MCI Flashcards
Incident Command System
• Assumption of command • Designation and coordination of: – Triage – Treatment – Transport – Staging
Incident Commander (IC)
Coordinates all scene activities
• Also called Incident Manager (IM) or Officer in Charge (OIC)
• Has the ultimate authority for decision making at scene
– May delegate certain functions to others
Singular command
– One person coordinates the incident.
– Most useful in smaller, single-jurisdictional incidents.
Unified command
– Managers from different jurisdictions share command.
• Fire, EMS, law enforcement
Establishing Command
- First arriving unit establishes command.
- Assign command early in an incident.
- Establish a command post.
Primary Staging
– As close to the scene as possible
– Quick, easy access to the scene
– Good access and exit areas
Secondary
– Different direction than primary staging
– Provides a contingency plan if conditions change
Command Procedures
• All personnel must be recognizable at a scene
– Reflective vests
• Use a worksheet or clipboard
• Command is only transferred with a short but complete briefing of the incident
Termination of Command
• As the incident progresses, resources will be reassigned or released
• Roles may be redefined
• Demobilized resources
– Personnel, vehicles and equipment released for use out side of the incident
EMS Branch Functions
- Triage
- Treatment
- Transport
- Staging
Triage
Sorting of patients based upon the severity of their injuries
Primary triage
Takes place early in the incident, usually on first arrival
Secondary triage
Takes place after patients are moved to a treatment area
START System
– Ability to walk
– Respiratory effort
– Pulses/ perfusions
– Neurological status
Triage Tagging
- Alerts care providers to patient priority
- Prevents re-triage of the same patient
- Serves as a tracking system
Red treatment unit
Provides care for all critical patients
Yellow treatment unit
Noncritical patients that still require stabilization
Green treatment unit
Ambulatory patients
Multiple Casualty Incident (MCI)
- Incident that generates large number of patients
* Traditional EMS response tends to be ineffective because of the nature of the incident
START
Simple Triage and Rapid Transport