All of us are tempted to jump into patient care and "dog pile" the patient, but we will achieve better patient outcomes and rescuer safety through organized scene management.

1. The first patroller on-scene should:
   1. Perform a scene size-up.
   2. Call dispatch with a summary of the incident (e.g., your name, location, patient information [age, gender, chief complaint], resource needs).
2. When additional patrollers arrive, they should ask, "Who is in charge and how can I help?"
3. Assuming the patient has more-than-trivial injuries, the second and possibly additional patrollers who arrive should assist with patient care.
4. When a sufficient number of patrollers are providing care, the incident commander should:
   1. Step back and consider the big picture.
   2. As additional patrollers arrive and ask how they can help, the IC should assign them responsibilities (e.g., start an accident report, gather witness statements, control traffic, transport the patient, manage the LZ, etc).
   3. Request additional resources (e.g., air or ground ambulance, UFA, UPD, HAZMAT, etc).
   4. When an adequate number of patrollers are involved, the IC should instruct arriving patrollers to re-round.
   5. The IC should be willing to ask others, "What am I missing?"

Each incident will obviously vary and smaller incidences can be handled by one or two patrollers, but the key concepts of scene management are (1) performing a scene size-up, (2) calling dispatch with a brief summary and a request for resources, (3) focusing on patient care, and (4) having one person responsible for the incident.