Emergency Response Triage Procedures

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Questions and Answers

What is the primary purpose of the Transition Area in a multi-casualty incident?

To collect evidence and gather witness statements

To gather and stabilize casualties before evacuation

To prioritize and triage critically injured victims (correct)

To provide medical treatment to all victims

What is the main difference between a Casualty Collection Point and a Refuge Area?

Location: one is near the incident, the other is further away

Security: one is more secure, the other is less secure

Size: one is smaller, the other is larger

Purpose: one is for injured victims, the other is for uninjured evacuees (correct)

What is a key consideration when setting up a Refuge Area?

Number of evacuees and personnel required

Proximity to the incident scene

Availability of medical resources

Security and safety of the area (correct)

What is the primary focus of the initial stages of an MCI response?

Tending to injured victims and prioritizing medical care Signup and view all the answers

What is a critical step in the process of clearing victims for entry into the Triage, Treatment, and Transport Area?

Clearing victims of hazards and contaminants Signup and view all the answers

What is the purpose of SOP# SNFO-11, 'Multi-Casualty Incident (MCI) Procedures'?

To standardize the operation of fire department units at MCI incidents Signup and view all the answers

What may require further treatment of evacuees thought to be uninjured in a CBRNE-related incident?

Unidentified contaminants or hazards Signup and view all the answers

What determines the location of the Transition Area in an MCI response?

Size and complexity of the incident Signup and view all the answers

What is the primary role of the LE team leader during hostile contact?

To evacuate or escort the RTF to a safe position and maintain voice contact with FD Task Force Leader Signup and view all the answers

What is the purpose of the unique sorting markers used during the sifting process?

To identify victims who require immediate removal from the Warm Zone Signup and view all the answers

What happens to victims after they are moved from the Warm Zone?

They undergo formal triage in the TTT Area Signup and view all the answers

What is the primary difference between sifting and sorting, and formal triage?

Sifting and sorting are rapid determinations, while formal triage is a more detailed assessment Signup and view all the answers

What type of report does the FD Task Force Leader provide during an emergency situation?

CAAN report Signup and view all the answers

What is the primary goal of the RTF Team Leaders during a hostile event?

To assess the situation and decide to continue or abandon the mission Signup and view all the answers

What happens to the FD during hostile contact?

They fall back to the last safe position or a position of cover Signup and view all the answers

What is the purpose of the Dirty/Clean Transition Area?

To transition victims from the Warm Zone to the TTT Area Signup and view all the answers

What is the primary responsibility of the first-arriving company officer in a multi-casualty incident?

To implement the multi-casualty procedures Signup and view all the answers

What is the typical number of patients involved in a Level 5 MCI?

5-10 patients Signup and view all the answers

Which level of MCI requires a concerted multi-agency effort, including the activation and management assistance of the EOC?

Level 3 MCI Signup and view all the answers

What is the primary role of the Emergency Operations Center (EOC) in a multi-casualty incident?

To assist with the management of the incident Signup and view all the answers

What is the primary consideration for declaring a Level 1, 2, 3, 4, or 5 MCI?

The complexity of the event Signup and view all the answers

Which NIMS incident type is equivalent to a Level 5 MCI?

Type 5 NIMS incident Signup and view all the answers

What is the primary purpose of the Clark County Multi-Jurisdictional Mass Casualty Plan?

To integrate the multi-casualty procedures within the framework of the incident management system Signup and view all the answers

What is the primary consideration for determining the level of MCI?

The number of patients involved Signup and view all the answers

Study Notes

Incident Response

Triage teams prioritize critically injured victims through the Transition Area, which may change locations depending on the incident.
Casualty Collection Point (CCP) is a temporary location for gathering, triaging, and stabilizing casualties before evacuation.

Casualty Collection Point

CCP may be located in the warm zone where vehicle access is limited.
Multiple CCPs may be established based on the size and complexity of the incident.

Refuge Area

Refuge Area is a secured area for uninjured evacuees where Law Enforcement (LE) can gather witness statements, intelligence, and incident information.
Injured victims take priority in initial stages of the incident.
Tasks such as evidence collection, witness statements, and intelligence gathering should be performed prior to releasing evacuees from the scene.

Triage, Treatment, and Transport (TTT)

Attention must be given to clearing victims of hazards (e.g., contaminants, weapons) before entering the TTT Area.
Formal triage takes place in the TTT Area after victims have moved from the Warm Zone through the Dirty/Clean Transition Area.

Sifting and Sorting

Sifting is the process of determining which victims can self-extricate, require an Extraction Team, or be left in place.
Sorting is the process of assessing a victim's injuries.
Sifting and sorting is done by RTFs in the Warm Zone, using uniquely designed markers to identify victims who need immediate removal.

MCI Procedures

MCI procedures are integrated into the incident management system.
First-arriving company officer is responsible for implementing these procedures on any multi-casualty incident.
MCI procedures follow the National Incident Management System (NIMS) and the Clark County Multi-Jurisdictional Mass Casualty Plan.

MCI Definitions

Level 5 MCI: 5-10 patients, typically handled by the department having jurisdiction, with optional use of the Emergency Operations Center (EOC).
Level 4 MCI: 10-25 patients, requiring regional and multijurisdictional medical mutual aid, with possible use of the EOC.
Level 3 MCI: 25-50 patients, exceeding single-jurisdiction resources, requiring a concerted multi-agency effort, and activation of the EOC.

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Description

Learn about the importance of triage in emergency response situations, including prioritizing critically injured victims and managing casualty collection points.