Procedure 34 Multiple Casualty Incidents 08/13/2019

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Questions and Answers

What is the minimum number of victims that classifies an incident as MCI Level 3?

  • 21-100 victims (correct)
  • 11-20 victims
  • 5-10 victims
  • Over 1000 victims

Who retains the role of Triage Group Leader after Command is transferred?

  • Any arriving unit's officer
  • The Fire Alarm designee
  • The first arriving unit's OIC (correct)
  • The Commanding Officer of the rescue team

Which of the following is NOT a responsibility of the Command during an MCI?

  • Control resources
  • Respond to the Staging area first (correct)
  • Perform ongoing evaluation of changing conditions
  • Encourage Group Leaders to provide updates

At what stage of an MCI does the first arriving unit perform a size up?

<p>After establishing COMMAND (B)</p> Signup and view all the answers

In which scenario would an additional functional group NOT be required?

<p>The incident has only a few walking wounded (A)</p> Signup and view all the answers

What is the correct response if the number of victims exceeds the first arriving unit's capability?

<p>Request additional units based on MCI Levels (C)</p> Signup and view all the answers

Which MCI Level requires a response for up to 20 victims?

<p>Level 2 (C)</p> Signup and view all the answers

What is emphasized for the Triage Group Leader during an MCI incident?

<p>Providing frequent updates about manpower and equipment needs (B)</p> Signup and view all the answers

Which role is responsible for coordinating the transport of victims from treatment areas?

<p>Transport Group Leader (A)</p> Signup and view all the answers

What should the Triage Group Leader do first as part of their responsibilities?

<p>Organize the Triage personnel for initial triage. (B)</p> Signup and view all the answers

What is a critical consideration when establishing a Treatment Area?

<p>It must accommodate the number of victims and equipment. (A)</p> Signup and view all the answers

What action should the Fire Alarm Office (FAO) take for a Level 1 MCI?

<p>Notify the 2 closest hospitals and the nearest trauma center. (D)</p> Signup and view all the answers

What should be retained by the Transport Group during medical transport?

<p>A Transport Log. (D)</p> Signup and view all the answers

What specific document should be completed by the Treatment Group Leader?

<p>Treatment Log. (A)</p> Signup and view all the answers

In a large-scale incident, how should the treatment area be organized?

<p>Three distinct areas based on triage priority. (A)</p> Signup and view all the answers

Which group leader should maintain a 'Unit Staging Log'?

<p>Staging Group Leader (A)</p> Signup and view all the answers

What information must the TRANSPORT Group communicate to MedCom?

<p>All of the above. (D)</p> Signup and view all the answers

What is the first action of the Triage Group Leader after establishing the triage area?

<p>Check the surroundings for potential victims. (C)</p> Signup and view all the answers

What is a responsibility of the Documentation Aide in the Treatment Group?

<p>Assist with completing the Treatment Log. (C)</p> Signup and view all the answers

How should patients be assigned for ground transport according to established guidelines?

<p>Assigned on a rotating basis to hospitals. (B)</p> Signup and view all the answers

What role does the Incident Commander have after an MCI incident?

<p>Collecting all pertinent documentation. (D)</p> Signup and view all the answers

When should the Triage Tag be removed from a patient?

<p>When treatment is completed. (A)</p> Signup and view all the answers

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Study Notes

Introduction to MCI Management

  • Efficient triage, treatment, and transport of victims in multiple casualty incidents (MCIs) are crucial.
  • Applicable when the number of injured exceeds the first arriving unit's capabilities.

MCI Levels

  • MCI Level 1: 5-10 victims
  • MCI Level 2: 11-20 victims
  • MCI Level 3: 21-100 victims
  • MCI Level 4: 101-1000 victims
  • MCI Level 5: Over 1000 victims

Procedures for First Arriving Unit

  • Establish COMMAND and perform a size-up to estimate victims and request response.
  • Identify a staging area to manage patient flow.
  • Assume control of triage and include directives for handling walking wounded.
  • Additional units will have designated roles (Triage, Treatment, Transport).

Incident Management Responsibilities

  • Command:
    • Utilize radio designation COMMAND and follow the Field Operational Guide (FOG).
    • Conduct ongoing evaluations and ensure clear communication with Group Leaders.
  • Triage Group Leader:
    • Use radio designation TRIAGE, organize triage personnel, and communicate victim categories to COMMAND.
  • Treatment Group Leader:
    • Focus on rapidly triaging and treating victims; maintain logs and coordinate with Triage.
  • Transport Group Leader:
    • Manage transport logistics, maintain communication with FAO, and document patient transport details.
  • Staging Group Leader:
    • Use radio designation STAGING and ensure a reserve of transport vehicles is available.

Fire Alarm Office (FAO) Responsibilities

  • Notify hospitals based on declared MCI levels with escalating notifications as victim count increases.
  • Collect information on hospital capabilities and maintain updates throughout the incident.

Documentation

  • Incident Commander to coordinate the collection of all documentation post-incident.
  • Conduct a Post Incident Analysis (PIA) for MCI Level 2 or greater events to evaluate response effectiveness.

MCI Supplies and Equipment

  • Supplies per Group:
    • Triage, Treatment, Transport, and Staging kits contain relevant FOGs, logs, vests, and triage tags.
  • Each kit is tailored for specific operational needs during an MCI, ensuring effective and organized response efforts.

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