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Mass Causality Incident: We Have How many patients

What is a Mass Causality Incident?. Any Event that places excessive demands on personnel on hand or equipment on hand. Types of common MCI's. Highway accidentsAir CrashesMajor FiresTrain DerailmentsBuilding Collapses. Hazardous Materials ReleasesEarthquakesTornadoesHurricanesFloods. Prep

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Mass Causality Incident: We Have How many patients

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    1. Mass Causality Incident: We Have How many patients Presented by: Bill Milan NREMT-P, CCEMT-P

    2. What is a Mass Causality Incident? Any Event that places excessive demands on personnel on hand or equipment on hand

    3. Types of common MCI’s Highway accidents Air Crashes Major Fires Train Derailments Building Collapses Hazardous Materials Releases Earthquakes Tornadoes Hurricanes Floods

    4. Preparing for the Incident Preplanning Scene Management Post disaster follow up

    5. Preplanning (phase 1) Preplanning includes frequent drills with multiple agencies to work together to better handle these incidents Should have a written plan for all responding agencies duties and all other needs for the incident management

    6. Scene Management(phase 2) Scene Management begins with setting up a Incident Command System(ICS)

    7. What is ICS? A Standardized Management System to be utilized in handling ALL types of emergencies to enhance emergency worker safety and effectiveness

    8. Components of ICS Common Terminology Modular Organization Integrated Communications Command System Consolidated Action Plan Manageable Span of Control Designated Incident Facilities Comprehensive Resource Management

    9. Communication Use common terminology when giving commands to reduce confusion(not using 10 codes or any other codes) Do most communications face to face Have a unified communication system Have a common “command” frequency

    10. Modular Organization The ability to expand or contract the command system being used to fit the incident

    11. Modular Organization con’t

    12. EMS ICS STRUCTURE

    13. Deals with the number of personnel under any individual’s direct control Should range from 3 to 7 IDEAL NUMBER IS 5 Manageable Span of Control

    14. Designated Facilities Easy access Communications capability Equipment on-hand Computer capability Reference materials available

    15. So Who Is In Charge Here?????? This should be part of the preplanning document to eliminate confusion when a Incident occurs

    16. Incident Commander Is a single individual or a group of individuals who oversee the Incident NOT ALWAYS THE FIRST ON SCENE OR THE SENIOR PERSON Should be the person who can organize the personnel and equipment most efficiently

    17. You want me to go where???? There should be several sectors established to manage the situation Each sector should have a officer to oversee the operations and report to the IC The sector officers must be strong supervisors and able to not get involved in the incident

    18. Staging Sector This is a safe haven for personnel and equipment Should be within 3 minutes of the scene Very important to the success of the incident

    19. Treatment Sector This is the area where the triaged patients are brought Patients are given tags to show treatment priorities and taken to proper area

    20. Who Goes Where??? Most places use START field guide to triage patients and place METTAG cards on patients START(Simple Triage And Rapid Transport)

    21. START Triage Simple Triage and Rapid Transport Based on Ability to walk Respiratory effort Pulses/ perfusions Neurological status

    22. START Triage

    23. METTAG Cards(What are all the colors for?) Black(Dead or patients that have mortal wounds) Red(Most Critically Injured patients) Yellow(Less Critically Injured patients) Green(non-life or limb treatment)

    24. METTAG

    25. Why use the METTAG system Alerts care providers to patient priority Prevents re-triage of the same patient Serves as a tracking system

    26. Where do all the patients go now?? The Transportation sectors works with the treatment area and local hospitals to coordinate transport of patients Also sets up landing zones for Air Medical services to transport patients Makes sure there are means of transportation available at all times

    27. Helispots and Heliports Helispot – Temporary landing zones for helicopters Heliports – Complex landing areas for helicopters, often with fueling and maintenance capabilities.

    28. All patients are gone now what? Return all departments and equipment to service. Make a written report from all responding services of how the incident went Have a CISD(Critical Incident Stress Debriefing) for all responders Make available the written report to all services

    29. Then ready yourself for the next MCI!

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