Even first responders are victims of a kind. It is better to overestimate than under estimate.īear in mind, all people on scene are different types of victims. In some cases the responder must make an estimate of the number of victims simply because there are too many to immediately count or all the victims cannot be seen. Like determining the square footage of a room in order to purchase the correct amount of flooring, the first responder to arrive on-scene will want to know how many victims may require medical treatment and transportation so he/she can place an order for resources necessary to mitigate and terminate the patient component of the incident. Victims are those on-scene affected by the event or illness in one way or another. For other hazards, the medic should stage until other qualified responders can render the scene safe so that the EMS pracitioners may proceed and perform their duties.
Some of these hazards can be mitigated to render the scene safe. These hazards range from the most common killer of emergency responders - vehicular traffic - to other safety considerations like leaking fuel at a traffic collision, the possibility of a shooter still on-scene at a reported shooting, weather hazards, and airborne contaminants. Environmental hazardsĪn environmental hazard is anything that can reach out and hurt you therefore, "E" also addresses safety. There is an unwritten golden rule among first responders, no matter which role they provide on-scene. The other role of "P", and why "P" comes first, is to remind responders that the primary scene priority is safety. Part and parcel to this first question is, "Do we have the personal protective equipment (PPE) needed to be physically safe for this incident?", "Will we need to use body substance isolation equipment (BSI) for this event and do we have these items immediately available?" PPE should, in most cases, be on the person or immediately available to the responder. Is he or she mentally and physically ready to address another emergency incident? Safety is a primary concern that should be addressed long before the responder actually responds.
PENMAN can also be used during the event the parameters of the incident shift. This acronym can be recalled while responding to an emergency and continue to be utilized upon arrival. The PENMAN acronym reminds the first arriving incident commander of the primary scene priority: safety.
One acronym which may be used for EMS incident size-up and management is P.E.N.M.A.N. Successful EMS operations begin and conclude with methodical and ongoing evaluation and treatment of not just the patient, but also the incident for the application of strategies, tactics and resources. These are all patient centric abbreviations. In EMS, we utilize several acronyms frequently, such as CAB, LOC, OPQRST, and SAMPLE. In the heat of battle, acronyms can be easily and quickly recalled for incident or patient size-up or assessment. With acronyms, more depth of meaning is conveyed in less time and with fewer words. Thereby, acronyms can also act as mnemonics, or memory devices, triggering steps or tasks which should be considered or accomplished.
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Acronyms, whether true acronyms or not, add simplification and organization to our professional EMS language. It is a word formed by taking letters from a phrase that is too long to use comfortably, e.g., laser is an acronym of Light Amplification by Stimulated Emission of Radiation. Whether the incident is trauma or medical in origin, organization from the start usually results in more efficient scene management throughout the incident and, as a result, more effective patient care.Īn acronym is a kind of abbreviation. This may be accomplished by the introduction and utilization of two simple acronyms at the beginning and, then, throughout the duration of the incident. A busy roadway is hands-down the most dangerous environment where we routinely work
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