MEDICAL PLAN | 1. Incident Name :nam: |
2. Date Prepared
:dat:
|
3. Time Prepared :tim: |
4. Operational Period :opp: |
5. Incident Medical Aid Station |
||
Medical Aid Stations |
Location |
Paramedics |
:msta0: |
:mloc0: |
:mpar0: |
:msta1: |
:mloc1: |
:mpar1: |
:msta2: |
:mloc2: |
:mpar2: |
:msta3: |
:mloc3: |
:mpar3: |
:msta4: |
:mloc4: |
:mpar4: |
6. Transportation |
|||
A. Ambulance Services |
|||
Name | Address |
Phone |
Paramedics |
:tname0: |
:taddr0: |
:tphon0: |
:tpara0: |
:tname1: |
:taddr1: |
:tphon1: |
:tpara1: |
:tname2: |
:taddr2: |
:tphon2: |
:tpara2: |
:tname3: |
:taddr3: |
:tphon3: |
:tpara3: |
:tname4: |
:taddr4: |
:tphon4: |
:tpara4: |
B. Incident Ambulances |
||
Name |
Location |
Paramedics |
:aname0: |
:aloca0: |
:apara0: |
:aname1: |
:aloca1: |
:apara1: |
:aname2: |
:aloca2: |
:apara2: |
:aname3: |
:aloca3: |
:apara3: |
:aname4: |
:aloca4: |
:apara4: |
7. Hospitals |
||||||
Name |
Address |
Travel Time Air Grnd |
Phone |
Helipad |
Burn Center |
|
:hname0: |
:haddr0: |
:hatim0: |
:hgtim0: |
:hphon0: |
:hheli0: |
:hburn0: |
:hname1: |
:haddr1: |
:hatim1: |
:hgtim1: |
:hphon1: |
:hheli1: |
:hburn1: |
:hname2: |
:haddr2: |
:hatim2: |
:hgtim2: |
:hphon2: |
:hheli2: |
:hburn2: |
:hname3: |
:haddr3: |
:hatim3: |
:hgtim3: |
:hphon3: |
:hheli3: |
:hburn3: |
:hname4: |
:haddr4: |
:hatim4: |
:hgtim4: |
:hphon4: |
:hheli4: |
:hburn4: |
8. Medical Emergency Procedures |
|
:proc: |
|
9. Prepared by (Medical Unit Leader) :prep: |
10.Reviewed by (Safety Officer) :rvwr: |