Book 70 MCI Flashcards
The medical portion of an incident may be handled by the Incident Commander and/or Medical Group Supervisor through additional emergency and hospital personnel and equipment depending upon 3 things:
- Number of _________
- Severity of __________
- __________ of the incident
Victims
Injuries
Magnitude
________________ is reserved for incidents with a medical component that includes an unusually large number of victims, where patients are spread over a large area, or access to patients is separated by a great distance as much as 800 feet.
Medical Branch
________________ are the basic level established at an LAFD incident when the number of resources exceed the span of control of the Incident Commander or Operations Chief
Medical Groups
_________________ is responsible for the implementation of the Incident Action Plan within the Branch
Medical Branch Director
_________________________ Establish command and control of the activities within a Medical Group, in order to assure the best possible emergency medical care to patients during a multi-casualty incident.
Medical Group Supervisor
___________________ - Assume responsibility for providing triage management and movement of patients from the triage area
Triage Unit Leader
_________________ - Assume responsibility for Morgue area activities until relieved of that responsibility by the police department or Office of the Coroner
Morgue Manager
_____________________ - Assume responsibility for treatment, coordination of patient treatment, and preparation for transport, in the treatment areas. Direct movement of patients to loading location(s)
Treatment Unit Leader
____________________ - Responsible for coordinating with Transportation Unit/Group or Medical Group Supervisor, the transportation of patients out of the treatment area, reserved for large-scale incidents. There is only ONE
Treatment Dispatch Manager
__________________ - Responsible for treatment and retriage of patients assigned to Immediate Treatment Area
Immediate Treatment Manager
__________________ - Responsible for treatment and retriage of patients assigned to Delayed Treatment Area
Delayed Treatment Manager
____________________ - Responsible for treatment and retriage of patients assigned to Minor Treatment Area
Minor Treatment Manager
_____________________ - Coordination of patient transportation and maintenance of records relating to patient identification, patient classification (Immediate, Delayed, or Minor), transporting unit’s identification and destination
Transportation Unit Leader
__________________ - Maintain communications with the Medical Alert Center (MAC) to assure proper patient transportation and destination
Medical Communications Coordinator
_________________ - Maintain records of patients, triage classification, mode of transportation, hospital status, and destination
Transportation Recorder
_________________ - Manage the Ambulance Staging Area and dispatch ambulances as requested
Ambulance Staging Manager
_________________ - Acquire and maintain control of appropriate medical equipment and supplies from units assigned to the Medical Group
Medical Supply Unit Leader
______ - A communications system between medical facilities and on incident Department personnel, which provides available hospital patient receiving capability and/or medical control
HOSPITAL EMERGENCY ADMINISTRATIVE RADIO (HEAR)
Patients are not moved to the treatment areas(s) until the treatment area(s) are prepared to ________ them
Accept
S T A R T
Simple Triage and Rapid Treatment
The Simple Triage and Rapid Treatment (START) plan allows the first responders to triage patients in ___ seconds or less, depending on three simple observations
60
START triage has 3 physical assessments are:
- __________
- __________
- __________
- Ventilation
- Perfusion
- Mental status
Triage personnel must rate or place the injured into one-of-four categories:
- __________
- __________
- __________
- __________
- Deceased (Nonsalvageable)
- Immediate
- Delayed
- Minor
____________ - No ventilation present even after attempting to reposition the airway.
Deceased
___________ - Ventilations present only after repositionin’g the airway
Immediate
Immediate - respirations over ___ per minute; or, capillary refill takes over __ seconds; or, patient fails to follow simple commands
30
2
_________ - Any patient who does not fit the Immediate category nor the Minor category
Delayed
_______ - These patients are separated from the general group at the start of triage by ordering “anyone who can walk” followed by an area assignment where the patients should proceed
Minor
TRIAGE TAG - Left and right corners are _________ and are perforated along the lines shown
Yellow
TRIAGE TAG - One corner can be retained by the ____________ Unit Leader, the other can be retained by the ________________ Supervisor, The hospital destination can be marked on the tabs.
Treatment
Transportation
TRIAGE TAG - Perforated along the line shown. Black with white lettering “____________”
“DECEASED”
TRIAGE TAG - Perforated along the line shown. Red with black lettering “____________”
“IMMEDIATE”
TRIAGE TAG - Perforated along the line shown. Yellow with black lettering “___________”
“DELAYED.”
TRIAGE TAG - Perforated along the line shown. Green with black lettering “________”
“Minor”
TRIAGE TAG - Leave all parts attached if ________ care, or tear off bottom parts to indicate triage priority.
MINOR
TRIAGE TAG - If the triage priority of the patient changes, remove the entire bottom portion, leaving the injury information, and add a _________ tag identifying the new triage priority and the reason for the change
SECOND
