Chapter 29 Mass-Casualty Incident Management

Chapter 29: Mass-Casualty Incident Management 2 Discuss the various environmental hazards that affect the OEC technician. Evaluate the role of the OEC technician in the multiple-casualty incident. Review the local mass-casualty incident plan (MCI). Define the incident command system (ICS). Objectives (1 of 3)

Chapter 29: Mass-Casualty Incident Management 3 Objectives (2 of 3) Identify main ICS functions and their responsibilities during a mass-casualty incident. Describe the advantages of using ICS as an organized approach to the management of mass-casualty incidents. Explain how the ICS structure expands or contracts to meet the needs of an incident.

Chapter 29: Mass-Casualty Incident Management 4 Objectives (3 of 3) Describe where you might be assigned within an ICS structure and list possible job responsibilities. Apply the four-color categories to a mass-casualty incident. Apply the sequence of emergency care for a single patient with multiple injuries.

Chapter 29: Mass-Casualty Incident Management 5 MCI Management MCI: An incident that places great demands on rescuer resources (manpower, equipment, vehicles, hospitals, etc.) May require technical rescue team to access and treat patients, ie, ski patrol A practiced, well designed Emergency Operations plan is essential.

Chapter 29: Mass-Casualty Incident Management 6 Key Questions Does the incident require a technical rescue team (HazMat, dive rescue, etc.)? What equipment is needed? What environmental injuries are to be expected? What happens when there are multiple patients?

Chapter 29: Mass-Casualty Incident Management 7 Emergency Operation Plan Components: Control/management Communications Logistics Evacuation Public information Emergency medical care Security Fire and rescue coordination Public works/utility repair or contact

Chapter 29: Mass-Casualty Incident Management 8 Incident Command System (ICS) Used to help control, direct, and coordinate resources. Ensures clear lines of responsibility and authority Incident commander (IC) has overall responsibility for managing incident System can expand to meet needs as the incident progresses

Chapter 29: Mass-Casualty Incident Management 9 Structure of an Incident Command System

Chapter 29: Mass-Casualty Incident Management 10 ICS Components Incident commander (IC) remains at a centralized command post. Safety officer has full authority of IC and is responsible for rescuer safety. IC selects “sector” leaders, ie, operations, planning, finance, public information, etc. “Unified Command” is used to incorporate various agencies within ICS.

Chapter 29: Mass-Casualty Incident Management 11 ICS Structure: Medical Incident Command center Staging Extrication Triage Treatment Supply Transportation Rehabilitation

Chapter 29: Mass-Casualty Incident Management 12 Typical ICS Organization

Chapter 29: Mass-Casualty Incident Management 13 Medical Response Three important stages: triage, treatment, and transport –Triage determines priority of treatment. –RED patients are moved to treatment area for assessment and care. –Transport officer assigns ambulances and destinations.

Chapter 29: Mass-Casualty Incident Management 14 Medical Response Resource needs and allocation are communicated to command center. YELLOW and GREEN patients are treated and transported as resources allow. After full evacuation, evaluation for Critical Incident Stress Debriefing (CISD) occurs. Success depends on every rescuer working within the system!

Chapter 29: Mass-Casualty Incident Management 15 Disaster Management Widespread event that disrupts and threatens community Rescuer roles will be assigned by ICS. Hospitals may be overburdened. Casualty collection areas may be set up and staffed by nursing and medical staff with equipment.