Vol 11-10-12 MCI/Terrorist Response Flashcards
The first arriving company at a terrorist incident shall be responsible for:
Size up
initiating the ICS
taking necessary actions appropriate for demands of incident
The department defines the START system as:
Simple triage and rapid treatment
On a terrorist incident the HMTF shall be responsible for:
Complete assessment of immediate hazard when a CBRNE agent is suspected or identified
Provide IC with technical assistance
Coordinate activities to minimize the effect of the hazards on life, health, the environment and property
Affect rescue in exclusion zone when not practical for personnel to do so
On a terrorist incident USAR companies and personnel shall:
Provide IC with technical assistance
Coordinate activities to accomplish the mission objectives when an explosive device or building collapse is involved
At a terrorist incident, the health hazmat division personnel shall provide:
IC with technical assistance
Authority to identify, mitigate, and remediate CBRNE hazards at scene
Recommend protective actions
Evaluate the effectiveness of decon
Also sworn personnel shall, at a minimum carry their ______ and one ______into rescue and non-apparent hazmat incidents that may have the potential for terrorist attack as discussed in the 11–10 – 1
APR
Mark 1 auto injector kit
At a terrorist incident, first responder shall begin FRO procedures involving:
SIN
Safety
Isolate & Deny Entry
Notifications
On a terrorist incident the first arriving company officer shall conduct _________ which will include:
Initial Size-Up
>Location by address or >intersection >Type of incident >Fire or no fire >Estimated number of victims: (signs and symptoms) >Special instructions
Suspected CBRNE Initial Response Operations, first arriving officer shall:
> Size-up
Initiate operational retreat
Begin emergency Decon if victims symptomatic
Anticipate resource needs to address MCI & mitigate event
activate MAC through C&C
Personnel shall begin emergency decon when victims appears symptomatic:(3)
1) establish exclusion zone and isolate & deny entry line to contain victims
2) establish emergency decon area large enough to encompass the number of victims and the equipment to provide emergency decon.
3) establish an SRA: a firefighter shall become SRA manager
First priority positions critical to success of an MCI are:
1) IC
2) MedCom Coordinator
3) Triage Unit Leader
In a terrorist event, if the first arriving company is required to _____________, command shall be passed to the 2nd arriving co. officer.
Begin emergency decon
Determine the response organization levels required based on the:
Demands of the incident
Terrorist Event
Assign positions of responsibility by priority:
First priority:
1) Medcom coordinator
2) triage unit leader
3) emergency decon manager, when applicable
Terrorist Event
Second Priority Assignments:(6)
1) GAC-Ground Ambulance Coord.
2) Triage Personnel
3) Litter teams
4) Medical Group Sup
5) Treatment Unit Leader
6) Staging Manager
Terrorist Event
Third Priority Assignments:(11)
1) Command Staff (SIL)
2) Ops Section Chief
3) MCI Branch Coordinator
4) Air Ops Branch Director, if need
5) PT Transportation Group Sup.
6) Air Ambulance Coordinator if need
7) Treatment Dispatch Manager
8) Treatment Managers:immed., delayed, minor
9) Medical Supply Officer
10) Morgue Manager
11) Other Branch Directors and/or div or group sups for HazMat, USAR, MCMD, etc
Terrorist incident
Request the following from command-and-control:
Communication plan
medical caches
additional resources per form 59 (MCI command worksheet)
Terrorist Incident
The IC shall:(6)
1) determine response organization
2) be responsible for all commanding general staff responsibilities until additional resources arrive
3) assign positions of responsibility by priority
4) request comm plan, medical caches, and additional resources per form 59
5) establish staging and check in, and assign managers to each
6) establish an inner perimeter for control and request law enforcement to establish an outer perimeter
The START System is designed to be used by personnel with _______.
EMT-1 skills
There are 3 types of triage performed in the field:
Primary
secondary
tertiary
Evaluation of the patients relevant to resources, transportation, and available medical facilities
Tertiary
Rapid patient assessment and tagging that is START system
Primary
Sorting of patients for medical treatment as that treatment is available
Secondary
Four color-coded triage classifications of patients based on the severity or need for treatment during the initial triage:
Immediate- Red
Delayed: Yellow
Minor: Green
Deceased: Black
Patients who require aid, but their injuries are less severe
Delayed-Yellow
Patients requiring rapid assessment and medical intervention for survival
Immediate-Red