Scene management

V. Treatment. For expert assistance in evaluation and treatment of victims and in on-scene management, immediately contact the Radiation Emergency Assistance Center Training Site (REAC/TS) telephone (865) 576-3131 or (865) 481-1000. REAC/TS is operated for the US Department of Energy (DOE) by the Oak Ridge Associated Universities, and assistance is available 24 hours a day. Also contact the local state agency responsible for radiation safety. 

A. Early on-scene management of oral poisonings, immediately after ingestion. In the home or at health care facilities without access to activated charcoal or the capacity to perform gastric lavage. 

The SNL/NM EP is the master control plan for all SNL/NM emergency-preparedness activities and within this document is the Incident Command Structure (ICS), which is identified as the primary fieid organizational structure for the on-scene management of emergencies. 

Discuss general scene management after a terrorist attack. 

Policies enable managers to control events in advance. Before the action begins, people know the rules and so are more likely to produce the right results first time. Without policies, one is forced to control events in arrears, after something has happened to cause dissatisfaction. Alternatively, one has to be on the scene of the event to respond as soon as the situation approaches the limits. This is a costly use of managers time. 

When the most likely bottleneck stage and limiting resource have been identified, choosing the best management action may well then require lower-level DES that acts behind the scenes to calculate maximum throughput at each relevant step within the bottlenecked research stage. Such a two-step process of analysis is much more efficient than a bottom-up attempt to map the R D universe before asking critical questions about constraints. 

D. Hank Ellison served in the United States Army as a chemical officer and has worked for the U.S. Environmental Protection Agency as both a remedial project manager and federal on-scene coordinator under the Superfund Program. He currently is president of Cerberus Associates, Inc., a consulting firm that specializes in response to technological disasters. 

Improvement Item Habitability surveys were not conducted initially at Command Post or Forward Operations. First ACEMS unit responded directly to the scene and had to leave the area due to fumes. Entry should be coordinated with IC (Incident Commander). Safety officer was not designated for EMS operations. Safety Officer responsibilities were defaulted to ACEMS Shift Manager. 

CAMEO Computer Aided Management of Emergency Operations A computer data base for storage and retrieval of pre-planning data for on scene use at hazardous materials incidents,... 

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