Mass Casualty Incidents Flashcards

Question

Local Response

Answer 1

The TFD MCI resources (MC6 and MC7) are available to be utilized during local mass casualty or greater incidents The closest available MCI resource will be dispatched w/ a full medical response A TFD Full medical response will consist of either: - MC6 with EN06; or - MC7 with EN07 or LD07 A second full medical response to the same incident will include the response of the other TFD MCI resources not on the initial response

Answer 2

One of the closest, available TFD MCI resources will be utilized & dispatched automatically, for any of the following incidents: 1. Major Medical Response Incidents with a report of 10 or more patients 2. With the HazMat Units when there is a report of 10 or more victims/patients 3. With the TRT Units when there is a report of 10 or more patients 4. With the RRT Team for local responses when there is a report of 10 or more patients

Answer 3

- Any uniformed TFD first responder who is on the scene can declare a Multi-Casualty or larger incident - The decision to implement the protocol should be made by a TFD officer assigned to IC - The IC shall give an effective size-up of the emergency situation, & consider EMS and hospital resources that may be required

Answer 4

1. Verify &/or announce the Multi-/Mass Casualty Incident & assume command 2. Contact Comms & relay nature of incident (MVC, fire, or chemical release etc.), estimated number of Pts and their acuity 3. Determine the need for additional resources & special circumstances that may impact the receiving facilities & relay that info to Comms *Comms upon receiving the notification/request for MCI Resources will dispatch one of the closest, available TFD MCI Units

Answer 5

Up to the following: 1. MC6 with EN06 (MMRS Strike Team) 2. Logistical Support Unit 3. An Additional Engine 4. Two Paramedic Units 5. COMM-1 Unit *Lead IST Officer & the Ops Chief determine what TFD Resources will be deployed with the approval of an Assistant Chief Officer

Answer 6

1. TFD Dispatch Center will notify the Incident Support Team (IST) Lead Officer 2. The IST Lead Officer will contact the remaining IST Officers. Based upon the assessment by the IST Lead Officer and the TFD Operations Section Deputy Chief or Assistant Chief, a determination will be made as to whether or not to deploy the TFD MMRS Strike Team as well as what TFD MMRS Strike Team components will be deployed. The MMRS Strike Team may by deployed with the RRT team for multi-casualty or larger incidents 3. The IST Lead Officer, through the Tucson Fire Department Dispatch Center, will notify the appropriate TFD MMRS Strike Team of the Deployment as well as the location to report for a briefing 4. The IST Officers, will brief the TFD MMRS Strike team prior to deployment 5. The IST Officers will report to the designated Command Post and receive a briefing on the operation 6. The IST Officers will coordinate and supervise the MMRS Strike team throughout the incident. The MMRS Strike Team will remain under the leadership of their Department IST Officers

Answer 7

1. The 1st arriving officer will assume command, determine if an MCI or larger incident exists & if so, declare the MCI over the radio w/ a size-up 2. Once an MCI or larger is declared locally, the IC shall be responsible for determining the Pt destination & notification of the hospitals involved *When Trauma is involved, the IC will insure the Trauma Center is contacted to determine the number of Pts they can take. The trauma center may also assist in determining the final destination for all trauma related Pts. *The IC should assign an officer to communicate w/ the hospitals. The Officer assigned to communicate with the hospitals can do so by using Meds Control

Answer 8

Upon receiving an initial report from IC, Comms will alert the appropriate area hospitals by using any of the following: - Dedicated phone line - EMResource - Channel 9 Conference Line - MEDS radio

Answer 9

1. Closest facility for 1-4 Pts 2. Closest two facilities for 5-7 Pts 3. All hospital alerted for 8 or more Pts 4. Trauma Center per SAEMS Trauma Triage Criteria 5. Preferred pediatric facilities include UMC and TMC 6. Preferred maternal/neonatal facilities include UMC, TMC, NWH and SJH

Answer 10

1. IC will initiate ICS & assign needed Divisions, Groups, ect. 2. Terminate Incident once tasks have been accomplished

Answer 11

- Decon - Triage - TX - Transportation

Answer 12

- Decon will be prioritized - Will be tailored, to the extent possible, to the agent Identified - Emergency (Gross) Decon will be initiated by the first Fire Units on scene - MMRS Strike Team's duty is to ensure all Pts are Deconed before transport

Answer 13

- Handled by the Triage Group under the Medical Branch - START Triage, Arizona Triage Tags, & EM Track System will be utilized

Answer 14

- Part of the Medical Division/Branch - Initial TX will take place at the scene, except in cases where the scene is too unstable or volatile to support a TX sector - Medical TX addresses the supportive needs of Pts (Antidote administration is initiated or continued as appropriate) - If appropriate, TX personnel will oversee Pts to monitor or deliver continuing care as necessary

Answer 15

- Established in TX areas w/in the Cold Zone - When the TX must be located away from the scene for safety reasons, a location will be determined by Command (potential treatment areas may be located outside hospitals or at a central treatment area) - Will be designated in or near TX areas to serve as collection points for patients to be transported

Answer 16

- Under the Medical Division/Branch - The transportation group (supported by PD as needed) manages movement & loading of vehicles at the scene - Only Pts who have been deconed will be transported (All vehicle used will be deconed after use) - Non-emergent ambulatory victims, once given initial assessment, decon & TX, can be transported in-mass on designated vehicles (buses & other multiple patient transports belonging to the City or available through formal agreements) - Emergency patients are transported to medical facilities via ambulance - If appropriate and if such transport will not further disperse the product, air transportation may be used - Acquisition of additional vehicles & equipment will be handled through the Incident Commander or the EOC, if activated - All Pts, without regard to mode of transport or level of injuries, will be tracked through the START triage tag system and the EM Track System - Deconed, uninjured Pts may be released or transferred to mass shelter locations as determined by the Medical Branch Officer

Answer 17

After a local incident is terminated by the IC: - Units will go back in service following decontamination & restock of supplies, equipment, & units After a county/state incident is terminated by the IC and/or the Unified Command staff: - The IST Officers will notify the TFD MMRS Strike Team of that termination & the location to report for a coordinated return to the City of Tucson - Decontamination of equipment & units will occur prior to reporting to that location and returning to City of Tucson

Answer 18

Simple Triage and Rapid Transport - All patients involved shall be triaged & tagged with a triage card - Triage of each Pt taking less then 30 seconds

Answer 19

1. Minor (Green) 2. Morgue (Black) 3. Delayed (Yellow) 4. Immediate (Red)

Answer 20

Walking wounded can be directed to staging

Answer 21

Dead & dying, no action until after investigation or all other patients transported

Answer 22

Movement & TX of these Pts can be delayed

Answer 23

Require immediate movement, TX, & transport

Answer 24

1. Remove “contamination” strips & discard 2. Initiate START triage based on RPM 3. Assign Pt into 1 of the categories & tag to where other providers can see 4. One tag remains with the patient and on the original card 5. One tag should be given to the Triage Officer 6. Any known patient information should be recorded on the card as time allows. This includes: - Patient name, age, birth date, medical history, etc…. - Any treatment, medication given, vital signs 7. If any personal belongings are removed from the Pt, they should be placed in a bag with the personal property tag from the card (This will facilitate tracking of both patients and their respective belongings)

Answer 25

1. Determine if they are contaminated 2. If Contaminated, leave the contaminated tag on the triage card 3. Initiate START triage, and place the patient into a category 4. Pts will be deconed as soon as possible & before transport to the hospital 5. TX of contaminated patients should begin as soon as possible - The only TX that should be performed prior to decon is opening the pt’s airway and C-spine precautions 6. The triage cards can be deconed with water 7. When the Pt’s clothes are removed for Pt decon, place the clothes in a clear, plastic bag - Remove the contaminated strip & place it in the bag for evidence tracking 8. Pts should not be transported to the hospital w/ the contaminated strip on the triage card