Mass Casualty Incident SOG

Question 1

(Definitions, page 1) any incident in which emergency medical resources, such as personal and equipment, are overwhelmed by the number and severity of casualties. There is no set number of casualties that would indicate an MCI. It would be up to the first arriving unit to decide based on conditions, actions and needs, weather in MCI response is necessary.

Answer 1

Mass casualty incident

Question 2

(MCI, general, page 1, and page 2) who does the text say can’t decide, based on can, whether an MCI response is necessary

Answer 2

The first arriving unit

Question 3

(Definitions, page 1) hey, Sirius event that has more casualties than a customary response assignment can handle. This response will be handled with local entities in which rWe respond with regularly, such as SAPD, CPS, public works, etc.

Answer 3

MCI tiers 1–3

Question 4

(Definitions, page 1) a catastrophic event that is capable of overwhelming the rate available resources of the city of San Antonio. The situation requires substantial coordination between local and regional state and or federal resources.

Answer 4

MCI tier 4

Question 5

(Page 1) which response would require the involvement of the EEOC and other outside entities

Answer 5

Tier 4

Question 6

(Initial response, page 2) after communications, send the appropriate MCI tier response, who will determine whether the response needs to be upgraded or downgraded?

Answer 6

The initial IC

Question 7

(Initial response, page 2) MCI, tier 1 response is for how many patients?

Answer 7

10–19

Question 8

(Initial response, page 2) what is the number of patients required for an MCI tier 2 response?

Answer 8

20–29

Question 9

(Initial response, page 2) how many patients are required for an MCI tier 3 response?

Answer 9

30–39

Question 10

(Initial response, page 2) how many patients are required for an MCI tier 4 response?

Answer 10

40+

Question 11

(Initial response, page 2) what is the initial response for an MCI tier 1?

Answer 11

Two medical officers, five medic units, one battalion chief, four engines, two ladders, one safety officer. Dispatch will place air medical transport and MPV Dash 802 on standby IC will determine if they are needed to respond.

Question 12

(Initial response, page 2) what is the response for an MCI tier 2?

Answer 12

Tier 1 response plus: one medical officer, for medic units, one battalion chief, three engines, one ladder, MPV – 802, MPV - 801. MPV - 801 comes from schertz and a staff 24 seven.

Question 13

(Initial response, page 2) what is a tier 3 response include?

Answer 13

Tier 2 response plus, one medical officer, three medic units, one battalion, chief, three engines, and one ladder

Question 14

(Initial response, page 2) what does an MCI tier 4 response include?

Answer 14

Tier 3 response plus, one medical officer, three medic units, one battalion chief, three engines, one latter, MSOU to include all on duty MSOU members, and a MSOU medic officer, MSOU, MCI, truck and trailer, rehab bus, command bus, supply van, (depending on duration of the Internet) the SAFD fuel truck, medical Director.

Question 15

(Initial response, page 3) double companies, should make every effort to take ______ to the scene in order to facilitate movement of personnel.

Answer 15

squads

Question 16

(Initial response page 3) all on duty, fire, and EMS personnel, not assigned to the MCI will be governed by the following:(four things)

Answer 16

One monitor, normal alert, operations channel.
2, selective calling will be suspended for an MCI tier 3–4, and shall stay suspended for the duration of the event
Three avoid all unnecessary radio transmissions
4 remain at assign station, location, or area, signed by communications

Question 17

(Initial actions, page 3) what is the first thing that should happen on scene?

Answer 17

As soon command

Question 18

(Initial actions, page 3) after assuming command, what should you do?

Answer 18

Perform a rapid an accurate seen assessment.

Question 19

(Initial actions, page 3) when performing your rapid seen assessment, what should you take note of?

Answer 19

One. Scale of the Internet.
Two. Type of the Internet.
Three. Hazards to responders.

Question 20

(Initial actions, page 3) if the Internet wasn’t dispatched, as an MCI, declare the incident as such over the radio and advise Dispatch of…

Answer 20

The estimated number of patients present.

Question 21

(Initial actions, page 3) the initial OC can request a specific tier response or advise Dispatch of the estimated number of patients present

Answer 21

Dispatch will then dispatch the appropriate resources based on their requested tier or corresponding number of patients.

Question 22

(Initial actions, page 3) begin developing Incident organizations as resources become available with an emphasis on establishing a medical branch that shall add a minimum include the following groups… (4)

Answer 22

Triage, treatment, transport, medical support function.

Question 23

(Initial actions, page 3) where should you concentrate initial efforts on during an MCI?

Answer 23

Directing walking wounded to a specific area and initiating the triage process on the non-ambulatory.

Question 24

(Initial actions, page 3) Based on the incident needs, what should you request?

Answer 24

Additional resources, such as EMS supply van, TRT, hazmat, MSOU, ARFF, additional law enforcement resources

Question 25

(Initial actions, page 3) What should be established as a part of your initial actions?

Answer 25

Level two staging

Question 26

(Considerations for ongoing incident, Page4) continue developing the _____ _____ to suit the needs of the event as per the incident management, SOP

Answer 26

Incident organization

Question 27

(Considerations for ongoing incident, Page4) develop, and implement a _____ _____to suit the needs of the incident organization

Answer 27

Communications plan

Question 28

(Considerations for ongoing incident, Page4) subdivide_____ _____ ____, and or _____, assign supervisors, and establish nomenclature. (2)

Answer 28

Large geographic areas. Functions

Question 29

(Considerations for ongoing incident, Page4) ensure that(three groups) are adequately staffed, and effectively managed.

Answer 29

Triage, treatment, and transportation groups

Question 30

(Considerations for ongoing incident, Page4) all MCI’s should be considered…

Answer 30

A potential crime scene. Minimize the disturbance of the scene as much as possible. And no instance, should care be compromise to preserve evidence.

Question 31

(Considerations for ongoing incident, Page4) access to sufficient medical supplies is critical. Ensure that the logistics section has a person assigned as the ______ _____ _____ who can ensure that medical supplies and equipment are readily available to units on the scene and other field units.

Answer 31

EMS supply supervisor. Utilize fire personnel as necessary to assist EMS supply personnel or the supervisor.

Question 32

(Considerations for ongoing incident, Page4) the medical supply group will fall under the _____ _____ if established

Answer 32

Logistics section

Question 33

(Considerations for ongoing incident, Page4) establish ______ _____ as quickly as possible to identify all non-SAFD resources, and ensure that they are accounted for.

Answer 33

Liaison officer

Question 34

(Considerations for ongoing incident, Page4) fire shift commander, and medical shift commander will be notified of the MCI by dispatch responses at their discretion. What two things should they consider prior to response?

Answer 34

The establishment of area command. Consider the calling of off-duty personnel to assist as needed.