Multiple Casualty Incident Manual

Question 1

Special Considerations for HazMat Incidents?
High Threat Environments?
Evacuation of Medical Facilities?

Answer 1

• Decon prior to moving patients. Casualty Collection Point between warm & cold zone.
  -Triage & normal MCI ops start when patients have been removed from structure
  -Follow facility’s leadership evacuation plan. Coordinate with RHCC for proper destinations.

Question 2

EMS Task Force

Answer 2

10 patients max
5 ems transports
1 BC
1 EMS Supv
2 Suppression Units

Question 3

MCi Alarm

Answer 3

25 Patients
10 ems transports
10 suppression units
1 BC
3 EMS Supvs
1 Mobile Command Unit
1 Green (civilian) transport bus
1 Medical Care Support Unit (MCSU)
1 Medical Ambulance (MAB)

Question 4

2nd & Subsequent MCI Alarms

Answer 4

10 EMS transports
5 Suppression units
1 Medical Care Support Unit (MCSU)
1 Medical Ambulance Bus (MAB)
1 Green (Civilian) Transport Bus

Question 5

Five S’s of MCI

Answer 5

Safety
Size Up
Send
Set Up
Start

Question 6

Safety Actions

Answer 6

Identify IDLH/ Threat & warn incoming units of hazard

Question 7

Size Up Actions

Answer 7

Determine the need for additional resources
Approximate the number & severity of victims

Question 8

Send Actions

Answer 8

Send a situation report.
Send for appropriate alarm based on the number of victims
Send activation of RHCC
Send which Patient Tracking event will be used

Question 9

Set Up Actions

Answer 9

Set up a Staging area
Set up Access & Egress
Set up

Question 10

Start Actions

Answer 10

Start Triage

Question 11

The Ambulance Coordinator is established by…

Answer 11

The OIC of the 2nd arriving suppression unit.

Question 12

The Air Ambulance Coordinator will be..?

Answer 12

A member of the suppression unit assigned to the Landing Zone

Question 13

Transport Loaders are personnel from which units?

Answer 13

The 2nd & 7th arriving suppression units and report to the Ambulance Coordinator.

Question 14

The Triage Unit Leader is established by…?

Answer 14

The OIC of the first arriving suppression unit and reports to the Medical Group Supervisor

Question 15

Who establishes the Treatment Unit Leader

Answer 15

Fourth arriving suppression unit OIC and assumed but the 3rd EMS Supv

Question 16

What are Red, Yellow & Green classifications?

Answer 16

Red = Immediate
Yellow = Delayed
Green = Minor

Question 17

Unit Assignments

Answer 17

1st Suppression = Triage Unit leader
2nd Suppression = Ambulance Coordinator
3rd Suppression = Report to Triage
4th Suppression = Treatment Unit Leader
5th Suppression = Report to Triage
6th Suppression = Report to Treatment
7th Suppression = Report to Ambulance Coordinator
8th -10th = Report to staging & establish if not done already
1st EMS Unit= Establish Transportation Group

Question 18

Definition of MCI

Answer 18

Any incident that injures enough people to overwhelm resources usually available in a particular area.

Question 19

The focus of emergency personnel will be to provide limited, life saving interventions and to transport the most seriously injured patients off the scene as quickly as possible.

Answer 19

Crisi Standard Care

Question 20

MCI Types Hazmat

Answer 20

-Patients will be decontaminated prior to being moved to the Casualty Collection Point
-Casualty Collection Point should be established at the transition between the warm & cold zone.
-Triage & normal MCI operations will begin at the CCP after Decon.

Question 21

MCI High Threat Environments

Answer 21

-Initial arrival units will follow Joint Action Guide
-Evac teams remove patient from structure /warm zone to CCP
-Initial CCP may be in warm zone while awaiting extraction.
-Triage & normla MCi operations begin in the CCP

Question 22

Who is the Staging Manager if unassigned & what other units report to staging?

Answer 22

OIC of the 1st suppression unit. Eight, Ninth & Tenth arriving suppression units.

Question 23

The EMS Branch Director is established by the _____ ________ _________ _____ on the initial MCI alarm and reports to the Operations Section Chief or to the IC

Answer 23

First arriving Battalion Chief

Question 24

What resources are assigned to the Transportation Group?

Answer 24

1st arriving Transport Unit
1st arriving EMS Supv
2nd & 7th arriving Suppression Units

Question 25

TransportationGroup Supervisor is established by the ____ _______ ______ _____ and will be assumed by the _____ ______ ___ _______.

Answer 25

1st arriving Transport Unit, 1st arriving EMS Supv

Question 26

The transport recorder is established by the ____ __ ___ ____ ________ ______ _____.

Answer 26

Driver of the first arriving transport unit.

Question 27

The Ambulance coordinator is established by the ….?

Answer 27

OIC of the 2nd arriving suppression unit

Question 28

The 2nd arriving EMS supervisor on the initial MCI alarm becomes the…?

Answer 28

Medical Group Supervisor

Question 29

The triage unit is staffed by personnel from the _____ _ ____ arriving suppression units on the initial MCI alarm.

Answer 29

First & Fifith

Question 30

Initial treatment (Triage) should be limited to appropriate lifesaving interventions. These are…?

Answer 30

-Position the airway
-Deliver 5 rescue breaths
-Control severe bleeding (tourniquet or pressure)
-Chest seals if available

Question 31

The Treatment Unit Leader is initially established by the ___ __ ___ _______ ________ ________ ______.

Answer 31

Fourth arriving Suppression Unit

Question 32

The Treatment Unit is staffed by?

Answer 32

The 4th & 6th arriving suppression units

Question 33

The Medical Supply Coordinator is established by the…?

Answer 33

OIC of the 1st arriving Mass Casualty Support Unit