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Control measure

Offer a structured handover to an appropriately trained and competent practitioner

Control measure knowledge

Handover of accurate standardised information, that is recognised by local medical responders, is essential. An example of an acronym to ensure that this is done is ATMIST:

  • Adult or child
  • Time that the incident happened and what time the casualty is expected to arrive in the Emergency Department (ED)
  • Mechanism: how the incident occurred and mechanism of injury
  • Injuries: what injuries have been found - follow a <C> Ac B C D E format
  • Signs and symptoms: what signs the casualty is showing (respiratory rate, pulse rate, pallor) and what symptoms the casualty is telling you about (pain, feeling sick, cannot feel their legs)
  • Treatment: what treatment have you given (again follow an <C> Ac B C D E format).





Figure 2: Example of an ATMIST handover

When handing over information to medical responders, consider the following:

  • Keep the handover brief; aim for 30 seconds to get the information across
  • Do not rush the handover
  • Use written notes for reference
  • Identify the team leader (or the next link in the chain of care) and introduce yourself
  • Let the team know if the casualty is awake or not
  • Tell them the name of the casualty
  • Present accurate and standardised information
  • Ask for any questions or points of clarification before handing over the casualty

Strategic actions

Fire and rescue services should:
  • Align service casualty handover protocols with that of local medical emergency response
  • Ensure that responders are aware of casualty handover protocols

Tactical actions

Incident commanders should:
  • Provide a structured handover when transferring casualty to medical responders