203.01 EMS Responsibilites

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Questions and Answers

What type of incidents does this procedure apply to?

Only incidents with more than 10 patients

Only major transportation incidents

Any multi-patient or mass casualty incident regardless of size (correct)

Only structural collapse incidents

What is the purpose of this procedure?

To respond only to explosions with multiple injuries

To provide medical treatment to patients at incidents

To investigate the cause of mass casualty incidents

To establish a standard structure for fire department units at multi-patient incidents (correct)

What type of incidents may be included in this procedure?

Major transportation incidents, explosions with multiple injuries, and hazardous materials incidents (correct)

Only small-scale incidents with minimal injuries

Only structural collapse incidents and explosions

Only hazardous materials incidents

What is the scope of this procedure?

To establish a standard structure and guideline for fire department units at multi-patient/mass casualty incidents Signup and view all the answers

Who is responsible for implementing the multi-patient/mass casualty procedures at the scene of an EMS incident?

The first-arriving company officer Signup and view all the answers

What is the key responsibility of the initial Incident Commander?

Completing tactical objectives Signup and view all the answers

What is the definition of a 'mass casualty incident'?

An incident involving 25 to 100 patients Signup and view all the answers

What is the primary objective of the tactical objectives listed in the procedure?

Removing endangered occupants and treating the injured Signup and view all the answers

What is the purpose of the tactical objectives in the procedure?

To complete the tactical objectives Signup and view all the answers

Who is responsible for establishing Command at the scene of a multi-patient or mass casualty incident?

The first-arriving company officer Signup and view all the answers

What is the definition of a 'disaster' in the context of this procedure?

An incident involving more than 100 patients Signup and view all the answers

What is the fifth tactical objective in order of priority?

Providing for the safety, accountability and welfare of rescue personnel Signup and view all the answers

In incidents with a small number of patients, what is the most effective approach to treating patients?

Treat patients 'in place' Signup and view all the answers

How should treatment areas be identified in a multiple-patient incident?

Using colored salvage covers Signup and view all the answers

What is the primary responsibility of the Incident Commander in a multiple-patient incident?

Determine the appropriate strategy Signup and view all the answers

In which situations may it be more effective to remove victims to a safe area rather than stabilize hazards?

All of the above Signup and view all the answers

What is the purpose of the Triage Sector in a multiple-patient incident?

To determine the location, number, and condition of patients Signup and view all the answers

Where should additional resources be staged in a multiple-patient incident?

At a distance from the scene Signup and view all the answers

What is the primary responsibility of the Extrication Sector in a mass casualty incident?

To extricate and deliver patients to the treatment area Signup and view all the answers

What is the purpose of the Staging Sector in a multiple-patient incident?

To assign units as directed by Command Signup and view all the answers

What is the main purpose of the Treatment Sector?

To assign and supervise treatment teams and ensure all patients are triaged and treated Signup and view all the answers

When should a Level II Staging Area be implemented?

For all First-Alarm-Medical Incidents or greater Signup and view all the answers

When would a Staging Sector be required in a mass casualty incident?

When the incident escalates and more resources are needed Signup and view all the answers

What should units assigned to sectors do, unless they are carrying special equipment?

Park at a distance from the scene Signup and view all the answers

What is the responsibility of the Medical Supply Sector?

To procure, deliver, and stockpile medical supplies at the scene Signup and view all the answers

What should be stockpiled in the treatment area?

Medical equipment and supplies Signup and view all the answers

What is the role of the LZ Sector in a mass casualty incident?

To keep track of patient destination and communicate with incoming aircraft Signup and view all the answers

Who is responsible for ensuring that the functions of triage, extrication, and treatment are carried out?

The Medical Branch Director Signup and view all the answers

What is the purpose of the Safety Sector in a mass casualty incident?

To ensure scene safety Signup and view all the answers

When would a Medical Branch be established in a mass casualty incident?

For large-scale incidents requiring multiple sectors Signup and view all the answers

What is the responsibility of the Transportation Sector in a mass casualty incident?

To obtain modes of transportation for patients and coordinate with Treatment Sector Signup and view all the answers

What is the role of MINOR patients in the Extrication Sector?

They are assessed by Extrication and delivered to the treatment area if needed Signup and view all the answers

What is the primary objective of the Incident Management System?

To complete the tactical objectives Signup and view all the answers

When should patients be treated and transported in the following priority order?

Whenever possible Signup and view all the answers

What is the first action of the first arriving officer at a multi-patient incident?

Give an on-scene report and assume command Signup and view all the answers

What should be initiated early in an incident, especially when the number of patients exceeds the capabilities of the on-scene personnel?

Triage Signup and view all the answers

What is the purpose of a Triage Report?

To signify that triage has been completed and communicate the size of the incident Signup and view all the answers

When should triage tags be used?

Any time there are three or more IMMEDIATE patients or more than ten patients Signup and view all the answers

What is the role of the IC in the Incident Management System?

To drive the Command system towards the tactical objectives Signup and view all the answers

What is the purpose of the initial on-scene report?

To answer the questions: What do I have? What action will I take? What resources do I need? Signup and view all the answers

What should be done to establish a safe zone for crews to operate?

Defensive rig positioning and traffic control Signup and view all the answers

What should be done after the initial report is communicated to Dispatch?

Dispatch will begin to notify other agencies and medical facilities Signup and view all the answers

What is the primary role of the Medical Branch Director?

To supervise and coordinate personnel assigned to the Medical Branch Signup and view all the answers

What is the purpose of the Extrication Sector?

To manage physical disentanglement or removal of patients from the impact site Signup and view all the answers

What is the minimum number of companies required to be assigned to the Transportation Sector?

One company Signup and view all the answers

What is the purpose of the Hospital Communications Coordinator?

To check on hospital availability through Dispatch on Med-9 Signup and view all the answers

When should the triage function be performed?

During the initial response, typically lasting 4-6 minutes Signup and view all the answers

What is the purpose of the Loading Coordinator?

To manage the loading of patients into ambulances Signup and view all the answers

When should the Treatment Sector be established?

After the triage function is completed Signup and view all the answers

What is the purpose of the LZ Sector?

To manage helicopter operations Signup and view all the answers

Who should be assigned to the LZ Sector?

A Company Officer Signup and view all the answers

What is the purpose of the Medical Supply Sector?

To provide medical supplies to the Treatment Sector Signup and view all the answers

Study Notes

Standard Operating Procedure for Multi-Patient/Mass Casualty Incidents

Establishes a standard structure and guideline for Fire Department units at multi-patient/mass casualty incidents
Applicable to any multi-patient or mass casualty incident regardless of patient number or incident size
Integrated into the overall incident management system
May include:
- Major transportation incidents
- Explosions or fires with multiple injuries
- Hazardous materials incidents with exposure victims
- Structural collapse incidents

Phoenix Regional Standard Operating Procedures for EMS Responsibilities

Scope and Policy Statement

Establishes a standard structure and guideline for Fire Department units at multi-patient/mass casualty incidents
Integrates with the overall incident management system
Applies to incidents with varying numbers of patients (multi-patient, mass casualty, disaster)

Definitions

Multi-patient incident: fewer than 25 patients
Mass casualty incident: 25-100 patients
Disaster: more than 100 patients

Procedure

First-arriving company officer establishes Command and assumes responsibility for tactical objectives
Tactical objectives:
- Remove endangered occupants and treat the injured
- Stabilize the incident and provide for life safety
- Establish triage, extrication, treatment, and transportation functions
- Ensure safety, accountability, and welfare of rescue personnel and victims
- Conserve property
Command is responsible for building a command structure to match the organizational needs of the incident

Triage and Patient Assessment

Triage should be initiated early in the incident
Patients should be treated and transported in priority order: IMMEDIATE, DELAYED, MINOR
Triage Report should be radioed to Dispatch, including patient numbers and conditions

Arrival and Scene Size-up

First-arriving company officer should:
- Give an on-scene report and assume Command
- Initiate triage
- Perform a rapid hazard assessment and establish a safe zone
- Call for additional resources
- Radio a Triage Report to Dispatch

Staging

Additional resources should be requested using standard assignments and alarms
Staging area should be established to keep the scene clear and maintain access
Units should be assigned to sectors, and medical equipment should be stockpiled in the treatment area

Command Responsibilities

Incident Commander (IC) is responsible for:
- Determining strategy and setting priorities
- Obtaining and assigning resources
- Communicating objectives to tactical units
- Initiating a Unified Command with other agencies

Basic Sectors

Triage Sector: determines patient location, number, and condition; assigns and supervises triage teams
Extrication Sector: determines patient location, number, and condition; assigns and supervises extrication teams
Treatment Sector: determines patient treatment needs; assigns and supervises treatment teams
Transportation Sector: obtains transportation modes; determines hospital availability; coordinates patient allocation with Treatment Sector

Additional Sectors

Safety Sector: ensures scene safety and monitors hazards
Medical Supply Sector: procures, delivers, and stockpiles medical supplies
LZ Sector: coordinates helicopter operations and ensures safe landing zones

Branches

Medical Branch: directs all medical-related sectors; ensures completion of medical objectives
Transportation Branch: directs all transportation-related sectors; ensures completion of transportation objectives

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Description

This procedure outlines the standard structure and guidelines for Fire Department units to respond to multi-patient or mass casualty incidents, integrating into the overall incident management system.