40. Incident Management Flashcards
The designated area in a hazardous materials incident where all patients and responders must be decontaminated before going to another area.
decontamination area
Promotes efficient coordination of emergency incidents at the regional, state, and national levels
National Incident Management System (NIMS)
Incident command system (ICS)
Makes it possible to do the greatest good for the greatest number
National Incident Management System (NIMS)
Promotes efficient coordination of emergency incidents at the regional, state, and national levels
Makor NIMS components
Communications and information management
Resource management
Command and management
Command
Incident commander (IC) is in charge of the overall incident.
It is important to know who the IC is, how to communicate with the IC, and where the command post is located.
An IC may turn over command to someone with more experience in a critical area.
Finance
Responsible for documenting all expenditures at an incident for reimbursement.
Logistics
Responsible for communications equipment, food and water, fuel, lighting, and medical equipment/supplies.
Operations
At a very large or complex incident, responsible for managing the tactical operations usually handled by the IC
Supervises the people working at the scene
Planning
Solves problems as they arise
Develops an incident action plan
Command Staff
The safety officer monitors the scene for conditions or operations that may present a hazard.
The public information officer (PIO) provides the media with clear and understandable information.
The liaison officer relays information and concerns among command, the general staff, and other agencies.
Triage supervisor
In charge of counting and prioritizing patients
Ensures that every patient receives initial assessment of his or her condition
Do not begin treatment until all patients are triaged.
Treatment Supervisor
Locates and sets up the treatment area with a tier for each priority of patient
Ensures that secondary triage is performed and that adequate patient care is given
Assists with moving patients to the transportation area
Coordinates the transportation and distribution of patients to appropriate receiving hospitals
Documents and tracks the number of transport vehicles, patients transported, and the facility destination
Transportation Supervisor
Should be assigned when scenes require a multivehicle or multiagency response
Emergency vehicles must have permission to enter the scene and only drive in the directed area.
The staging area should be established away from the scene.
Staging Supervisor
Establishes an area that provides protection from the elements and situation
Rehabilitation is where a responder’s needs for rest, fluids, food, and protection from the elements are met.
Monitors responders for signs of stress
Rehabilitation Supervisor
Extrication and special rescue
Determines the type of equipment and resources needed for the situation
Usually function under the EMS branch of the ICS
Works with area medical examiners, coroners, disaster mortuary assistance teams, and law enforcement agencies to coordinate removal of bodies and body parts
The morgue area should be out of view of the living patients and other responders
Morgue supervisor
A mass-casualty incident (MCI):
Involves three or more patients
Places great demand on the EMS system
Has the potential to produce multiple casualties
Four common categories of triage patients
Immediate (red)
Delayed (yellow)
Minor or minimal (green; hold)
Expectant (black; likely to die or dead)
Simple Triage And Rapid Treatment
First step is to call out to patients and direct them to an easily identifiable landmark.
Injured persons are the walking wounded.
Second step is directed toward nonwalking patients.
Assess respiratory rate, hemodynamic status, and neurologic status.
START Triage
JUMPSTART Triage
Intended for use in children younger than 8 years or who appear to weigh less than 100 lb
Begin by identifying the walking wounded.
Several differences within the respiratory status assessment compared with START
Assess the approximate rate of respirations, hemodynamic status, and neurologic status.
Disaster
widespread event.
Disrupts the functions and resources of the community
Threatens lives and properties
A wide variety of chemicals are stored in locations such as:
Warehouses
Hospitals and laboratories
Industrial complexes
Residential garages
Bowling alleys
Home improvement and garden centers
Restaurants
Placards:
diamond-shaped indicators.
Placed on four sides of transport vehicles
Labels:
smaller versions of placards.
Placed on four sides of individual boxes and smaller packages
PPE: Level A is -
Most hazardous
Requires fully encapsulated, chemical-resistant protective clothing that provides full body protection, as well as SCBA and special, sealed equipment
PPE: Level B -
Requires nonencapsulated protective clothing or clothing that is designed to protect against a particular hazard
Requires breathing devices that contain their own air supply, such as SCBA, and eye protection
PPE: Level C -
Requires the use of nonpermeable clothing and eye protection
Face masks that filter all inhaled outside air
PPE: Level D -
Requires a work uniform, such as coveralls, that affords minimal protection
All levels require the use of gloves.
