MULTI-CASUALTY INCIDENTS

1. MULTI-CASUALTYINCIDENTS A Review and Update for EMS Command

2. MCI Overview • General Purpose: • To review/refresh Multi-Casualty Incidents and how they work in the Incident Command sequence • Appropriate identification of an MCI • Initiation of the Incident Command System • Build-out of the Incident Command System for: • Small scale incidents • Large scale incidents

3. MCI Overview • Performance Objectives • At the end of this presentation, the participants shall be able to: • Implement the Incident Command System for an MCI • Correctly identify an MCI • Successfully navigate their assigned role in a mock MCI

4. ?Has this happened to you OR Maybe you did this……..

5. Patients are in units and no one knows anything about them.

6. The Medic left scene with the first patient he/she saw.

7. You arrive. No information available but….”See my cool Jimmie Jacks”.

8. Trauma patient count confused by communications issues.

9. Packaged patients waited 10 minutes for transport units that were requested one by one.

10. There has to be a better way!!!!!!!

11. You can do this!!!!

12. Initiate the Incident Command Sequence • 1st arriving unit officer should: • Assume command • Declare the incident an MCI • Request additional resources • Perform triage

13. Initiate the Incident Command Sequence • The following functions must occur: • Triage • Treatment area, if appropriate (small v. large scale) • Transport/Communications

14. Command Designation Options • IC retains EMS functions (triage, treatment, etc.) • IC designates an EMS Group Supervisor • Build out based on incident scope/span of control

15. TRIAGE/TREATMENT • Small scale incident • Apply Triage identifier (ribbon, tag) • Report patient count to EMS Group Supervisor or IC • Regardless of Triage color • Initiate treatment of patients in place • No formal treatment area

16. TRIAGE/TREATMENT • Large scale incident • Apply Triage identifier • Patients moved to designated Treatment areas (Triage Officer) • Patient information gathered in Treatment area (Treatment Officer)

17. Treatment Areas • Large scale event • Assign group supervisor • Sub-divide into appropriate colors • Location Considerations • Safety • # of patients • Removal of pts from scene • Refine patient count • Re-assess/re-triage • #/color • Update resource needs

18. Transportation/Communications • HospitalCommunications • Sm v Lg scale • “Call Down” plan • High priority pts to appropriate hosp. • Dispatch center likely overwhelmed • Role of Communications Group Sup v individual transport units • Movement of Patients • Based on hospital availability? • Coordinate w/ Staging • Record keeping

19. Communication Options • Communications Officer may: • make all communications with hospital(s) • designate ALS consults only. All others via Communications Officer.

20. Incident Commander EMS Group Suppression Group Rescue Group Triage Supervisor Transport/ Communications Treatment Supervisor ICS for the MCI

21. Incident Commander EMS Group Communi-cations Treatment Transport Triage Consider ALS provider, EMS supervisor MCI (Can later be used in Transp/Comm) 1st arriving unit officer In place or designated areas

22. Command Resources • Position documents • Medical Group Supervisor • Transportation Group Supervisor • Patient tracking documents • Transport Stubs • Treatment Supervisor • Treatment Disposition

28. Thanks... To the following persons who contributed to the success of this program: • A/C Mike McAdams • A/C “Rusty” Rothenhoeffer • B/C Mark Davis • Capt. LeRoy Gross • Capt. Vicki Fowler • Capt. Beth Sanford • Lt. Jon Fiedler