> For the complete documentation index, see [llms.txt](https://emshb.teddwa.xyz/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://emshb.teddwa.xyz/arriving-on-scene..md). # Arriving on scene. When you first arrive on scene you will do your BSI (Body Substance Isolation) wich includes gloves, face mask or anything else you belive is nessecary Once done you will take the strecher out of the ambulance and put it next to the PT. In the scenario if theres more than one PT and youre the only one online you would triage by checking each of thier injuries and status and giving them a tag wich include Black Tag - Deceased. Red Tag - Immediate care required. Life-threatening injuries that need treatment and transport as soon as possible. Yellow Tag - Delayed care. Serious injuries that require treatment but can safely wait until Red Tag patients have been treated. Green Tag - Minor injuries. Walking wounded who require little to no immediate medical treatment. White Tag - Uninjured or not requiring medical treatment. (Used by some agencies only.) Blue Tag - Expectant. Patient has critical injuries with a very low chance of survival given available resources.​​ Once triaged, you'd begin treating the one with the worst state (except blue and black tags) first. You'd come up to them and check for consciousness by asking, "Hey, can you hear me?" or by checking if their limbs move, etc. Then check for injuries and treat them according to the other pages. Conscious or not, you'd begin your ABCs (Airways, Breathing, Circulation). First, check their airways by putting a hand on their head and the other on the neck and slightly raising the one on the neck and checking if it's obstructed, closed, or swollen. If it's really bad and if you're not ALS certified, check if any ALS units are on and request their care. If no ALS units are available, give O₂ via a nonrebreather mask at 10 L/m and treat other injuries and get them to the hospital as fast as possible. If airways are clear, check their breathing by attaching a pulse oximeter onto their index finger and taking their SpO₂ (oxygen in blood). Normal is 94-100%; if under 94% (hypoxia), attach a non-rebreather mask at 10 l/m or adjusted to the situation (max is 15 l/m). Then check their circulation (vitals). First check their BPM, which can also be done with the pulse ox that you've already attached. Normal is 60-100. If they've been shot, a slightly elevated BPM should be normal to around 120. If it's \~140, attach a 12-lead and monitor for possible cardiac arrest if under 60, and as BLS, you would need to call ALS or give care and transport asap. --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. Learn more at gitbook.com. ## Querying This Documentation If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question. Perform an HTTP GET request on the current page URL with the `ask` query parameter, and the optional `goal` query parameter: ``` GET https://emshb.teddwa.xyz/arriving-on-scene..md?ask=&goal= ``` `ask` is the immediate question: it should be specific, self-contained, and written in natural language. `goal` is optional and describes the broader end goal you are ultimately trying to accomplish on behalf of the user. GitBook uses it to tailor the answer towards what is most useful for that goal. The response will contain a direct answer to the question and relevant excerpts and sources from the documentation. Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.