GuidelinesOther guideline
Major Incident Management: Treatment and Transport
CSCATT = "ABC's" of a Major Incident
CSCATT = ABCs of a Major Incident
CSCATT = "ABC's" of a Major Incident
Deal with any scene in the following sequence:
- Command & control
- Safety
- Communication
- Assessment
- Triage
- Treatment
- Transport
Treatment
- Treatment follows only after triage process complete.
- Adhere to best practise within the constraints of treating multiple casualties with limited resources (personnel & equipment)
- Basic first aid is given at the incident scene & may include airway opening techniques, OPA insertion, & stopping catastrophic haemorrhaging.
- More advanced treatment is given at the casualty clearing station (& rarely at the incident scene if the casualty is trapped) & is limited to enough to allow the casualty to arrive at hospital safely.
- Treatment also includes packaging for transport.
Transport
Evacuation decisions of patients are based on a number of factors:
- Triage priority – Generally evacuation should be in the same order as triage priority with red patients leaving first.
- Treatment & packaging – The amount of treatment & packaging needed for safe transport may delay the patient. Sometimes the walking may leave earlier with transport vehicles (not ambulances) as they need no treatment
- Destination – the hospital the patient are going to (all paediatric patients irrespective of priority order to hospitals that can deal with them)
- Vehicle use – Capacity, Availability & Suitability of the vehicle may change the evacuation order.