Mass-Casualty Incident Management

PART-III

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• Discuss the various environmental hazards that affect the OEC technician.

• Evaluate the role of the OEC technician in the multiple-casualty incident.

• Review the local mass-casualty incident plan (MCI).

• Define the incident command system (ICS).

Objectives (1 of 3)

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Objectives (2 of 3)

• Identify main ICS functions and their responsibilities during a mass-casualty incident.

• Describe the advantages of using ICS as an organized approach to the management of mass-casualty incidents.

• Explain how the ICS structure expands or contracts to meet the needs of an incident.

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Objectives (3 of 3)

• Describe where you might be assigned within an ICS structure and list possible job responsibilities.

• Apply the four-color categories to a mass-casualty incident.

• Apply the sequence of emergency care for a single patient with multiple injuries.

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MCI Management • MCI: An incident that places great

demands on rescuer resources (manpower, equipment, vehicles, hospitals, etc.)

• May require technical rescue team to access and treat patients, ie, ski patrol

• A practiced, well designed Emergency Operations plan is essential.

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AREAS TO BE TOUCHED

• Assess requirement of technical rescue team (HazMat, dive rescue, etc.)?

• Equipment is needed• Injuries are to be expected • Management Of Multiple Patients

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Emergency Operation Plan

Components:• Control/management• Communications • Logistics • Evacuation • Public information• Emergency medical

care

• Security • Fire and rescue

coordination• Public works/utility

repair or contact

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Incident Command System (ICS)• He control, direct, and coordinate

resources.• Ensures clear responsibility and authority• Incident commander (IC) overall

responsibility• Expand System to meet needs.

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Structure of an Incident Command System

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ICS Components• Incident commander (IC) -centralized

command post. • Safety officer -full authority of IC and for

rescuer safety. • IC selects “sector” leaders, ie,

operations, planning, finance, public information, etc.

• “Unified Command” is used to incorporate various agencies within ICS.

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ICS Structure: Medical Incident

• Command center • Staging• Extrication • Triage

• Treatment • Supply • Transportation • Rehabilitation

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Typical ICS Organization

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Medical Response • Three important stages: triage, treatment,

and transport – Triage -priority of treatment.– RED patients moved to area -

assessment and care.– Transport

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Medical Response • Communicate need commander.• Action for YELLOW and GREEN -

transported as resources. • Full evacuation, evaluation for Critical

Incident Stress Debriefing (CISD) occurs. • Success -every rescuer working within the

system!

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Disaster Management • Widespread event that disrupts and

threatens community • Rescuer roles will be assigned by ICS. • Hospitals may be overburdened.• Casualty collection areas may be set up

and staffed by nursing and medical staff with equipment.