MASS CASUALTY INCIDENT (MCI)
|
|
- Shannon Owen
- 8 years ago
- Views:
Transcription
1 MASS CASUALTY INCIDENT (MCI) AN OVERVIEW Atlanta bus crash (internet photo) wikimedia.org Jim Thomas, Captain EMT-B, EMSI, FF2, FSI, FI
2 As emergency responders, we all respond to hundreds of emergency calls every year, and we have attended many thousands of alarms throughout our careers. A reasonable number of these emergency calls are not serious; maybe a tripped private alarm, a false CO alarm, an overheated automobile on the highway, a routine frequent flyer emergency medical call. Most are simply public relations opportunities, but they are, of course, still important. At times we actually get something; maybe we respond to a house fire or a damage accident, or we run a good code. We certainly can bring these incidents to successful conclusion effortlessly, but at the end of the day, that is what the public expects. We will not be judged on those routine undertakings. Our true value as emergency responders will be revealed in our ability to handle more extreme circumstances. There is one type of emergency that many of us may respond and therefore must be ready for: a true Mass Casualty Incident (MCI). We constantly practice and prepare for the routine incidents. We study our protocol books, participate in station drills on firefighting tactics, attend classes to stay sharp on medical emergencies, practice with ladders, etc. However, we must not forget to practice our MCI-related skills as well. This module provides an overview of Mass Casualty Incident components with respect to emergency medical response. Components include: INITIAL TRIAGE PATIENT EXTRACTION SECONDARY TRIAGE/MEDICAL TREATMENT TRANSPORTATION OF PATIENTS Lets get started. Mass Casualty Incident Defined - A Mass Casualty Incident (MCI) can be defined as an incident that has produced more casualties than a customary response assignment can handle. Types of incidents that can produce mass casualties include, but are not limited to: Multiple vehicle collision 2
3 Building collapse Mass transit accidents 3
4 CO Emergencies HAZMAT incidents WMD Multiple-shooting victims Chemical exposure Some of the above incidents can occur accidentally. Any of them can be intentionally caused. ICS CONSIDERATIONS Mass casualties create the need for expansion of the ICS to include a Medical Sector Officer to be appointed as soon as possible by the IC or Operations Officer. The Medical Officer shall in turn designate as needed: Triage Team(s), Treatment Team(s), and a Transport Officer within the ICS. If the incident is a HAZMAT or an intentional chemical, biological or radiological release, etc, follow HAZMAT guidelines on appropriate decon and level of protection. The steps below will be undertaken with the 4
5 appropriate level of personal protective equipment, and decon (if applicable) will be performed on all affected victims per the HAZMAT team guidelines. I. INITIAL TRIAGE For the purpose of this module, we will be using the START triage model for adult patients, JumpSTART Triage for pediatric patients and the SMART triage tagging system. By using START triage, patients are objectively sorted on how they present. The severity of injury, and, therefore, the treatment and/or transport priority in START triage is sorted by color code. The tag is simply folded so that the color of the triage category is exposed, then simply slip the tag back into the clear plastic pouch. SMART triage tags contain large color fields so treatment and transport crews can easily see which patients have been triaged to which level. For a flow chart of START triage (see figure 1 on pg. 9, and procedure 1 on pg. 8). Due to the nature of these incidents, it is likely that properly trained responders with appropriate personal protective equipment (possibly including self-contained breathing apparatus) will be providing initial triage. Those lacking proper training and PPE will receive patients away from the hazardous area or Hot Zone. These responders can set up and work in treatment zones. Initial Triage can begin immediately after size-up but shall be done as soon as possible. First in units may encounter non-injured and/or slightly injured victims self-evacuating the area of the incident. These victims should be directed to an area of refuge and triage tagged Green or minor. Qualified individuals should monitor those green-tagged victims for any changes in their conditions. The only interventions that are to be performed during initial triage are maintaining an open airway and stopping uncontrolled bleeding. Other interventions can be performed once initial triage is completed or after more personnel arrive. II. PATIENT EXTRACTION Patient extraction is the act of removing the remaining victims from the affected areas and delivering them to designated treatment areas. Patient extraction can begin as soon as resources on scene allow. Extraction can commence prior to the completion of initial triage but shall begin as soon as initial triage has been completed or additional personnel in proper PPE are available. 5
6 Patients that are tagged red or immediate are to be extracted first, followed by those tagged yellow or delayed (green or minor patients most likely have self-extracted already). Extraction is essential and all possible assistance should be sought. Cots and litters are to be used for extraction when they are available. There may be private sector items on the scene that can be employed to assist with patient extraction. Local response teams have equipment to assist in extraction, but since these assets may not be immediately available, they can be deployed to assist when they arrive. Deliver each patient to the appropriate treatment area. Due to the nature of these incidents, many hazards may still be present in the triage area. Regardless of the distance the treatment areas are from the affected areas, victims shall be moved as carefully and as quickly as those residual threats dictate. Proper PPE shall be worn during extraction. The level of protection shall be equal to the level necessary for the initial triage teams. III. SECONDARY TRIAGE/TREATMENT The nature of a mass casualty event suggests that the affected areas will not be a safe place to establish treatment areas. Hazards may include chemical, biological or radioactive contamination, unstable building components, secondary device threats, fire involving structures and/or vehicles, limited space, utility issues, etc. The location of the treatment areas will depend on these hazards and threats. If no additional hazard(s) exist, the treatment areas can be established at or near the scene. Treatment areas shall be established in safe locations so as not to interfere with other units arriving for incident control. Treatment areas shall be marked with colored flags or tarps. Treatment area locations shall also be easily accessible to transport vehicles arriving from medical staging. In MCI incidents, a treatment area for each category of patient (RED, YELLOW, GREEN) shall be established. Patients tagged BLACK shall be left in place. Emergency medical equipment must be brought to the treatment areas to support the treatment teams. Regional response teams have assets for MCI incidents and they will be brought to the scene as soon as possible. Members of on-scene units being used for medical treatment will need to use supplies carried on the apparatus until those additional assets arrive. Each treatment area should have a secondary triage officer and a treatment officer assigned by the Medical Officer, and it shall be staffed with adequate treatment personnel. All patients delivered to a treatment area will be re-triaged to affirm entrance into the area. Patients with airway problems will be scheduled for immediate transport. The patient s triage category can be upgraded or downgraded by refolding the SMART triage tag to expose the color field relating to their status. Patients being up-triaged or downtriaged shall be moved to the appropriate treatment area. Treatment for each patient will begin as soon as possible and will follow the local Patient Care Protocols. All patients will be stabilized as soon as possible by individuals assigned to treatment areas with available supplies and equipment. The SMART tag secondary 6
7 triage calculations identify the order of transport within the triage category (see figure 4 pg. 15, and Procedure 2 pg. 14). All treatment information will be logged on the triage tag including known history, vital signs, assessments, interventions etc. (see figure 3 on pg. 13). IV. PATIENT TRANSPORT Once sufficient Emergency Medical personnel are assigned to initial triage, patient extraction, secondary triage, and treatment areas, subsequent responding transport units and personnel re-assigned from completed tasks can assist in transport. Depending on the size of the incident, the IC can request transport units other than Local FD Rescue Squads from throughout the county. Transport units will report to Medical Staging and will be assigned by the Staging Officer at the request of the Transport Officer. In large incidents, an oversight communications agency may actually control the flow of patients to various hospitals. The Transport Officer shall fill out and tear off the transport record on the triage tag and keep it for future reference. Patients with minor illnesses/injuries may be transported by unconventional means or mass transit such as local buses. Note: Only decontaminated patients will be transported. CONCLUSION: Any time the phone rings, it could be another false alarm, frequent flyer, or faulty smoke detector in a business. It could also be something more urgent. When the alarm sounds, no matter what the emergency, we will handle it. We hear a lot about pre-plan, but what about post-plan? After the incident, and after critique, we can look back and post-plan as if the incident were something more serious. For example, we may have just responded to a two-car motor vehicle collision with three injured occupants. We can mentally apply the START Triage rules to them after the fact. Would they have been tagged red? Yellow? Decide how they would have been tagged, just for practice. What if it were a serious bus accident with thirty patients? Where would treatment areas have been set up? Where would the medical staging area have been located? How would inclement weather have affected treatment area selection? Postplanning incidents as if they could have been something more can serve as better preparation for the big one. See the attached figures and procedures. 7
8 S.T.A.R.T. TRIAGE PROCEDURE (Adults) The following procedure shall be used to sort casualties of Multiple or Mass Casualty incidents. SMART triage tags and the S.T.A.R.T. triage system shall be used. JumpSTART shall be used for pediatric patients and is covered below. Code casualties by tag color. GREEN YELLOW RED BLACK Minor injury (walking wounded) Delayed- can wait Immediate! Dead Require any victims who can self evacuate to do so. Call out IF YOU CAN GET UP AND GET OUT OF HERE DO SO NOW! Direct them to an area of refuge for further monitoring and placement of GREEN triage tags. For the remaining non-ambulatory patients begin triage where you stand and move systematically through the casualties. On each patient, first assess Respirations, followed by Perfusion and then Mental status (RPM). Once a color tag can be assigned, place the tag, stop your assessment and move on. The only interventions that are to be performed during initial triage are maintaining an open airway and stopping uncontrolled bleeding (Solicit capable bystanders to assist with this if available). Other interventions can be performed once triage is completed or adequate personnel arrive. Assess breathing. o If absent, open the airway. If respirations return, tag RED. If respirations do not return, tag BLACK and move on. o If breathing is present, assess the rate. If greater than 30/min tag RED If less than 30 move to assess perfusion Assess perfusion o Assess radial pulse If absent, tag RED If present, assess capillary refill (blanch test) o Assess capillary refill If greater than 2 seconds tag RED If less than or equal to 2 seconds move to assess mental status Assess mental status o If patient cannot follow simple commands, tag RED o If patient can follow simple commands, tag YELLOW It s that simple. Patients can easily be up-triaged or down-triaged if their conditions change with SMART triage tags. Procedure 1, START Triage 8
9 Figure 1) Start triage algorithm 9
10 JUMPSTART, PEDIATRIC PATIENT MCI TRIAGE JumpSTART is an objective pediatric patient MCI triage tool developed specifically for the triage of children in the multi-casualty/disaster setting. JumpSTART was developed in 1995 to be used along with the START triage system and mirrors the structure. JumpSTART objectives: 1. Optimize initial triage of children in the MCI setting 2. Enhance the effectiveness of resource allocation for all MCI victims 3. Reduce emotional burden on personnel assigned to initial the triage of children JumpSTART provides an objective structure to help assure responders triage injured children with their heads, not their hearts. This can reduce the possible over-triage that may siphon resources away from other patients who may need them more, and result in physical and emotional trauma to children from unnecessary painful procedures and separation from loved ones. Under-triage is addressed as well by recognizing key differences between adult and pediatric physiology, and using appropriate pediatric physiological parameters at triage decision points. JumpSTART is rapidly gaining popularity and has become widely accepted in many national and state venues. It has also been incorporated into pediatric education and is included in the curriculum of Advanced Pediatric Life Support (APLS) and Pediatric Disaster Life Support (PDLS). Note: JumpSTART was designed ONLY to be used in the MCI/disaster setting not for routine EMS or hospital triage. See JumpSTART algorithm (Figure 2 on page 11) 10
11 Figure 2) JumpSTART 11
12 The SMART TRIAGE TAG The SMART tag provides perforated sections to simplify the categorization of victims. The codes include: 1. Colors 2. Numbers 3. Symbols Triaging, or sorting victims into using these categories will allow you to arrive at treatment and transport priority decisions. Once the appropriate category is determined, the tag is placed to the patient in the plastic pouch. The tag is folded so the color corresponding to the victim s triage category is visible. Information that will be filled in on various sections of the tag includes: 1. Time and date 2. Victim s name and address 3. Vitals signs 4. Interventions 5. Medications 6. Chief complaint 7. MOI 8. Past medical history 9. etc The transport officer tears off the perforated transport record and enters the transport destination and personal identifiers on the torn off section. The transport officer retains the torn off portion while the tag accompanies the patient. The SMART Tag is usable in all conditions and will provide a permanent patient record. The tags contain bar codes for scan tracking (if available to your department) and is resistant to water, chemicals, bodily fluids etc. There are also WMD/HAZMAT tags available as well. 12
13 Figure 3) Triage tag data entry fields 13
14 SECONDARY TRIAGE CALCULATOR PROCEDURE The following procedure will be used to establish the order of hospital transport during Mass Casualty Incidents. Casualties with airway problems shall be transported first. The transport order of the remaining patients will be determined using the SMART triage tag secondary triage calculator by the following: Assess Glasgow Coma Score (GCS), respiratory rate and BP o Assign the appropriate numerical value for the GCS o Assign the appropriate numerical value for the respiratory rate o Assign the appropriate numerical value for Systolic BP Add these values together to determine transport priority 1, 2 or 3 within the triage category. Procedure 2) Secondary Triage Calculator 14
15 Figure 4) SMART Triage tag secondary triage calculator 15
16 THIS PAGE INTENTIONALLY BLANK 16
S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT
S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT Incidents which produce multiple human casualties are somewhat rare but do occur and must be planned for. A multiple or mass casualty incident can be defined
More informationMODULE III PLANNING &TRIAGE
MODULE III PLANNING &TRIAGE PLANNING By failing to prepare, you are preparing to fail Benjamin Franklin OBJECTIVES Discuss the components of disaster planning Review the levels of planning Discuss the
More informationSTANDARD OPERATING PROCEDURES. Rapidly establish triage, treatment and transportation of multiple field casualties.
EMERGENCY MEDICAL SERVICE SOP #: Category: Mass Casualty Incidents Date: January 1, 2010 I. Purpose: STANDARD OPERATING PROCEDURES Rapidly establish triage, treatment and transportation of multiple field
More informationINSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught.
Introduction slide. The program may be taught in a group setting or self taught. 1 Enabling objectives define the specific knowledge, skills, and/or abilities to be demonstrated, compared, listed, described,
More informationCOUNTY OF LOS ANGELES FIRE DEPARTMENT CONTEXT TRAINING PROGRAM MULTI-CASUALTY INCIDENT OPERATIONAL PLAN
3 INTRODUCTION MULTI-CASUALTY INCIDENT OPERATIONAL PLAN It is the intent of this plan to provide a system for managing large number of patients at a Multi-Casualty Incident (MCI). The main focus of the
More information5.8 Staging Area: The location where incident personnel and equipment are assigned on immediately available status.
KING COUNTY FIRE MODEL PROCEDURE Section 21 King County Rehab Guidelines Adopted 06/24/09 Revised 5/21/15 REHABILITATION AND MONITORING ON THE FIRE GROUND 1.0 PURPOSE: Provide rehabilitation & medical
More informationPrinciples of Triage During A Mass Casualty Incident. MASS, START, Id-me, RPM
Principles of Triage During A Mass Casualty Incident MASS, START, Id-me, RPM 1 Introduction My name is Ernie Husted Special Subject Instructor - Ohio Peace Officer Basic Training Program Member of OH-5
More informationMarin County Emergency Medical Services Excellent Care Every Patient, Every Time
Marin County Multiple Patient Management Plan Training Module June 2013 This training presentation is intended for use by EMS, hospital and law enforcement personnel e in Marin County, California. a It
More informationMass Causality Incident Response Plan
Robert McMahon Commissioner Putnam County BUREAU OF EMERGENCY SERVICES Adam B. Stiebeling Deputy Commissioner Thomas C. Lannon, Sr., Director Emergency Management Robert Cuomo, Director Emergency Medical
More informationMLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013
MLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013 Approved: Revised PURPOSE It is the purpose of this SOG to provide and ensure the highest level of patient
More informationnotes Video User s s Guide Accident Involving Radioactive Material
Emergency Response to a Transportation Accident Involving Radioactive Material DISCLAIMER Viewing this video and completing the enclosed printed study material do not by themselves provide sufficient skills
More informationMASS CASUALTY INCIDENT PLAN
MASS CASUALT INCIDENT PLAN Adopted by the Marion County Fire Defense Board April 2001 CONTENTS A. Introduction 1 B. Procedures 1. Incident Command 1 2. Hazmat Exposure 2 3. Medical Resource Hospital 3
More informationEmergency Medical Services Agency. Report to the Local Agency Formation Commission
Emergency Medical Services Agency August 8, 2012 Report to the Local Agency Formation Commission The Relationship of Fire First Response to Emergency Medical Services On September 26, 2011, the Contra
More informationMarin County EMS Agency. Attachment B Position Checklists
Marin County EMS Agency Multiple Patient Management Plan Attachment B s Excellent Care Every Patient, Every Time April 2015 *Denotes Marin Specific Additions Medical Group Incident Commander "IC" Operations
More informationSPU SHOOTING MCI. 3467 3 Avenue W. Incident #14-0058018 June 5, 2014. Incident # 14-0058018
SPU SHOOTING MCI 3467 3 Avenue W. Incident #14-0058018 June 5, 2014 Incident # 14-0058018 This page intentionally left blank. Incident # 14-0058018 2 From the Desk of the Assistant Chief of Operations
More informationTEPP Planning Products Model Procedure
TEPP Planning Products Model Procedure for First Responder Initial Response to Radiological Transportation Accidents 02B00215-13.p65 Prepared for the Department of Energy Office of Transportation and Emergency
More informationBROOME COUNTY EMERGENCY MEDICAL SERVICES SYSTEM HAZARDOUS MATERIALS INCIDENT RESPONSE PLAN
BROOME COUNTY EMERGENCY MEDICAL SERVICES SYSTEM HAZARDOUS MATERIALS INCIDENT RESPONSE PLAN Revised: December 2008 I. Introduction Hazardous materials in Broome County are found both at fixed facilities,
More informationIntermedix Inc. EMR 2006 Data Element Name. Compliant. Data Number. Elements
D01_01 EMS Agency X D01_02 EMS Agency D01_03 EMS Agency State X D01_04 EMS Agency County X D01_05 Primary Type of Service D01_06 Other Types of Service D01_07 Level of Service X D01_08 Organizational Type
More informationSnohomish County Fire Chiefs Association
Snohomish County Fire Chiefs Association DOCUMENT 60-06-09 ON SCENE REHABILITATION GUIDELINE Adopted December 2009 County Chiefs Meeting INTENT To provide standard operating guidelines to implement and
More informationTEPP Planning Products Model Procedure
TEPP Planning Products e for Properly Handling and Packaging Potentially Radiologically 02B00215-13.p65 Prepared for the Department of Energy Office of Transportation and Emergency Management table of
More informationApril 16, 2007. From the EMS Perspective. Captain Matthew Johnson Lieutenant William Booker
April 16, 2007 From the EMS Perspective Captain Matthew Johnson Lieutenant William Booker Virginia Tech Rescue Squad Established in 1969 by four VT students Received the EMS Service of the Year, 1988 Received
More informationEMSPIC State NEMSIS Datasets
E01_01 Patient Care Report Number X X E01_02 Software Creator X X E01_03 Software Name X X E01_04 Sofware Version X X E02_01 EMS Agency Number X X E02_02 Incident Number X E02_03 EMS Unit (Vehicle) Response
More informationTriage Program for City of Port Orange. Russell T. Rafferty. Port Orange Fire Rescue. Port Orange, Florida. Executive Fire Officer Program
Triage Program 1 Triage Program for City of Port Orange Russell T. Rafferty Port Orange Fire Rescue Port Orange, Florida An applied research project submitted to the National Fire Academy as part of the
More informationSUMMARY of Suggested School Nurse's Roles and Responsibilities from the VERMONT SCHOOL CRISIS GUIDE CRISIS PRIORITIES ROLES & RESPONSIBILITIES ALL
ALL Anaphylaxis (Severe Allergic Reaction) Health and safety of students, staff, and responders Locate and follow the individual's anaphylaxis plan. (1) Have emergency "GO" bag ready at all times. (2)
More informationThe Instructional Guidelines in this section include all the topics and material at the AEMT level.
Principles of Safely Operating a Ground Ambulance The Instructional Guidelines in this section include all the topics and material at the AEMT level. The intent of this section is to give an overview of
More informationProcedure: Hazardous Materials Medical Support and Rehabilitation Functions
Procedure: HAZARDOUS MATERIALS MEDICAL SUPPORT Purpose: This standard operating procedure requires that a medical support function be designated to the Hazardous Materials Group during all operations within
More information[This page is intentionally left blank]
Drill #3 [This page is intentionally left blank] CERT DRILLS AND EXERCISES: DRILL #3 Table of Contents CERT Drills and Exercises... 1 What is a Drill?... 1 Exercise Overview... 2 For Exercise Staff...
More informationRecommended Best Practices For Fire Department Training Programs
Fire Prevention and Control Issue Date: January, 2015 Revision Date: Recommended Best Practices For Fire Department Training Programs 1. Purpose: The NYS Office of Fire Prevention and Control, with input
More information1.20.2 Definitions. The following definitions are applicable to this OG:
Blackwood Fire Company Operating Guidelines 1.20 Water Rescue and Recovery Operations 1.20.1 Scope This Operating Guideline (OG) will apply to all incidents (except swimming pools) where victims require
More informationStandard Operating Guideline for
MABAS DIVISION 5 Standard Operating Guideline SUBJECT: Emergency Incident Rehabilitation S.O.G. REHAB 2009 Approved: December 16, 2009 Revised: Standard Operating Guideline for Emergency Incident Rehabilitation
More informationHow To Handle A Train Accident In Whitefish
Drawing by Marty Two Bulls BAKKEN OIL SURE HAS US LOOKING AT OUR DISASTER PLANNING We can t say, Not in our backyard! We can t say rail accidents don t happen here in Whitefish area. Derailment in Olney
More informationEMS Patient Care Report Navigation Logic for Record Creation
EMS Patient Report Navigation Logic for Record Creation This document serves to provide specifications regarding data entry and data element completion requirements for PreMIS Version 2 web-based application
More informationMABAS DIVISION XII REHABILITATION POLICY
MABAS DIVISION XII REHABILITATION POLICY Purpose To ensure that the physical and mental condition of employees operating at the scene of an emergency, training exercise, or other fire department activity
More informationUnit 3.4 Decontamination (Core)
INSTRUCTOR GUIDE Unit 3.4 Decontamination (Core) INSTRUCTOR GUIDE TERMINAL OBJECTIVE Given scenarios involving hazardous materials/wmd incidents, the participant shall identify when emergency decontamination
More informationRapid Intervention Team (RIT)
(RIT) This section identifies the appropriate AHJ Occupational Health and Safety Regulation that pertains to RIT. It further defines the various levels of RIT, procedures for deployment and suggested equipment
More informationEMERGENCY RESPONSE TEAMS AND INCIDENT MANAGEMENT SYSTEMS
GAP.1.7.0.2 A Publication of Global Asset Protection Services LLC EMERGENCY RESPONSE TEAMS AND INCIDENT MANAGEMENT SYSTEMS INTRODUCTION A key part of an emergency response system is to create the necessary
More informationESCAMBIA COUNTY FIRE-RESCUE 3105.005
Patrick T Grace, Fire Chief Page 1 of 13 PURPOSE: Escambia County Fire-Rescue responds to a wide range of emergency incidents. In order to effectively manage personnel and resources and to provide for
More informationMITIGATION RATES PER HOUR
MITIGATION RATES PER HOUR MOTOR VEHICLE INCIDENTS Level 1 $435.00 Provide hazardous materials assessment and scene stabilization. This will be the most common billing level. This occurs almost every time
More informationModule Two: EMS Systems. Wisconsin EMS Medical Director s Course
: EMS Systems Wisconsin EMS Medical Director s Course Objectives List the components of EMS systems Outline organizational and design options for EMS systems Outline system staffing and response configurations
More informationSAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY
SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY Policy Reference No: 214 [01/10/2013] Formerly Policy No: 126 Effective Date: 03/01/2013 Supersedes: 10/01/2008 Review Date:
More informationThis course is approved for 1 CEU for EMT's and EMTP's by SBC EMS Agency
This course is approved for 1 CEU for EMT's and EMTP's by SBC EMS Agency Have on hand: Hard copy of SBC 2013 MCI Plan Triage tags Review this MCI PowerPoint while referencing the MCI Plan Watch triage
More informationMass Casualty, START Triage and the SMART Tag System. Presented by: QAEMS Department
Mass Casualty, START Triage and the SMART Tag System Presented by: QAEMS Department Objectives 1) Define triage and mass casualty 2) Review the dynamics of START triage 3) Review use of the SMART tagging
More informationPolicy # 7-A Effective Date: 6/1/2012 Pages: 8. San Diego County Operational Area. Rehabilitation
San Diego County Operational Area Rehabilitation Policy # 7-A Effective Date: 6/1/2012 Pages: 8 Purpose: This guideline provides the San Diego County Operational Area procedures for fire personnel rehabilitation
More informationFREDERICK-FIRESTONE FIRE PROTECTION DISTRICT STANDARD OPERATING GUIDELINES
FREDERICK-FIRESTONE FIRE PROTECTION DISTRICT STANDARD OPERATING GUIDELINES Section 100.5.7.5 Employee Job Descriptions POSITION DESCRIPTION POSITION TITLE: RESERVE EMT/FIREFIGHTER JOB STATUS: VOLUNTEER,
More informationMass Gatherings Medical Strategies for Weapons of Mass Destruction
Mass Gatherings Medical Strategies for Weapons of Mass Destruction Kristi L. Koenig, MD, FACEP Professor of Clinical Emergency Medicine Director of Public Health Preparedness Co-Director, EMS and Disaster
More informationSECTION 1 - Introduction
Hazardous Materials Awareness: Self-Study Guide Sandoval County Fire Department Complete before taking classroom portion of class (Use DOT Emergency Response Guidebook Orange Book ) SECTION 1 - Introduction
More informationTraining Academy EMS RESPONSE TO LARGE SCALE INCIDENTS 4.0 ELECTIVES
Somerset County Emergency Services Training Academy Emergency Medical Service Courses These are all of the emergency medical service courses that have been offered by the SCESTA over the years, detailing
More informationFIRE AND RESCUE DEPARTMENTS OF NORTHERN VIRGINIA FIREFIGHTING AND EMERGENCY OPERATIONS MANUAL. EMS Multiple Casualty Incident Manual.
FIRE AND RESCUE DEPARTMENTS OF NORTHERN VIRGINIA FIREFIGHTING AND EMERGENCY OPERATIONS MANUAL EMS Multiple Casualty Incident Manual Second Edition Issued: August 2008 Revised: May 2013 ACKNOWLEDGEMENTS
More informationCHESTER COUNTY EMS COUNCIL, INC. Policies and Procedures Air Ambulance Utilization. Air Ambulance Utilization for Patients in Chester County.
CHESTER COUNTY EMS COUNCIL, INC. Policies and Procedures Air Ambulance Utilization TITLE: PURPOSE: POLICY: Air Ambulance Utilization for Patients in Chester County. The utilization of air ambulances for
More information4/4/2014. Mark Shah and Deborah Kim are supported through DHHS/ASPR/HPP and DHS/MMRS grant programs.
Mark Shah, MD FACEP Deborah Kim, MSN APRN CHEP Madeline Lassche, MSNEd RN Mark Shah and Deborah Kim are supported through DHHS/ASPR/HPP and DHS/MMRS grant programs. Madeline Lassche, MSNEd RN is a consultant
More informationSAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY MULTI-CASUALTY INCIDENT POLICY
SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY I. PURPOSE MULTI-CASUALTY INCIDENT POLICY Policy Reference No.: 8000 Effective Date: XXXX 2010 Review Date: XXXX Supersedes: February 1, 2005 This policy
More informationNORTH REGION EMS & TRAUMA CARE SYSTEM Operational Guidelines
PATIENT CARE PROCEDURES #1 Access to Prehospital EMS Care To define elements of the Regional EMS and trauma system necessary to assure rapid universal access to 911 and E-911, rapid identification of emergent
More informationM.I.E.M.S.S. REGION V ALERT STATUS SYSTEM
M.I.E.M.S.S. REGION V ALERT STATUS SYSTEM Approved by the Maryland Region V EMS Advisory Council January 28, 1999 Amended November 16, 2000 Reprinted with Corrections January 16, 2001 Note: Patients destined
More informationThe following assumptions are to be considered when reviewing this model procedure:
Transportation Emergency Preparedness Program (TEPP) Model Procedure for Properly Handling and Packaging Potentially Radiologically Contaminated Patients This Transportation Emergency Preparedness Program
More informationTransportation Emergency Preparedness Program (TEPP) Course Descriptions
The Transportation Emergency Preparedness Program (TEPP) offers a variety of training courses to prepare emergency responders for response to transportation accidents involving radioactive material. The
More informationDecontamination of the victim. Protection of medical personnel. Disposing of contaminated protective equipment and wash solutions.
Decontamination: Standard Operating Procedure This procedure should be followed in the event of an emergency where a victim or equipment should need to be decontaminated due to a chemical, biological,
More informationTITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION. ARTICLE 1.5 Trauma Field Triage and Transport Destination Requirements
TITLE 836 INDIANA EMERGENCY MEDICAL SERVICES COMMISSION ARTICLE 1.5 Trauma Field Triage and Transport Destination Requirements 836 IAC 1.5-1 Purpose Affected: [IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9;
More informationMarcellus Shale Gas Development Public Safety Aspects
Marcellus Shale Gas Development Public Safety Aspects Brett Chellis Director of Emergency Services/Fire Coordinator Broome County Office of Emergency Services June, 2011 My Study thus far Broome County
More informationTOWN OF WAYLAND POSITION DESCRIPTION
TOWN OF WAYLAND POSITION DESCRIPTION Title: Department: Appointing Authority: Affiliation: Assistant Fire Chief Fire Fire Chief Non-Union Grade: N-9 Personnel Board Approved: 02/29/16 Summary of Duties
More informationLightning Mass Casualty Incident at 13,000 feet. Will Smith, MD, Paramedic, FAWM www.wildernessdoc.com
Lightning Mass Casualty Incident at 13,000 feet Will Smith, MD, Paramedic, FAWM www.wildernessdoc.com Disclaimer No financial relationships to disclose Drs. Wheeler and Smith are Co-Medical Advisors for
More informationHomeland Security and Protective Services CIP 43.9999 Task Grid
1 Secondary Task List 100 EXPLAIN AND PERFORM SAFETY PROCEDURES 101 Demonstrate knowledge of the rules of conduct for the school and classroom. 102 Identify safety and standard operation procedures. 103
More informationFIREFIGHTER SAFETY. Stay safe during substation fires
FIREFIGHTER SAFETY Stay safe during substation fires FIREFIGHTERS AND SUBSTATIONS Electrical substations reduce the high voltages used to move electricity over long distances to the lower voltages that
More informationPlanning & Response Considerations for Mass Shooting Incidents
Planning & Response Considerations for Mass Shooting Incidents This PDF is a variety of slides from my 4-hour Multi-Agency Mass Shootings Planning & Response Course May 2008 version. I developed this PDF
More informationMed-Care Ambulance Service. Mass Casualty Plan
Med-Care Ambulance Service Mass Casualty Plan 273 Main Street Mexico, Maine 04257 (207) 364-8748 Fax: (207) 369-0635 Web Site: www.med-careambulance.com Med-Care Ambulance MCI Plan Record of Updates/Revisions
More informationGeneric First Aid Risk Assessment
Generic First Aid Risk Assessment This risk assessment is provided to assist Educational Visits Coordinators (EVC) with their work. Its purpose is as a starting point for EVCs to adapt to meet their own
More informationPOLICIES AND PROCEDURES
July 1, 2011 Approved by R. Dale Horne Fire Chief Page 1 of 5 PURPOSE: A primary mission for Anderson City Fire IC is to identify, examine and evaluate the physical and mental status of fire-rescue personnel
More informationHospital Emergency Operations Plan
Hospital Emergency Operations Plan I-1 Emergency Management Plan I PURPOSE The mission of University Hospital of Brooklyn (UHB) is to improve the health of the people of Kings County by providing cost-effective,
More informationExercise After Action Report
Exercise After Action Report County: Exercise Location: Exercise Name: Grant Sinsinawa Mound MCI Fullscale Hazel Green Date/s of Exercise: April 16, 2005 Hazard: Please enter only one (1) P for the Primary
More informationHolly Love, RN Life Flight Network. Joyce Wilder, RN West Valley Hospital. Rebecca Schwartz, RN Good Shepherd Hospital
Pediatric Rural Provider Training: Utilizing An MCI Exercise to Improve Hospital Resource Management And the System of Care of Pediatric Trauma Patients Holly Love, RN Life Flight Network Philip Engle
More informationCAPABILITY 7: Mass Care
Mass care is the ability to coordinate with partner agencies to address the public health, medical, and mental/behavioral health needs of those impacted by an incident at a congregate location. 98 This
More informationFire Medic Job Description (Career)
Fire Medic Job Description (Career) 1 Position Summary The Fire Medic is responsible for providing paramedic advanced life support (ALS) and operating all fire fighting apparatus, participating as a frontline
More informationThe Role of School Nurses in School Emergency Management Planning. Webinar December 14, 2010 3:30 pm EASTERN
The Role of School Nurses in School Emergency Management Planning Webinar December 14, 2010 3:30 pm EASTERN Introduction Objectives for this online learning experience Webinar instructions and Tips Introduction
More informationDirections to Students
ACTIVITY GUIDE 90 min. Small groups Needed: NAERG Guidebook NIOSH Pocket Guide Activity #4.1 Obtaining Hazardous Materials Information Student Instructions Purpose To allow the participants an opportunity
More informationSAFETY TRAINING CLASSES & SERVICES LIST
SAFETY TRAINING CLASSES & SERVICES LIST CUSTOM CLASS ROOM TRAINING AVAILABLE, BACKED WITH ON-SITE SUPPORT SAFETY, TRAINING COURSES OFFERED BY OUR CERTIFIED ELITE RISK CONTROL TEAM: EM 385-1-1 (Military)
More informationBased on the initial size-up and any information available, Command will formulate an action plan to deal with the situation.
Hazardous Materials Response Clear Creek Fire Authority This plan provides a basic philosophy and strategic plan for hazardous materials situations. All Clear Creek Fire policies and procedures, unless
More informationThe Pennsylvania Rural Highway Trauma Program Overview
The Pennsylvania Rural Highway Trauma Program Overview Summer 98 Injury and Loss of Life on Highways Bigger than Natural Disasters, War and Disease In 1994 100+ fatalities; 8000+ injured daily Total in
More information404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking
404 Section 5 and Resuscitation Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and address hazards. Standard precautions should include a minimum of gloves
More informationPinole Fire Department
Pinole Fire Department Fire Station # 73 September 2014 Monthly Report Your Fire Department Responded to 158 Emergencies in September 2014 Count of # Area Classification City ConFire 69/70 ConFire St.
More informationHE MANTRA SAYS IT: Practice makes perfect.
T HE MANTRA SAYS IT: Practice makes perfect. Perhaps nowhere is this more important than emergency preparation, and that s absolutely critical at airports. So we at Salt Lake City International Airport
More informationMEDICAL AND HEALTH EMERGENCIES
IX.041 MEDICAL AND HEALTH EMERGENCIES POLICY The Board shall provide medically appropriate, immediate, quality emergency care in the event of an accident or illness that may compromise the well-being of
More informationPlease apply online at http://www.fluor.com/careers Requisition number 64503BR or 64505BR. Fire Fighter/EMT
Fluor Government Group is seeking candidates for the Afghanistan Life Support Services proposal. All work is contingent upon contract award. If awarded, we expect to hire approximately 30 Firefighter/EMT
More informationNorth York General Hospital Policy Manual
Page 1 of 6 POLICY STATEMENT North York General Hospital staff is responsible to follow the guidelines outlined in this document in the event of a fire to minimize injury and/or damage. DEFINITIONS Code
More informationMIMMS. Major Incident Medical Management and Support Course. Consultant Royal Adelaide Hospital
MIMMS Major Incident Medical Management and Support Course Dr Andrew Pearce Emergency/Trauma/Retrieval Consultant Royal Adelaide Hospital South Australia MIMMS Major Incident Medical Management and Support
More informationEMS POLICIES AND PROCEDURES
EMS POLICIES AND PROCEDURES POLICY #: 13 EFFECT DATE: xx/xx/05 PAGE: 1 of 4 *** DRAFT *** SUBJECT: TRIAGE OF TRAUMA PATIENTS *** DRAFT *** APPROVED BY: I. PURPOSE Art Lathrop, EMS Director Joseph A. Barger,
More informationCAMS CRITICAL INCIDENT RESPONSE. This document is dated 4 March 2015 it consists of 16 pages
CAMS CRITICAL INCIDENT RESPONSE This document is dated 4 March 2015 it consists of 16 pages Critical Incident Response Procedures for Club Motor Sport Events Note: This document has two discrete parts:
More informationFacility Safety and Emergency Management (FSE)
Facility Safety and Emergency Management (FSE) Standard FSE.1 [Safety and security] The organization plans and implements a program to provide a safe and secure physical environment. Intent of FSE.1 The
More informationPRINCE GEORGE S COUNTY, MARYLAND FIRE/EMERGENCY MEDICAL SERVICES DEPARTMENT GENERAL ORDER
General Order Number: 05-16 Effective Date: January 2010 Division: Emergency Medical Chapter: Emergency Incident Rehabilitation By Order of the Fire Chief: Marc S. Bashoor Revision Date: N/A POLICY This
More informationNUCLEARINSTALLATIONSAFETYTRAININGSUPPORTGROUP DISCLAIMER
NUCLEARINSTALLATIONSAFETYTRAININGSUPPORTGROUP DISCLAIMER Theinformationcontainedinthisdocumentcannotbechangedormodifiedinanywayand shouldserveonlythepurposeofpromotingexchangeofexperience,knowledgedissemination
More informationTag # NEMSIS FIELD FIREHOUSE FIELD Located Section E1: Record Information E01_01 Patient Care Report Number Patient ID Unique Patient ID that is
Section E1: Record Information E01_01 Patient Care Report Number Patient ID Unique Patient ID that is generated Section E2: Unit/Agency Information E02_01 EMS Agency Number Service Number E02_02 Incident
More informationc. As mandated by law, facilities must obtain and maintain valid zoning permits as well as permits for intended use.
Walmart Standards for Suppliers Section 7. Health and Safety 7. Health and Safety Suppliers must provide workers with a safe and healthy work environment. Suppliers must take proactive measures to prevent
More information11/20/2015 THIS DIDN T HAVE TO ABOUT PGFD HAPPEN! 2014 U.S. FIREFIGHTER FATALITY STATISTICS 2014 U.S. FIREFIGHTER FATALITY STATISTICS
2014 U.S. FIREFIGHTER FATALITY STATISTICS THIS DIDN T HAVE TO HAPPEN! November 13, 2015 PRESENTED BY: Marc S. Bashoor, Fire Chief Prince George s County, MD Fire/EMS Dept 84 Firefighter fatalities, 82
More informationTEMPLE UNIVERSITY ENVIRONMENTAL HEALTH AND RADIATION SAFETY
Page 1 of 7 ISSUED: 5/00 REVISED: 08/06 1. Potential Releases of Radioactive Materials to Unrestricted Areas The Environmental Health and Safety Department (EHRS) must be notified immediately if an emergency
More informationSEMS/NIMS MANAGEMENT SYSTEM REVISED SEPTEMBER 2007
SEMS/NIMS MANAGEMENT SYSTEM REVISED SEPTEMBER 2007 SEMS/NIMS - SYSTEM (ICS) is the model tool for command, control, and coordination of a response and provides a means to coordinate the efforts of individual
More informationPURPOSE A confined space is any area or vessel, which meets all three of the following:
June 2000 DRAFT 208.06 1 of 8 SCOPE Incidents, which require fire department personnel to enter, confined spaces to fight fires or to rescue and remove persons in need of assistance present very serious
More informationChapter 16 Emergency Incident Rehabilitation
Division 05 Emergency Medical March 2009 PO LICY This General Order establishes specific, mandatory procedures and responsibilities developed in accordance with NFPA 1584: Standard on the Rehabilitation
More informationCOUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures
COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT Final - May 2, 2002 Russ Blind Interim Director Robert Barnes, M.D. Medical Director TABLE OF CONTENTS Section: Topic: Page #: I. Definitions 3-4 II.
More informationAdditional Guidance. for application to. HM Government Guide to Fire Safety Risk Assessment Residential Care Premises
Additional Guidance for application to HM Government Guide to Fire Safety Risk Assessment Residential Care Premises Good Practice Guidance 2016 Additional Guidance agreed between the National Association
More informationCHEMICAL SPILLS. (revised April, 2013)
CHEMICAL SPILLS (revised April, 2013) A spill is defined as an uncontrolled release of a chemical. Spills can be categorized into two types: 1. Major spills 2. Minor spills Major spills meet these criteria:
More informationHow To Be A Medical Flight Specialist
Job Class Profile: Medical Flight Specialist Pay Level: CG-36 Point Band: 790-813 Accountability & Decision Making Development and Leadership Environmental Working Conditions Factor Knowledge Interpersonal
More informationAl-Balqa Applied University
In The Curriculum of Associate Degree in Fire & Rescue Techniques Consists of (72 Credit Hours) as follows: SERIAL NO. First Second Third REQUIREMENTS University Requirements Engineering Program Requirements
More information