MCI

Question 1

When should you consider invoking an MCI?

Answer 1

Greater than 5 patients

Question 2

MCI, what is it?

Answer 2

Potential patient load issue
Scene management issue
Requiring resources exceeding those normally available

Question 3

Incident that overwhelms available resources

Answer 3

Disaster

Question 4

Boston disasters

Answer 4

Marathon, Boston callng, 4th of July, snowstorm, new years, Carribean festival

Question 5

Active versus contained MCI

Answer 5

Active is an incident that has a potential to be an ongoing event
Contained, happens then it is over

Question 6

MCI disaster stages

Answer 6

Alarm: Plannining, mutual aid plan, warning
Working: Moment start dedicating asessts, evacuation, event response
De-escalaion:recovery, restoration (infastructure, daily service)

Question 7

When does an MCI enter the working phase?

Answer 7

The moment start dedicating asessts

Question 8

Components of national incident management system

Answer 8

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

Question 9

Incident command system, EMS incident

Answer 9

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

Question 10

MCI-First arrving unit

Answer 10

I/C and triage officer

Question 11

METHANE

Answer 11

Major incident
Exact location
Type of incident
Hazards
Access
Number of patients 
Emergency services needed

Question 12

Name of the incident is determined by the ___. What is the name usually?

Answer 12

I/C

Usually location specific “Kenmore I/C”

Question 13

Sectors to be established in an MCI

Answer 13

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

Question 14

First done to any patient entering the treatment area

Answer 14

Secondary triage

Question 15

Who does the treatment area transition to?

Answer 15

First arriving paramedic

Question 16

Who does the triage transition to

Answer 16

First arriving unit, then operations staff after (supervisor)

Question 17

Transportation-who does it go to

Answer 17

Second arriving unit then second arriving lieutenant

Question 18

Who coordinates with CMED?

Answer 18

Transportation officer

Question 19

Who does loading?

Answer 19

Second or third arriving unit

Next arriving supervisor

Question 20

Loading should be responsible for___

Answer 20

Record keeping

Also groups patients for compatability and transports

Question 21

Two rules of triage

Answer 21

Rule 1: Greatest good for the greatest number

Rule 2: Life before limb

Question 22

Moving from one patient to the other very quickly

Airway and tourniquets only

Answer 22

Sweep triage