MCI Flashcards
What is a casualty collection point?
An area where patients are relocated that’s outside of the IDLH. Where safe triage can occur.
pg.2
“An area where patients are relocated that is outside of the Immediately Dangerous to Life and Health (IDLH)/hostile environment where safe triage can occur. On high-threat incidents, the initial CCP may be in a warm zone while awaiting extraction.”
On high threat incident the initial CCP maybe located where?
in a warm zone
PG.2
“On high-threat incidents, the initial CCP may be in a warm zone while awaiting extraction”.
What is the Patient Exit Point?
location through which the patient exits the scene via the transport unit (air or ground).
pg.2
“Patient Exit Point (PEP) – The physical location through which the patient exits the scene via the transport unit (air or ground). At the PEP, the transport stub is collected (by the Transport Recorder) from the disaster tag and affixed to the Transport Recorder Form. If available, the departure shall be scanned into the Patient Tracking System.”
Define Patient Tracking System?
electronic system used by NOVA for recording and tracking patients associated with an MCI.
pg.2
“Patient Tracking System – The electronic system used by NOVA for recording and tracking patients associated with an MCI. By entering information in to this system, users create a database of tracking information that can be used and accessed by all responding agencies to track the movement of patients.”
How does the Virginia office of emergency medical services define a MCI?
any incident that injures enough people to overwhelm resources usually available in a particular system or area.
pg.3
“The Virginia Office of Emergency Medical Services (VOEMS) defines a Multiple Casualty Incident (MCI) as, “any incident that injures enough people to overwhelm resources usually available in a particular system or area.”
Patients who receive the Immediate or Red designation can often only be saved by interventions that occur where?
at a hospital
pg.3
“Patients who receive the Immediate or Red designation can often only be saved by interventions that occur at a hospital; there is very little that can be done on the scene to improve their outcomes.”
Patient destinations are tracked through use of what?
triage tags, paper forms, and the electronic patient tracking system
pg.3
“Tracking patient destinations during a MCI incident is difficult. This manual establishes a method for emergency personnel to track patient destinations through the use of triage tags, paper forms, and the electronic patient tracking system. The information collected is used by the 2-1-1 Virginia call center which is the statewide system used by hospitals to facilitate family reunification.”
Special considerations by MCI type Chart
What is an EMS task force design to do?
Manage incidents with approximately 10 patients.
pg.4
“EMS TASK FORCE – Provides the resources to manage incidents with approximately 10 patients. Patients are assigned directly to EMS units and the incident should not require establishment of a Treatment area.”
What is the EMS task force compliment?
pg.4
§ 5 EMS Transport Units
§ 1 Battalion Chief
§ 1 EMS Supervisor/Command Staff
§ 2 Suppression Units
What is a MCI alarm decide to do?
Provides the resources to manage incidents with approximately 25 patients.
pg.5
“MCI ALARM – Provides the resources to manage incidents with approximately 25 patients. The initial MCI alarm assignment is designed to complete the structure of the EMS Branch.”
MCI alarm complement?
pg.5
§ 10 EMS Transport Units
§ 10 Suppression Units
§ 1 Battalion Chief
§ 3 EMS Supervisors / Command Staff
§ 1 Mobile Command Unit
§ 1 Green (Civilian) Transport Bus
§ 1 Medical Care Support Unit (MCSU)
§ 1 Medical Ambulance Bus (MAB)
What are 2nd and Subsequenr MCI Alarms designed to do?
Manage an additional 25 patients.
pg.5
“2ND AND SUBSEQUENT MCI ALARMS – Provides the resources to supplement the initial MCI Alarm and is designed to manage approximately 25 additional patients.”
2ND AND SUBSEQUENT MCI ALARMS complement?
pg.5
§ 10 EMS Transport Units
§ 5 Suppression Units
§ 1 Medical Care Support Unit (MCSU)
§ 1 Medical Ambulance Bus (MAB)
§ 1 Green (Civilian) Transport Bus
Which unit establishes command and initiate’s the Five S’s?
1st arriving unit
pg.6
“The first arriving unit, on the original incident, is to initiate the Five S’s and shall establish command per the NOVA Command Officer Operations Manual Guidelines”
What are the five S’s?
Safety
Size up
Send
Set up
Start
pg.6
Single transportation area:
pg.8
Who does the EMS branch director report to?
Operations Section Chief or to the IC
pg.9
“The EMS Branch Director is established by the first arriving Battalion Chief on the initial MCI alarm and reports to the Operations Section Chief or to the IC. This position manages the Medical Group and Transportation Group Supervisors.”
Who does the transportation group supervisor report to?
The Transportation Group Supervisor reports to the EMS Branch Director
pg.9/10
“The Transportation Group Supervisor reports to the EMS Branch Director and supervises the Medical Communications Coordinator, the Transport Recorder, and the Ambulance Coordinator. In the EMS Branch, there shall only be one Transportation Group Supervisor regardless of size or scope of the incident.”
Transport recorder critical responsibilities:
pg.11
Critical responsibilities:
§ Ensure a disaster tag is attached to each patient.
§ At a minimum, the transport record must have the following fields completed:
o Patient sex
o Destination
o Transportation Agency/Unit
o Departure Time/ Time Out
o Triage Status
§ Use a separate Transport Recorder Form (Appendix F) for each destination hospital.
§ Affix the disaster tag Transport Record stub to the appropriate Transport Recorder Form.
§ Enter the Transport Record Stub information into the Patient Tracking System.
Communications:
§ Channel: Transportation
