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Questions and Answers
What is the responsibility of the initial Incident Commander (IC) at a multi-patient incident?
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?
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?
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?
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 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 responsibility of the Medical Group during a multi-casualty incident?
What is the primary role of the 2nd Opinion Group in the provided text?
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?
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?
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?
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?
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?
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 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?
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?
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?
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?
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?
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?
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:
"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?
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?
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?
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?
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?
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?
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 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 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?
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?
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?
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?
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?
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?
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
- 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.
