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Disasters and Mass-Casualty Incidents: Introduction

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29 Questions

What is the primary goal of the Incident Command System (ICS)?

To make the best use of resources to manage the environment and treat patients

What is the recommended supervisor-to-worker ratio in the ICS?

One supervisor for five subordinates

What is the purpose of sections in the ICS organizational structure?

To oversee a specific functional area

When are branches typically established in the ICS?

When the span of control is a problem

What is the role of the incident commander in the ICS?

To assess the incident and establish strategic objectives

What is the purpose of the general staff in the ICS?

To include command, finance/administration, logistics, operations, and planning

What is the role of the liaison officer in the ICS?

To coordinate with other responders

What is the purpose of emergency operations centers?

To coordinate resources between government agencies

When should responders use the ICS?

During any incident or disaster

What refers to any situation that overwhelms your resources?

Disaster

How many patients are involved in a mass-casualty incident (MCI)?

Three

In a disaster, what can constitute a disaster if there is only one EMS unit available?

One critical patient

Which agreement is between neighboring EMS systems to respond when local resources are insufficient?

Mutual aid response

Which is NOT an example mentioned for mass-casualty incidents?

Fire in a building

How should an EMT manage an event with a large number of patients?

By using a systematic approach

What enables an EMT to do the greatest good for the greatest number of people at an incident?

Incident Command System (ICS) principles

Which branch will an EMT typically work within under the Incident Command System (ICS)?

EMS/Medical branch

What may an EMT be asked to do under the Incident Command System (ICS)?

Function in other areas

In what situation can an incident be considered a disaster?

When it overwhelms available resources

What are the two important underlying principles of the National Incident Management System (NIMS)?

Flexibility and standardization

Why is maintaining interoperability crucial in NIMS?

To enable different agencies to communicate seamlessly

Which component of the NIMS focuses on mechanisms to describe, inventory, track, and dispatch resources during and after an incident?

Resource management

What is the main purpose of the Incident Command System (ICS) mentioned in the text?

To ensure responder and public safety

Why is unity of effort considered an important guiding principle in NIMS?

To allow agencies to work toward common goals while supporting each other

What is the purpose of maintaining standardization in NIMS?

To provide a common framework for effective coordination

Which component of NIMS focuses on effective communication, information sharing, and interoperability during domestic incident management?

Communications and information management

What concept refers to the ability of agencies from different backgrounds to communicate with each other in NIMS?

Interoperability

Which term best describes the ability of agencies to work together towards common goals while maintaining individual independence?

Unity of effort

Under NIMS, what is the purpose of creating a flexible organizational structure?

To allow swift adaptation for diverse scenarios

Study Notes

Disasters and Mass-Casualty Incidents

  • A disaster refers to any situation that overwhelms available resources, such as a single incident with two critical patients and only one EMS unit available to respond.
  • A mass-casualty incident (MCI) involves three or more patients, requires a mutual aid response, or has the potential to create a situation that overwhelms resources.
  • Examples of MCIs include bus or train crashes, earthquakes, and incidents that require a large response from multiple agencies.

National Incident Management System (NIMS)

  • NIMS was developed to promote efficient coordination between emergency responders at the regional, state, and national levels.
  • The Department of Homeland Security implemented NIMS in 2004 to provide a comprehensive framework for federal, state, and local governments, as well as private-sector and nongovernmental organizations, to work together effectively.
  • Underlying principles of NIMS include flexibility, standardization, and unity of effort, which enables various agencies to achieve common objectives while maintaining individual authorities.

Incident Command System (ICS)

  • ICS is a component of NIMS that ensures responder and public safety, achieves incident management goals, and ensures efficient use of resources.
  • The purpose of ICS is to manage the environment around the incident and treat patients during an emergency.
  • ICS provides a modular organizational structure that can be applied to all hazards, from a single vehicle crash to a natural gas pipeline explosion.
  • Key principles of ICS include:
    • Limiting the span of control of any one individual to one supervisor for five subordinates.
    • Using clear text communications (plain English) to ensure efficient communication between responders from multiple agencies.
    • Avoiding duplication of effort and freelancing by individual units or organizations.

ICS Organizational Structure

  • Organizational levels include:
    • Sections: responsible for a major functional area, such as finance/administration, logistics, planning, or operations.
    • Branches: managed by the branch director and may be functional or geographic in nature.
    • Divisions: align resources and/or crews under one supervisor, often in the same geographic area.
    • Groups: align resources and/or crews under one supervisor, often in the same functional area but possibly in different locations.

ICS Roles and Responsibilities

  • Command staff includes:
    • Incident Commander (IC): the person in charge of the overall incident, responsible for assessing the incident, establishing strategic objectives and priorities, and developing a plan to manage the incident.
    • Public Information Officer (PIO): responsible for communicating information to the public and media.
    • Safety Officer: responsible for ensuring the safety of responders and the public.
    • Liaison Officer: responsible for coordinating with other agencies and organizations.
  • General staff includes:
    • Finance/Administration: responsible for managing resources and logistics.
    • Logistics: responsible for providing resources and support.
    • Operations: responsible for executing the plan to manage the incident.
    • Planning: responsible for developing and maintaining the plan to manage the incident.

Explore the challenges of responding to disasters and mass-casualty incidents, where situations overwhelm available resources. Learn about mass-casualty incidents (MCIs) and how they impact EMS responses.

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