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Questions and Answers
What are the designated roles for EMS purposes in MCI?
What are the designated roles for EMS purposes in MCI?
What does MCI stand for?
What does MCI stand for?
What is the first EMS unit on the scene responsible for in an MCI?
What is the first EMS unit on the scene responsible for in an MCI?
What type of incidents may require the suspension of normal EMS operations?
What type of incidents may require the suspension of normal EMS operations?
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What type of reports are included in documentation for MCI?
What type of reports are included in documentation for MCI?
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What is the priority for Medic Companies at an Active Shooter Incident (ASI)?
What is the priority for Medic Companies at an Active Shooter Incident (ASI)?
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Who makes joint decisions with Online Medical Control (OLMC) in an MCI?
Who makes joint decisions with Online Medical Control (OLMC) in an MCI?
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What does ASI stand for?
What does ASI stand for?
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What governs MCI in Regions VII?
What governs MCI in Regions VII?
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What are used on all patients in an MCI?
What are used on all patients in an MCI?
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What is the responsibility of Transporting Medic Companies after transporting patients to the hospital?
What is the responsibility of Transporting Medic Companies after transporting patients to the hospital?
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What may potentially violent calls prioritize in an MCI?
What may potentially violent calls prioritize in an MCI?
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What is the assumed availability of the Medic Company in a still district?
What is the assumed availability of the Medic Company in a still district?
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What is the time frame within which time-sensitive patients can be transported from the scene in a multiple victim incident?
What is the time frame within which time-sensitive patients can be transported from the scene in a multiple victim incident?
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What is the initial assumption regarding the type of incident Medic Company must respond to?
What is the initial assumption regarding the type of incident Medic Company must respond to?
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What is the primary focus of the initial actions and deployment of personnel for the Medic Company?
What is the primary focus of the initial actions and deployment of personnel for the Medic Company?
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What is the threshold for resources arriving to manage small-scale multiple victim incidents?
What is the threshold for resources arriving to manage small-scale multiple victim incidents?
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What is the Medic Company allowed to do to support the 1st due Suppression Company?
What is the Medic Company allowed to do to support the 1st due Suppression Company?
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What is the specified time frame for transporting time-sensitive patients in a multiple victim incident?
What is the specified time frame for transporting time-sensitive patients in a multiple victim incident?
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What is the responsibility of Medic Company Attendant on Fireground White?
What is the responsibility of Medic Company Attendant on Fireground White?
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What is the assumed role of the Medic Company in a still district?
What is the assumed role of the Medic Company in a still district?
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What is the focus of managing a multiple victim incident without the need for mass casualty response in the field?
What is the focus of managing a multiple victim incident without the need for mass casualty response in the field?
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What is the specified time frame for resources arriving to manage small-scale multiple victim incidents?
What is the specified time frame for resources arriving to manage small-scale multiple victim incidents?
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What is the primary focus of the Medic Company in managing a multiple victim incident?
What is the primary focus of the Medic Company in managing a multiple victim incident?
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Who is responsible for ensuring compliance with the provisions of the Standard Operating Guidelines (SOG)?
Who is responsible for ensuring compliance with the provisions of the Standard Operating Guidelines (SOG)?
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What is the primary tactical mission of the Medic Company?
What is the primary tactical mission of the Medic Company?
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What equipment is assigned to the Driver of the Medic Company?
What equipment is assigned to the Driver of the Medic Company?
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Who is responsible for conducting company training to ensure understanding of the Standard Operating Guidelines (SOG)?
Who is responsible for conducting company training to ensure understanding of the Standard Operating Guidelines (SOG)?
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According to the standard operating guidelines, who is responsible for ensuring compliance with the provisions of this SOG?
According to the standard operating guidelines, who is responsible for ensuring compliance with the provisions of this SOG?
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What is the tactical mission of the Medic Company as stated in the standard operating guidelines?
What is the tactical mission of the Medic Company as stated in the standard operating guidelines?
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What equipment is assigned to the Driver of the Medic Company, based on the standard operating guidelines?
What equipment is assigned to the Driver of the Medic Company, based on the standard operating guidelines?
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Who is responsible for conducting company training to ensure that all members understand the standard operating guidelines?
Who is responsible for conducting company training to ensure that all members understand the standard operating guidelines?
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What is the minimum staffing requirement for rehab, in terms of Paramedics to persons ratio?
What is the minimum staffing requirement for rehab, in terms of Paramedics to persons ratio?
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What are the specific criteria for Tier 1 rehab?
What are the specific criteria for Tier 1 rehab?
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What is the primary purpose of rehab operations?
What is the primary purpose of rehab operations?
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What are the medical evaluation criteria for required medical transport of personnel?
What are the medical evaluation criteria for required medical transport of personnel?
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What should Rehab provide suitable protection from?
What should Rehab provide suitable protection from?
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What is the medical evaluation criteria to recommend medical transport of personnel?
What is the medical evaluation criteria to recommend medical transport of personnel?
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What is the purpose of Tier 2 rehab?
What is the purpose of Tier 2 rehab?
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What is the primary focus of rehab efforts?
What is the primary focus of rehab efforts?
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What is the specific equipment that the first due Medic at an ASI should gather?
What is the specific equipment that the first due Medic at an ASI should gather?
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What should Additional Medic Companies arriving at an ASI be prepared to do?
What should Additional Medic Companies arriving at an ASI be prepared to do?
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What is the responsibility of the first due Medic at an ASI?
What is the responsibility of the first due Medic at an ASI?
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What is the purpose of gathering specific equipment by the first due Medic at an ASI?
What is the purpose of gathering specific equipment by the first due Medic at an ASI?
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What is the minimum staffing requirement for rehab in terms of Paramedics to persons ratio?
What is the minimum staffing requirement for rehab in terms of Paramedics to persons ratio?
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What are the two levels of rehab mentioned in the text?
What are the two levels of rehab mentioned in the text?
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What is the aim of rehab operations in the context of EMS?
What is the aim of rehab operations in the context of EMS?
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What are some of the factors to be taken into account when establishing rehab?
What are some of the factors to be taken into account when establishing rehab?
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What is the responsibility of additional Medic Companies arriving at an ASI?
What is the responsibility of additional Medic Companies arriving at an ASI?
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What are the medical evaluation criteria for required medical transport of personnel?
What are the medical evaluation criteria for required medical transport of personnel?
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What is the threshold for resources arriving to manage small-scale multiple victim incidents?
What is the threshold for resources arriving to manage small-scale multiple victim incidents?
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What is the focus of rehab efforts in the context of EMS?
What is the focus of rehab efforts in the context of EMS?
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What is the primary responsibility of the first due Medic at an ASI?
What is the primary responsibility of the first due Medic at an ASI?
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What is the responsibility of Rehab in terms of protection from weather conditions?
What is the responsibility of Rehab in terms of protection from weather conditions?
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What is the medical evaluation criteria to recommend medical transport of personnel?
What is the medical evaluation criteria to recommend medical transport of personnel?
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What is the minimum staffing requirement for rehab in terms of Paramedics to persons ratio?
What is the minimum staffing requirement for rehab in terms of Paramedics to persons ratio?
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What are the specific criteria for Tier 2 rehab?
What are the specific criteria for Tier 2 rehab?
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What is the primary aim of rehab operations?
What is the primary aim of rehab operations?
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What medical evaluation criteria are used to recommend medical transport of personnel?
What medical evaluation criteria are used to recommend medical transport of personnel?
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What is the purpose of establishing communication with the resource hospital during triage?
What is the purpose of establishing communication with the resource hospital during triage?
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What equipment should Rehab be far enough from the scene to allow personnel to safely remove?
What equipment should Rehab be far enough from the scene to allow personnel to safely remove?
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What is the primary consideration for the location of rehab?
What is the primary consideration for the location of rehab?
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What does Tier 1 rehab cater to?
What does Tier 1 rehab cater to?
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What should Additional Medic Companies be prepared to do upon arrival at an ASI?
What should Additional Medic Companies be prepared to do upon arrival at an ASI?
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What is the purpose of establishing communication with the Rescue Chief at an ASI?
What is the purpose of establishing communication with the Rescue Chief at an ASI?
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What are the two levels of rehab established based on specific criteria?
What are the two levels of rehab established based on specific criteria?
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What are Rehab efforts aimed at providing to personnel?
What are Rehab efforts aimed at providing to personnel?
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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.
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Description
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.