = ml/hr
2 To pain To pain 2 4
1 No response No response 1
Example: 20% burned area, patient weighs 70 kg.
+ Best Verbal Response + INFANT
5 Coos, babbles Oriented 5 18 front
9 18 front 9 20 x 70 = 1400 = 350 ml/hr of RL or NS.
4 Irritable cries Confused 4
3 Cries to pain Inappropriate Words 3 18 4 4
2 Moans, grunts Incomprehensible 2
1 No response No response 1 9 9 1 * This formula does not apply to patients in shock.
+ Best Motor Response + 18 front 18 18 The patient in shock needs more aggressive IV
6 Spontaneous / obeys commands 6 18 front fluid replacement and should be treated according
5 Localized pain 5 to your shock protocol.
4 Withdraws from pain 4 1 14
3 Flexion (decorticate) 3 14
Major burns should be treated in burn center,
2 Extension (decerebrate) 2 including: ≥ 25% body surface; hands, feet, face or
1 No response 1 perineum; electrical burns; inhalation burns; other
= TOTAL TOTAL = injuries; or severe preexisting medical problems.
(GCS≤ 8? intubatel)

(NOTE: use wet erase pen or grease pencil only) 6.1.2008 Part #: IMS-100-015 All Rights Reserved Copyright © 2000