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Seattle / King County Multiple Casualty Incident Plan

Seattle / King County Multiple Casualty Incident Plan. Introduction. History Significant Changes Organization Key responsibilities. Significant updates. NIMS / ICS compliant Emphasis on a transportation corridor

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Seattle / King County Multiple Casualty Incident Plan

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  1. Seattle / King CountyMultiple Casualty Incident Plan

  2. Introduction • History • Significant Changes • Organization • Key responsibilities

  3. Significant updates • NIMS / ICS compliant • Emphasis on a transportation corridor • Roles & responsibilities vs “seat-assignments “ Who wears a vest and what this means • Triage Criteria • Patient Tracking • Green patient area

  4. Significant updates • Triage may be assigned to Rescue • Elimination of formal funnel points • Elimination of patient numbering • Elimination of the treatment tag • Hospital Control is now DMCC

  5. Key Roles and responsibilities • First-in unit • Incident Command • Recon • Rescue • Triage • Extraction • Extrication • Medical Group • Treatment • Red Area • Yellow Area • Transportation • Ambulance Staging • Ambulance Loading • DMCC • Tracking Aid • Green Patient area

  6. MCI with Competing Interests • Suppression • HazMat • SWAT/AB/BDU • CBRNE • Uses up personnel

  7. Dispatch • Zone Controlled

  8. Arrival/Size up • Jurisdiction dependant: • Short report • Estimate of total patient count • Early Recon • Transportation Corridor • Early notification of DMCC

  9. Organizational Chart (simplified)

  10. Organizational Chart (Expanded)

  11. Organizational Chart (Detailed)

  12. Unit Leader / Supervisor • Don the vest • Understand Action Plan • Determine supervisors role • Develop organization • Develop relationships • Maintain accountability • Provide progress reports • Manage and request resources

  13. Rescue Group • Initial triage • Flagging • Triage zones • Extraction • Extrication • May add ALS

  14. Medical Group • Ensure activation of DMCC • Verify Transportation Corridor / ambulance staging • Assign/Assume key positions: • Treatment area • Transportation • Green Patient area • Communications / talk group • Adequate resources and personnel

  15. Green Patient Area • May be managed by BLS company • Address obvious needs: • Containment • Shelter • Re-triage • Liaison with Law Enforcement • Documentation

  16. Treatment Transportation is the priority • Location • Team Leaders (Red area, Yellow area) • Appropriate level of treatment • Resources • Personnel • Equipment • Re-triage

  17. Transportation • Verify transportation corridor • Location: • Proximity to treatment area • Ambulance loading area- consider exhaust, hazards, etc. • DMCC coordinator and tracking aid- remote location • Resources • Backboards • Tracking bands • Transportation units • Establish DMCC communication

  18. Transportation • Assign key positions: • Ambulance Staging • Ambulance loading • DMCC coordinator • Tracking Aid

  19. Triage “Sick or Not Sick”

  20. Patient Tracking and Documentation

  21. Patient Tracking and Documentation

  22. Questions / Comments

  23. Assignments Josh – Lead In / Welcome / Introduction Aaron - Intro through arrival/size-up (1 – 8) Marty - Org charts through Vest wearers (9 – 12) Josh - Rescue Group through Transportation (13 – 18) John - Triage through Tracking (19 – 21) All – Questions (22)

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