MCI Flashcards
An area where patients are relocated outside the ID LH/hostile environment where safe triage can occur.
Casualty Collection Point (CCP)
What is the immediate area of an incident scene where the patient received their injuries and were initially found?
The impact area
The physical location where the patient exits the scene via transport unit
Patient Exit Point (PEP)
What is the goal of crisis standard of care?
To provide the greatest good for the greatest number of people affected by the incident
What is the number of families call to get information and loved ones involved in MCI’s?
211
What are the three types of MCI with special considerations?
- Hazardous materials incident. 2. High threat environments. 3. Evacuation of a medical facility.
What is unique to a hazardous materials incident MCI?
Patients will go through appropriate Decon prior to being moved to the CCP.
How many patients can EMS task force handle?
Approximately 10
What units are dispatched for an EMS task force?
5 transports. 1 BC. 1 EMS Supervisor. 2 Suppression units.
How many patients can an MCI alarm treat?
Approximately 25.
What units are dispatched for an MCI alarm?
10 EMS transport units.
10 Suppression units.
1 BC.
3 EMS supervisor.
1 Mobile command unit.
1 Green (civilian) transport bus.
1 Medical care support unit (MCSU.)
1 Medical ambulance bus (MAB)
What units are dispatched for the second and subsequent MCI alarms?
10 EMS transport units. 5 suppression units. 1 MCSU. 1 MAB. 1 Civilian transport bus
What are the Five S’s that should be initiated by the first arriving unit?
Safety (identify threat, warn incoming units) . Size up (number and severity of victims). Send (situation support, additional units/alarm, activate rhcc, announce patient tracking system) Set up (staging area/scene access/egress.) Start (initiate triage.
How many tactical channels will an MCI have?
Three. EMS branch, transportation group, and medical group.
Who will serve the role of staging manager?
Whomever the incident commander assigns or the first suppression unit officer to arrive at the staging location if no assignment was made.
What units on an MCI alarm response are designated to report to staging?
8,9,10 suppression units.
Who establishes the EMS branch director?
The first arriving BC on the initial MCI alarm
What does the EMS branch directly manage?
The medical group and the transportation group supervisors.
What is the transportation group responsible for?
Set up an operation of the transportation section including coordinating and tracking patient transport.
Who is assigned to the transportation group?
First arriving transport unit, first arriving EMS supervisor, the second and seventh arriving Suppression units.
What is the overall goal of the transportation group?
To expedite transportation for the most critically injured
Who assumes the role of the transportation group supervisor?
The first arriving EMS supervisor.
Who assumes the role of the medical communications director?
First arriving transport unit OIC.
Who does the transportation group supervisor supervise?
Medical communications coordinator (1st transport OIC).
Transport recorder(first transport driver).
Ambulance coordinator(2nd suppression oic).
What is the medical communications coordinator role?
To maintain a count of available beds via communications with the RHCC
Regardless of the size or scope of an MCI Incident, in the EMS branch there shall only be _____ transportation group supervisor and medical communications coordinator.
1
Who assumes the role of transport recorder?
The driver of the first arriving transport unit.
What is the transport recorders responsibility?
Ensuring a disaster tag is applied and completed for each patient.
What is the minimum information that a patients disaster tag must have completed?
- Sex. 2. Destination. 3. Transport agency/unit. 4. Departure time/time out. 5. Triage status.
Who assumes the role of ambulance coordinator?
The OIC of the second arriving suppression unit.
What are the ambulance coordinators responsibilities?
Manage the access, egress, positioning, and loading of transport units
Who will assume the role of air ambulance coordinator?
A member of the suppression unit assigned to the landing zone
Who assume the role of transport loaders?
Personnel from the second and seventh Suppression unit.
Are direct communications with the destinations hospitals necessary for an MCI?
No, as the information is relayed by RHCC
The medical group supervisor supervises who?
Triage unit leader. Treatment unit leader. Morgue manager. Medical supply coordinator
How many people comprise an effective triage crew?
2-3.
What is the initial treatment limited to?
Life-saving interventions: 1. position air way. 2. Deliver five rescue breaths for jumpstart. 3. Control severe bleeding with tourniquet or pressure. 4. Chest seal if available.
Who is assigned the role of treatment unit leader?
Initially the OIC of the fourth arriving suppression unit. Assumed by the third arriving EMS supervisor
Who supervises the set up of the different treatment areas/treatment of patients and prioritizes patients for transport?
Immediate (red)treatment area manager, delayed (yellow) treatment area manager, minor (green) treatment area manager
What does the green treatment area manager distribute?
Self care kits.
What is the first suppression units assignment?
Triage Unit Leader
What is the second suppression units assignment?
Ambulance coordinator
What is the 3rd suppression unit assignement?
Report to triage. Act as porters or triage crew
What is the 4th suppression unit assignment?
Treatment Unit Leader
What is the 5th suppression unit assignment?
Report to triage. Act as porters or triage crew
What is the sixth suppression unit assignment?
Report to treatment
What is the 7th suppression unit assignment?
Report to Ambulance Coordinator. Act as loaders
what is the 8th -10th suppression unit assignments?
Report to staging, establish if not already done.
What is the 1st EMS transport unit assignment?
Establish transportation group (Medical Communications & Transport Recorder)
What are the remaining transport units assignments?
Report to tranportation corridor or staging as directed by the transportation group supervisor
What is the 1st EMS Supv’s role?
Transportation group supervisor
What is the 2nd EMS Supv’s role?
Establish Medical Group Supervisor
What is the 3rd EMS Supv’s role?
Assume treatment unit leader
What is the 1st BC’s assignment?
Establish EMS Branch
How long will an incident record be maintained by RHCC?
7 years minimum
What is unique to a hazardous materials incident MCI?
Patients will go through appropriate Decon prior to being moved to the CCP. Pg 4
Who does our RHCC provide bed availability for?
The five hospitals and two trauma centers closest to the incident. Page 10
Who establishes the role of medical group supervisor?
2nd arriving EMS supervisor
Who establishes the role of triage unit leader?
OIC of the first arriving Suppression unit on the initial MCI alarm. Page 14
Who does the triage unit leader supervise?
Porters and triage crews. Pg 14
Where should the MCSU position?
In proximity to the Red and Yellow treatment area(s).
Who assumes the role of medical supply coordinator?
OIC of the first arriving MCSU. Page 17
Who relieves the morgue manager?
Law enforcement
What if an incident requires multiple treatment and transport locations?
Then additional medical divisions and transport units for each geographic area must be created. Page 20
What are the NIMS typing for MCSU (medical care support unit)?
Level 1+= 200 patients.
Level 1=100 patients.
Level 2= 50 patients.
Level 3 = 25 patients.
Page 27
Rhcc gives bed availability for patients they can handle within the next ___ minutes.
30 minutes
When will RHCC be activated?
- single non-hazmat event involving 10 or more patients or were three or more hospitals will receive patients.
- A single hazmat event involving three or more patients.
- Incident involving category a biological agent.
- Incident where USAR has been activated in the region.
- Incident where a MCU, task force or equivalent are activated.
- Incident where CHEMPACK or MMRS cash is accessed or requested.
- When EEOC has activated and staffed the health and medical services function.
Pg 53
