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
Incident Commander critical responsibilities:
pg.7
§ Early recognition and declaration of a MCI.
§ Ensure resources meet incident demands.
§ Establish and announce the Staging Area and Incident Entry Point.
§ Maintain incident egress for transport units.
§ Establish appropriate Branches, Groups, and Divisions.
§ Manage and direct the initial MCI Alarm until the EMS Branch Director position has
been established by the Battalion Chief on the MCI Alarm.
Additional responsibilities:
§ Ensure dedicated MCI tactical channels for the EMS Branch, Transportation Group, and Medical Group have been established.
§ Establish and announce a Casualty Collection Point if required.
§ Ensures RHCC has been alerted.
Communications:
§ Channels: Operations, Command
Who has the option to assign a staging manager?
The Incident Commander or Operations Chief
pg.7
“The Incident Commander or Operations Chief has the option to assign a Staging Manager (Staging). In the absence of such an assignment, the first suppression unit officer to arrive at the staging area shall assume or assign the role of Staging Manager for the duration of the incident. Depending on the size and complexity of the incident, a single crew member or the entire crew may be used to manage the staging or base functions of the incident. Requests for additional transport units may come directly from the Transportation Group Supervisor.”
During a MCI alarm response the 8th, 9th and 10th arriving suppression units are designated to report where?
Staging.
pg.7
“During an MCI Alarm response, the eighth, ninth, and tenth arriving suppression units are designated to report to staging.”
Staging manager critical responsibilities:
pg.8
§ Establish staging area.
§ Use the Staging Manager Form (Appendix F).
§ Respond to requests for resource assignments from IC, Operations, or the Transportation
Group Supervisor.
§ In the event of multiple Transportation Areas, direct transport units to the appropriate
transportation area as directed by the Transportation Group Supervisor.
§ Ensure units leaving Staging Area switch to the appropriate channel.
§ Advise the Operations Section when apparatus reserves reach minimum levels as
established by the Incident Commander.
Communications:
§ Channel: Command
Single transportation area:
pg.8
Who does the EMS branch director manage?
Medical Group and Transportation Group Supervisors
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 establishes the EMS branch director?
first arriving Battalion Chief on the initial MCI alarm
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 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.”
EMS Branch Director critical responsibilities:
pg.9
Critical responsibilities:
§ Obtain EMS Branch Command Board.
§ Ensure dedicated Transportation Group and Medical Group tactical channels have been
assigned.
§ Assign Units to MCI positions as designated in the MCI Quick Reference Guide included
as Appendix A. (Suppression unit assignments may be modified based on incident
priorities.)
§ Coordinate actions of the Transportation and Medical Groups.
§ Request resources from Operations Section Chief or Incident Commander to meet current
and anticipated Transport Unit and personnel needs.
Additional responsibilities:
§ Anticipate needs of persons not requiring medical transport.
§ Ensure that a patient tracking event has been announced to responding units.
Communications:
§ Channels: Operations, EMS Branch
What is the transportation group responsible for?
set up and operation of the transportation section, to include coordinating and tracking patient transportation.
pg.9
The Transportation Group is responsible for the set up and operation of the transportation section, to include coordinating and tracking patient transportation. Resources assigned are the first arriving Transport Unit, the first arriving EMS Supervisor, and the second and seventh arriving Suppression Units. The overall goal of the Transportation Group is to expedite transportation for the most critically injured. This group is essential to moving units and patients in and out of the scene efficiently.”
What resources are assigned to the transportation group?
first arriving Transport Unit, the first arriving EMS Supervisor, and the second and seventh arriving Suppression Units.
pg.9
“The Transportation Group is responsible for the set up and operation of the transportation section, to include coordinating and tracking patient transportation. Resources assigned are the first arriving Transport Unit, the first arriving EMS Supervisor, and the second and seventh arriving Suppression Units. The overall goal of the Transportation Group is to expedite transportation for the most critically injured. This group is essential to moving units and patients in and out of the scene efficiently.”
The transportation group supervisor is established by whom?
first arriving Transport Unit Officer/Attendant in Charge (OIC/AIC)
pg.9
“Transportation Group Supervisor is established by the first arriving Transport Unit Officer/Attendant in Charge (OIC/AIC) and will be assumed by the first arriving EMS Supervisor. The first arriving transport unit OIC/AIC will then become the Medical Communications Coordinator.”
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.”
Transportation Group Supervisor Critical responsibilities:
pg.10
§ Obtain Transportation Group Supervisor Command Board.
§ Request a dedicated Transportation Group radio channel via the chain of command.
§ Ensure designation of the PEP and Transportation Corridor.
§ Once established, direct incoming Transport Units to the Transportation Corridor.
§ Establish communications with RHCC (1-888-987-7422, or designated radio channel).
§ Acquire patient counts from the Medical Group Supervisor and request sufficient
Transport Units from Staging.
§ Coordinate with EMS Branch to ensure that the appropriate Patient Tracking incident
event has been announced.
Additional responsibilities:
§ Determine the need for and request resources for air ambulance operations.
§ In the event of multiple transport areas, direct transport units to the area with most critical
patients first.
§ At the conclusion of the incident, assist with the reconciliation of all casualty records
from treatment, triage, and transport.
Communications:
§ Channels: Transportation, EMS Branch, Command (Requesting Transport Units from Staging)
The medical communications coordinator is established whom?
by the AIC/OIC from the first arriving transport unit
pg.10
“The Medical Communications Coordinator (MCC) is established by the AIC/OIC from the first arriving transport unit once relieved from the role of Transportation Group Supervisor. The MCC maintains a count of available beds via communications with the RHCC. In the EMS Branch, there shall only be one MCC regardless of size or scope of the incident.”
Who maintains a count of available beds?
Medical communications coordinator.
pg.10
“The Medical Communications Coordinator (MCC) is established by the AIC/OIC from the first arriving transport unit once relieved from the role of Transportation Group Supervisor. The MCC maintains a count of available beds via communications with the RHCC. In the EMS Branch, there shall only be one MCC regardless of size or scope of the incident.”
Medical communications coordinator critical responsibilities:
§ Establish and maintain communications with RHCC (1-888-987-7422 or designated radio channel).
o RHCC will provide bed availability for the five hospitals and two trauma centers closest to the incident.
§ Advise RHCC if additional beds or hospitals will be required. Use the Medical Communications Coordinator Form (Appendix F) to maintain current status of receiving facility availability and capability.
§ Assign patient destination to transport units. Communications:
§ Channels: Transportation, RHCC, Medical Communications Liaison (only when multiple Transport Areas are established)
The transport recorder is established by whom?
driver-operator of the first arriving transport unit
pg.11
“The Transport Recorder is established by the driver-operator of the first arriving transport unit and reports to the Transportation Group Supervisor or Transportation Unit Leader.2 A Transport Recorder must be assigned to each PEP.
Some priority patients may bypass the Treatment Area and arrive at the PEP without having a disaster tag applied. The Transport Recorder must ensure a disaster tag is applied and completed.”
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
The ambulance coordinator is established by whom?
OIC of the second arriving suppression unit
pg.11/12
“The Ambulance Coordinator is established by the OIC of the second arriving suppression unit, reports to the Transportation Group Supervisor or Transportation Unit Leader3 and supervises the Transport Loaders. The Ambulance Coordinator manages the access, egress, positioning,
Ambulance Cordinator critical responsibilities :
pg.11/12
Critical responsibilities:
§ Designate and clearly mark transportation corridor points of entry, exit, and transport unit loading area.
§ Direct transport units where to park to receive patients.
§ Ensure efficient traffic flow in the transport corridor.
§ Direct Loaders to report to the Treatment Unit Leader to obtain a patient and exit through
the PEP.
Communications:
§ Channel: Transportation
Who does the air ambulance Coordinator report to?
Transportation group supervisor.
Page 12
The Air Ambulance Coordinator will be a member of the suppression unit assigned to the landing zone and reports to the Transportation Group Supervisor. The Air Ambulance Coordinator is the liaison between the air medical crews and the Transportation Group Supervisor.
Communications:
§ Channels: Transportation, Landing Zone
