1. A/V 5-1 UNIT 5: THE INITIAL RESPONSE/BASIC ORGANIZATION

2. A/V 5-2 KNOWLEDGE OBJECTIVES Five components of the basic organization.Five components of the basic organization. Responsibilities of the Extrication Group Supervisor.Responsibilities of the Extrication Group Supervisor. Responsibilities of the Triage Unit Leader.Responsibilities of the Triage Unit Leader. Responsibilities of the Treatment Unit Leader.Responsibilities of the Treatment Unit Leader. Responsibilities of the Patient Transportation Group Supervisor.Responsibilities of the Patient Transportation Group Supervisor. Responsibilities of the Medical Group Supervisor.Responsibilities of the Medical Group Supervisor. The students will be able to describe the:

3. A/V 5-3 ROLES AND RESPONSIBILITIES OF THE INCIDENT COMMANDER Ensures life safety of responders and citizensEnsures life safety of responders and citizens Determines objectives and strategies, setting immediate prioritiesDetermines objectives and strategies, setting immediate priorities Determines/Approves tactical objectivesDetermines/Approves tactical objectives

4. A/V 5-4 ROLES AND RESPONSIBILITIES OF THE INCIDENT COMMANDER (cont'd) Establishes an Incident Command Post (ICP)Establishes an Incident Command Post (ICP) Coordinates activities of assigned staffCoordinates activities of assigned staff Authorizes release of information to the news mediaAuthorizes release of information to the news media Establishes an ICS organization to meet incident needs, both current and projectedEstablishes an ICS organization to meet incident needs, both current and projected

5. A/V 5-5 INCIDENT COMMANDER

6. A/V 5-6 ROLES AND RESPONSIBILITIES OF DIVISION/GROUP SUPERVISORS AND UNIT LEADERS

7. A/V 5-7 INCIDENT COMMANDER RESCUE/ EXTRICATION GROUP

8. A/V 5-8 RESCUE/EXTRICATION GROUP SUPERVISOR Implements assigned incident objectivesImplements assigned incident objectives Provides tactical direction and supervision to assigned resourcesProvides tactical direction and supervision to assigned resources Determines resources needed to extricate patientsDetermines resources needed to extricate patients Communicates resource requirements to Incident Commander (IC) as necessaryCommunicates resource requirements to Incident Commander (IC) as necessary

9. A/V 5-9 RESCUE/EXTRICATION OFFICER (cont'd) Ensures safety of members operating in areaEnsures safety of members operating in area Coordinates with Treatment Unit Leader for patient care during the rescue operationCoordinates with Treatment Unit Leader for patient care during the rescue operation Ensures efficacy of rescue/extrication operationsEnsures efficacy of rescue/extrication operations Coordinates patient transportation to triage areaCoordinates patient transportation to triage area Provides frequent progress reports to the ICProvides frequent progress reports to the IC Maintains incident documentationMaintains incident documentation

10. A/V 5-10 INCIDENT COMMANDER RESCUE/ EXTRICATION GROUP MEDICAL GROUP

11. A/V 5-11 INCIDENT COMMANDER RESCUE/ EXTRICATION GROUP MEDICAL GROUP TRIAGE UNIT

12. A/V 5-12 TRIAGE UNIT LEADER Determines location of triage area(s)Determines location of triage area(s) Ensures that all patients are assessed and sorted in accordance with appropriate triage protocolsEnsures that all patients are assessed and sorted in accordance with appropriate triage protocols

13. A/V 5-13 TRIAGE UNIT LEADER (cont'd) Determines resources required to conduct triage operationsDetermines resources required to conduct triage operations Communicates resource requirements to Medical Group Supervisor as necessaryCommunicates resource requirements to Medical Group Supervisor as necessary Develops triage organization sufficient to handle assignmentDevelops triage organization sufficient to handle assignment Ensures safety and security of all members operating in the triage areaEnsures safety and security of all members operating in the triage area Ensures efficacy of triage operationsEnsures efficacy of triage operations

14. A/V 5-14 TRIAGE UNIT LEADER (cont'd) Provides frequent progress reports to Medical Group SupervisorProvides frequent progress reports to Medical Group Supervisor Establishes initial morgue operationsEstablishes initial morgue operations Coordinates movement of patients from triage area to treatment areaCoordinates movement of patients from triage area to treatment area Maintains incident documentationMaintains incident documentation

15. A/V 5-15 INCIDENT COMMANDER RESCUE/ EXTRICATION GROUP MEDICAL GROUP TRIAGE UNIT TREATMENT UNIT

16. A/V 5-16 TREATMENT UNIT LEADER Identifies and establishes a suitable area(s) for treatment operationsIdentifies and establishes a suitable area(s) for treatment operations Identifies and requests additional resources as neededIdentifies and requests additional resources as needed Coordinates with Triage Unit Leader the movement of patients from the triage area to treatment area(s)Coordinates with Triage Unit Leader the movement of patients from the triage area to treatment area(s)

17. A/V 5-17 TREATMENT UNIT LEADER (cont'd) Receives patients in the treatment area(s)Receives patients in the treatment area(s) Establishes communication and coordination with Patient Transportation Group SupervisorEstablishes communication and coordination with Patient Transportation Group Supervisor Assigns, supervises, and coordinates personnel within the area(s)Assigns, supervises, and coordinates personnel within the area(s)

18. A/V 5-18 TREATMENT UNIT LEADER (cont'd) Ensures safety of all members operating in area(s)Ensures safety of all members operating in area(s) Ensures efficacy of treatment operationsEnsures efficacy of treatment operations Directs movement of patients to ambulance loading areaDirects movement of patients to ambulance loading area Provides frequent progress reports to the Medical Group SupervisorProvides frequent progress reports to the Medical Group Supervisor Maintains incident documentationMaintains incident documentation

19. A/V 5-19 INCIDENT COMMANDER RESCUE/ EXTRICATION GROUP MEDICAL GROUP TRIAGE UNIT TREATMENT UNIT PATIENTTRANSPORTATIONGROUP

20. A/V 5-20 TRANSPORTATION GROUP SUPERVISOR Establishes an adequately sized, easily identifiable patient loading areaEstablishes an adequately sized, easily identifiable patient loading area Establishes communication with area hospitalsEstablishes communication with area hospitals Designates an ambulance staging areaDesignates an ambulance staging area Identifies and requests additional resourcesIdentifies and requests additional resources Directs the transportation of patients in coordination with the Treatment Unit LeaderDirects the transportation of patients in coordination with the Treatment Unit Leader

21. A/V 5-21 TRANSPORTATION GROUP SUPERVISOR (cont'd) Requests air and ground ambulances as neededRequests air and ground ambulances as needed Coordinates air ambulance transportationCoordinates air ambulance transportation

22. A/V 5-22 TRANSPORTATION GROUP SUPERVISOR (cont'd) Establishes an air ambulance helispot(s)Establishes an air ambulance helispot(s) Maintains patient tracking records and other incident documentsMaintains patient tracking records and other incident documents

23. A/V 5-23 INCIDENT COMMANDER RESCUE/ EXTRICATION GROUP MEDICAL GROUP TRIAGE UNIT TREATMENT UNIT PATIENTTRANSPORTATIONGROUP

24. A/V 5-24 Activity 5.1 20th Street Incident Analysis Purpose To analyze the incident for basic command procedures, including communication processes and development of the incident organization

25. A/V 5-25 Activity 5.2 Central City Traffic Collision Purpose To address several issues relative to incident management, including organization structure, identifying resource needs, and identifying potential problems.

26. A/V 5-26 SCENARIO #1 BASIC INFORMATION TIME: 1630 DATE: Friday, January 20 WEATHER: 65 degrees, clear skies, breezy

27. A/V 5-27 1631 HOURS Liberty Communications to Central City Police Central Engine 101 Central Medic 103 Reported traffic accident at the intersection of US 10 and State Route 19 No further information at this time

28. A/V 5-28 1632 HOURS Liberty Communication--Central City Police On scene with a two-vehicle accident One vehicle is overturned. There is a possibility of a trapped victim.

29. A/V 5-29 1634 HOURS Liberty Communication--Central Medic 103 Central Medic 103 on scene. Two vehicles involved with one overturned A total of 5 victims 2 critical, 2 moderate, and 1 minor 1 of the critical and the minor-status victim are trapped

30. A/V 5-30 1636 HOURS Liberty Communications--Central Medic 103 Request two additional medic units, a truck company, and a battalion chief Central Medic 103 assuming Highway Command Liberty Communications--Central Engine 101 Central Engine 101 on scene

31. A/V 5-31 1637 HOURS Highway Command--Liberty communications Additional resources and ETA's are Central Truck 101--5 minutes Central Medic 105--6 minutes Community Medic 31--8 minutes Central Battalion 1--10 minutes