MCI Quiz: Prepare for Your Exam

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Questions and Answers

What is the responsibility of the initial Incident Commander (IC) at a multi-patient incident?

Provide immediate medical treatment to all patients

Establish Command and remain in Command until the incident is stabilized or Command is transferred (correct)

Focus on conserving property first

Delegate all command responsibilities to subordinates

What are the general tactical objectives at a multi-patient incident, in order of priority?

Conserve property, ensure life safety, provide accountability of victims, stabilize the incident, treat the injured

Ensure triage is performed, transport injured victims, stabilize the incident, provide life safety, conserve property

Remove endangered occupants, ensure proper triage and transportation, stabilize the incident, conserve property, provide life safety

Provide safety, remove endangered occupants, stabilize the incident, ensure proper triage and treatment, conserve property (correct)

What is one of the EMS TACTICAL objectives to be completed during a multi-patient incident?

Declaration of 'Property Retrieved and Secured'

Declaration of 'All IMMEDIATES Transported' (correct)

Declaration of 'All Victims Treated On-Site'

Completion of a 'Property Damage Report'

When will the declaration of Level 1-5 be made during a multi-patient incident?

By the on scene Battalion Chief to dispatch and relayed to the FAO Signup and view all the answers

What is the purpose of establishing a Rescue/Extrication Group position early in a multi-patient incident?

To ensure timely rescue and extrication operations are organized Signup and view all the answers

What is the responsibility of the Medical Group during a multi-casualty incident?

Transport critically ill/injured patients to area hospitals Signup and view all the answers

What is the primary role of the 2nd Opinion Group in the provided text?

Manage questionable patients showing increasing signs of illness/injury Signup and view all the answers

During a multi-casualty incident, who determines the need for wet or dry decontamination according to the text?

Medical Group Signup and view all the answers

What action should be taken by the Transportation Group with regard to patient destinations?

Maintain accountability of patients and destinations Signup and view all the answers

Which group is specifically tasked with coordinating the movement of patients to the casualty collection point when required?

Medical Group Signup and view all the answers

What distinguishes the critically ill/injured patients who will be transported to area hospitals from others in a multi-casualty incident?

They are considered immediates Signup and view all the answers

Which group ensures proper PPE for handling contaminated patients in a multi-casualty incident?

2nd Opinion Group Signup and view all the answers

What is the primary function of Casualty Collection Points in the context of a multi-casualty incident?

Hold large numbers of sick or injured patients Signup and view all the answers

What is the responsibility of the Medical Group in a Level 5 Response?

Triage and Treatment Signup and view all the answers

In a Level 5 Response, when might the Incident Commander establish a Transportation Group?

4 or 5 critical patients Signup and view all the answers

What supplies are needed for biohazard management in an emergency response?

Biohazard trash containers, biohazard plastic bags, sharps containers Signup and view all the answers

In a Level 5 Response, how many Groups are typically established by the Incident Commander?

2-3 Signup and view all the answers

For a Level 5 Response with fewer than 10 patients, where might a possible LZ (Helispot) Group be established?

On smaller incidents Signup and view all the answers

When might an Incident Commander decide to expand the Incident Command System?

Depending on the number of patients or criticality of the incident Signup and view all the answers

"The IC must ensure that each group has adequate resources to operate effectively." This statement emphasizes the importance of:

Resource management Signup and view all the answers

What is the purpose of augmenting each casualty collection point with an ambulance strike team?

To provide immediate transportation to the hospital Signup and view all the answers

Which zone is designated for individuals who are non-ambulatory but alive in a multi-casualty incident?

Warm Zone Signup and view all the answers

In the Initial On Scene Organizational Chart, what group directly oversees the triage unit?

Medical Group Signup and view all the answers

What activity involves separating ambulatory individuals from non-ambulatory individuals to a holding area in a multi-casualty incident?

Sifting Signup and view all the answers

Where do individuals in the 'Hot Zone' of a multi-casualty incident typically receive medical treatment?

To Hospital Hazmat Medical Triage Signup and view all the answers

Which area is responsible for conducting decontamination procedures in a multi-casualty incident?

Decon CP Signup and view all the answers

What is the primary function of the 2nd Opinion Group in a multi-casualty incident?

To conduct secondary triage assessments Signup and view all the answers

What is the primary responsibility of the Medical Group Supervisor during a multi-casualty incident?

Supervise the Triage Unit Leader and Treatment Unit Leader Signup and view all the answers

What is one of the responsibilities of the Medical Group Supervisor in establishing the medical group?

Determining the amount of medical supplies and resources needed Signup and view all the answers

Which role does the Medical Group Supervisor NOT have according to the text?

Ensuring the safety of members operating in the area Signup and view all the answers

What is one of the duties of the Medical Group Supervisor concerning medical supplies?

Determining the amount of medical supplies and resources needed Signup and view all the answers

In a multi-casualty incident, what is NOT a responsibility of the Medical Group Supervisor?

Ensuring efficiency of Rescue/Extrication operations Signup and view all the answers

What is a task that DOES fall under the Medical Group Supervisor's responsibilities during an MCI?

Designating locations for triage and treatment Signup and view all the answers

Which activity is NOT part of the Medical Group Supervisor's role in establishing the medical group during an MCI?

Determining patient transportation routes to triage area Signup and view all the answers

Study Notes

Incident Command and Multi-Casualty Incident (MCI) Procedures

The first-arriving company officer at the scene of a multi-patient or mass casualty incident shall establish Command.
The initial Incident Commander (IC) remains in Command until Command is transferred or the incident is stabilized and Command is terminated.
The IC is responsible for building a command structure that matches the organizational needs of the incident to achieve the tactical objectives.

Tactical Objectives

Provide for the safety, accountability, and welfare of rescue personnel and victims.
Remove endangered occupants and treat the injured.
Stabilize the incident and provide for life safety.
Ensure the functions of triage, extrication, treatment, and transportation are established as needed and performed appropriately.
Conserve property.

EMS Tactical Objectives

Completion of a “Triage Report”
Declaration of “All IMMEDIATES Transported”
Declaration of Level 1-5 will be made by the on-scene Battalion Chief to dispatch and relayed to the FAO (Fire Alarm Office)

Assignments and Group Responsibilities

Rescue/Extrication Group:
- Assigned early in the incident
- Re-triage patients every 30 minutes or sooner by patient condition
- Coordinate with 2nd Opinion Group for questionable patients
2nd Opinion Group:
- Responsible for managing questionable patients
- Ensure proper PPE to handle contaminated patients
- Move questionable patients to proper area (decon, triage, treatment)
Medical Group:
- Responsible for the triage and initial treatment of patients requiring transportation to area hospitals
- Only critically ill/injured (immediates) will be transported to hospitals
- Delayed and Minor patients will be transported to the casualty collection point or treated on-scene
Transportation Group:
- Responsible for the movement of critically ill/injured patients to area hospitals
- Contact hospitals to obtain a bed count
- Establish ambulance staging area with easy access/exit
- Maintain accountability of patients and destinations

Casualty Collection Points

Five designated locations configured to hold large numbers of sick or injured patients
Provide biohazard supplies, oxygen refill, and set up an oxygen manifold
Obtain needed offsite supplies

Incident Command Structure

Incident Command Structure for a Level 5 Response (10 or fewer patients)
- Incident Command
- Rescue Extrication
- Medical
- Possible LZ (Helispot)/Group
On smaller incidents, the Incident Commander may only need to establish 2-3 Groups: Rescue Extrication, Medical, and possibly LZ (Helispot)
The IC must ensure that each group has adequate resources to operate effectively

Initial On Scene Organizational Chart

Incident Command
- Holding Area Group
- Rescue/Ext.Group
- Medical Group
- Transportation Group
- 2nd Opinion Group
- Treatment Unit

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Description

Learn about the responsibilities of the Incident Commander (IC) in managing multi-patient or mass casualty incidents, establishing command, building a command structure, and achieving tactical objectives.

MCI

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Questions and Answers

What is the responsibility of the initial Incident Commander (IC) at a multi-patient incident?

What are the general tactical objectives at a multi-patient incident, in order of priority?

What is one of the EMS TACTICAL objectives to be completed during a multi-patient incident?

When will the declaration of Level 1-5 be made during a multi-patient incident?

What is the purpose of establishing a Rescue/Extrication Group position early in a multi-patient incident?

What is the responsibility of the Medical Group during a multi-casualty incident?

What is the primary role of the 2nd Opinion Group in the provided text?

During a multi-casualty incident, who determines the need for wet or dry decontamination according to the text?

What action should be taken by the Transportation Group with regard to patient destinations?

Which group is specifically tasked with coordinating the movement of patients to the casualty collection point when required?

What distinguishes the critically ill/injured patients who will be transported to area hospitals from others in a multi-casualty incident?

Which group ensures proper PPE for handling contaminated patients in a multi-casualty incident?

What is the primary function of Casualty Collection Points in the context of a multi-casualty incident?

What is the responsibility of the Medical Group in a Level 5 Response?

In a Level 5 Response, when might the Incident Commander establish a Transportation Group?

What supplies are needed for biohazard management in an emergency response?

In a Level 5 Response, how many Groups are typically established by the Incident Commander?

For a Level 5 Response with fewer than 10 patients, where might a possible LZ (Helispot) Group be established?

When might an Incident Commander decide to expand the Incident Command System?

"The IC must ensure that each group has adequate resources to operate effectively." This statement emphasizes the importance of:

What is the purpose of augmenting each casualty collection point with an ambulance strike team?

Which zone is designated for individuals who are non-ambulatory but alive in a multi-casualty incident?

In the Initial On Scene Organizational Chart, what group directly oversees the triage unit?

What activity involves separating ambulatory individuals from non-ambulatory individuals to a holding area in a multi-casualty incident?

Where do individuals in the 'Hot Zone' of a multi-casualty incident typically receive medical treatment?

Which area is responsible for conducting decontamination procedures in a multi-casualty incident?

What is the primary function of the 2nd Opinion Group in a multi-casualty incident?

What is the primary responsibility of the Medical Group Supervisor during a multi-casualty incident?

What is one of the responsibilities of the Medical Group Supervisor in establishing the medical group?

Which role does the Medical Group Supervisor NOT have according to the text?

What is one of the duties of the Medical Group Supervisor concerning medical supplies?

In a multi-casualty incident, what is NOT a responsibility of the Medical Group Supervisor?

What is a task that DOES fall under the Medical Group Supervisor's responsibilities during an MCI?

Which activity is NOT part of the Medical Group Supervisor's role in establishing the medical group during an MCI?

Study Notes

Incident Command and Multi-Casualty Incident (MCI) Procedures

Tactical Objectives

EMS Tactical Objectives

Assignments and Group Responsibilities

Casualty Collection Points

Incident Command Structure

Initial On Scene Organizational Chart

Studying That Suits You

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