28 Questions
What is the primary responsibility of the first-arriving company officer at the scene of a multi-patient or mass casualty incident?
Establish Command
What is the primary tactical objective of the Incident Commander at a multi-patient or mass casualty incident?
Remove endangered occupants and treat the injured
At what point does the initial Incident Commander relinquish Command?
When the incident is stabilized and Command is terminated
What is the responsibility of the Incident Commander regarding the tactical objectives?
To complete the tactical objectives
What is the term for the process of sorting patients based on the severity of their injuries?
Triage
What is the first action of the first arriving officer at a multiple-patient incident?
Give an on-scene report and assume command
What is the purpose of the Triage Report?
To signify that triage has been completed and communicate the size of the incident
What is the priority order for treating and transporting patients?
IMMEDIATE, DELAYED, MINOR
What is the role of the Incident Commander?
To drive the Command system towards tactical objectives
What should be established early in a multiple-patient incident?
All of the above
What is the purpose of early sectorization?
To improve initial scene organization
What is the purpose of using colored salvage covers in a treatment area?
To designate treatment areas for IMMEDIATE, DELAYED, or MINOR patients
What is the purpose of the Staging Sector?
To manage the flow of apparatus and resources
What is the purpose of the Triage Sector?
To determine the location and number of patients
When should Level II Staging be implemented?
Early in the incident
What is the purpose of the 'Triage Report'?
To communicate with Command
Why should units be parked at a distance from the scene?
To keep the scene clear and maintain access
What is the primary purpose of the Extrication Sector?
To determine the location and number of patients
What is the role of the Triage Sector in relation to the Assembly Area?
To assess patients and deliver them to the Treatment Area
What is the preferred approach to patient treatment in the Treatment Sector?
Treating patients in a centralized area
What is the role of the Transportation Sector in relation to hospitals?
To determine hospital availability through the Dispatch Center
What is the role of the LZ Sector in a mass casualty incident?
To keep track of patient destination and communicate landing instructions
What is the purpose of the Safety Sector in a mass casualty incident?
To ensure scene safety and avoid congestion
What is the purpose of the Staging Sector in a mass casualty incident?
To identify a Level II staging area to avoid scene congestion
What is the purpose of the Triage Sector?
To sort patients based on the severity of their injuries
In a multi-patient incident response, what is the typical sequence of resource commitment?
Extrication, Treatment, Transportation
In a multi-patient incident response, what is the purpose of the Level II Staging area?
To stage all resources
What is the role of the LZ Sector?
To manage helicopter operations
Study Notes
Phoenix Regional Standard Operating Procedures for EMS Responsibilities
Scope and Policy Statement
- Establishes a standard structure and guideline for Fire Department units at multi-patient/mass casualty incidents
- Integrates with the overall incident management system
- Applies to incidents with varying numbers of patients (multi-patient, mass casualty, disaster)
Definitions
- Multi-patient incident: fewer than 25 patients
- Mass casualty incident: 25-100 patients
- Disaster: more than 100 patients
Procedure
- First-arriving company officer establishes Command and assumes responsibility for tactical objectives
- Tactical objectives:
- Remove endangered occupants and treat the injured
- Stabilize the incident and provide for life safety
- Establish triage, extrication, treatment, and transportation functions
- Ensure safety, accountability, and welfare of rescue personnel and victims
- Conserve property
- Command is responsible for building a command structure to match the organizational needs of the incident
Triage and Patient Assessment
- Triage should be initiated early in the incident
- Patients should be treated and transported in priority order: IMMEDIATE, DELAYED, MINOR
- Triage Report should be radioed to Dispatch, including patient numbers and conditions
Arrival and Scene Size-up
- First-arriving company officer should:
- Give an on-scene report and assume Command
- Initiate triage
- Perform a rapid hazard assessment and establish a safe zone
- Call for additional resources
- Radio a Triage Report to Dispatch
Staging
- Additional resources should be requested using standard assignments and alarms
- Staging area should be established to keep the scene clear and maintain access
- Units should be assigned to sectors, and medical equipment should be stockpiled in the treatment area
Command Responsibilities
- Incident Commander (IC) is responsible for:
- Determining strategy and setting priorities
- Obtaining and assigning resources
- Communicating objectives to tactical units
- Initiating a Unified Command with other agencies
Basic Sectors
- Triage Sector: determines patient location, number, and condition; assigns and supervises triage teams
- Extrication Sector: determines patient location, number, and condition; assigns and supervises extrication teams
- Treatment Sector: determines patient treatment needs; assigns and supervises treatment teams
- Transportation Sector: obtains transportation modes; determines hospital availability; coordinates patient allocation with Treatment Sector
Additional Sectors
- Safety Sector: ensures scene safety and monitors hazards
- Medical Supply Sector: procures, delivers, and stockpiles medical supplies
- LZ Sector: coordinates helicopter operations and ensures safe landing zones
Branches
- Medical Branch: directs all medical-related sectors; ensures completion of medical objectives
- Transportation Branch: directs all transportation-related sectors; ensures completion of transportation objectives
This quiz covers the standard operating procedures for Fire Department units in multi-patient/mass casualty incidents in the Phoenix region. It outlines the guidelines and structure for incident management and response.
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