3510 Mass Casualty Incident Response (ems Operations)

Question 1

What policy number is Mass Casualty Incident Response

Answer 1

3510 ems operations

Question 2

Who is responsible for Announcing over the radio whether OPEN or CLOSED Triage is being utilized.

Answer 2

IC

Question 3

Who is responsible for all EMS operations to

include medical triage, treatment, and transport

Answer 3

The Medical Group Supervisor

Question 4

Who is responsible for Contacting the Disaster Medical Control Center (DMCC) to:

a. Declare an MCI and
b. Request to open patient care protocols

Answer 4

The Medical Group Supervisor

Question 5

The Triage Unit Leader shall be responsible for?

Answer 5

1. Assisting with the establishment of the OPEN or CLOSED Triage area(s) and funnel point (s) as designated by the Medical Group Supervisor or the IC.
2. Triaging and prioritizing patients according to their injuries and placing them in the appropriate treatment or transport areas.
3. Numbering and tagging patients for tracking purposes.
4. Coordinating Litter Bearers to facilitate patient movement

Question 6

Define:

Closed Triage

Answer 6

A tactic of triage where the patient is immediately moved by litter bearers from where they are found to a designated funnel point. Patients are triaged at the funnel point utilizing the S.T.A.R.T. system and moved to the appropriate
treatment area.

Question 7

Define

Disaster Medical Control Center (DMCC)

Answer 7

The hospital designated to

coordinate patient transport destination.

Question 8

Define

Hospital Emergency Administrative Radio System (H.E.A.R. System)

Answer 8

Used to communicate from mobile-to-hospital and hospital-to-hospital.

Question 9

Define

Mass Casualty Incident (MCI)

Answer 9

An incident scene that includes 3 or more

seriously injured people (triaged as RED) or 5 or more injured people of any severity (any triage color).

Question 10

Define

Medical “1-11”

Answer 10

An MCI scene to which is dispatched 4 engine companies, 2 ladder companies, 2 medic companies (one of which shall be the on-duty Captain, a Battalion Chief and 2 private ambulances).

Question 11

Define

Open Triage

Answer 11

A tactic of triage where the patient is assessed where they are found using the S.T.A.R.T. system. The patient is later moved by litter bearers to the appropriate treatment area.

Question 12

Define

Simple Triage and Rapid Treatment (START)

Answer 12

Triage system used for quick identification and classification of patients into treatment categories.

Question 13

Define

Triage tape

Answer 13

Colored surveyors tape (red, yellow, green, black, white) affixed to each patient in the process of medical prioritization prior to movement into the treatment area.

Question 14

Define

White triage tape

Answer 14

Identifies patients that have been decontaminated following a hazardous material or chemical exposure.

Question 15

When shall the DMCC be notified?

Answer 15

For any MCI with three or more RED (immediate) patients or five patients
of any severity

Question 16

Who serves as the primary and secondary DMCC?

Answer 16

The primary DMCC is Good Samaritan Hospital with Madigan Army Medical Center serving as back up when necessary.

Question 17

Who is the lead agency for the coordination of public health services.

Answer 17

The Tacoma-Pierce County Health Department (TPCHD)

Question 18

The Federal Bureau of Investigation (FBI) may assume identification responsibilities in incidents involving?

Answer 18

interstate commercial carriers, hostage situations or citizens killed in acts of terrorism. For terrorist events the FBI will have responsibility for investigation and security.

Question 19

Who maintains this document.

Answer 19

The Assistant Chief, Operations Bureau

Question 20

The Medical Group Supervisor (radio call sign “Medical”) shall be?

Answer 20

The first arriving in charge Paramedic until the Paramedic Supervisor (and
subsequently the MSO) arrives. This person is assigned by the Operations Sections Chief, or Incident Commander if an Operations Section Chief has not been assigned, and reports accordingly.

Question 21

The Triage Unit Leader (radio call sign “Triage”) shall be?

Answer 21

Initially the first arriving medic unit driver or another person as assigned by the
Medical Group Supervisor, in consultation with the Incident Commander. This person reports to the Medical Group Supervisor.

Question 22

The Treatment Unit Leader (radio call sign “Treatment”) shall be?

Answer 22

A Paramedic as assigned by the Medical Group Supervisor, in consultation with the Incident Commander. This person reports to the Medical Group Supervisor.

Question 23

The Transport Unit Leader (radio call sign “Transport”) shall be

Answer 23

A Paramedic or Fireground Company Officer as assigned by the Medical Group Supervisor, in consultation with the Incident Commander. This person reports to the Medical Group Supervisor.

Question 24

All EMS communications with the DMCC will be limited to?

Answer 24

the Medical Treatment and Transport Units.

Question 25

Transport units shall not communicate with receiving hospitals. Information pertaining to those patients will be made by

Answer 25

Transport and the DMCC.

Question 26

What shall each patient have on them prior to transport?

Answer 26

Each patient shall be numbered with a permanent marking pen for tracking
purposes and have a treatment tag (if possible) and appropriate color tape affixed to them prior to transport.

Question 27

Triage Criteria and Tape Colors:
RED (Immediate)
A patient who?

Answer 27

• is breathing fast (greater than 30 times per minute)
• has capillary refill greater than two seconds or does not have a palpable radial pulse
• has an altered mental state; not oriented to person, place or time and/or unable to follow commands

Question 28

Triage Criteria and Tape Colors:
YELLOW (Delayed)
A patient who?

Answer 28

• Is breathing less than 30 times per minute
• Capillary refill less than two seconds or does have a palpable radial pulse
• Is able to follow simple commands but is injured and unable to walk.

Question 29

Triage Criteria and Tape Colors:
GREEN (Minor/Non-injured)
A patient who?

Answer 29

Any person who can initially walk away from an incident scene to a designated triage or treatment area.

Question 30

Triage Criteria and Tape Colors:

BLACK STRIPED/SOLID BLACK (Obvious Dead—DOA)

Answer 30

A person who has obviously died or is expected to die because of his/her injuries or a person with no respirations.

Question 31

Triage Criteria and Tape Colors: 
ALL WHITE (HazMat)

Answer 31

Additional tape used to signify a person has been decontaminated after a hazardous material exposure.

Question 32

Under all circumstances, patient information shall be documented on the Patient Tracking Chart controlled by?

Answer 32

the Transport Unit Leader.

Question 33

If CLOSED Triage is utilized, the IC will?

Answer 33

announce over the radio the location of triage.

Question 34

When a Medical “1-11” is requested, dispatch personnel shall?

Answer 34

1. Dispatch the appropriate number of units to the scene.
2. Notify the Assistant Chief of Operations (189).
3. Notify the Medical Services Officer (221).
4. Coordinate with the on-scene Incident Commander regarding the need for
   additional transport resources.

Question 35

What 3 things are checked while triaging a patient?

Answer 35

Respirations
Perfusion
Mental status