Major Incidents SOP Flashcards
Outline the contents of the Major Incidents SOP
Offers insight into the management of Major Incidents as a responder or as FOS.
Alongside JESIP/NARU and Civil Contingencies Act
Covers:
- Definition of a major incident
- EMAS Critical Incident
- Planning
- Response
- Command and Control
- Safety (mainly dealt with in scene safety SOP)
- Communication
- Triage
- Dealing with the media
- Reporting
- Clinical photography
- Debriefing
What is the definition of a major incident?
Event or situation with a range of serious consequences, which requires special arrangements to be implemented by one or more emergency responder agencies
What is the definition of a critical incident?
Incidents that require a response in excess of ‘Business as Usual’ criteria
- Localised
- Organisation temporarily/permanently losing the ability to deliver critical services
- Patients at risk of harm
- Unsafe environment
Requires special measures and/or support form other agencies
What are the categories of major/critical incidents?
Big bang
- Transport accident
Rising tide
- Capacity/staffing issue
- Epidemic/pandemic
Cloud on the horizon
- Chemical/nuclear release
Headline news
- Public/media alarm about a threat
HAZMAT
- unintentional release of hazardous agents
Environmental
- Adverse weather
- Flooding
Pre-planned events
- Festivals etc
Describe LNAA response/involvement in a major incident
Tasked by HEMS/ICD
Aircraft can be utilised to provide METHANE ‘cockpit report’ to HEMS/ICD
Utilise CSCATTT to establish structure
No pre-defined role in NARU however:
- May need to advised tactical/operational command
- May have to take on those roles until someone more qualified arrives
- May be casualty clearing, triage officer, air ops commander
Define the command and control roles at a major incident
Operational (Bronze) - specific roles and functions at scene
Tactical (Silver) - Usually on scene making tactical decisions
Strategic (Gold) - Co-located with other commanders in JSOC, remote oversight
What are the JESIP Principles
Co-locate
Communicate
Co-ordinate
Jointly understand risk
Shared situational awareness
Outline the aspects of communication in a major incident
- Unless asked to change, stay on 262
- May switch to 50
- Concise comms
- Mobiles may not work, use the radios, take ISSI numbers
- Use METHANES to give updatesH
How is triage performed at a major incident?
Two clinicians
Use the cards
Keep a tally of the patients and their categories
What would you use for documentation at a major incident?
Log book
Dictaphones
Log all decision making
Outline the aspects of debriefing following a major incident
- Support recovery of LNAA staff and partner agencies
- Need to continue operations following response
- Hot debrief at scene
- Support for TC
- May be stood down from subsequent shifts to allow recovery time
- Notes and Dictaphones need to go into secure storage
