Biomedical Engineering Reference
In-Depth Information
WIND
CASUALTY DECON
Triage/EMT
Arrival Point
Decontamination
Clean Treatment
Ambul.
Decon
Shuffle
Pit
Monitor
Clean
Disposition
Area
Clean
Disposition
Area
Mask
Removal
Arrival
Point
Triage
Point
Shuffle
Pit
Monitor
Contam.
EMT
Station
Litter Decon
Return
To
Duty
Dirty
Disposition
Area
30 to 50
Meters
Evac to Rear
Hotline
Figure 21.3
Schematic of patient flow through the three distinct and isolated zones of dirty triage, decontamination, and clean triage
prior to delivery to the ED for definitive care.
odd-numbered cards
(Ace, 3, 5, 7, and 9) are
decontamination personnel but can also do secu-
rity. Those holding
even-numbered cards
(2-10)
are clinical (triage and ED) personnel. Those
holding
face cards
are security (crowd control).
Anyone with
blue tape
must go through decontam-
ination and have the blue tape removed. Decon-
tamination requires the dedicated attention of one
decontamination person for 60 seconds. Anyone
can go downstream (ED-Triage-Decon-Street) at
will. No one is to be allowed upstream from decon-
tamination unless he or she has been decontami-
nated for 60 seconds. The number of casualties in
the ED cannot exceed the number of ED staff.
21.9.7.2 Red Goal
Separate the expectant from the treatable casualties,
decontaminate the treatable casualties, andmove the
treatable casualties into the ED for definitive care.
21.9.7.3 Black Rules—told to black players
(casualties) only
Wear no distinctive “uniform.” All are to put pieces
of
blue tape
on the outside of their clothing, but
the tape can be under collars, ties, etc. Any one
who agrees can get a drop of red food coloring
put onto their tongues (the food coloring looks like
blood but washes out with water). Those holding
low-numbered cards
have little or no infection,
