MCI Flashcards
When should you consider invoking an MCI?
Greater than 5 patients
MCI, what is it?
Potential patient load issue
Scene management issue
Requiring resources exceeding those normally available
Incident that overwhelms available resources
Disaster
Boston disasters
Marathon, Boston callng, 4th of July, snowstorm, new years, Carribean festival
Active versus contained MCI
Active is an incident that has a potential to be an ongoing event
Contained, happens then it is over
MCI disaster stages
Alarm: Plannining, mutual aid plan, warning
Working: Moment start dedicating asessts, evacuation, event response
De-escalaion:recovery, restoration (infastructure, daily service)
When does an MCI enter the working phase?
The moment start dedicating asessts
Components of national incident management system
Standardization: Terms, training, positions
Flexibility: Expand, contract. Utilize components as needed
Unified command structure: At large scale event everyone wants to have a voice. There is uaully a lead agency
Span of control: Accountability, safety issue (4-8 units under 1 person)
Incident action plan: objectives, progress, communication
Incident command system, EMS incident
Command: Safety, Public Information Officer, Intelligence. I/C is first thing that is populated
Field operations: triage, treatment, transport (staging, loading)
Dispatch operations: Communications, interoperability BAMA
Special Operatings
Logistics: Buying stuff and allocating stuff. Ensuring needs are met
Planning: will be implemented if there is a long term event. Done proactively before event occurs
Administration
MCI-First arrving unit
I/C and triage officer
METHANE
Major incident Exact location Type of incident Hazards Access Number of patients Emergency services needed
Name of the incident is determined by the ___. What is the name usually?
I/C
Usually location specific “Kenmore I/C”
Sectors to be established in an MCI
Incident operations area-event and surrounding area
Command post (outside of incident and identifiable)
Treatment area-loading area needs to be close to treatment area
Staging area
First done to any patient entering the treatment area
Secondary triage
Who does the treatment area transition to?
First arriving paramedic
Who does the triage transition to
First arriving unit, then operations staff after (supervisor)
Transportation-who does it go to
Second arriving unit then second arriving lieutenant
Who coordinates with CMED?
Transportation officer
Who does loading?
Second or third arriving unit
Next arriving supervisor
Loading should be responsible for___
Record keeping
Also groups patients for compatability and transports
Two rules of triage
Rule 1: Greatest good for the greatest number
Rule 2: Life before limb
Moving from one patient to the other very quickly
Airway and tourniquets only
Sweep triage
