# Presentation: 260083

## Staging Area:

## Table of Contents

- Equipment Checklist  		 1

- Home Checklist  			 1

- Water Purification 	           2

- Triage Flow Chart              	 3

- Triage Guide  			 4

- Physical Search			10

- Box Cribbing		           11

- Cribbing Operation	           12

## CERT Equipment Checklist

- Before you leave your home...

- CERT Bag
- Water-2 bottles per S&R team
- Non-perishable food
- Water purification tablets
- Leather work gloves
- Goggles
- Dust masks
- Flashlight
- Batteries/extra bulbs

- Secondary flashlight/light sticks
- Note pads
- Markers
- Pens
- Duct tape
- Masking tape (2”)
- Scissors
- Crescent wrench
- First aid kit
- Orange spray paint
- Triage tape
- Utility knife

**Check family to ensure safety **
**Inspect house for damage**
**Inspect utilities and secure as needed**
**Call out-of-state contact at ________________**
**Get family disaster supplies **

## Water Purification

## 3

- START TRIAGE

**Voice Triage - Remove Walking Wounded - Use Volunteers**
**START WHERE YOU STAND**

**IS  PERSON BREATHING?**

- NO

- POSITION AIRWAY

- YES

- NO

- TRY AGAIN

- IMMEDIATE

- YES

- RATE OF BREATHING

- Less than 30/Min

- More than 30/Min

- IMMEDIATE

**PERFORM BLANCH TEST**

- REFILL GREATER THAN 2 SECONDS

- CONTROL BLEEDING

- IMMEDIATE

- REFILL LESS THAN 2 SECONDS

**CHECK MENTAL STATUS**

- FAILS TO FOLLOW SIMPLE COMMANDS

- IMMEDIATE

- FOLLOWS SIMPLE COMMANDS

- DELAY

- NO

- DEAD

## Triage in a Disaster Environment

- Triage, like other disaster response efforts, begins with size-up.  The general procedure for triage in a disaster environment is as follows:

**Stop, Look, Listen, and Think.** Before you start, stop and size up the situation by looking around you and listening. Above all, THINK about how you will approach the task at hand. Continue to size up the situation as you work.
**Conduct Voice Triage.** Begin with voice triage, calling out something like, “Emergency Response Team. If you can walk, come to the sound of my voice.” Instruct those survivors who are ambulatory to remain at a designated location, and continue with the triage operation.
**Follow a Systematic Route.** Start with victims closest to you and work outward in a systematic fashion.
**Conduct Triage Evaluation.** Evaluate victims and tag them I (immediate), D (delayed), or DEAD. Remember to evaluate the walking wounded. Everyone must get a tag.
**Treat “I” Victims Immediately.** Initiate airway management, bleeding control, and/or treatment for shock for Category I (immediate) victims.
**Document Results.** Document triage results for:
- Effective deployment of resources.
- Information on locations of victims
- A quick record of the number of casualties by degree of severity.
-     This will be very useful information for responders and transportation units.
- Always wear protective gear when performing triage, so that you do not endanger your own health.

## Operating a Fire Extinguisher

- Always operate extinguisher in upright position. As shown in figure, the acronym to remember when operating a portable extinguisher is PASS: Pull, Aim, Squeeze, Sweep. Aim at base of fire

## Utility Shut-Offs

**Gas Meter and**
**Shut-Off Valve**

**Gas Meter and**
**Shut-Off Valve**

**Water Shut-Off**

**Label for quick identification**

**OFF**

**ON**

**OFF**

**ON**

**Have wrench stored in a specific location where it will be immediately available**

**Electrical Shut-Off**

**Step 2**

**Step 1**

**Pull-out**
**Cartridge**
**Fuses**

**Circuit**
**Breaker**

## Identifying HAZMAT

- In Fixed Facilities

**HEALTH**

**4- **

**3**

**2**

**1**

**0**

**Too dangerous to enter **

**vapor or liquid**

**- Extremely dangerous- **

**use full protective clothing**

**- Hazardous- Use breathing **

**apparatus**

**- Slightly hazardous**

**- Like ordinary material**

**FLAMMABLE**

**4**

**3**

**2**

**1**

**0**

**- Extremely flammable**

**- Ignites at normal temperatures**

**- Ignites when moderately heated**

**- Must be preheated to burn**

**- Will not burn**

**REACTIVE**

**4**

**3**

**2**

**1**

**0**

**- May detonate- Vacate area **

**if materials are exposed to **

**fire**

**- Strong shock or heat may **

**detonate- Use monitors from **

**behind explosion-resistant **

**barriers**

**- Violent chemical change **

**possible- Use hose streams **

**from distance**

**- Unstable if heated- Use **

**normal precautions**

**- Normally stable**

**Avoid use of water**

**3**

**4**

**3**

**w**

## Identifying HAZMATs in Transit

## Identifying HAZMATs in Transit

- HAZMAT Procedure

- UN ID #

- Hazard class

**1219**

## Physical Search-Interior

- Search Assessment

- Date & Time that
- task force left

- Number of live and dead victims

- 3 DEAD

- RATS

- OR-1

- 15JUL92
- 1400HR

- Second slash
- made as exiting

- First slash made
- when entering

- Personal
- hazards

- Task force identifier

## Box Cribbing

## Arrangement for Leverage/Cribbing Operation

**Medical Care or Victim**
**Removal Person**

**Crib  Person**

**Lever  Person**

**Group Leader**

**Crib  Person**

**Wall**
**Collapse**