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Mass Casualty Incident Annex. See Page 6-10. PURPOSE OF THE ANNEX Provide direction for managing emergency medical care during Mass Casualty Incidents (MCI) in Lewis County SCOPE
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Mass Casualty Incident Annex
See Page 6-10 • PURPOSE OF THE ANNEX • Provide direction for managing emergency medical care during Mass Casualty Incidents (MCI) in Lewis County • SCOPE • This plan applies to all Fire Services/Emergency Medical Services (EMS) response entities and provides guidance and direction to supporting entities that are assisting during a mass casualty incident
See Page 6-12 Mass Casualty Incident: Any medically oriented incident that overwhelms the initial EMS response · Level I - MCI: Exceeds capabilities of initial responding agencies involving 10 or less patients · Level II - MCI: Greater than 10 victims but less than 30. May require out of county resources and multiple medical facilities · Level III - MCI:Medical Disaster with more than 30 victims. May require out of county resources and multiple medical facilities
See Page 6-25 Suggested Operating Procedures for Responding EMS Units to MCI • Keep radio communications to a minimum • Dispatch will advise of staging area location • Respond directly to the Staging Area • Do not abandon your unit unless approved by command • Dispatch will advise of operations frequency after signing en route • Instructions given on scene by radio should be repeated back to assure the message is received accurately
See Page 6-25 EMS Response • First arriving unit - determine Incident Commander who will complete IC Help Sheet • Additional responders proceed to the Staging Area unless directed to the scene
See Page 6-26 Incident Commander • Establishes command and command post • Identifies operations frequencies • Gets additional assistance if needed • Establishes staging area • Determines level of MCI • Assigns staff positions
See Page 6-28 Medical Officer • Directs all medical operations • Responsible for accountability tracking of the medical group officers: • Triage Officer • Treatment Officer • Transport Officer • Staging Officer • Ensures placement of Medical Supply area and Medical Command Post if needed • Obtains patient count from Triage Officer
See Page 6-29 Triage Officer • Responsible for: • Development of tagging and backboard teams • Establishing triage funnel(s) • Triaging patients at funnel(s) • Accountability tracking of personnel assigned to Triage Group
See Page 6-30 Triage System Help Sheet • TAGGING: • Distribute triage tags • Place triage tags on victims • TRIAGE: • Set up and mark the triage area (funnel) • Use walking wounded and non-injured to assist • Triage the victims at the funnel • TREAT: • Set up treatment areas near triage funnel • Take patients to the treatment area • Treatment Officer coordinate patient evacuation
Page 6-19 Triage System Philosophy • An organized approach for sorting, treating and transporting patients in a mass casualty situation • Real patient care occurs in the treatment area • Treating patients where they lay slows the system • With overwhelming number of victims, even care in the treatment areas will be less than normal • Use the walking wounded and non-injured to assist with patient care • MCI Bags: • Keep MCI bags current and in all response vehicles • Use recommended contents list on page 6-19 to standardize all kits throughout the county
See Page 6-31 Treatment Officer • Develops and supervises treatment areas • Coordinates patient loading with Transport Officer • Tracks personnel assigned to Treatment Group • Maintains treatment area medical supply • Uses Log Sheet on page 6-31 for tracking
See Page 6-33 Transport Officer • Obtains patient destinations from Medical Facility • Supervises patient loading activities • Tracks personnel assigned to Transport Group • Uses Log Sheet on page 6-33 for tracking
See Page 6-35 Staging Officer Develops and manages three-part staging area · Part One: Transport Units · Part Two: Consists of single resources, i.e. extrication crews should stay together · Part Three: Consists of all other equipment Uses Log Sheet on page 6-35 for tracking
MCI Scene Staging Area Medical Supply Loading Zone Treatment Area Triage Area Incident Command Morgue Area Scene
Summary • Expect chaos • Establish positions quickly to disseminate tasks and responsibilities • Use checklists to guide actions • Do the best you can for the most you can • Prepare ahead of time: • Training and practice • Keep Triage bags current and available