3.10 Hostile MCI

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Questions and Answers

What units are dispatched as a first alarm?

3 Suppression Units, 3 Rescue Units, 2 Battalion Commanders (correct)

3 Suppression Units, 2 Rescue Units, 2 Battalion Commanders

2 Suppression Units, 3 Rescue Units, 3 Battalion Commanders

3 Suppression Units, 4 Rescue Units, 1 Battalion Commander

Who is primarily responsible for the operations during this event?

Local Government

Emergency Medical Services

BCFD

BCSO (correct)

What is one of the responsibilities of the first arriving Battalion Commander?

To oversee civilian evacuations

To develop an Incident Action Plan (IAP) (correct)

To establish the Level II staging area

To take command of all operations

What should the initial units do upon arrival at the scene?

Stage in the area unless cleared to enter Signup and view all the answers

Which benchmark may need to be tracked by Command?

Unified Command Established Signup and view all the answers

What must responding personnel do before entering the scene?

Wait for Command assignment after donning PPE Signup and view all the answers

What action should be taken by the second arriving Battalion Commander?

Fill the support officer role Signup and view all the answers

What is a necessary communication task for the Battalion Commander when managing responding units?

Define the location of hostile zone boundaries Signup and view all the answers

What must BCFD responders do upon entering and exiting the hazard zone?

Notify command Signup and view all the answers

Who is in charge of the Medical Branch at the CCP upon its establishment?

Either a company officer or the 2nd Battalion Commander Signup and view all the answers

What is the minimum personnel requirement for the establishment of an RTF?

2 to 4 personnel Signup and view all the answers

Which item is required to coordinate the transition from Treatment to Transport?

Medical Branch-BCFD MCI Protocol Signup and view all the answers

What must personnel do first upon entering the Warm Zone?

Collect forcible entry equipment Signup and view all the answers

What additional consideration must the regional Battalion Commander establish?

Unified command with BCSO Signup and view all the answers

Which area is designated for non-injured casualties?

Area of Refuge Signup and view all the answers

What should the Medical Branch advise if a secondary CCP will be required?

Advise Command Signup and view all the answers

What is the primary purpose of the guideline described for a multi-agency response to a Hostile Multiple Casualty Incident?

To describe best practices for coordinated responses Signup and view all the answers

Which area is designated as the location for loading patients into waiting ambulances?

Ambulance Exchange Point Signup and view all the answers

Who acts as the fire department liaison within the Rescue Task Force if no company officer is embedded?

The highest level of licensure EMT Signup and view all the answers

What does the term 'Warm Zone' specifically refer to in this context?

An area behind Law Enforcement that has been cleared Signup and view all the answers

What is the role of the Medical Branch within the Command System during an incident?

To oversee the treatment and transportation of patients Signup and view all the answers

Which of the following areas is considered safe and secured by Law Enforcement?

Cold Zone Signup and view all the answers

In the event of an active shooter incident, who is responsible for maintaining situational awareness?

All responders involved Signup and view all the answers

What is a Rescue Task Force (RTF) comprised of?

Fire department personnel and law enforcement members Signup and view all the answers

Study Notes

Unified Command Implementation

BCFD and BCSO will establish unified command during hostile MCI events, ensuring coordinated response
Communications will dispatch first alarm (3 Suppression Units, 3 Rescue Units, 2 Battalion Commanders) and assign regional TAC channel for all units.

Command Considerations

Regional Battalion Commander establishes unified command with BCSO
First Alarm Response: 3 Rescues, 3 Engines/Quint, 2 Battalion Commanders
Personnel Accountability and Tactical Assignments are crucial within the incident action plan
ABC EMS MCI Protocol requires a transport agency supervisor

Medical Branch Roles

The Medical Branch is responsible for RTF entry readiness, triage, treatment, and transportation of patients.
A Company Officer or the second arriving Battalion Commander will be responsible for the Medical Branch
At least 1 Paramedic will be assigned to the CCP to conduct operations effectively.

Medical Branch Responsibilities

Coordinate entry of the RTF with the Security Team.
Advise Command if a secondary CCP is required.
Establish a Triage area and assign personnel using START Triage.
Establish a Treatment area and assign personnel.
Establish an area of Refuge for non-injured casualties.
Coordinate the transition from Treatment to Transport using BCFD MCI Protocol.

RTF Roles

RTF consists of 2 to 4 BCFD Personnel working with a BCSO security team.
Collect forcible entry equipment at the breech-point
Enter the Warm Zone to determine the approximate number of patients and advise the CCP officer if a secondary CCP is required.
Triage, treat rapidly, tourniquet if necessary, and remove casualties
Move casualties to secured triage areas in the CCP.

Additional Resources

Unified Command can request additional resources as needed
This may include a second alarm or mutual aid.

Equipment

BCFD personnel are equipped with personal medical kits (Go Bags)
The text does not explicitly mention specific equipment for BCFD, but the emphasis on RTF equipment highlights the need for adequate tools to handle hostile environments.

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Description

Test your knowledge on the unified command implementation during hostile MCI events between BCFD and BCSO. This quiz covers essential command considerations, response protocols, and the roles of medical personnel. Understand how effective communication and planning are key to a coordinated response.