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?

After establishing COMMAND Signup and view all the answers

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

The incident has only a few walking wounded Signup and view all the answers

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

Request additional units based on MCI Levels Signup and view all the answers

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

Level 2 Signup and view all the answers

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

Providing frequent updates about manpower and equipment needs Signup and view all the answers

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

Transport Group Leader Signup and view all the answers

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

Organize the Triage personnel for initial triage. Signup and view all the answers

What is a critical consideration when establishing a Treatment Area?

It must accommodate the number of victims and equipment. Signup and view all the answers

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

Notify the 2 closest hospitals and the nearest trauma center. Signup and view all the answers

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

A Transport Log. Signup and view all the answers

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

Treatment Log. Signup and view all the answers

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

Three distinct areas based on triage priority. Signup and view all the answers

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

Staging Group Leader Signup and view all the answers

What information must the TRANSPORT Group communicate to MedCom?

All of the above. Signup and view all the answers

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

Check the surroundings for potential victims. Signup and view all the answers

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

Assist with completing the Treatment Log. Signup and view all the answers

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

Assigned on a rotating basis to hospitals. Signup and view all the answers

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

Collecting all pertinent documentation. Signup and view all the answers

When should the Triage Tag be removed from a patient?

When treatment is completed. Signup and view all the answers

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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Description

This quiz covers the essential aspects of managing multiple casualty incidents (MCIs), including triage procedures and the responsibilities of the first arriving unit. It details the different MCI levels and outlines the incident management roles required for efficient response. Test your knowledge of these critical emergency management principles.