MCI Flashcards
Is there a set number of pts that determine an MCI
No, there is not
The ___ of the potential or actual mci is crucial to the success of the operation
Early recognition
After establishing command this position should be filled
Medical branch director
The medical branch director is responsible for staffing these five positions
Triage group sup (fire), treatment group sup (fire), medical staging area manager (fire of ambulance), transport group Sup (ambulance), pt destination coordinator (amb)
Four positions required to staff by PFR
Ic, medical branch director (officer or medic), triage group supervisor (emt or medic), treatment group supervisor (emt or medic)
Three positions held by AMB
Base area manager (reports to medical branch director), transportation group supervisor (reports to medical branch director), patient destination coordinator (reports to transportation group SUP)
Three principles of triage
Sorting if multiple casualties into priorities, tagging pts, deciding what pts will receive transportation priority
Two types of triage
Open and closed triage
These are disadvantages of ___ triage, may take longer to begin actually moving pts from the scene, keeps crews and victims in the incident scene
Open
Disadvantages of ___triage
Carrying pt from incident scene to triage is exhausting effort (also need large numbers), victims tagged black May end up being moved who would otherwise be left in place
___ triage should be chosen for any Hazmat incident
Closed
What is the one consideration for a hazmat mci?
Lengthened triage corridor for decon
If patients are dead and contaminated where should they stay, if decon resources are needed for the living
Warm zone
Experience has shown that crews moving ___ pts become fatigued
3-6 people. Command must take into consideration the need to rotate crews
Normally the 1st AMB on scene will be placed
OOS, so their personnel may staff MCI positions. Their EQT shouldn’t be used by fire personnel though
___ should be considered early in the incident due to need to move large # of pts
Rehab
Consider calling for additional resources including CBRNE Heavy squad and ____ early in these incidents
Rehab unit
The ___ and __ of the incident will factor into how many pts are categorized with which color
Size and scope
Assessing each victim should only take ..
A few seconds
The secondary triage should take place in
Treatment area
Red patient examples
Severe head injury, sucking chest wound, fluid loss or shock
Yellow patient examples
burned to moderate extent, major or multiple fractures, mild shock
Black pts
Massive open head wounds, pupils fixed and dilated, agonal respirations
At a plane crash what should be done with trauma tag?
Corner of tag removed and left where victim was found
This can be faster than using triage tag…
Triage tape
When using triage tape, what do you do to count number?
Keep a portion of color of each patient for yourself
Black pts with triage tape, what is different
Striped with white
At least one ___ should be assigned to each patient treatment area
Fire Medic
Ideally, at least ___ should be assigned to each treatment area
One company
What is best treatment area? One big or several small
One big
A __provides a spade from which victims cannot easily walk away or attempt to get quicker treatment
Tri met bus
___ should be closest treatment area to the AMB loading zone
Red area
Can dead victims be left unattended?
No, their injuries should be documented and morgue notified
If the area is a bomb zone, what should be considered
Secondary devices
Pt loading zone is maintained by the
Transport group supervisor
Regardless of the ambulance base area location, the patient loading zone should be located as close as feasible to
Treatment area
Preferably the patient loading zone should have access from ___ directions
Two
Set up loading zone so two ambulances can be
Side by side
Regional hospital is utilized with MCI and started by BEOC. It will have a hospital all call and determine
Number of patients each hospital can receive
The ___ worksheet can be utilized for documentation and must be sent to EMS section for filing
MCI patient treatment
If you remove jewelry from patient and put in bag, what do you do
Place barcode on bag
Consider using ___ Carts
Porter
Who is an outside agency with apparatus with large # of BB
Port of Portland
For an extremely large and lengthy incident, the establishment of a ___ should be considered
Medical care point
___ allow an expansion of the MCI site with specialized area for local public health, state, and federal disaster teams
Medical care points
The Oregon disaster medical team will begin to arrive in six hours with ___ personnel and ___ personnel in 24 hours
6-12, 35
PFR can expect to provide medical support at MCP for the first ___ hours of operation
12
Multnomah county health system personnel will arrive in __ hours
6-12
