1. Kenya Red Cross Society
MCI Protocol

2. STRATEGY PLAN

3. Previous MCIs; Ngai-Ndethya train crash 1993 US Embassy Bombing 1998
Nyamakima Building 2006
Post Election Violence 2007/8
Nakumatt Supermarket fire 2009
Chasagwani oil tanker fire 2009
Sinai slum/oil pipeline fire 2011
JKIA fire 2013
Westgate attack 2013
Gikomba twin-bomb blasts 2014

4. MCI Synchronization within KRCS.
The pillars of synchronization include;
Coordination of response activities (Internal and External)
Collaboration with partners and stakeholders
Command and control at the scene
Communication (Upwards and downwards) and use of common language
The Major roles of KRCS in a MCI is First Aid, Triage and Medivac.
MCI Declares in KRCS?
Large ….that generates National interest - SG
Small …..that generates interest at County level - CM

5. MCI Functions Safety and Security Fire Fighting ICS & EOC SAR HAZMAT
Bomb squad
Medicare and Evacuations
Public Relation/Media/Communication

6. ‘Reloaded’ mode
Upon declaration of MCI, the KRCS’ organizational reporting structure and lines freeze and a ‘Reloaded’ mode immediately activated for the management of the MCI
DM-Ops Duty manager assumes Head of EOC and becomes ‘Charlie Base’ for the command and control of the Operation under the ‘Reloaded’ mode

7. Communication and Reporting lines during MCI

8. KRCS MCI Guidelines 1. Emergency Operation Center (EOC)
Receive, verify information on the incident and disseminate.
Duties of Charlie Base
Verifies Information has been received by SG, DM Ops, GM Supply Chain & E plus, PR
Opens a line of communication with the Tango- One
Contacts Police, Fire, Ambulances, Neighbouring County
Liaises with E-plus dispatcher for ambulance and hospital information management.
Establishes need gaps from the scene (Quick and dirty assessment) and determine need for additional or stand down of resources
Reporting;
Consolidate information on scene (Map of area, access routes, nearest hospital, airports etc )
Release periodic updates and bulletins to senior management for publication
Liaise with Secretary General to prepare and launch a DREF or Appeal

9. 2. Red Cross Action Teams (RCAT)
Mobilize the team by Tango-One or Charlie Base depending on the size of MCI.
As per standby teams activation guidelines
At scene RCAT team leader
Establish communication with Tango One
Make a general observation and assess the situation, the needs and your capacity.
Check is the site safe? (If not safe wait until site is safe)
Do you need special equipment and personal protective equipment?
Confirm with the medical teams that are on the ground, how many casualties do we have, how many EMTs do we have and RCAT members
Team leader Deploy the team to the different sectors including first aid, triage evacuation and search for patients in all unlikely places
PSS and Tracing teams set up support systems and provide services as per the standby team activation guidelines in annex 1
Coordinate with other team leaders from other responding teams

10. 3. Emergency Plus Medical Services (E+) Dispatch.
MCI information gathering and activation.
The paramedic in the first Ambulance on scene
assumes the roles of MC.
MC checklist
Report arrival to dispatch and hence forth report to Tango One.
Direct and supervise Triage (as per START triage protocol in annex 2.)
Establish of level resources (personnel and ambulances) at scene.
Establish the need for a treatment area depending on the magnitude of the incident (Consider Proximity, safety, access and exit routes)
Frequent updates to Tango One
Information gathering and reporting
No. of medical personnel and ambulances at the scene
Compile and report on No. of RED, YELLOW, GREEN and BLACK patients using the START triage protocol from the triage team leader to the Tango One
No. transferred to Hospital under each category from transport team leader

11. Information received, verification and dissemination then activation.
4. County Manager
Information received, verification and dissemination then activation.
County manager assumes the role of Ground Commander
Roles
Internal coordination with RCAT team leaders
First Aid volunteers
Tracing / Information desk
Psychosocial Services (PSS)
Search and Rescue
Media Liaison
formation from all deployed teams
External Coordination with stakeholders, IC, EOC
Deployment of resources.

12. Engagement with other actors
Kenya Red Cross Kenya Defense Forces National Police Service National Youth Service NDOC NDMU St John Ambulance
Nairobi County Fire KK G4S Ministry of Health Hospitals Private practitioners Community members

13. Coordinated Command structure

14. Scaling down and termination of the Operation
Appropriate use of resources availed for the MC and Stand-down mobilized resources
Upon attending to all casualties and the scene is announced as cleared by the Incident Commander, Tango-One and /or Ground Commander shall terminate the operation
Debriefing
PSS for staff and Volunteers

15. Thank you