UNIT 5 - Mass Casualty Management

Question 1

There is a link between the

Answer 1

Acute Treatment Manager (ATM) and the A & E Department or hospital command post

Question 2

Patient movement must be in one way direction

Answer 2

From impact site to collecting point to AMP, to treatment area to evacuation area to hospital receiving area to appropriate care area

Question 3

Hospital Mass Casualty Management Plan

Answer 3

Alerting Process
Mobilization
Hospital Command Post
Receiving facility

Question 4

Hospital Command Post

Answer 4

Should be able to accommodate 10 persons
     • Hospital Director / CEO
     • Medical Superintendent
     • Matron/Director of Nursing Services/PNO
     • Secretary
     • Spokesperson

Question 5

Different Approaches to Mass Casualty Incidents

Answer 5

Basic Approach
Classical Care Approach
Mass Casualty Management Approach

Question 6

Problems in Developing Mass Casualty Management

Answer 6

Limited Human Resources
Limited Material Resources
Poor communications

Question 7

Mass casualty management can be broken down into 3 broad elements

Answer 7

1. Field Management
2. Transfer Organization
3. Hospital Organization

Question 8

Field management is divided into

Answer 8

Field organization
Management of victims
Field management plan

Question 9

Field organization is divided into

Answer 9

Alerting process
Pre-identification of field areas
Safety
Security measures
Command post

Question 10

Initial assessment

Answer 10

Precise location of the event
Time of the event
Type of incident
Estimated number of casualties
Added potential risk
Exposed population

Question 11

Field areas

Answer 11

Impact zone
Command post area
Advance medical post area
Evacuation area
VIP and press area
Access roads

Question 12

One-site triage

Answer 12

T one

Question 13

Medical triage

Answer 13

T two

Question 14

Evacuation triage

Answer 14

T three

Question 15

Red

Answer 15

Required immediate stabilization care

Includes victims with:

• Shock status
• Respiratory distress
• Head injury with unequal pupils
• Major external bleeding

Question 16

Yellow

Answer 16

Requires close monitoring
Care can be somewhat delayed

Includes victims with:
  Risk of shock
  Compound factures
  Femur/pelvic fractures
  Severe burns
  Unconscious/head injury 
  Victims with uncertain status

Question 17

Green

Answer 17

Requires delayed or no treatment

Includes victims with:

 Minor fractures
 Minor wounds and burns