What Is Your Ability To Manage A Scene?

What Is Your Ability To Manage A Scene?


 As an EMS provider, you are probably working in an environment where you are riding on some type of apparatus, right? To my colleagues working in a hospital or clinic, this may still apply to you, so please keep reading. 

  Think back to the first time you were dispatched on a motor vehicle crash or any chaotic scene, what did you do? Who was running the show? Did you know what to do? In many instances, it was likely the first in engine, a police officer, or maybe your partner and the answer, they probably did not. Scene management is an often-overlooked skill that we must be proficient at, and without it, scenes can become dangerous. Managing a scene is complicated and exponentially more so if you work in a low volume agency or have not performed this skill in some time because you work for a helicopter EMS (HEMS) system and the first arriving ambulance, engine, sheriff, or officer has already contained the scene. So, what is the fix? 

  Some say to read the NIMS and ICS modules, but we all know those are not always applicable to real life. Without volume and practical training, the fix seems to be a challenge. Maybe, and I am not an expert, so please do not quote me. But is the answer a high-fidelity simulation trainer?

  Extrapolating from a 2011 study in the journal, Advances in Medical Education and Practice, the authors explore the potential for the use of high-fidelity simulation and how it translates into the medical field as well as non-medical field; it would seem logical to utilize this [hi-fi simulation] approach more often to enhance our skill set in scene management (Carron et al., 2011).

  If we practice how we fight, we may just become more proficient managers of scenes but also be more comfortable with it. That said, there is also the flip side to this coin, which is a  more positive outlook if we use these skills in a classroom during high-fidelity training or in real life, are we less likely to get hurt or injured?

What are your thoughts?


P.-N. Carron, L. Trueb and B. Yersen, "High-fidelity simulation in the non-medical domain: practices and potential transferable competencies for the medical field," Advance in Medical Education and Practice, vol. 2, pp. 149-155, 2011.