MCI
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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?

    <p>By the on scene Battalion Chief to dispatch and relayed to the FAO</p> Signup and view all the answers

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

    <p>To ensure timely rescue and extrication operations are organized</p> Signup and view all the answers

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

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

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

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

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

    <p>Medical Group</p> Signup and view all the answers

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

    <p>Maintain accountability of patients and destinations</p> Signup and view all the answers

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

    <p>Medical Group</p> 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?

    <p>They are considered immediates</p> Signup and view all the answers

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

    <p>2nd Opinion Group</p> Signup and view all the answers

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

    <p>Hold large numbers of sick or injured patients</p> Signup and view all the answers

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

    <p>Triage and Treatment</p> Signup and view all the answers

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

    <p>4 or 5 critical patients</p> Signup and view all the answers

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

    <p>Biohazard trash containers, biohazard plastic bags, sharps containers</p> Signup and view all the answers

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

    <p>2-3</p> 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?

    <p>On smaller incidents</p> Signup and view all the answers

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

    <p>Depending on the number of patients or criticality of the incident</p> 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:

    <p>Resource management</p> Signup and view all the answers

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

    <p>To provide immediate transportation to the hospital</p> Signup and view all the answers

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

    <p>Warm Zone</p> Signup and view all the answers

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

    <p>Medical Group</p> 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?

    <p>Sifting</p> Signup and view all the answers

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

    <p>To Hospital Hazmat Medical Triage</p> Signup and view all the answers

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

    <p>Decon CP</p> Signup and view all the answers

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

    <p>To conduct secondary triage assessments</p> Signup and view all the answers

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

    <p>Supervise the Triage Unit Leader and Treatment Unit Leader</p> Signup and view all the answers

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

    <p>Determining the amount of medical supplies and resources needed</p> Signup and view all the answers

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

    <p>Ensuring the safety of members operating in the area</p> Signup and view all the answers

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

    <p>Determining the amount of medical supplies and resources needed</p> Signup and view all the answers

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

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

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

    <p>Designating locations for triage and treatment</p> 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?

    <p>Determining patient transportation routes to triage area</p> 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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    Related Documents

    Southern Nevada Fire Operations Multi-Casualty Incident (MCI) Procedures PDF

    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.

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