Scene Safety

1.1. Upon arrival at a scene, always assess for safety first.

1.2. Remember that as EMS, we operate independently. Calling other departments should not always be the first option.

1.3. If the scene is not safe:

Assess the level of threat: a) If there is an immediate threat to life (for EMS personnel or patients), retreat to a safe distance and call for Police Department (PD) assistance. b) In case of environmental hazards (e.g., fire, hazardous materials), call for Fire Department assistance. c) If the scene involves an ongoing police operation, contact PD via radio to confirm scene safety before approaching.

1.4. In situations of potential conflict (e.g., disagreements between gangs) where EMS is not directly threatened:

Use your judgment to determine if it's safe to proceed.
If you can safely treat and transport patients without involving other departments, do so.

1.5. For high-risk or active scenes:

EMS must stay back at a safe distance.
Wait for an all-clear signal from the appropriate authority (usually PD) before entering the scene.

1.6. Always prioritize your own safety. If at any point you feel unsafe, retreat to a safe location and request assistance.

1.7. Once the scene is confirmed safe, proceed with patient assessment and triage.

Patient Assessment and Triage

2.1. Conduct patient assessment and triage based on the established Triage Guidelines.

2.2. Triage Levels: