500-03 Mass Casualty Incidents
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Questions and Answers

What criteria determines the classification of a Mass Casualty Incident (MCI)?

  • The response time of the emergency units
  • The nature of the incident
  • The number of patients involved (correct)
  • The geographical location of the incident

    • Which of the following is NOT an example of a Mass Casualty Incident type?

  • Chemical
  • Marine Accident (correct)
  • Plane Crash
  • Shooting

    • What is the maximum number of patients that defines a Level 3 MCI?

  • 21 patients
  • 100 patients (correct)
  • 200 patients
  • 50 patients

    • Which authority is responsible for the Mass Casualty Incident guidelines?

    <p>Fire Rescue Administrator</p> Signup and view all the answers

    Which attachment would you refer to for responsibilities in Mass Casualty Incidents?

    <p>Attachment C: MCI Responsibilities Checklist</p> Signup and view all the answers

    What is the first step mentioned in the procedure for handling Mass Casualty Incidents?

    <p>Define the MCI</p> Signup and view all the answers

    Which Mass Casualty Incident level would classify an event involving 25 patients?

    <p>Level 3</p> Signup and view all the answers

    What characterize a Level 4 Mass Casualty Incident?

    <p>Between 101 and 1000 patients</p> Signup and view all the answers

    Which specialized resource includes a command bus for MCI operations?

    <p>Tactical Command Unit (TCU)</p> Signup and view all the answers

    What is NOT a primary function of the Incident Command Structure in an MCI?

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

    Which team is responsible for managing complex incident operations?

    <p>Incident Management Team</p> Signup and view all the answers

    When might additional resources be requested by the Fire Operations Officer?

    <p>Depending on the cause of the MCI</p> Signup and view all the answers

    Which of the following resources is known for stocking medical supply rooms at fire stations?

    <p>Inventory Specialist</p> Signup and view all the answers

    Which resource is designed to assist with approximately 200 patients during an MCI?

    <p>Support 81</p> Signup and view all the answers

    What is a key component of staging responsibilities in an MCI?

    <p>Establishing patient care areas</p> Signup and view all the answers

    Which protocol would you refer to for unit allocation in an MCI?

    <p>SOG 500-03</p> Signup and view all the answers

    What should occur if the Medical Communication Coordinator is not established?

    <p>Transport will handle specific responsibilities.</p> Signup and view all the answers

    Which of the following is NOT a responsibility of the Communication Center?

    <p>Directly triage incoming patients.</p> Signup and view all the answers

    Which factor is NOT advised to Destination Hospitals?

    <p>Next of kin information.</p> Signup and view all the answers

    Which action is required post-incident for a Mass Casualty Incident (MCI) Level 3 or greater?

    <p>Conduct a Formal After Action Review.</p> Signup and view all the answers

    What does SOG stand for in the context of the content provided?

    <p>Standard Operating Guidelines</p> Signup and view all the answers

    Which of the following numbers is NOT mentioned in the Communication Center responsibilities?

    <p>Patient's age.</p> Signup and view all the answers

    Which document pertains to rehabilitation responsibilities?

    <p>SOG 420-08 Rehabilitation.</p> Signup and view all the answers

    What is required regarding documentation after a Mass Casualty Incident?

    <p>See Incident Reporting (PPM FR-M-201).</p> Signup and view all the answers

    What is the primary purpose of utilizing an MCI vest during triage responsibilities?

    <p>To signify the role of the responder in the triage process</p> Signup and view all the answers

    When triaging patients, what is the first action that should be performed according to Fire Rescue Medical Protocols?

    <p>Identify and communicate any Exclusion Zone</p> Signup and view all the answers

    Which criterion is NOT mentioned as essential when establishing a Treatment area?

    <p>Air conditioning for patient comfort</p> Signup and view all the answers

    In what scenario should contaminated patients be dealt with before entering Treatment?

    <p>After they have been triaged</p> Signup and view all the answers

    What needs to be updated to Incident Command during an MCI?

    <p>Number of patients and their categories</p> Signup and view all the answers

    What is the role of Litter Bearers in an MCI?

    <p>To coordinate the movement of patients based on priority</p> Signup and view all the answers

    What should medical responders consider when ensuring there is enough equipment available?

    <p>Requesting from the Inventory Specialist if needed</p> Signup and view all the answers

    Which of the following is a false statement about the responsibilities during Mass Casualty Incidents?

    <p>Rescuers should think about weather conditions before triage.</p> Signup and view all the answers

    What is the primary purpose of leaving the original triage ribbon in place?

    <p>To indicate the patient's improvement or deterioration</p> Signup and view all the answers

    Which role is responsible for coordinating patient transport with relevant facilities during an incident?

    <p>Medical Communications Coordinator</p> Signup and view all the answers

    What should be utilized to record critical patient transport information?

    <p>Patient Transport Log</p> Signup and view all the answers

    What is the initial action to take for patients meeting Trauma Alert status?

    <p>Continue transporting them to designated Trauma facilities.</p> Signup and view all the answers

    What is one of the key responsibilities of the Transport operation?

    <p>Establishing Transport near Treatment for efficient operations</p> Signup and view all the answers

    How should communications be handled during the transport process?

    <p>With frequent progress reports to Incident Command</p> Signup and view all the answers

    Which of the following is NOT a recommended duty for the Medical Communications Coordinator?

    <p>Monitoring the medical condition of patients</p> Signup and view all the answers

    What should be done if a designated Trauma facility goes on ‘bypass’?

    <p>Redirect the patient to the nearest available facility.</p> Signup and view all the answers

    What defines a Mass Casualty Incident (MCI)?

    <p>An incident that exceeds the capabilities of the first arriving units</p> Signup and view all the answers

    Which statement best describes the initial assessment in an MCI?

    <p>It involves determining the incident's scope and needs</p> Signup and view all the answers

    What should be prioritized for response during a Mass Casualty Incident?

    <p>Establishing an Incident Command structure</p> Signup and view all the answers

    What element is critical to managing patient needs in a Mass Casualty Incident?

    <p>Allocating resources based on patient classifications</p> Signup and view all the answers

    In the context of an MCI, which of the following is least likely to be a primary consideration?

    <p>Assessment of the mental health of responders</p> Signup and view all the answers

    Which of the following is classified as a Mass Casualty Incident type?

    <p>Biological Incident</p> Signup and view all the answers

    Which two types of incidents involve the potential for contamination?

    <p>Nuclear and Radiological</p> Signup and view all the answers

    Which of the following incidents would typically result in a high number of casualties?

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

    Which Mass Casualty Incident type is characterized by the use of explosives?

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

    Which of these MCI types poses risks due to hazardous substances?

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

    What might the Fire Operations Officer do based on the cause of the MCI?

    <p>Contact the State Warning Point and ensure local resources are used only.</p> Signup and view all the answers

    Which of the following actions is appropriate for the Fire Operations Officer during an MCI?

    <p>Consider the type of incident before contacting outside resources.</p> Signup and view all the answers

    Why might the Fire Operations Officer contact the State Warning Point?

    <p>To gain assistance and coordination in a Mass Casualty Incident.</p> Signup and view all the answers

    What factor influences the Fire Operations Officer's decision to request additional resources?

    <p>The specific cause of the Mass Casualty Incident.</p> Signup and view all the answers

    What resource might be requested outside of Palm Beach County during a specific MCI?

    <p>Emergency teams specialized in hazardous materials.</p> Signup and view all the answers

    Combien de patients peuvent être pris en charge avec le Support 81 ?

    <p>200 patients</p> Signup and view all the answers

    Quels types de ressources sont inclus dans le Support 81 ?

    <p>Des kits médicaux</p> Signup and view all the answers

    Quelle ressource est spécifiquement conçue pour aider lors d'incidents de masse ?

    <p>Le Support 81</p> Signup and view all the answers

    Quel type de fournitures peut-on trouver dans le Support 81 ?

    <p>Des tableaux de bord et des rubans</p> Signup and view all the answers

    Quelle est la principale fonction des ressources contenues dans le Support 81 ?

    <p>Fournir des soins médicaux aux patients</p> Signup and view all the answers

    What is the first step the First Arriving Unit must take upon arrival at an incident?

    <p>Establish Incident Command</p> Signup and view all the answers

    Which step involves assigning incoming units based on incident priorities?

    <p>Assign incoming units based on L.I.P.E.</p> Signup and view all the answers

    What is the purpose of identifying an Exclusion Zone during initial incident assessment?

    <p>To ensure the safety of responders</p> Signup and view all the answers

    What should be done immediately after declaring an MCI Level and Type?

    <p>Begin the initial Triage process</p> Signup and view all the answers

    Which responsibility involves assessing the overall situation from multiple angles?

    <p>Conduct a 360-degree size up</p> Signup and view all the answers

    What is the primary responsibility of the First Arriving Chief Officer in relation to MCI vests?

    <p>Ensure proper use of MCI vests.</p> Signup and view all the answers

    Which option represents a plausible misconception about the role of MCI vests?

    <p>They indicate the command authority on scene.</p> Signup and view all the answers

    In a Mass Casualty Incident, what might a responder incorrectly believe about the use of MCI vests?

    <p>They only need to wear one if they are a commanding officer.</p> Signup and view all the answers

    What might be an incorrect assumption regarding the significance of MCI vests during an incident?

    <p>They can be skipped when responders are already in uniform.</p> Signup and view all the answers

    Which of the following statements regarding MCI vests is accurate?

    <p>They help in clear role designation among responders.</p> Signup and view all the answers

    What is the first step in the Incident Command Sequence?

    <p>Consider Unified Command</p> Signup and view all the answers

    Which of the following tasks is NOT part of the Incident Command Sequence?

    <p>Evaluate environmental hazards</p> Signup and view all the answers

    What is the purpose of considering Medical in the Incident Command Sequence?

    <p>To oversee Triage, Treatment, and Transport</p> Signup and view all the answers

    Which action should follow the consideration of Unified Command in the Incident Command Sequence?

    <p>Establish assignments</p> Signup and view all the answers

    When establishing the Incident Command Sequence, why is it important to consider multiple TAC channels?

    <p>To improve communication among teams</p> Signup and view all the answers

    Qual document debe esser utilizate pro registrar las informationes de transporto criticas?

    <p>Transport Log</p> Signup and view all the answers

    Que informationes debe esser includite in le Transport Log?

    <p>Patient Met Tag ID number</p> Signup and view all the answers

    Quale de le sequente non es un responsabilitate del Transport operation?

    <p>Setting up the treatment area</p> Signup and view all the answers

    Quale numero debe esser registra in le Transport Log?

    <p>Transport Unit Number</p> Signup and view all the answers

    Quo debe esser le destination in le Transport Log?

    <p>Destination Hospital</p> Signup and view all the answers

    What is required for a Mass Casualty Incident (MCI) Level 3 or greater?

    <p>A Formal After Action Review</p> Signup and view all the answers

    Which statement accurately reflects a requirement for MCIs Level 3 or greater?

    <p>A Formal After Action Review is mandated</p> Signup and view all the answers

    At what MCI level is a Formal After Action Review required?

    <p>Level 3 or greater</p> Signup and view all the answers

    What is typically done after an MCI Level 3 or greater?

    <p>Perform a Formal After Action Review</p> Signup and view all the answers

    In the context of an MCI, what does the term 'After Action Review' refer to?

    <p>An evaluation of responder performance</p> Signup and view all the answers

    Study Notes

    Purpose and Authority

    • Provides guidelines for efficient triage, treatment, and transport during mass casualty incidents (MCI)
    • Governed by the Fire Rescue Administrator and Florida Incident Field Operations Guide

    Scope and Attachments

    • Applicable to all Fire Rescue Personnel
    • Includes several attachments detailing protocols and flow charts for MCIs

    Definition of Mass Casualty Incident (MCI)

    • Exceeds first arriving units' capabilities
    • Classified into levels based on number of patients:
      • Level 1: 5-10 patients
      • Level 2: 11-20 patients
      • Level 3: 21-100 patients
      • Level 4: 101-1000 patients
      • Level 5: Over 1000 patients
    • Examples of MCI types: shooting, explosive, vehicle accident, chemical, biological, nuclear incidents

    Communication Center Responsibilities

    • Follow MCI Dispatch Protocols for unit allocation and hospital notifications

    Incident Command System (ICS)

    • Incident Command Structure may include Hazard Mitigation, Triage, Treatment, Transport, Staging, and Rehab

    Specialized Resources

    • Additional resources may be requested based on incident type
    • Internal resources available, such as a Tactical Command Unit and Disaster Response Unit
    • Fire Operations Officer maintains an inventory of beneficial resources

    Emergency Scene Activities

    • Responsibilities clearly defined for staging, triage, treatment, transport, and rehabilitation

    Triage Responsibilities

    • Utilize MCI vest and enforce exclusion zones
    • Ensure all patients are triaged (START, JUMP-START, TECC)
    • Update Incident Command with patient numbers, categories, and resource needs

    Treatment Responsibilities

    • Establish treatment area that is nearby and identifiable
    • Supervise medical care per Fire Rescue Medical Protocols
    • Ensure decontamination of contaminated patients before treatment
    • Maintain communication with transport and incident command throughout

    Transport Responsibilities

    • Organize transport area for efficient patient movement
    • Coordinate transport based on patient priority, including trauma alerts
    • Maintain documentation with a "Transport Log" for patient tracking

    Medical Communications Coordinator

    • Direct communication with destination hospitals regarding incoming patients and status
    • If not established, transport unit assumes communication responsibilities

    Rehabilitation Responsibilities

    • Follow SOG 420-08 for rehabilitation procedures during and after incidents

    Post Incident Procedures

    • Conduct After Action Review for Level 3 or greater incidents
    • Refer to Critical Incident Stress Management and Crisis Mitigation Programs

    Documentation

    • Adhere to Incident Reporting protocols for documentation and record-keeping

    Supersession History

    • Updates and revisions to the guideline are noted, tracking changes from previous SOGs

    Purpose and Authority

    • Provides guidelines for triaging, treating, and transporting patients in mass casualty incidents (MCI).
    • Authority rests with the Fire Rescue Administrator and Florida Incident Field Operations Guide.

    Scope and Attachments

    • Applies to all Fire Rescue personnel.
    • Attachments include MCI Dispatch Protocols, MCI Levels Flow Chart, Responsibilities Check List, and various Flow Charts.

    Definition and Classification of MCI

    • An MCI exceeds the capabilities of first responders.
    • Classified into five levels based on patient numbers:
      • Level 1: 5-10 patients
      • Level 2: 11-20 patients
      • Level 3: 21-100 patients
      • Level 4: 101-1000 patients
      • Level 5: over 1000 patients
    • Types of MCIs include shootings, explosions, collapses, accidents, and more.

    Communication and Incident Command

    • MCI Dispatch Protocols detail unit allocation and hospital notifications.
    • Incident Command Structure may include:
      • Hazard Mitigation
      • Triage
      • Treatment
      • Transport
      • Staging
      • Rehabilitation

    Specialized Resources

    • Additional resources may be requested depending on the MCI cause.
    • Fire Operations Officer maintains a list of available resources including Tactical Command Unit and Disaster Response Unit.

    Emergency Scene Activities

    • Responsibilities are categorized for staging, triage, treatment, and transport.
    • Triage includes using vests, identifying exclusion zones, and ensuring all patients are triaged using established protocols.
    • Treatment must be supervised, with adequate equipment and decontamination procedures for contaminated patients.

    Patient Transport

    • Transport locations should allow efficient access to treatment areas.
    • Medical Communications Coordinator communicates with hospitals regarding incoming patients and triage statuses.
    • A "Transport Log" documents patient details and transport information.

    Post-Incident and Documentation

    • Follow after-action review and stress management protocols post-MCI.
    • Formal after-action reviews are mandatory for Level 3 or higher MCIs.
    • Incident reporting procedures must be adhered to for documentation.

    Supersession History

    • Reflects changes and updates from previous Standard Operating Guidelines dating back to 2008.

    Purpose and Authority

    • Guidelines for efficient triage, treatment, and transport in mass casualty incidents (MCIs).
    • Authority includes Fire Rescue Administrator and Florida Incident Field Operations Guide.

    Scope and Attachments

    • Applies to all Fire Rescue Personnel.
    • Attachments include protocols for dispatch, MCI levels, responsibilities, and flow charts for various scenarios.

    MCI Definition and Classification

    • Mass Casualty Incident (MCI) exceeds the capabilities of first-arriving units.
    • Classified by severity:
      • Level 1: 5 – 10 patients
      • Level 2: 11 – 20 patients
      • Level 3: 21 – 100 patients
      • Level 4: 101 – 1000 patients
      • Level 5: over 1000 patients
    • Types of MCIs:
      • Shooting, explosive incidents, biological, radiological events, vehicle accidents, etc.

    Communication Center and Incident Command Structure (ICS)

    • MCI Dispatch Protocols guide unit allocation and hospital notifications.
    • ICS may involve hazard mitigation, triage, treatment, transport, staging, and rehabilitation based on MCI complexity.

    Specialized Resources

    • Fire Operations Officer may request state resources or internal support based on MCI type.
    • Essential resources include:
      • Tactical Command Unit (TCU)
      • Area Command Team
      • Incident Management Team
      • Support 81 for medical supplies
      • Disaster Response Unit (DRU) for specialized needs.

    Emergency Scene Activities

    • Responsibilities depend on the incident; include staging, triage, treatment, and transport.
    • Effective triage involves identifying exclusion zones, triaging patients, and communicating with Incident Command.

    Triage Responsibilities

    • Use MCI vest; ensure patient movement follows priority.
    • Conduct thorough checks for patients and manage “walking wounded.”
    • Update Incident Command with patient numbers and resource needs.

    Treatment Responsibilities

    • Establish a visible treatment area close to transport.
    • Supervise medical care following established protocols.
    • Ensure decontamination for contaminated patients before treatment entry.
    • Maintain communication with transport units about patient status.

    Transport Responsibilities

    • Establish a transport area ensuring efficient access.
    • Document patient transport details using a Transport Log.
    • Maintain constant communication with Incident Command regarding patient transport updates.

    Medical Communications Coordinator

    • Advise receiving hospitals on incoming patient numbers and conditions.
    • Liaise with the Communication Center to coordinate hospital notifications.

    Communication Center's Role

    • Patch hospitals together and facilitate communication with transport units.
    • Maintain updated records on patient numbers and transport specifics.

    Rehabilitation and Post-Incident

    • Rehabilitation protocols are to be followed post-incident, ensuring response personnel's well-being.
    • Formal After Action Review required for Level 3 or higher MCIs.

    Documentation

    • Adhere to incident reporting guidelines for thorough documentation of MCI processes.

    Purpose and Authority

    • Aimed at providing guidelines for triaging, treating, and transporting patients in Mass Casualty Incidents (MCI).
    • Authorized by the Fire Rescue Administrator and aligned with Florida Incident Field Operations Guide.

    Scope and Attachments

    • Applies to all personnel in Fire Rescue.
    • Includes attachments outlining dispatch protocols, MCI levels, responsibilities, and flow charts.

    Definition and Classification of MCI

    • An MCI exceeds the capabilities of the first responding units.
    • Classified into levels based on patient count:
      • Level 1: 5-10 patients
      • Level 2: 11-20 patients
      • Level 3: 21-100 patients
      • Level 4: 101-1000 patients
      • Level 5: Over 1000 patients
    • Examples include incidents like shootings, explosions, chemical releases, plane crashes, and vehicle accidents.

    Communication Center Responsibilities

    • Refer to MCI Dispatch Protocols for unit allocation and hospital notifications.

    Incident Command System (ICS)

    • Follow protocols outlined in SOG 200-02.
    • Possible assignments in ICS depending on MCI size:
      • Hazard Mitigation
      • Triage
      • Treatment
      • Transport
      • Staging
      • Rehabilitation

    Specialized Resources

    • Fire Operations Officer may request state resources based on the type of MCI.
    • Maintains a list of internal and external resources, including:
      • Tactical Command Unit
      • Incident Management Team
      • Disaster Response Unit
      • Tactical rescue equipment

    Emergency Scene Activities

    • Clear responsibilities categorized into staging, triage, treatment, transport, and rehabilitation.

    Triage Responsibilities

    • Use MCI vest and identify communication for exclusion zones.
    • Apply triage methods (START, JUMP-START, TECC).
    • Communicate number of patients, categories, and resource needs to Incident Command.

    Treatment Responsibilities

    • Establish treatment area near transport with high visibility markers.
    • Ensure adequate medical supplies and decontamination procedures are in place.
    • Maintain communication with Transport and keep Incident Command updated.

    Transport Responsibilities

    • Designate a transport area facilitating both entry and exit.
    • Use a Transport Log to document patient information and transportation details.
    • Coordinate patient movement based on medical priority.

    Medical Communications Coordinator

    • Responsible for tracking incoming patients and communicating with hospitals about patient status and transport details.

    Communication Center

    • Responsible for linking hospitals and coordinating with transport and the Medical Communications Coordinator.

    Post-Incident and Documentation

    • Conduct an After Action Review for MCIs Level 3 and higher.
    • Refer to guidelines for Critical Incident Stress Management and incident reporting documentation.

    Purpose and Authority

    • Guidelines aim to efficiently triage, treat, and transport patients during Mass Casualty Incidents (MCI).
    • Authorized by the Fire Rescue Administrator and based on the Florida Incident Field Operations Guide.

    Scope and Attachments

    • Applicable to all Fire Rescue Personnel.
    • Includes important attachments such as MCI Dispatch Protocols, MCI Levels Flow Chart, and various operational flow charts.

    Mass Casualty Incident (MCI) Definition and Classification

    • An MCI surpasses the first arriving units' capabilities.
    • Classified into levels based on patient numbers:
      • Level 1: 5-10 patients
      • Level 2: 11-20 patients
      • Level 3: 21-100 patients
      • Level 4: 101-1000 patients
      • Level 5: Over 1000 patients
    • Examples of MCI types include shootings, explosions, collapses, plane crashes, vehicle accidents, chemical, biological, radiological, and nuclear incidents.

    Communication Protocols

    • Refer to MCI Dispatch Protocols for unit allocation and hospital notifications.

    Incident Command Structure (ICS)

    • Incident Command Structure may include various assignments based on MCI complexity such as Hazard Mitigation, Triage, Treatment, Transport, Staging, and Rehabilitation.

    Specialized Resources

    • Additional resources may be requested from outside Palm Beach County in complex MCI scenarios.
    • Fire Operations Officer maintains a list of beneficial resources including:
      • Tactical Command Unit (TCU)
      • Area Command Team
      • Support 81 (for up to 200 patients)
      • Disaster Response Unit (DRU)
      • Technical Rescue Team (Tactical 34)

    Emergency Scene Activities

    • Responsibilities identified for Staging, Triage, Treatment, Transport, and Rehabilitation teams.
    • Ensure incident-dependent responsibilities are communicated and areas are checked for patients.

    Triage Responsibilities

    • Utilize MCI vest for identification and communication.
    • Perform triage using START, JUMP-START, and TECC protocols.
    • Ensure walking wounded are guided to treatment; coordinate patient movements based on priority.

    Treatment Responsibilities

    • Treatment area needs to be clearly marked and sufficiently large.
    • Medical care supervision must comply with Fire Rescue Medical Protocols.
    • Ensure adequate equipment and prioritize decontamination for contaminated patients before entering treatment.

    Transport Responsibilities

    • Transport area should allow efficient movement and entry/exit.
    • Maintain communication with the Landing Zone for air transport coordination.
    • Document patient transport details including ID, destination, and transport unit number.

    Medical Communications Coordinator Role

    • Responsibilities default to Transportation in the absence of appointed Coordinator.
    • Must inform destination hospitals of incoming patients and their triage status.

    Communication Center Role

    • Contact and coordinate with hospitals; advise transport units or Medical Communications Coordinator.

    Rehabilitation and Post-Incident Review

    • Refer to designated Standard Operating Guidelines for rehabilitation and post-incident reviews.
    • A formal After Action Review is mandatory for MCIs at Level 3 or higher.

    Documentation Protocol

    • Following an MCI, refer to Incident Reporting procedures for documentation.

    First Arriving Unit Responsibilities

    • Incident Command Establishment: Initiate Incident Command using the protocols defined in SOG 200-02, ensuring structure and efficiency in managing the situation.
    • 360-Degree Size Up: Conduct a comprehensive assessment of the incident scene from all angles to identify hazards, resources needed, and the overall scenario.
    • Exclusion Zone Identification: Determine and clearly mark any areas that require restricted access to ensure safety and secure the scene effectively.
    • Mass Casualty Incident (MCI) Declaration: Assess the situation to classify the MCI based on established levels and types, facilitating the appropriate response.
    • Initial Triage Protocols: Execute the initial triage process utilizing methods such as START (Simple Triage and Rapid Treatment), JUMP-START for pediatric cases, and Tactical Emergency Casualty Care (TECC), adhering to Fire Rescue Medical Protocols.
    • Unit Assignment Based on Priorities: Allocate incoming emergency units according to the prioritization framework of L.I.P.E. (Life, Injury, Property, and Environment) to address the most pressing needs first.
    • Additional Resource Consideration: Evaluate the incident to determine if further resources are necessary to manage the situation effectively.
    • Staging Designation: Establish a designated staging area for incoming units, ensuring an organized response and effective resource management.

    Incident Command Sequence

    • Unified Command facilitates collaboration among different agencies, ensuring a cohesive response to incidents.
    • Clearly defined assignments are crucial for effective incident management, allowing teams to operate efficiently.
    • Units should be strategically assigned to specific tasks based on their expertise and availability to optimize response efforts.
    • A dedicated Medical team is essential to manage Triage (sorting patients), Treatment (providing necessary care), and Transport (moving patients to medical facilities).
    • Utilizing multiple Tactical (TAC) channels may be necessary to enhance communication effectiveness among various response teams, especially in large incidents.

    Purpose and Authority

    • Provides guidelines for triaging, treating, and transporting patients in mass casualty incidents (MCI).
    • Authority rests with the Fire Rescue Administrator and follows the Florida Incident Field Operations Guide.

    Scope

    • Applicable to all Fire Rescue personnel involved in MCI responses.

    MCI Definition and Classification

    • MCI exceeds the capacity of first arriving units.
    • Classified by patient numbers:
      • Level 1: 5 – 10 patients
      • Level 2: 11 – 20 patients
      • Level 3: 21 – 100 patients
      • Level 4: 101 – 1,000 patients
      • Level 5: Over 1,000 patients
    • Types of incidents that can cause MCIs: shooting, explosive events, building collapse, plane crashes, vehicle accidents, chemical, biological, radiological, and nuclear incidents.

    Communication and Incident Command System (ICS)

    • Use MCI Dispatch Protocols for unit allocation and hospital notifications.
    • Incident Command Structure may include roles for hazard mitigation, triage, treatment, transport, staging, and rehab.

    Specialized Resources

    • Fire Operations Officer can contact State Warning Point for additional resources based on the incident type.
    • Internal resources may include:
      • Tactical Command Unit (TCU)
      • Area Command Team
      • Support 81 (for 200 patients)
      • Disaster Response Unit (DRU)
      • Tactical 34 (specialized rescue equipment)

    Emergency Scene Responsibilities

    • Staging, triage, treatment, transport, and rehabilitation responsibilities outlined.
    • Triage roles: utilize MCI vest, ensure triage protocols are met, and update Incident Command with patient information.
    • Treatment responsibilities: establish treatment area, supervise medical care, and communicate with transport teams.
    • Transport responsibilities: coordinate patient movement according to priority, maintain transport logs, and update Incident Command on patient status.

    Medical Communications and Rehabilitation

    • Medical Communications Coordinator to advise destination hospitals and maintain communication logs.
    • Communication Center responsible for contacting hospitals and coordinating transport communications.

    Post-Incident Procedures

    • Conduct After Action Reviews for MCIs rated Level 3 or greater.
    • Follow guidelines for Critical Incident Stress Management and documentation practices.

    Documentation

    • Adhere to Incident Reporting protocols for accurate documentation following the incident.

    Supersession History

    • Historical context and revisions of the guidelines provided from previous SOGs issued in 2008, 2012, and clerical updates in 2018.

    Purpose and Authority

    • Provides guidelines for efficient triage, treatment, and transport of patients during mass casualty incidents (MCI).
    • Authorized by the Fire Rescue Administrator and Florida Incident Field Operations Guide.

    Scope and Attachments

    • Applies to all Fire Rescue personnel.
    • Includes multiple attachments for protocols and responsibilities related to MCIs.

    MCI Definition and Classification

    • An MCI exceeds the capacity of first units responding.
    • Classified into levels based on patient numbers:
      • Level 1: 5-10 patients
      • Level 2: 11-20 patients
      • Level 3: 21-100 patients
      • Level 4: 101-1000 patients
      • Level 5: Over 1000 patients
    • Types of MCIs include events like shootings, explosions, vehicle accidents, and radiological emergencies.

    Communication Center

    • Follow MCI Dispatch Protocols for unit allocation and hospital notifications.

    Incident Command System (ICS)

    • Adapt incident command based on the MCI size and complexity.
    • Potential assignments may include roles for triage, treatment, staging, and rehab.

    Specialized Resources

    • Fire Operations Officer may seek state resources for incidents like plane crashes or shootings.
    • Internal resources include Tactical Command Units, Incident Management Teams, and Disaster Response Units.

    Emergency Scene Activities

    • Responsibilities vary by role; key areas include staging, triage, treatment, and transport.

    Triage Responsibilities

    • Utilize MCI vest and ensure an Exclusion Zone is established.
    • Perform triage using START, JUMP-START, and TECC protocols.
    • Communicate triage updates and requirements for additional resources.

    Treatment Responsibilities

    • Establish a treatment area near transport.
    • Supervise medical care and ensure proper equipment availability.
    • Manage patient decontamination and secondary assessments.

    Transport Responsibilities

    • Set up a transport area for efficient patient movement.
    • Use a Transport Log to document key patient information.
    • Coordinate communication with hospitals and ensure timely patient transportation.

    Medical Communications Coordinator

    • Responsible for advising destination hospitals on incoming patients and triage status.
    • Communicate patient numbers and transport details to the Communication Center.

    Communication Center Duties

    • Ensure correct hospital notifications and coordinate communication channels.

    Rehabilitation and Post-Incident Review

    • Follow protocols outlined in SOG for rehabilitation and after-action reviews.
    • A formal review is required for MCI Level 3 or greater.

    Documentation

    • Follow Incident Reporting guidelines to ensure comprehensive documentation of the MCI response.

    Supersession History

    • Updates to standard operating guidelines include revisions from 2008, 2012, and clerical changes in 2018.

    Purpose and Authority

    • Standard Operating Guideline (SOG) 500-03 aims to guide efficient triage, treatment, and transport of patients during mass casualty incidents (MCI).
    • Authorized by the Fire Rescue Administrator and aligned with the Florida Incident Field Operations Guide.

    Definition and Classification of MCIs

    • An MCI exceeds the capabilities of the first arriving units and is categorized into five levels based on patient numbers:
      • Level 1: 5-10 patients
      • Level 2: 11-20 patients
      • Level 3: 21-100 patients
      • Level 4: 101-1000 patients
      • Level 5: Over 1000 patients
    • Examples of MCI types include shootings, explosions, vehicle accidents, and natural or man-made disasters.

    Communication and Incident Command Structure

    • Refer to Attachment A for MCI dispatch protocols for unit allocation and hospital notification.
    • Incident Command Structure (ICS) may involve various assignments as needed, including hazard mitigation, triage, treatment, transport, staging, and rehabilitation.

    Specialized Resources

    • The Fire Operations Officer can contact external resources based on the MCI type, such as the State Warning Point.
    • Key internal resources:
      • Tactical Command Unit (TCU)
      • Area Command Team
      • Disaster Response Unit (DRU)

    Emergency Scene Activities

    • Responsibilities focus on staging, triage, treatment, transport, and communication.
    • Triage Responsibilities: Utilize MCI vest, communicate exclusion zones, and triage patients using methods like START, JUMP-START, and TECC.
    • Treatment Responsibilities: Set up a treatment area, supervise medical care, and ensure decontamination for contaminated patients before treatment.

    Transport and Communication

    • Transport Responsibilities: Establish a logistic-efficient transport area, coordinate patient transport by priority, and maintain a Transport Log documenting patient details.
    • Medical Communications Coordinator: Should report patient inflow data to destination hospitals and communications center.

    Communication Center Responsibilities

    • Responsible for contacting hospitals and providing transport logistics, including number of patients and their triage status.

    Documentation and After Action Review

    • Utilize appropriate documentation methods post-incident.
    • A formal After Action Review is mandatory for MCI Level 3 or greater.

    Rehabilitation

    • Refer to SOG 420-08 for rehabilitation protocols following incident response.

    Additional Notes

    • Ensure continuous communication with Incident Command to provide updates on patient numbers and resource needs.
    • Maintain organization and efficiency throughout the MCI response process to enhance patient outcomes.

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    Related Documents

    Palm Beach County Fire Rescue SOG 500-03 Mass Casualty Incidents PDF

    Description

    Explore the Standard Operating Guideline 500-03 for handling mass casualty incidents. This guideline outlines the procedures for triaging, treating, and transporting patients during emergencies. Perfect for fire rescue and emergency response training.

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