Multiple Casualty Training

8/18/2019 Multiple Casualty Training

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Mass CasualtyIncident

Preparation forEMS


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Mass Casualty Incident (MCI)

• Definition

– An incident which produces

multiple casualties such

that emergency services,

medical personnel andreferral systems within the

normal catchment area

cannot provide adequate

and timely response and

care without unacceptablemortality and/or morbidity.


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Chronology of a Disaster

• Incident with multiple casualties reported to CCECentral Dispatch

– Police/Fire/EM are dispatched !y CCE"

– Incident Command is esta!lished on scene

– i#e up identifies mass casualty event"

– Incident Commander notifies Central Dispatch to acti$ate the

Mass Casualty Plan

– Incident Commander esta!lishes sta%in% area and re&uests

additional resources"


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Flow Chart

911

CallFire

Law

EMS

Incident

Command

Size-up

Activate

Mass

Casualty

Plan

Central

Dispatc

Esta!lis

Command

Post


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Chronolo%y (continued)

• Central Dispatch 'cti$ates

Mass Casualty Plan

– Central Dispatch notifies

area hospitals of plan

acti$ation

– Central Dispatch o!tains

a$aila!le EM units from

adacent locations and

directs them to sta%in%

– Central Dispatch notifies

County Coordinator of plan

acti$ation

– Central Dispatch re&uests

channel priority


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EMS RESPONSE•

First arri$in% unitSenior EM responder

assumes Command role

– Put on EM CommandEM Command $est

– 'ssist IC in locatin% sta%in%

– Esta!lish $ictim collection area

– Deploy Mass Casualty *it

– trip ri% for use at tria%e


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EMS RESPONSE

• First arri$in% +nit

Second EM responder

assi%ned role of ,ria%e

-fficer . Put on ,ria%e -fficer ,ria%e -fficer est

. ,ria%e and ta% $ictims

. +se MF0 or medically trained

$olunteers


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EM 0EP-1E

• econd 'rri$in% +nitThird EM person assi%ned role of

transportation officer

. Put on ,ransportation -fficer ,ransportation -fficer $est

. Esta!lish communications withMedical Control 2ospital $ia2E01 on 344"567

. Esta!lish communications withsta%in% on EM 8round 344"9:4

. trip ri% of %ear for use at $ictimcollection point


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EM 0esponse

• econd arri$in% +nit

Fourth EM responder

assi%ned role of ,reatment

-fficer . Put on ,reatment -fficer ,reatment -fficer $est

. uper$ise esta!lishment of

$ictim collection area

. uper$ise treatment of$ictims in collection area


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ictim Collection Point

• elect secure area with

protection from further inury

• 'ccessi!ility for transportin%

am!ulances• +se %round sheets from

mass casualty ;it

• Identify each Priority areawith colored fla%


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Coordination

• ,reatment -fficer ad$ises,ransportation -fficer when$ictim ready for transport"

• ta%in% sends am!ulance and

load patient• ,reatment -fficer ad$isesMedical Control of patient


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Coordination (continued

• ,ransportation -fficer

$er!ally ad$ises am!ulance

of destination

• 'm!ulance transports patient

o!ser$in% radio silenceunless en.route emer%ency

• 'm!ulance monitors 2E01

on 344"567

• -nce patient deli$ered=am!ulance returns to ta%in%

for re.assi%nment


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"M'

CA'

CM'

.tse&o

Munson

Straits

,reatment

4elease

,rans#er

,o .ter

Facility

Mor&ue

Flow Chart continued


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taff > E&uipment

• Mass Casualty *it

. 0e&uest from nearest EMa%ency

• Fire and first responders – Mo$e patients to esta!lished

Collection Points

• 'rri$in% EM units

– 0eport to sta%in%

– Mo$e up when directed !y

,ransportation -fficer


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ta%in%

• ta%in% area esta!lished !y

IC with ad$ice from Medical

Command

• CCE notified of ta%in%

?ocation

• ta%in% and ,ransportation

communicate on fre%"344"9:4

• 'ssets and 0esources are

dispersed


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!eneral Considerations• '%ency 0esponses

– Police

– Fire

– EM

• Command 0esponsi!ility – Initial '%ency on cene

• Multiple Disciplines

– +nified Command


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Communication

• -!stacles – ,errain

– Different Fre&uencies

– -$erloaded channels• 2ospital

– Medical Control

– Patient 0outin%

– ,ransportation -fficer – ta%in% -fficer


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,hin%s to 0emem!er@

• Maintain strict radio procedures• Enroute communications must

!e limited to ur%ent matters only

• ,ransport patients in ade&uate$ehicles

• ,ransport patients withade&uate escort staff

• Maintain a lo% of all Patients(PC0)


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"N RE#"E$"N RE#"E$


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Flow Chart

911

CallFire

Law

EMS

Incident

Command

Size-up

Activate

Mass

Casualty

Plan

Central

Dispatc

Esta!lis

Command

Post


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"M'

CA'

CM'

.tse&o

Munson

Straits

,reatment

4elease

,rans#er

,o .ter

Facility

Mor&ue

Flow Chart continued


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A+E,I-1BA+E,I-1B

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