Mass Casualty Incident Standards
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Questions and Answers

In the event of a Level 4 MCI, what is the estimated range of patients involved?

  • 101-1000 patients (correct)
  • 5-10 patients
  • 21-100 patients
  • 11-20 patients
  • Which of the following specialized resources is primarily used for the storage and transportation of medical supplies for a large number of patients?

  • Tactical Command Unit (TCU)
  • Support 81 (correct)
  • Disaster Response Unit (DRU)
  • Tactical 34
  • Which of the following is NOT a defined MCI 'Type' based on the provided content?

  • Biological
  • Earthquake (correct)
  • Chemical
  • Plane Crash
  • In the Incident Command Structure, which assignment's primary responsibility involves assessing and categorizing patients based on their injuries?

    <p>Triage (A)</p> Signup and view all the answers

    According to the provided content, what is the initial action taken by the first arriving unit upon reaching the scene of an MCI?

    <p>Establishing Incident Command (C)</p> Signup and view all the answers

    Which of the following is a key responsibility of the Fire Operations Officer in the event of an MCI?

    <p>Requesting additional resources outside Palm Beach County (D)</p> Signup and view all the answers

    What is the purpose of the "LIP.E" protocol used in assigning incoming units during an MCI?

    <p>Assigning specific responsibilities to different units based on their capabilities (B)</p> Signup and view all the answers

    The Disaster Response Unit (DRU) is a specialized resource mentioned in the content. Which of the following is NOT a possible function of this unit?

    <p>Providing specialized equipment for technical rescue operations (A)</p> Signup and view all the answers

    In the context of a Mass Casualty Incident (MCI), what responsibility does the Safety Officer have related to the Exclusion Zone?

    <p>The Safety Officer is tasked with ensuring the Exclusion Zone is safely established and maintained, potentially requesting law enforcement assistance. (C)</p> Signup and view all the answers

    According to the provided information, which of these is NOT explicitly outlined as a responsibility of the Treatment team in a Mass Casualty Incident (MCI)?

    <p>Directly transporting patients to designated hospitals after treatment. (D)</p> Signup and view all the answers

    In the event of a Mass Casualty Incident (MCI), what responsibility does the Communications Center hold regarding the medical communications?

    <p>The Communications Center acts as a central hub, coordinating communication between hospitals, Transport, and the Medical Communications Coordinator (if established). (A)</p> Signup and view all the answers

    When a designated trauma facility goes on 'bypass' during a Mass Casualty Incident (MCI), what should be prioritized?

    <p>Patients meeting Trauma Alert status should be transported to the closest available facility once the designated trauma facility is on 'bypass'. (C)</p> Signup and view all the answers

    What information should be documented in the 'Transport Log' during a Mass Casualty Incident (MCI)?

    <p>The patient's triage tag ID number, destination hospital, and transport unit number, along with any specific medical needs or alerts. (C)</p> Signup and view all the answers

    If the Medical Communications Coordinator is not established during an MCI, who assumes their responsibilities?

    <p>The Transport team temporarily assumes the role of the Medical Communications Coordinator, coordinating communication with hospitals. (C)</p> Signup and view all the answers

    What is the purpose of utilizing a 'Metag' during the Treatment phase of a Mass Casualty Incident (MCI)?

    <p>To provide a visual indicator of the patient's status, allowing for easy identification and tracking of changes during treatment. (A)</p> Signup and view all the answers

    Which of these actions is NOT mentioned as a responsibility of the Incident Commander during the initial phases of a Mass Casualty Incident (MCI)?

    <p>Directing the immediate deployment of all available medical personnel to the scene without consideration of triage. (A)</p> Signup and view all the answers

    Which of these responsibilities does the 'Inventory Specialist' NOT hold during a Mass Casualty Incident (MCI)?

    <p>Providing specific instructions on how to assemble and dismantle the medical equipment based on protocols. (A)</p> Signup and view all the answers

    What is the purpose of conducting a formal 'After Action Review' following a Mass Casualty Incident (MCI), specifically for Level 3 or greater incidents?

    <p>To assess the effectiveness of the response, identify areas for improvement, and develop strategies for better preparedness in future similar incidents. (A)</p> Signup and view all the answers

    Flashcards

    MCI Vest Utilization

    Use of MCI vests to identify personnel roles during an incident.

    Exclusion Zone

    A designated area that is isolated for safety during an incident.

    Triage Responsibilities

    Tasks involved in assessing and prioritizing patients based on urgency.

    Unified Command

    A structure that facilitates collaboration among different agencies responding to an incident.

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    Transport Responsibilities

    Tasks related to moving patients from treatment areas to hospitals.

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    Treatment Area Setup

    Creating a designated space for providing medical care to patients.

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    Medical Communications Coordinator

    Individual responsible for coordinating communication between transport and hospitals.

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    Communication Center Role

    Center responsible for managing hospital notifications and channel switching.

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    Rehabilitation Responsibilities

    Tasks post-incident focused on crew recovery and stress management.

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    Documentation Importance

    Recording details of the incident for review and accountability.

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    Mass Casualty Incident (MCI)

    An incident that exceeds the capabilities of first responders, with multiple patients involved.

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    MCI Levels

    MCIs are classified in levels based on patient numbers: Level 1 (5-10) to Level 5 (over 1000).

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    Level 1 MCI

    A level of MCI involving 5 to 10 patients, manageable by first response units.

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    Triage

    The process of prioritizing patients based on the severity of their condition during an MCI.

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    Incident Command System (ICS)

    A management structure used to coordinate response efforts in an MCI, including roles like Triage and Treatment.

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    Communication Center

    The location that manages unit allocation and hospital notifications during an MCI.

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    Specialized Resources

    Additional support and equipment requested in response to specific types of MCIs (e.g., Tactical Command Unit).

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    Emergency Scene Activities

    Responsibilities assigned to individuals in charge at an emergency scene during an MCI, such as establishing command and triage.

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    Study Notes

    Mass Casualty Incident (MCI) Standard Operating Guidelines

    • Definition: An MCI is an incident exceeding the capabilities of first responders. Levels are categorized by the number of patients (Level 1: 5-10, Level 2: 11-20, Level 3: 21-100, Level 4: 101-1000, Level 5: >1000).

    • Types of MCI: Various types are possible, including shootings, explosions, collapses, plane crashes, vehicle accidents, chemical, biological, radiological, and nuclear incidents.

    Incident Command Structure (ICS)

    • Assignments: Depending on the MCI's scope, roles like Hazard Mitigation, Triage, Treatment, Transport, Staging, and Rehabilitation may be assigned.

    • Specialized Resources: Specific resources (e.g., Tactical Command Unit (TCU), Area Command Team, Incident Management Team, Support 81 with medical supplies, Disaster Response Unit (DRU), Tactical 34 for technical rescue, Inventory Specialist) may be utilized based on the incident.

    Emergency Scene Activities

    • First Arriving Unit: Responsibilities include arrival report, scene size-up, exclusion zone identification, MCI level and type declaration, initial triage (START, JUMP-START, TECC), unit assignments per priority, additional resource consideration, and staging designation.

    • First Arriving Chief Officer: Responsibilities encompass utilizing field guides, MCI vests, confirming and declaring the incident level/type, resource considerations, updating communications, and establishing assignments.

    • Safety Officer: Responsible for requesting Law Enforcement for physical security within the Exclusion Zone.

    • Hazard Mitigation: Incident-dependent responsibilities focused on issues like fire suppression, structural or vehicle stabilization, and hazardous material containment.

    • Triage: Responsibilities include utilizing MCI vests, identifying and communicating exclusion zones, ensuring START, JUMP-START, and TECC triage according to protocols, carrying a trauma rapid response kit, escorting "walking wounded", checking all areas, utilizing litter bearers, and updating incident command.

    • Treatment: Establishing a treatment area near transport, ensuring sufficient equipment, decontamination of contaminated patients, and priority movement from treatment to transport. The Treatment area must be close to transport, large enough, and clearly marked. Secondary assessment (Metag) and updating of status is important.

    • Transport: Establishing an efficient transport area for patient entry/exit and transport staging, utilizing Law Enforcement, coordinating patient transports via priority order, adhering to Trauma/Bypass protocols, documenting on a transport log (including patient ID, destination, unit number), and utilizing a Medical Communications Coordinator if established.

    Medical Communications Coordinator

    • Responsibilities: Advise destination hospitals of incoming patient numbers, triage status, and transportation methods; advise the communication center of transport details. This role can default to the transport team if not established.

    Communication Center

    • Responsibilities: Contact and connect appropriate hospitals, direct communication/TAC channels for Transport or Medical Communications Coordinator (MCC), if applicable.

    Post-Incident

    • After Action Review: A formal review is required for MCI Level 3 or higher, referencing Critical Incident Stress Management and Crisis Mitigation.

    Documentation

    • Documentation: Procedures are in place for documenting incident specifics.

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    Description

    This quiz covers the essential Standard Operating Guidelines for Mass Casualty Incidents (MCI). Learn about the definitions, types of incidents, and the Incident Command Structure (ICS) utilized during MCIs. Test your knowledge on assignments and specialized resources critical for effective emergency response.

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