67 Questions
What are the designated roles for EMS purposes in MCI?
Triage, Treatment, and Transportation Groups
What does MCI stand for?
Mass Casualty Incidents
What is the first EMS unit on the scene responsible for in an MCI?
Establishing temporary scene command and conducting primary triage
What type of incidents may require the suspension of normal EMS operations?
Nature and magnitude overwhelming normal EMS care
What type of reports are included in documentation for MCI?
PCR, NFIRS reports, and patient triage tag corner given to Transport Officer
What is the priority for Medic Companies at an Active Shooter Incident (ASI)?
Expedient patient care
Who makes joint decisions with Online Medical Control (OLMC) in an MCI?
Scene command
What does ASI stand for?
Active Shooter Incidents
What governs MCI in Regions VII?
MABAS Divisions and County or System Mass Casualty Plans
What are used on all patients in an MCI?
Triage tags
What is the responsibility of Transporting Medic Companies after transporting patients to the hospital?
Return to staging
What may potentially violent calls prioritize in an MCI?
Scene safety and provider safety
What is the assumed availability of the Medic Company in a still district?
Available to assist in any given still district
What is the time frame within which time-sensitive patients can be transported from the scene in a multiple victim incident?
10 minutes
What is the initial assumption regarding the type of incident Medic Company must respond to?
As though they were requested to a confirmed medical emergency requiring immediate advanced life support
What is the primary focus of the initial actions and deployment of personnel for the Medic Company?
Locating a patient in need of initial ALS care
What is the threshold for resources arriving to manage small-scale multiple victim incidents?
Within 15 minutes
What is the Medic Company allowed to do to support the 1st due Suppression Company?
Perform fireground tasks
What is the specified time frame for transporting time-sensitive patients in a multiple victim incident?
Within 10 minutes
What is the responsibility of Medic Company Attendant on Fireground White?
Allows officers to find out what help or equipment the Medic Company needs without creating radio traffic
What is the assumed role of the Medic Company in a still district?
Assist in any given still district
What is the focus of managing a multiple victim incident without the need for mass casualty response in the field?
Practical application
What is the specified time frame for resources arriving to manage small-scale multiple victim incidents?
Within 15 minutes
What is the primary focus of the Medic Company in managing a multiple victim incident?
Patient care
Who is responsible for ensuring compliance with the provisions of the Standard Operating Guidelines (SOG)?
Chief Officers and Company Officers
What is the primary tactical mission of the Medic Company?
Access the patient and provide a quality assessment
What equipment is assigned to the Driver of the Medic Company?
Portable Radio, Jump Bag, Airway Equipment, Cot
Who is responsible for conducting company training to ensure understanding of the Standard Operating Guidelines (SOG)?
All members under the command of Chief Officers and Company Officers
According to the standard operating guidelines, who is responsible for ensuring compliance with the provisions of this SOG?
Chief Officers and Company Officers
What is the tactical mission of the Medic Company as stated in the standard operating guidelines?
Rapidly access the patient and provide a quality assessment
What equipment is assigned to the Driver of the Medic Company, based on the standard operating guidelines?
Portable Radio, Jump Bag and Airway Equipment, Cot
Who is responsible for conducting company training to ensure that all members understand the standard operating guidelines?
Chief Officers and Company Officers
What is the minimum staffing requirement for rehab, in terms of Paramedics to persons ratio?
1 Paramedic for every 10 persons
What are the specific criteria for Tier 1 rehab?
For self-rehab and minor medical issues
What is the primary purpose of rehab operations?
To ensure personnel's physical and mental condition does not deteriorate
What are the medical evaluation criteria for required medical transport of personnel?
Complaints of chest pain, dizziness, shortness of breath, or weakness
What should Rehab provide suitable protection from?
Weather conditions
What is the medical evaluation criteria to recommend medical transport of personnel?
Weakness, nausea, headache, and abnormal vital signs
What is the purpose of Tier 2 rehab?
To provide immediate medical treatment
What is the primary focus of rehab efforts?
To ensure personnel's physical and mental condition does not deteriorate
What is the specific equipment that the first due Medic at an ASI should gather?
Triage tags and specific medical equipment
What should Additional Medic Companies arriving at an ASI be prepared to do?
Hand off patient movement equipment to RTF companies
What is the responsibility of the first due Medic at an ASI?
Report to the staging area and contact the Rescue Chief
What is the purpose of gathering specific equipment by the first due Medic at an ASI?
To perform triage in the outer perimeter
What is the minimum staffing requirement for rehab in terms of Paramedics to persons ratio?
1 Paramedic for every 10 persons
What are the two levels of rehab mentioned in the text?
Tier 1 for self-rehab and Tier 2 for formal rehab
What is the aim of rehab operations in the context of EMS?
To ensure the physical and mental condition of personnel does not deteriorate during strenuous activities or exposure to heat or cold
What are some of the factors to be taken into account when establishing rehab?
Time, complexity, and intensity of the incident or activity
What is the responsibility of additional Medic Companies arriving at an ASI?
Position their vehicles with other transport vehicles and be prepared to hand off patient movement equipment to RTF companies
What are the medical evaluation criteria for required medical transport of personnel?
Complaints of chest pain, dizziness, shortness of breath, or weakness
What is the threshold for resources arriving to manage small-scale multiple victim incidents?
The arrival of additional Medic Companies
What is the focus of rehab efforts in the context of EMS?
Relief from weather conditions, rest and recovery, rehydration, and medical monitoring
What is the primary responsibility of the first due Medic at an ASI?
Report to the staging area and contact the Rescue Chief, taking on medical and triage positions
What is the responsibility of Rehab in terms of protection from weather conditions?
Rehab should provide suitable protection from weather conditions
What is the medical evaluation criteria to recommend medical transport of personnel?
Weakness, nausea, headache, and vital signs considered abnormal
What is the minimum staffing requirement for rehab in terms of Paramedics to persons ratio?
1 Paramedic for every 10 persons
What are the specific criteria for Tier 2 rehab?
Formal rehab for personnel showing signs of fatigue and exhaustion
What is the primary aim of rehab operations?
To prevent deterioration of personnel's physical and mental condition
What medical evaluation criteria are used to recommend medical transport of personnel?
Weakness, nausea, headache, and abnormal vital signs
What is the purpose of establishing communication with the resource hospital during triage?
To coordinate patient movement and transportation
What equipment should Rehab be far enough from the scene to allow personnel to safely remove?
Personal Protective Equipment (PPE)
What is the primary consideration for the location of rehab?
Protection from weather conditions and accessibility by ambulance
What does Tier 1 rehab cater to?
Self-rehab for personnel needing rest and recovery
What should Additional Medic Companies be prepared to do upon arrival at an ASI?
Hand off patient movement equipment to RTF companies
What is the purpose of establishing communication with the Rescue Chief at an ASI?
To take on medical and triage positions
What are the two levels of rehab established based on specific criteria?
Tier 1 for self-rehab and Tier 2 for formal rehab
What are Rehab efforts aimed at providing to personnel?
Rest and recovery, hydration, and medical monitoring
Study Notes
Mass Casualty Incidents (MCI) and EMS Response
- MCI in Regions VII are governed by MABAS Divisions and County or System Mass Casualty Plans
- Designated roles for EMS purposes include Triage, Treatment, and Transportation Groups
- MCI is a medium to large scale incident that overwhelms normal levels of EMS care
- Triage tags are used on all patients, and more than one patient can be transported in each ambulance
- First EMS unit on scene establishes temporary scene command and conducts primary triage
- Scene command makes joint decisions with Online Medical Control (OLMC) and calls Resource Hospital
- Suspension of normal EMS operations may occur based on the nature and magnitude of the incident
- Documentation includes PCR, NFIRS reports, and patient triage tag corner given to Transport Officer
- Transporting Medic Companies return to staging after transporting patients to the hospital
- Potentially violent calls prioritize scene safety and provider safety
- Active Shooter Incidents (ASI) utilizing Rescue Task Forces (RTF) require heightened awareness and training
- System specific policies for MCI/MVI should be followed at all times, and expedient patient care is a priority for Medic Companies at an ASI
Emergency Medical Services (EMS) Incident Response Procedures
- Medic Company Attendant on Fireground White allows officers to find out what help or equipment the Medic Company needs without creating radio traffic on the main fire frequency
- Medic Company must respond to medical and trauma incidents as though they were requested to a confirmed medical emergency requiring immediate advanced life support
- Initial actions and deployment of personnel must be in preparation for locating a patient in need of initial ALS care
- Medic Company is assumed to be available to assist in any given still district and can perform fireground tasks to support the 1st due Suppression Company when needed
- Specific tasks for first, second, and third due Medic Companies at a fire incident are outlined
- Small-scale multiple victim incidents can be managed with resources arriving within 15 minutes and normal levels of EMS care achievable for the most seriously injured
- Time sensitive patients can be transported within 10 minutes of scene time
- Definition and criteria for a multiple victim incident are provided
- Practical application of managing a multiple victim incident without the need for mass casualty response in the field is outlined
- Procedures for the first EMS unit on the scene, scene command decision, and remaining patient disposition in a multiple victim incident are detailed
- Joint decision making with Medical Control and coordinating patient distribution with the Resource Hospital in a multiple victim incident is explained
- Documentation requirements for patient care reports in a multiple victim incident are specified
Emergency Medical Service Operations at the Scene of an Incident
- Non-transport companies will handle on-scene care and scene management due to necessity.
- The first due Medic at an ASI should report to the staging area and contact the Rescue Chief, taking on medical and triage positions.
- They should gather specific equipment and perform triage in the outer perimeter, establishing communication with the resource hospital.
- Additional Medic Companies arriving at an ASI should position their vehicles with other transport vehicles and be prepared to hand off patient movement equipment to RTF companies.
- Rehab operations aim to ensure the physical and mental condition of personnel does not deteriorate during strenuous activities or exposure to heat or cold.
- There are two levels of rehab: Tier 1 for self-rehab and Tier 2 for formal rehab, with specific criteria for each.
- Rehab is established when conditions indicate the need for rest and rehabilitation, taking into account factors such as time, complexity, and intensity of the incident or activity.
- Rehab should be staffed by a minimum of 1 Paramedic for every 10 persons and be far enough from the scene to allow personnel to safely remove PPE.
- The location and characteristics of rehab should provide suitable protection from weather conditions and be easily accessible by ambulance.
- Rehab efforts include relief from weather conditions, rest and recovery, rehydration, and medical monitoring.
- Medical evaluation criteria for required medical transport of personnel include complaints of chest pain, dizziness, shortness of breath, or weakness.
- Medical evaluation criteria to recommend medical transport of personnel include weakness, nausea, headache, and vital signs considered abnormal.
Test your knowledge of Emergency Medical Services (EMS) response procedures in mass casualty incidents, multiple victim incidents, and at the scene of various incidents with this comprehensive quiz. Explore the roles, responsibilities, and operational procedures for EMS units in different emergency scenarios.
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