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Mass Casualty Incident Management Plan for Lewis County EMS

This plan provides guidance for managing emergency medical care during mass casualty incidents in Lewis County, outlining procedures for responding units, establishing incident command, and coordinating triage, treatment, and transport operations.

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Mass Casualty Incident Management Plan for Lewis County EMS

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  1. Mass Casualty Incident Annex

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. MCI Scene Staging Area Medical Supply Loading Zone Treatment Area Triage Area Incident Command Morgue Area Scene

  15. 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

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