SOP #34: Mass Casualty Incident Operations

Question 1

The Incident commander shall make the declaration of MCI when?

Answer 1

the number of patients exceeds the resources available

Question 2

How will size-up be done at a MCI?

Answer 2

in accordance w/ determination of the resources that can be reasonably expected to respond within the first fifteen minutes.

Question 3

What is the only EMT Skill that will be denied to victims of a MCI?

Answer 3

CPR

Question 4

What are the three (3) lifesaving skills addressed by the primary triage process?

Answer 4

bleeding
airway
rapid deterioration of vitals due to shock

Question 5

Which one will be treated first, victims with arterial bleeding or victims with cardiac arrest?

Answer 5

Arterial bleeding

Question 6

What are the five (5) levels of MCIs?

Answer 6

Level 1: 0-10 w/o special circumstances
Level 2 : 11-30
Level 3: 31 - 50
level 4 : 51 - 100
Level 5: 100 patients or more

Question 7

The EMS sector officer will assign and supervise?

Answer 7

Primary Triage Officer
secondary triage officer
treatment officer
transport officer
loading officer

Question 8

What is the role of the primary triage officer?

Answer 8

Sort out those victims w/ immediate life-threatening problems w/ high probability of survival in the condition is attended to immediately

Question 9

What should be used to to perform a rapid survey of each victim?

Answer 9

Simple triage and Rapid Treatment (START)
identify obvious life threatening conditions

Question 10

What is the responsibility of the secondary triage officer?

Answer 10

• Determines the order of patient evacuation from the scene to treatment area
• supervises ff assigned to tag patients
• sort victims for priority evacuation

Question 11

What is METTAG?

Answer 11

Medical emergency triage tags

Question 12

What should the secondary triage officer do?

Answer 12

a. View all patients
b. classify all patients according to their need for treatment
c. tag all patients w/METTAG

Question 13

What are the roles of the treatment officer?

Answer 13

• establish, identify, mark and supervise the treatment area
• receive and review condition of all patients
• ensure proper security of the treatment area thru IC

Question 14

What are the roles of the transport officer?

Answer 14

assign rescue companies and ambulance crews to transport patients and to which hospital

identify and mark loading point adjacent to patient treatment area

Question 15

What information will the transport officer communicate to the hospital?

Answer 15

a. METTAG Number
b. Age/sex of pt.
c. major injury
d. departure time

Question 16

What are the four (4) types of METTAGs?

Answer 16

Category 0: Black = Dead
Category 1: Red = Rapid Transport, Patient in immediate need of care
Category 2: Yellow = Delayed Transport, patient not in jeopardy
Category 3: Green = Patient remains with minor injuries