2. Bless Us in time of Crisis

3. Incident Management Systems A Plan for Success Ron Quinsey Firefighter/Paramedic ~ Lakewood Fire Dept.

4. Incident Management System: A system for coordinating procedures to assist in the control, direction and coordination of emergency response resources. Once termed Incident Command System (ICS), now is IMS

5. Presentation Objectives: 1.Overview the Emergency Services’ Incident Management System 2.Overview the County’s MCI Plan 3.Discuss Industrial Security role in an event.

7. Disaster: Man-made or natural event that involves tremendous damage across either a large geographic or enclosed area, which may or may not involve a large number of injuries. Examples include earthquakes, floods, or building collapse.

8. I ncident M anagement S ystem Incident Command SupplySupplyExtricationExtricationStagingStaging TreatmentTreatment TransportTransport TriageTriage Medical Command SafetySafety

9. IMSIncidentManagementSystemCommandBoard

10. There can be only ONE Incident Commander!

11. Bunch of Assholes! What Proctologists lament about.

13. MCI M ultiple C asualty I ncident: An incident where the number of patients or severity of their injuries overwhelms the initial response to an emergency incident.

14. Why a MCI Plan? Large incidents or multiple patients.Large incidents or multiple patients. Multiple Agencies: Fire, Police, Military, Civilian, Hospitals, Red Cross, etc.Multiple Agencies: Fire, Police, Military, Civilian, Hospitals, Red Cross, etc. Multiple jurisdictions: Fire, Counties, StatesMultiple jurisdictions: Fire, Counties, States Communication: Everyone speaking the same language. When things go bad you can always trace it back to communication.Communication: Everyone speaking the same language. When things go bad you can always trace it back to communication.

15. Activation of a MCI How does it get activated? Obvious (Explosion in populace areas) Obvious (Explosion in populace areas) 9-1-1 Dispatch center 9-1-1 Dispatch center On scene officerOn scene officer

16. First Arriving Officer Size upSize up Estimate number of patientsEstimate number of patients Declare MCIDeclare MCI Notify Incident Commander of Pertinent info. ( Hazmat, Hazards, etc.)Notify Incident Commander of Pertinent info. ( Hazmat, Hazards, etc.) Initiate set up for MCIInitiate set up for MCI

17. Incident Command Manages IncidentManages Incident Determines Command Post, Base, Staging AreaDetermines Command Post, Base, Staging Area Insure adequate resourcesInsure adequate resources Identify Medical Group LeaderIdentify Medical Group Leader

18. MCI Leader Checklist

19. Triage Sector: A method of sorting and categorizing patients into treatment or transport priorities.

20. Triage Priorities ä Highest priority –Airway or breathing difficulties –Uncontrolled or severe bleeding –Decreased or altered mental status –Severe medical problems –Signs and symptoms of shock –Severe burns with airway compromise

21. Triage Priorities

30. A tagging system can be used to assist in categorizing patients. Oh, No! Mr. Bill.

31. There are several styles of triage tags available.

33. Extrication Sector: Responsible for disentanglement of trapped patients at the scene. Additional Needs: Technical Expertise Technical Expertise Securing Electricity Securing Electricity Crowd Control & Incident Security Crowd Control & Incident Security

34. Treatment Sector: Responsible for additional care as patients are brought from the Extrication andTriageSectors.

35. Transportation Sector: Coordinates activities regarding the available resources of receiving hospitals, air medical resources and ambulances. Maintains a record of patient transport destinations.

36. Staging Sector: Coordinates with the transportation sector for the movement of vehicles and other resources to and from the scene.

37. Supply Sector: Responsible for obtaining additional resources such as equipment, supplies and personnel.

38. Seattle Initiates Business Emergency Network (TopOff 2003) The City of Seattle established a communication system known as the Business Emergency Network (BEN), it will assist businesses in their response to and recovery from an emergency. The Business Emergency Network enables businesses to receive information directly from the City's Emergency Operations Center and provide feedback about what they need. For more information about BEN, contact Ines Pearce, Seattle Emergency Management, (206) 615-0288 ~ ines.pearce@seattle.gov ines.pearce@seattle.gov

39. What Can Your Service Do? 1.Know your plan 2.Partner with & Know Your Emergency Services 3.P.A.C.E.: Practice, Anticipate, Communicate and Evaluate

41. What if we LOST the War?

44. Some times you have to COWBOY UP And take the bull by the horns and ride ‘em into the sunset

45. ?