Multiple Casualty Incident Manual Flashcards
Special Considerations for HazMat Incidents?
High Threat Environments?
Evacuation of Medical Facilities?
- 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.
EMS Task Force
10 patients max
5 ems transports
1 BC
1 EMS Supv
2 Suppression Units
MCi Alarm
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)
2nd & Subsequent MCI Alarms
10 EMS transports
5 Suppression units
1 Medical Care Support Unit (MCSU)
1 Medical Ambulance Bus (MAB)
1 Green (Civilian) Transport Bus
Five S’s of MCI
Safety
Size Up
Send
Set Up
Start
Safety Actions
Identify IDLH/ Threat & warn incoming units of hazard
Size Up Actions
Determine the need for additional resources
Approximate the number & severity of victims
Send Actions
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
Set Up Actions
Set up a Staging area
Set up Access & Egress
Set up
Start Actions
Start Triage
The Ambulance Coordinator is established by…
The OIC of the 2nd arriving suppression unit.
The Air Ambulance Coordinator will be..?
A member of the suppression unit assigned to the Landing Zone
Transport Loaders are personnel from which units?
The 2nd & 7th arriving suppression units and report to the Ambulance Coordinator.
The Triage Unit Leader is established by…?
The OIC of the first arriving suppression unit and reports to the Medical Group Supervisor
Who establishes the Treatment Unit Leader
Fourth arriving suppression unit OIC and assumed but the 3rd EMS Supv
What are Red, Yellow & Green classifications?
Red = Immediate
Yellow = Delayed
Green = Minor
Unit Assignments
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
Definition of MCI
Any incident that injures enough people to overwhelm resources usually available in a particular area.
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.
Crisi Standard Care
MCI Types Hazmat
-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.
MCI High Threat Environments
-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
Who is the Staging Manager if unassigned & what other units report to staging?
OIC of the 1st suppression unit. Eight, Ninth & Tenth arriving suppression units.
The EMS Branch Director is established by the _____ ________ _________ _____ on the initial MCI alarm and reports to the Operations Section Chief or to the IC
First arriving Battalion Chief
What resources are assigned to the Transportation Group?
1st arriving Transport Unit
1st arriving EMS Supv
2nd & 7th arriving Suppression Units
TransportationGroup Supervisor is established by the ____ _______ ______ _____ and will be assumed by the _____ ______ ___ _______.
1st arriving Transport Unit, 1st arriving EMS Supv
The transport recorder is established by the ____ __ ___ ____ ________ ______ _____.
Driver of the first arriving transport unit.
The Ambulance coordinator is established by the ….?
OIC of the 2nd arriving suppression unit
The 2nd arriving EMS supervisor on the initial MCI alarm becomes the…?
Medical Group Supervisor
The triage unit is staffed by personnel from the _____ _ ____ arriving suppression units on the initial MCI alarm.
First & Fifith
Initial treatment (Triage) should be limited to appropriate lifesaving interventions. These are…?
-Position the airway
-Deliver 5 rescue breaths
-Control severe bleeding (tourniquet or pressure)
-Chest seals if available
The Treatment Unit Leader is initially established by the ___ __ ___ _______ ________ ________ ______.
Fourth arriving Suppression Unit
The Treatment Unit is staffed by?
The 4th & 6th arriving suppression units
The Medical Supply Coordinator is established by the…?
OIC of the 1st arriving Mass Casualty Support Unit
