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