MCI Flashcards

1
Q

What is an EMS task Force used for and what units do you get upon requesting one?

A

An EMS task force provides the resources to manage incidents with approximately 10 patients. Patients are assigned directly to the EMS units and the incident should not require establishment of a treatment area.

EMS TASK FORCE 
5 EMS transport units
1 Battalion Chief
1 EMS supervisor/Command staff
2 suppression units
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2
Q

What does the Virginia Office of EMergency Medical Services (VOEMS) define as a Multiple Casualty Incident (MCI)?

A

Any incident that injures enough people to overwhelm resources usually available in a particular system or area.

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3
Q

What is an MCI alarm and what resources do you get when requesting one?

A

An MCI alarm provides the resources to manage incidents with approximately 25 patients. The initial MCI alarm assignment is designed to complete the structure of the EMS branch.

MCI ALARM
10 EMS transport units
10 suppression units
1 Battalion Chief
3 EMS supervisors/Command staff
1 mobile command unit
1 Green (civilian) transport bus
1 Medical care support unit (MCSU)
1 Medical Ambulance bus (MAB)
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4
Q

When would you request a Second and or subsequent MCI alarm, and what resources would you get when requesting one?

A

The second or subsequent MCI alarm provides the resources to supplement the initial MCI alarm and is designed to manage approximately 25 additional patients.

2nd and subsequent MCI alarms
10 EMS transport units
5 suppression units
1 medical care support unit (MCSU)
1 medical ambulance bus (MAB)
1 green (civilian) transport bus
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5
Q

What should the first arriving unit on the original incident of an MCI do?

A

Initiate the Five S’s of an MCI and establish command.

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6
Q

What are the Five S’s of an MCI?

What do each of them mean?

A

Safety-identify IDLH/high threat situations and warn incoming units of hazards.

Size-up-Determine the need for additional resources based on the type of incident. Approximate the number and severity of victims.

Send-Transmit a situation report. Request the appropriate alarm based on the number of patients (EMS task force, MCI Alarm, 2nd MCI Alarm). Activate the Regional Healthcare Coordination Center (RHCC). Announce which patient tracking event will be used.

Set-up-identify a staging area. Identify and announce scene access and egress.

Start-Inititate triage.

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7
Q

Critical responsibilities in an MCI alarm

A
  • Early recognition and declaration of an MCI.
  • Ensure resources meet incident demands.
  • Establish and announce the staging area and Incident Entry Point.
  • Maintain incident egress for transport units.
  • Establish appropriate branches, groups, and divisions.
  • Manage and direct the initial MCI until the EMS branch Director position has been established by the Battalion Chief on the MCI alarm.
  • Ensure dedicated MCI tactical channels for the EMS Branch, Transportation Group, and medical group have been established.
  • Establish and announce a casualty collection point if required.
  • Ensure the Regional Healthcare Coordination Center (RHCC) has been alerted.
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8
Q

What is the First suppression Unit responsibilities on an MCI

A

Triage Unit Leader

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9
Q

What is the 2nd suppression unit responsibilities on an MCI?

A

Ambulance Coordinator

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10
Q

What is the 3rd suppression units responsibilities on an MCI?

A

Report to Triage (porters or triage Crew)

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11
Q

What is the 4th suppression units responsibilities on an MCI?

A

Treatment Unit Leader

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12
Q

What is the 5th suppression units responsibilities on an MCI?

A

Report to triage (porters or triage crew)

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13
Q

What is the 6th suppression units responsibilities on an MCI?

A

Report to treatment

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14
Q

What is the 7th suppression units responsibilities on an MCI?

A

Report ot ambulance coordinator (loaders)

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15
Q

What is the 8-10th suppression units responsibilities on an MCI?

A

Report to staging, establish if not already done. The first suppression unit officer to arrive at the staging area shall assume or assign the role of staging manager for the duration of the incident.

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16
Q

What is the 1st EMS transport unit responsibilities on an MCI?

A

Establish transportation Group (med communications and transport recorder)

17
Q

What is the remaining transport units responsibilities on an MCI?
(Everyone other than the first arriving transport unit)

A

Report to transportation corrider or staging as directed by transportation group supervisor

18
Q

What is the 1st EMS supervisors responsibilities on an MCI?

A

Assume transportation group supervisor.

19
Q

What is the 2nd EMS supervisors responsibilities on an MCI?

A

Establish medical group supervisor.

The medical group supervisor reports to the EMS branch director and supervises the Triage Unit leader, treatment unit leader, morgue manager and medical supply coordinator.

20
Q

What is the 3rd EMS supervisors responsibilities on an MCI?

A

Assume treatment unit leader.

21
Q

What is the 1st battalion chiefs responsibilities on an MCI?

A

Establish EMS branch