Guideline 1-700-60 - Hazardous Atmosphere Standby

CMH EMS & MIH Protocols

Scope:

LicenseVolunteerCareerCMH
EMDNANoNA
EMRNoNoNA
EMTNoNoYes
AEMTNoNoYes
RNNoNoYes
MedicNoNoYes
CPNoNoYes

Guideline:

Ambulances may be utilized on the scene where emergency personnel are engaged in highly dangerous activities.

Purpose:

The purpose of this guideline is to outline procedures to be used when an ambulance is requested to stand by in the event of emergency responders operating in an Immediately Dangerous to Life and Health (IDLH) atmosphere.

Procedure:

  1. Non-dedicated ambulance may be requested by any public safety agency engaged in operations deemed Immediately Dangerous to Life and Health (IDLH). Examples include, but are not limited to: Structure fires, hazardous materials, clandestine drug labs, etc.
  2. If Incident Commander requests ambulance to be dedicated and remain on the scene, contact the supervisor or Crew Leader.
  3. Once on scene, check in with the Staging Officer or Incident Commander.
  4. Park the ambulance in a manner to allow view of the scene from a distance but always have the ability to leave the scene in an expedient manner.
  5. Ambulance crew duties are to care for civilians, bystanders, and/or responders that require treatment and/or transport for an injury or illness.
  6. Due to possible contamination, firefighters shall not be placed in an ambulance for cooling/warming unless they require treatment and/or transport for injuries or illnesses.
  7. Persons with smoke inhalation: Refer to Protocol 2-352 - Exposure: Cyanide.
  8. Rehab of responders, baseline vitals, hydration, etc. shall preferably be conducted by fire department and/or emergency management personnel. "Assistance" with rehab duties as assigned within fire department policies which may include:
    1. Encourage removal of PPE, rest, passive cooling, and oral hydration.
    2. Prior to returning to activity, obtain and record vitals. If vitals are outside the limits below, suggest further rest.
      1. SBP greater than 200.
      2. Pulse greater than 110.
      3. Respirations greater than 40.
      4. Temperature greater than 101.
      5. PulseOx less than 90%.

Citations:

Change Log:

DateLink to
previous
version		Description of change
02/26/21Created this guideline with content from 1-700 (Ambulance Operations).
06/06/21pdfMoved to emsprotocols.online

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