1. Renton Fire & Emergency Services MCI Training Review the ICS system Realize the need for each member to know ICS Understand how ICS will help the efficiency and effectiveness of response Understand how ICS relates to MCI operations

2. Responsibilities of Command

3. Functions of Command

4. Communication

5. Developing a Tactical Worksheet

6. Organizational Structure: (Getting Good at Drawing Boxes) When Command When Operations When Groups/Division Who fills the Box?

7. Initial Response IC Lt. / Capt. Medical Group FF Fire Control Group Driver/FF Triage FF

8. Reinforced Response: A IC BC/SO Medical Group FF Fire Control Group Lt. / Capt. Extrication Group Lt. / Capt. FF Lt. FF Triage FF Treatment FF

9. Reinforced Response: B IC BC/SO Medical Group FF Fire Control Group Lt. / Capt. Extrication Group Lt. / Capt. Med Lt. FF Triage FF Treatment FF Staging Area Lt. / Capt. Safety BC/SO FF Med

10. Transfer of Command Incident Conditions Tactical Work Sheet Progress Safety Considerations Status of Assigned Resources Additional Needs

11. King County MCI Monthly Incidents

12. Objectives Relate KC MCI plan more appropriately to calls we see frequently Rank vs Boxes Active vs Passive Response Role Play Scenarios

13. Frustrations! So many plans-what to do? Is this an MCI? Can I declare an MCI? ?????????

14. Organizational Positions Incident Commander Medical Group Supervisor Triage Treatment Transport

15. Incident Commander Responsibilities Size-up 360/scene survey Establish command Request resources/declare MCI Manage resources/staging Accountability Safety

16. Incident Commander Simply Put… Stabilize the Scene Stabilize the Vehicles Stabilize the Patients

17. Medical Group Supervisor (MGS) Responsibilities 3 T’s Request Resources from IC Manage Resources Accountability Safety

18. Triage Responsibilities Initial Triage Numbers Flag, Tag, and Number Request Resources Manage Resources Harvesters Coordinate with Treatment / Extrication Re-triage Safety

19. Triage Determining Patient Color START Triage Airway Respirations >30 Absence of Radial Pulse Unconscious / Unable to Obey Commands Color Based on Mechanism

20. Treatment Responsibilities Establish / Announce Treatment Area Use Colored Tarps!!!! Request Resources Manage Resources Coordinate with Transportation Re-triage Document Safety

21. Transportation Responsibilities Ensure Adequate Resources Establish Transport Corridor EARLY Activate Hospital Control Manage Resources Document Safety

22. Other Common Groups Fire Control / Vehicle Stabilization Extrication Harvesters

23. FF’s-Which Box is YOURS? IC MGSTriageTreatmentTransportation

24. The Truth! Any member may be IC! Any member may be MGS! Any member may be Triage! Any member may be Treatment! Any member may be Transportation!

25. NEWSFLASH!!! Your BOX may trump RANK

26. What If……. What if I don’t do IC? What if I don’t perform Triage right away? What if I don’t declare MCI/need for resources? What if I don’t establish a transport corridor?

27. Supplies What’s in your belt? Cell phone

28. Active vs Passive—It’s up to You No knowledge = Passive Knowledge = Active No Practice = Passive Practice = Active

29. Scenarios