Mass Casualty Incident1.pdf

MASS CASUALTY INCIDENT ROY MCDERMOTT OUTLINE DEFINITION Mass casualty incident Multiple Casualty Incidents Disaster CAUSES OF MASS CASUALTY INCIDENT Natural and Manmade CLASSIFICATION OF THE DIFFERENT CAUSES OF MCI ROLE OF EMERG...

MASS CASUALTY INCIDENT ROY MCDERMOTT OUTLINE DEFINITION Mass casualty incident Multiple Casualty Incidents Disaster CAUSES OF MASS CASUALTY INCIDENT Natural and Manmade CLASSIFICATION OF THE DIFFERENT CAUSES OF MCI ROLE OF EMERGENCY MEDICAL RESPONDERS (PARAMEDIC) DURING MCI MASS CASUALTY SECTORS TRIAGE (Advantages, purpose and Function) MASS CASUALTY INCIDENT MASS CASUALTY INCIDENT is  Note that MCI is a type of Disaster MULTIPLE CASUALTY INCIDENT MASS CASUALTY & MULTIPLE CASUALTY INCIDENT MASS CASUALTY INCIDENT MULTIPLE CASUALTY INCIDENT An incident which generates more A multiple casualty incident is one in patients at one time than locally which there are multiple casualties/ patient available resources can manage using but does not overwhelm the resources routine procedures. available. The key difference from a mass casualty incident is that in a multiple It requires exceptional emergency casualty incident the resources available arrangements and additional or are sufficient to manage the needs of the extraordinary assistance. victims. The Objective of MCI is to move all patients to a medical facility as soon as possible. CAUSES OF MASS CASUALTY INCIDENT DISASTER DISASTER CAUSES AND TYPES OF DISASTER 1. On the Basis of origin/causes 1. 1. Examples include Earthquakes, volcanic Eruptions, landslide, Avalanches. Etc. Examples are Epidermic, Pandemic.  , Examples includes, Drought, wildfire, heatwaves, dust storm, thunderstorms, tornado TYPES OF DISASTER NATURAL DISASTER MAN MADE DISASTER Type of Disaster occurring naturally, Type of incident that is created for one that is not created. reason or the other(to cause harm, for power, for fame, vengeance etc) Flood Earthquake, Hurricane, Droughts, Building Collapse, Road Traffic Accidents, Volcanic Eruptions, Aircraft Crash, Convectional Warfare, Hazardous Chemical, Nuclear and biological Agents LEVELS OF DISASTER ROLE OF EMERGENCY MEDICAL RESPONDERS(PARAMEDIC) DURING MCI MASS CASUALTY SECTORS TRIAGE TRIAGE PRIORITY LEVEL ).  Advanced Triage : FIELD TRIAGE Examples include SALT Triage, Triage SIEVE, START triage, CAREFLIGHT triage FIELD TRAUMA CARE INCIDENT COMMAND SYSTEM INCIDENT COMMAND SYSTEM Incident command system, (ICS) is a management program designed for controlling , directing and coordinating Emergency response resources; sometimes used as a synonym for Incident Management System (IMS)  National incident management system(NIMS), National system used for the management of multiple-Casualty incidents, involving assumption of responsibility for command and designation and coordination of such elements as triage, treatment, transport, and staging  The Incident Command System (ICS) is a standardized approach to the command, control, and coordination of emergency response providing a common hierarchy within which responders from multiple agencies can be effective. ICS consists of a standard management hierarchy and procedures for managing temporary incident(s) of any size. ICS procedures should be pre-established and sanctioned by participating authorities, and personnel should be well-trained prior to an incident. ICS includes procedures to select and form temporary management hierarchies to control funds, personnel, facilities, equipment, and communications. Personnel are assigned according to established standards and procedures previously sanctioned by participating authorities. INCIDENT COMMAND SYSTEM…. ORIGIN OF INCIDENT MANAGEMENT in 1993. FUNCTION OF THE INCIDENT COMMAND SYSTEM ICS is interdisciplinary and organizationally flexible to meet the following management challenges: Meets the needs of a jurisdiction to cope with incidents of any kind or complexity (i.e. it expands or contracts as needed). Allows personnel from a wide variety of agencies to meld rapidly into a common management structure with common terminology. COMPONENT OF INCIDENT COMMAND SYSTEM To familiarize your self with the concepts, structures and practices of both NIMS and the Incident Command System, which is the fundamental tenet of emergency response a mnemonic C-FLOP should be used C Command F Finance/Administration L Logistics O Operations P Planning COMMAND This is the individual or group responsible for coordinating all activities and who makes final decisions on the emergency scene, often referred to as the incident commander (IC) or officer in charge(OIC) The command is the most important functional area of the Incident Command System. The Incident Commander (IC) is the individual who essentially runs the entire incident. He/she has the full legal authority and in most cases, all of the associated liabilities in dealing with the incident. Ultimately, the IC is responsible for coordinating the many activities that occur on the emergency scene because it would be too confusing for all on-scene personnel to report directly to the incident commander. In this way, the IC maintains a reasonable Span of Control(Number of people or tasks that a single individual can monitor.)  Depending on the complexity of a given operation, the overall scope of the incident, and the resources that are available to the incident commander, the span of control I may range from Three to Seven people, with optimal span of control. As a rule, the first Arriving safety officer should establish command. This may or may not be the first arriving EMS unit and it may or may not be from the agency that had the legal authority to establish command for the type of incident. On arrival the IC will do a Windshield Survey of the scene. Once you have determined the visible scope of an incident and any obvious hazards, relay this information to the dispatch and all other responding units and agencies.  Singular Command is a process in which a single individual is responsible for coordinating an incident. Most useful in a single-jurisdiction incidents. Unified Command is a process in which managers from different jurisdictions – law enforcement, fire, EMS, coordinate their activities and share responsibility for command. Command sections Safety Officer(monitors all on-scene actions and ensures that they do not create any potentially harmful conditions) Liaison Officer(coordinates all incident that involves outside agencies. These agencies may include other emergency services, government agencies, private industry representatives and more. Information Officer(collects data about the incident and relate it to the press FINANCE/ADMINISTRATION Finance/administration section rarely operates in small-scale incidents, even though financial considerations are obviously important in all day-to-day incidents. However, on large-scale or long-term incidents, the Finance/Administration staff supports command by assuming responsibility for all accounting and administrative activities. This section keeps personnel and time records. It’s estimates cost, pay claims, and handles procurement of items required at the incident. These functions are usually performed by the jurisdictional Government where the incident occurred. LOGISTICS OPERATIONS Branches based on geography might Include operations at various locations. PLANNING LOCAL, REGIONAL AND NATIONAL DISASTER AGENCIES TO BE NOTIFIED DURING MASS CASUALTY INCIDENT AND THEIR ROLES  Role Roles Role center) 3.  7. THANK YOU