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Control measure

Follow principles of casualty care

Control measure knowledge

The principles of casualty care, listed below, apply to all casualties, including trapped and non-trapped casualties:

  • Protect the casualty from the hazards associated with the event
  • Minimise on-scene time
  • Extrication of the casualty should be carried out in the quickest way possible, considering their injuries and the overall threat to their life, to:
    • Allow 360-degree access to the casualty for assessment, treatment and packaging
    • Minimise transit time to definitive care (for example a major or specialist trauma centre)
    • Reduce the casualty's exposure to the elements
    • Reduce pain
    • Reduce the psychological impact of the event

Strategic actions

Fire and rescue services should:
  • Ensure that responders have access to appropriate pre-packed medical equipment for treating casualties

Tactical actions

Incident commanders should:
  • Make a safe approach to the casualty and maintain a safe environment for all involved
  • Identify the casualty's level of consciousness and offer reassurance where possible
  • Make a timely request for appropriate medical response from the fire control room or 999/112
  • Establish and maintain contact with the casualty

  • Protect casualties by physically isolating them from immediate harm where possible
  • Question the casualty, other responders and witnesses to understand incident factors and history
  • Address life threatening injuries or conditions in line with service training
  • Provide medical care and release trapped casualties