1. MULTI-CASUALTY INCIDENTS A Review and Update for EMS Command

2. MCI Overview General Purpose: –To review/refresh Multi-Casualty Incidents and how they work in the Incident Command sequence Appropriate identification of an MCI Initiation of the Incident Command System Build-out of the Incident Command System for: –Small scale incidents –Large scale incidents

3. MCI Overview Performance Objectives –At the end of this presentation, the participants shall be able to: Implement the Incident Command System for an MCI Correctly identify an MCI Successfully navigate their assigned role in a mock MCI

4. ? Has this happened to you OR Maybe you did this……..

5. Patients are in units and no one knows anything about them.

6. The Medic left scene with the first patient he/she saw.

7. You arrive. No information available but….”See my cool Jimmie Jacks”.

8. Trauma patient count confused by communications issues.

9. Packaged patients waited 10 minutes for transport units that were requested one by one.

10. There has to be a better way!!!!!!!

11. You can do this!!!!

12. Initiate the Incident Command Sequence 1 st arriving unit officer should: Assume command Declare the incident an MCI Request additional resources Perform triage

13. Initiate the Incident Command Sequence The following functions must occur: –Triage –Treatment area, if appropriate (small v. large scale) –Transport/Communications

14. Initiate the Incident Command Sequence REMEMBER if you do not designate it you OWN IT!!!!!

15. Command Designation Options IC retains EMS functions (triage, treatment, etc.) IC designates an EMS Group Supervisor –Build out based on incident scope/span of control

16. TRIAGE/TREATMENT Small scale incident –Apply Triage identifier (ribbon, tag) –Report patient count to EMS Group Supervisor or IC Regardless of Triage color –Initiate treatment of patients in place –No formal treatment area

17. Large scale incident –Apply Triage identifier –Patients moved to designated Treatment areas (Triage Officer) –Patient information gathered in Treatment area (Treatment Officer) TRIAGE/TREATMENT

18. Treatment Areas Large scale event Assign group supervisor –Sub-divide into appropriate colors Location Considerations –Safety –# of patients –Removal of pts from scene Refine patient count –Re-assess/re-triage –#/color Update resource needs

19. Transportation/Communications –HospitalCommunications Sm v Lg scale “Call Down” plan High priority pts to appropriate hosp. Dispatch center likely overwhelmed Role of Communications Group Sup v individual transport units –Movement of Patients Based on hospital availability? Coordinate w/ Staging Record keeping

20. Communication Options Communications Officer may: –make all communications with hospital(s) –designate ALS consults only. All others via Communications Officer.

21. Suppression Group ICS for the MCI Incident Commander Triage Supervisor Treatment Supervisor Transport/ Communications EMS GroupRescue Group

22. Incident Commander Communi- cations Treatment Triage Transport EMS Group 1 st arriving unit officer In place or designated areas Consider ALS provider, EMS supervisor (Can later be used in Transp/Comm)

23. Command Resources Position documents –Medical Group Supervisor –Transportation Group Supervisor Patient tracking documents –Transport Stubs –Treatment Supervisor –Treatment Disposition

29. A/C Mike McAdams A/C “Rusty” Rothenhoeffer B/C Mark Davis Capt. LeRoy Gross Capt. Vicki Fowler Capt. Beth Sanford Lt. Jon Fiedler To the following persons who contributed to the success of this program: