1. PERFORM INITIAL SCENE ASSESSMENT: Before moving the kit, conduct a rapid visual sweep of the immediate area. Identify falling object hazards, broken glass, unstable furniture, and indicators of gas or water leaks.
2. RELOCATE TO A SAFE STAGING AREA: Move the MDU-155R to a pre-designated operational base, such as a central room away from windows or an open outdoor space. This location will serve as your command and treatment area for the duration of the response.
3. DON ALL PPE BEFORE PROCEEDING: All team members must immediately put on hard hat, safety vest, safety goggles, and leather palm gloves. This step is non-negotiable and must be completed before any search, rescue, or utility operation begins.
4. INVENTORY AND ORGANIZE COMPONENTS: Open the duffel completely and lay the tarp flat. Group all components by function, medical supplies together and tools together, to enable rapid access under operational conditions.
5. EXECUTE UTILITY CONTROL IF GAS IS SUSPECTED: If a gas odor is confirmed and a trained team member is present, dispatch that individual with the gas shut-off tool and adjustable wrench to the main gas line. Do not operate any electrical switches in the affected area.
6. CONDUCT A METHODICAL LIGHT SEARCH: Using flashlights, sweep your immediate operational area for all personnel. Account for everyone before beginning triage.
7. EXTRICATE PERSONNEL TRAPPED BY NON-STRUCTURAL DEBRIS: If a person is trapped under a fallen filing cabinet or similar non-structural object, use the 24-inch pry bar for leverage with a two-person team. Do not attempt operations involving structurally compromised walls, ceilings, or floors.
8. CORDON OFF IDENTIFIED HAZARDS: Deploy caution tape from the 300-foot roll to isolate suspected gas leak areas, rooms with collapsed ceilings, and any other confirmed danger zones before moving personnel through the area.
9. TRIAGE ALL PERSONNEL BY SEVERITY: Assess every individual and categorize as follows: Walking Wounded for minor cuts and scrapes, Immediate for severe bleeding or fractures, and Delayed for non-life-threatening injuries. Address Immediate casualties first.
10. EXECUTE HEMORRHAGE CONTROL AS PRIORITY MEDICAL ACTION: Don nitrile gloves before patient contact. Use paramedic scissors to cut away clothing and expose the injury. Apply a Bloodstopper dressing or Surgi Pad with firm, sustained direct pressure to moderate-to-severe bleeding wounds.
11. TREAT SECONDARY INJURIES AFTER BLEEDING IS CONTROLLED: Apply Cool Blaze Burn Gel to minor burns after the burning process has stopped. Immobilize suspected fractures using medium splints formed to the limb and secured with medical tape or triangular bandages. Activate chemical ice packs by striking firmly and apply to sprains or bruises to reduce swelling.
12. ESTABLISH SHELTER, RATION SUPPLIES, AND ACTIVATE COMMUNICATIONS: Rig the 8x10 tarp using ropes and bungee cords to create overhead protection for injured personnel. Account for all personnel, then ration the 6 food rations and 9 water pouches against your estimated time until professional services arrive. Activate the solar radio to monitor NOAA emergency broadcasts and distribute whistles to all personnel for distress signaling.
