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Managing Incidents with Multiple Casualties

Managing Incidents with Multiple Casualties. AIM TO SAVE THE LARGEST NUMBER OF SURVIVORS FROM A MULTIPLE CASUALTY INCIDENT. MANAGING INCIDENTS WITH MULTIPLE CASUALTIES. Understanding the multiple casualty scene Triage Practicals (outdoor and indoor) Management. The MCI Scene.

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Managing Incidents with Multiple Casualties

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  1. Managing Incidents with Multiple Casualties

  2. AIM TO SAVE THE LARGEST NUMBER OF SURVIVORS FROM A MULTIPLE CASUALTY INCIDENT

  3. MANAGING INCIDENTS WITH MULTIPLE CASUALTIES • Understanding the multiple casualty scene • Triage • Practicals (outdoor and indoor) • Management

  4. The MCI Scene

  5. WHAT IS A MULTIPLE CASUALTY INCIDENT ? “A multiple casualty incident is simply any incident where you are confronted with more than one patient and your personnel or equipment resources are taxed beyond normal capacity.” A.J Heightman, Mass Casualty Incident Management. A practical approach to solving complex operational dilemmas.

  6. THE INITIAL PROBLEM. Casualties Resources

  7. THE OBJECTIVE. Casualties Resources

  8. THE OBJECTIVE. Casualties Resources

  9. THE OBJECTIVE. Casualties Resources

  10. THE OBJECTIVE. Casualties Resources

  11. THE OBJECTIVE. Casualties Resources

  12. THE OBJECTIVE. Casualties Resources

  13. THE OBJECTIVE. Casualties Resources

  14. TIME IS IMPORTANT THE GOLDEN HOUR “The critical trauma patient has only 60 minutes from thetime of injuryto reach definitive surgical care, or the odds of a successful recovery diminish dramatically”. Pre-Hospital Trauma Life Support, Second Edition, Patient Assessment and Management, page 42. 1990.

  15. Casualties Resources + = Maximum survivors.

  16. YOUR SCENE MANAGEMENT TIME The Scene Definitive Care Command Safety Assessment Communication Triage Treatment Transport

  17. ANY QUESTIONS ?

  18. TRIAGE “Large scale triage is the hardest job anyone in pre-hospital care will ever do”. A.J Heightman, Mass Casualty Incident Management. A practical approach to solving complex operational dilemmas.

  19. TRIAGE WHY ? To get the right patient in the right place at the right time.

  20. TRIAGE WHEN ? Casualties exceed the number of skilled rescuers.

  21. TRIAGE CODING Priority Treatment Color Immediate 1 Red Urgent 2 Yellow Delayed 3 Green Dead Black

  22. PATIENT ACCOUNTABILITY

  23. Haz-chem Incidents

  24. PRIMARY TRIAGE The Scene Dynamic Quick Safe Reproducible

  25. PRIMARY TRIAGE

  26. PRIMARY TRIAGE

  27. PRIMARY TRIAGE

  28. PRIMARY TRIAGE

  29. PRIMARY TRIAGE

  30. PEDIATRIC TRIAGE Children are involved in multiple casualty incidents. The over prioritizing of children will take valuable resources away from more seriously injured adults. Triage systems based on adult physiology will not provide accurate triage.

  31. PRACTICAL EXERCISE Alert & Responsive Respiration of 25 Capillary Refill of 1 second 57 year old Male, Lacerations to Face, Minor head wound, Walking

  32. PRACTICAL EXERCISE Rapid Treatment Simple Triage

  33. PRIMARY TRIAGE

  34. ANY QUESTIONS ?

  35. SECONDARY TRIAGE

  36. SECONDARY TRIAGE

  37. SECONDARY TRIAGE Female 30, brought into the casualty clearing station as a priority two. Lying on back board and holding abdomen. 4 4 5 Eyes open spontaneously 13 Confused Localizes to pain 4 Respiratory rate 32 Systolic BP 70 3 2 9

  38. ANY QUESTIONS ?

  39. MANAGEMENT

  40. YOUR SCENE MANAGEMENT TIME The Scene Definitive Care Command Safety Assessment Communication Triage Treatment Transport

  41. SMART COMMANDER ™

  42. SMART MCI BAG™

  43. SMART POSSESSIONS AND TRACKING SYSTEM

  44. ANY QUESTIONS ?

  45. TRAINING MATERIALS www.smartmci.com

  46. SUMMARY

  47. THANK YOU

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