How emergency incidents are graded

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How emergency incidents are graded

In this essay I will be describing the way that emergency incidents are graded within the ambulance, by the call handler. Also I would explain the roles and responsibilities of the key services attending an emergency incident.

The Civil Contingencies Act 2004 defined an emergency as a situation whereby a person or the environment is in danger of serious damage.

All of the uniformed public services such as police, ambulance and fire brigade have different roles and responsibilities in an emergency situation. They all also have different graded response policies. When a person calls ‘999’, depending on the information provided by a caller, the call handler would grade the emergency.

The national call handling standard was published by the Home Office for the public services of England and Wales. The call hander would grade the response in accordance to the national call handling standard. The incidents which are reported by the public to the ambulance service would get grade into a category. The GPs and other health professionals could also make urgent calls to the ambulance; these calls would also get graded the same way which the public calls are graded.

Category ‘A’ in the ambulance service is the most serious of them. If an incident is graded into this category it usually refers to the incident to be considered immediately life threatening such as a heart attack. The category ‘A’ incidents would have to be responded within 8 minutes. Category ‘B’ usually refers to incidents which are serious, however the incident isn’t immediately life threatening such as a big cut or a burn. These types of incidents have a response time of 19 minutes. If the incident is neither serious or life threatening then it is given a grade category ‘C’

At an emergency the police would have to keep the control room updated with information which they get from the scene. If the incident is serious and immediate assistance is required then the mnemonic ‘CHALETS’ would be used to transmit vital information to the control room.

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The mnemonic ‘CHLENTS’ stands for:

  • Casualties - approximate numbers of dead, injured and uninjured
  • Hazards - present and potential
  • Access - best access routes for emergency vehicles, bottlenecks to avoid etc.
  • Location - the precise location of the incident
  • Emergency - emergency services already on scene, and what others are required
  • Type of Incident - including details of numbers of vehicles, buildings etc. Involved
  • Start a log

The roles and responsibilities of the police service are to:

  • Saving of life
  • Protecting the public from danger
  • Achieved through close co-operation whilst maintaining agreed roles ...

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