Module 6 Management Of Mass Casulaty Incidents Flashcards
Any incident that exceeds the responder’s or hospital’s capability to treat or transport (multiple-causality event)
Mass casualty incidents
____ is an important factor
The longer the delay in care for a seriously injured patient, the less chance for recovery.
Time
Governing principles is ___
to do the greatest good for the greatest number of casualties.
INCIDENT COMMAND SYSTEM CONSIDERATIONS
Emergency medical services
Fire and rescue
Police officers
Specialized teams and public services
Hospital
first responders, triage, ambulance service
Emergency Medical Services
will perform all initial rescue- related operations, as well as fire suppression and prevention.
Fire and Rescue
will secure and control access to the scene, to ensure safety and smooth operations.
Police Officers
Red Cross, Medical Reserve Corps, NGO, etc.
Specialized Teams and Public Services
will have a mass casualty incident protocol which they initiate as soon as they are notified of an MCI in their community.
Hospitals
COMPONENTS OF MCI
• Initial Triage
• Patient Extrication
• Secondary Triage/Medical Treatment
• Transportation of Victim
How many levels are there in MCI?
5
Incident will require local resources and responding agencies
• It may require additional resources _____
• Size: _ to _ patients
• Hospitals: notification to local hospitals in area _____
__ advance life support transport units
__ engine companies
__ nearest hospitals will be notified
MCI Level 1
Within the region
5 to 10
near the location of incident
4
2
2
• It may require additional resources _____
• Size: _ to _ patients
__ ALS transport units
Engine companies
Command staff per local protocol
__ nearest hospitals, trauma center and local emergency management office will be notified
MCI Level 2
Within the region
10 to 20
6
3
• Incident will require _____ resources and responding agencies. This may require additional resources in adjacent regions.
• Size: ___ to ___ patients
__ ALS transport units
__ Engine companies
Command staff per local protocol
__ nearest hospitals, trauma center and local emergency management office will be notified
MCI Level 3
Multiple regional
20-100 patients
8
4
4
• Incident will require _____ resources and responding agencies.
• Size: ___-___ patients
__ MCI Task forces
__ closest hospital and __ trauma centers will be notifies
MCI Level 4
Multiple regional
100-1000
5
10-5
• Incident will require ____
• Size: greater than ____ patients
___ MCI task forces
Notify ___ nearest hospitals and ___ trauma centers
MCI Level 5
Nationwide resources
Greater than 1000
10
20-10
Triage
- sick or injured, but expected to survive with or without care
- “walking wounded”
Minimal (green)
Triage
- requires care that can be safety delayed without affecting probability of survival
Delayed (yellow)
Triage
- requires immediate care for a good probability of survival
Immediate (red)
Triage
- a fatality with no intrinsic respiratory or no signs of life
Deceased (black)
4 site localization of decontamination
Hot zone
Warm
Cold
Clean
- Area immediately surrounding the incident site which primary contamination may occur
- first aid is limited to airway and hemorrhage control
Hot zone
- specific zone in the disaster area that first aider commence decontamination of victims
- surrounds hot zone
- where survivors and responding team and equipments are decontaminated
Warm zone
Uncontaminated area beyond the warm zone in which resources are assembled to support response
Cold zone
Area in the hospital where victims are sent following decontamination
Clean zone
Minimum core competencies
Performing nursing assessments
Performing nursing therapeutics
Exercising leadership and judgment
Catastrophic event where the number of burn victims exceed capacity of local burn center
Burn Mass Casualty Incident
Component of burn disaster plan
Preparedness/planning
Mitigation
Response
Management of mass casualty burn patient
Stop the burning process
Manage the ABC
Begin fluid resuscitation (Lactated Ringer)
Keep the patient warm
Evaluated for other life-threatening injuries
Lifts and carries
- fastest method for moving a victim in a short distance over a smooth surface
Ankle pull
Lifts and carries
- emergency rescue among children
Carry by extremities
Lifts and carries
- avoid smoke suffocation
Fireman’s drag
Lifts and carries
- narrow passages
Bearer’s alongside
