OP 4008 MCI

Question 1

Who gets triage tags on an MCI

Answer 1

Level 1 (3-14)  = Triage tags + EPCR
Level 2(15-49) or Level 3 (50 +)
Use one of the following
*Triage Tag
*MCI Patient Record
*MCI NonTransport Record

Question 2

MCI On Scene Report shall include…

Answer 2

Type of Incident
Correct Location
Hazards

Question 3

MCI Size up shall include…

Answer 3

Type of incident
# of patients
Severity of injuries
Declaration of an MCI
Rescue complexity
Hazard Assessment
Staging Location
ICP Location

Question 4

MCI Progress Report shall include…

Answer 4

Incident conditions update.
# of Patients - updated

Question 5

MCI Triage Colors / Condition

Answer 5

Initially 2 foot ribbon around arm.
Red =  immediate
Yellow =  Delayed
Green = Minor
Black = DOA
Blue = involved - not injured

Question 6

Who declares an MCI and when?

Answer 6

Incident commander declares an MCI when the # of patients exceeds capacity of the normal response.

Question 7

MCI 5 tactical elements?

Answer 7

CHRE-V
Command
Hazards
Rescue
EMS
Victim welfare

Question 8

MCI Traffic Plan

Answer 8

Communicate a staging location area that will not disrupt the incident.

Question 9

Definition of MCI

Answer 9

A suddenly occurring event that exceeds the capacity of the routine first response assignment.

Question 10

Those numbered and included in MCI count are…

Answer 10

Injured
AMA
DOA

Question 11

Triage Unit Leader Responsibilities

Answer 11

1. Determine resources required to conduct triage
2. Communicate resource requirements and status reports to Medical Group Sup
3. Implement Triage process.
4. Coordinate movement of patients to appropriate treatment area.
5. Maintain security and control of the Triage Area
6. Establish morgue if and assign morgue manager.

Question 12

What triage system do we use?

Answer 12

START Triage
RPM 
Respiration - 30 or less Immediate
Perfusion - Radial pulse
Mental Status - Can't follow simple commands

Question 13

What is Jump Start

Answer 13

Kids under 8

5 rescue breathes

Question 14

Initial triage count

Answer 14

Mark triage count cards

Question 15

Medical Group Supervisor responsibilities…

Answer 15

1. Manages org.
2. Oversees Triage, Treatment, Transport
3. Makes request for resources.
4. Identifies treatment areas

Question 16

Triage people base on….

Answer 16

How they present. Not their treatment.

Patient in C-spine doesn’t mean hey are delayed

Question 17

Treatment area considerations

Answer 17

Safe Location
Out of traffic flow
away from vehicle exhaust

Question 18

3, 6, 9 rule

Answer 18

Level 1 MCI - 3 Engines
Level 1 MCI - 6 Engines
Level 1 MCI - 9 Engines
Medic engines preferred

Question 19

After initial triage with ribbons apply triage tag in treatment area.

Answer 19

Then move patients

Question 20

Treatment Leader responsibilities

Answer 20

1. Direct patient loading areas
2. Identify treatment areas.
3. Coord. with Triage Unit Leader movement of patients to from triage to treatment.
4. Ensure enough staffing and resources
5. Continue assessment of patients.
6. Responsible for movement of pts from treatment to ambulances.

Question 21

Treatment Area Managers respons…..

Answer 21

1. Request and assign personnel to area
2. Ensure Treatment of Pts.
3. Prioritize patients for transport

Question 22

Patient Loading coordinator

Answer 22

Link between treatment and transport

Question 23

Med Comm

Answer 23

Reports to Transportation Unit leader
Person with most knowledge of the incident
Determine and maintain hospital availability status

Question 24

Level 1 MCI Response Level

Answer 24

1 BC
2 Engines
1 Support Companies
2 Ambulances
1 Amb. Sup

Question 25

Level 2 MCI Response Level

Answer 25

2 BC
5 Engines
2 Support Companies
1 Squad
5 Ambulances
2 Amb. Sup
1 Div. Chief

Question 26

Level 3 MCI Response Level

Answer 26

2 BC
10 Engines
2 Support Companies
1 Squad
8 Ambulances
3 Amb. Sup
1 Div. Chief