Chief officer training curriculum
Download
1 / 62

Chief Officer Training Curriculum - PowerPoint PPT Presentation


  • 175 Views
  • Updated On :

Chief Officer Training Curriculum. Operations Module 4: ICS for EMS. Objectives. Identify positions and responsibilities in the ICS organization for EMS incidents Identify elements of S.T.A.R.T. Identify potential problems for an EMS incident Identify resource needs at EMS incidents

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Chief Officer Training Curriculum' - kipp


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Chief officer training curriculum l.jpg

Chief Officer Training Curriculum

Operations

Module 4:

ICS for EMS


Objectives l.jpg
Objectives

  • Identify positions and responsibilities in the ICS organization for EMS incidents

  • Identify elements of S.T.A.R.T.

  • Identify potential problems for an EMS incident

  • Identify resource needs at EMS incidents

  • Develop a command and organizational structure at an EMS incident


Overview l.jpg
Overview

  • Who is in charge at EMS incidents?

  • Roles and responsibilities of the IC, division/group leaders, and unit leaders

  • S.T.A.R.T. system

  • Basic and expanded ICS organization for EMS incidents

  • Multicasualty ICS branch at EMS incidents


Benefits of an ics at ems incidents l.jpg
Benefits of an ICS at EMS Incidents

  • Controls, organizes, and directs responders

  • Provides common terminology and position titles

  • Provides chain of command

  • Groups common functions and responsibilities


Benefits of an ics at ems incidents continued l.jpg
Benefits of an ICS at EMS Incidents (continued)

  • Provides for responder accountability and safety

  • Provides for accurate patient accountability and structure to deliver appropriate care

  • Provides for efficient use of regional resources (hospitals, transports, trauma centers, etc.)


Levels of ems incidents l.jpg
Levels of EMS Incidents

  • Often defined by local guidelines

  • Multiple casualty incident:

    • May have minimal number of casualties but unusual events

    • May hinder normal operations at local hospitals

    • May draw down system resources, or number of patients outnumbers resources or rescuers


Slide7 l.jpg

WHO IS IN CHARGE AT EMS INCIDENTS ?


Role and responsibilities of the ic l.jpg
Role and Responsibilities of the IC

  • Ensures life safety of responders and citizens

  • Determines objectives and strategies, sets immediate priorities

  • Determines/approves tactical objectives

  • Establishes an Incident Command Post (ICP)


Role and responsibilities of the ic continued l.jpg
Role and Responsibilities of the IC (continued)

  • Coordinates activities of assigned staff

  • Authorizes release of information to the news media

  • Establishes an ICS organization to meet incident needs, both current and projected


Initial response basic organization l.jpg

Incident

Commander

Initial Response Basic Organization


Rescue extrication group supervisor l.jpg

Incident Commander

Rescue/

Extrication Group

Rescue/Extrication Group Supervisor


Rescue extrication group supervisor continued l.jpg
Rescue/Extrication Group Supervisor (continued)

  • Implements assigned incident objectives

  • Provides tactical direction and supervision to assigned resources

  • Determines resources needed to extricate patients

  • Communicates resource requirements to IC as necessary

  • Ensures safety of members operating in area


Rescue extrication group supervisor continued13 l.jpg
Rescue/Extrication Group Supervisor (continued)

  • Coordinates with treatment unit leader for patient care during rescue operation

  • Ensures efficacy of rescue/extrication operations

  • Coordinates patient transportation to triage area

  • Provides frequent progress reports to IC

  • Maintains incident documentation


Medical group supervisor l.jpg

Incident

Commander

Rescue/

Extrication Group

Medical

Group

Medical Group Supervisor


Medical group supervisor continued l.jpg
Medical Group Supervisor (continued)

  • Implements assigned incident objectives

  • Participates in multicasualty branch/operations section planning

  • Establishes medical group/division

  • Requests additional personnel and resources

  • Designates unit leaders and treatment areas


Medical group supervisor continued16 l.jpg
Medical Group Supervisor (continued)

  • Isolates morgue and minor treatment from immediate and delayed treatment areas

  • Requests law enforcement/coroner involvement

  • Establishes communication and coordination with transportation

  • Ensures activation of hospital alert system


Medical group supervisor continued17 l.jpg
Medical Group Supervisor (continued)

  • Directs on-scene personnel such as Red Cross, coroner, medical teams

  • Ensures safety and security of treatment and morgue areas

  • Directs medically trained personnel to appropriate unit leader

  • Maintains incident documentation


Triage unit leader l.jpg

Incident

Commander

Rescue/

Extrication Group

Medical

Group

Triage

Unit

Triage Unit Leader


Triage unit leader continued l.jpg
Triage Unit Leader (continued)

  • Determines location of triage area(s)

  • Ensures all patients assessed and sorted in accordance with appropriate triage protocols

  • Determines resources required for triage operations


Triage unit leader continued20 l.jpg
Triage Unit Leader (continued)

  • Communicates resource requirements to medical group supervisor as necessary

  • Develops triage organization sufficient to handle assignment

  • Ensures safety and security of all members operating in area

  • Ensures efficacy of triage operations


Triage unit leader continued21 l.jpg
Triage Unit Leader (continued)

  • Provides frequent progress reports to medical group supervisor

  • Establishes initial morgue operations

  • Coordinates movement of patients from triage area to treatment area

  • Maintains incident documentation


S t a r t l.jpg
S.T.A.R.T.

  • Uses vital signs instead of mechanism of injury

  • Takes less medical expertise

  • Uses basic vital signs

  • Uses standard triage tags



S t a r t continued l.jpg
S.T.A.R.T. (continued)

Algorithm

  • Assess ventilation

  • Assess perfusion

  • Assess mental status


Treatment unit leader l.jpg

Incident

Commander

Rescue/

Extrication Group

Medical

Group

Triage

Unit

Treatment

Unit

Treatment Unit Leader


Treatment unit leader continued l.jpg
Treatment Unit Leader (continued)

  • Identifies and establishes suitable area(s) for treatment operations

  • Identifies and requests additional resources as needed

  • Coordinates with triage unit leader the movement of patients from the triage area to treatment area(s)

  • Receives patients in the treatment area


Treatment unit leader continued27 l.jpg
Treatment Unit Leader (continued)

  • Establishes communication and coordination with patient transportation group supervisor

  • Assigns, supervises, and coordinates personnel within the area(s)

  • Ensures safety of members operating in area


Treatment unit leader continued28 l.jpg
Treatment Unit Leader (continued)

  • Ensures efficacy of treatment operations

  • Directs movement of patients to ambulance loading area

  • Provides frequent progress reports to the medical group supervisor

  • Maintains incident documentation


Transportation group supervisor l.jpg

Incident

Commander

Rescue/

Extrication Group

Medical

Group

Patient

Transportation

Group

Triage

Unit

Treatment

Unit

Transportation Group Supervisor


Transportation group supervisor continued l.jpg
Transportation Group Supervisor (continued)

  • Establishes adequately sized, easily identifiable patient loading area

  • Establishes communication with area hospitals

  • Designates ambulance staging area

  • Identifies and requests additional resources


Transportation group supervisor continued31 l.jpg
Transportation Group Supervisor (continued)

  • Directs transportation of patients in coordination with treatment unit leader

  • Requests air and ground ambulance

  • Coordinates air ambulance transportation

  • Establishes air ambulance helispot(s)

  • Maintains patient tracking records


Basic organization l.jpg

Incident

Commander

Rescue/

Extrication Group

Medical

Group

Patient

Transportation

Group

Triage

Unit

Treatment

Unit

Basic Organization


Slide33 l.jpg

Incident

Command

Patient

Transportation

Group

Rescue/

Extrication Group

Medical

Group

Treatment

Triage


Slide34 l.jpg

Incident

Command

Staging Area

Manager

Patient

Transportation

Group

Rescue/

Extrication Group

Medical

Group

Helibase

Manager

Treatment

Triage


Staging area manager l.jpg
Staging Area Manager

Assembles, coordinates, and controls resources assigned to staging

  • Ensures unimpeded access to and egress from staging area

  • Establishes an accurate inventory system for all responding units

  • Provides routing instructions for resource assignments


Staging area manager continued l.jpg
Staging Area Manager (continued)

  • Requests maintenance services for staged resources as needed

  • Safeguards staging

  • Determines required reserve level(s) for assigned resources

  • Advises operations section chief when resource at or near minimum reserve level


Staging area manager continued37 l.jpg
Staging Area Manager (continued)

  • Coordinates access to EMS vehicles with ground ambulance coordinator

  • Ensures safety of members operating in the staging area

  • Evaluates staging area operations for efficacy

  • Provides frequent progress reports


Helibase manager l.jpg
Helibase Manager

  • Locates safe and adequately sized Landing Zone (L/Z)

  • Advises command and the transportation officer of L/Z location

  • Ensures L/Z site safety

  • Maintains communications with helicopters


Helibase manager continued l.jpg
Helibase Manager (continued)

  • Secures safe routes for ground ambulances entering and exiting the L/Z

  • Requests and supervises resources as needed

  • Maintains incident documentation


Slide40 l.jpg

Operations

Section

Staging Area

Manager

Medical

Group

Patient

Transportation

Group

Treatment Unit

Triage Unit

Triage Personnel

Immediate

Treatment Manager

Delayed

Treatment Manager

Minor

Treatment Manager


Treatment team managers l.jpg
Treatment Team Managers

  • Request and assign resources for patient needs

  • Ensure continuous triage of patients in area

  • Prioritize patients for transport

  • Coordinate and notify treatment dispatch manager of readiness and priority of patients for transport

  • Ensure patient information documented


Treatment dispatch manager l.jpg
Treatment Dispatch Manager

  • Establish and maintain communications with treatment managers and medical communications coordinator

  • Verify with treatment managers any special transport needs

  • Assure tracking of patient information


Medical supply coordinator l.jpg
Medical Supply Coordinator

  • Responsible for procuring, maintaining, and distributing medical supplies

  • In fully expanded ICS, communicates with logistics section—supply unit leader


Morgue manager l.jpg
Morgue Manager

  • Coordinates activity with law enforcement

  • Identifies and secures suitable area for morgue

  • Coordinates with medical examiner regarding removal of deceased

  • Ensures completion of all documents related to deceased


Morgue manager continued l.jpg
Morgue Manager (continued)

  • Ensures safety of members operating in area

  • Communicates progress reports to IC as required

  • Keeps identity of deceased confidential

  • Maintains appropriated incident documentation


Slide46 l.jpg

Operations

Section

Staging

Rescue/Extrication

Group

Medical Group/Division

Supervisor

Helibase

Manager

Patient

Transportation

Group Supervisor

Medical Supply

Coordinator

Medical

Communications Coordinator

Ground

Ambulance

Coordinator

Triage Unit

Treatment

Unit

Air

Ambulance

Coordinator

Treatment

Dispatch

Manager

Morgue

Manager

Treatment

Teams

Lines of

communications


Medical communications coordinator continued l.jpg
Medical Communications Coordinator (continued)

  • Establish and maintain communications with medical facilities or local medical resource control point

  • Maintain current status of medical facility availability

  • Coordinate with treatment dispatch manager and ambulance coordinators

  • Coordinate off-incident patient destinations

  • Maintain appropriate incident documents


Air ground ambulance coordinators l.jpg
Air/Ground Ambulance Coordinators

  • Establish ambulance staging area and log units in and out as assigned

  • Coordinate with helibase manager or air operations branch director

  • Establish and maintain communications with medical communications coordinator and treatment dispatch manager

  • Provide ambulance resources


Air ground ambulance coordinators continued l.jpg
Air/Ground Ambulance Coordinators (continued)

  • Provide inventory of medical supplies available at ambulance staging area

  • Assure necessary equipment available in ambulances

  • Establish contact with ambulance agencies at scene

  • Request additional resources

  • Maintain incident documentation



Scenario basic information l.jpg
Scenario: Basic Information

  • TIME: 2000 hours

  • DATE: January 20

  • WEATHER: 45 degrees, winds

    from SSE @ 5 to 10 knots, overcast skies


2000 hours l.jpg
2000 Hours

Liberty communications to:

  • Liberty Engine 203

  • Central Truck 101

  • Liberty Battalion 1

  • LifeLine 22

  • Liberty County Sheriff's Units

    Reported traffic accident at the intersection of State Route 52 and East Lake. Possible people trapped.


2003 hours l.jpg
2003 Hours

Able Flight 1 to Liberty Communications:

  • Currently over the East Lake accident. Appears to be a minimum of three vehicles. Two vehicles over the side. One appears to be a large vehicle. We will try to get a closer look.

    Liberty Battalion 1 to Liberty Communications:

  • Copy Able’s traffic—multiple vehicles


2004 hours l.jpg
2004 Hours

Able Flight 1 to Liberty Communications:

  • Confirmed three vehicles. Two over the side. One appears to be a bus. The other two sedans.

    Liberty Engine 203 to Liberty Communications:

  • Engine 203 on scene; stand by for report on conditions.


2005 hours l.jpg
2005 Hours

Liberty Engine 203 to Liberty Communications:

  • Three vehicles involved. Multiple victims trapped inside an overturned bus which is off the road and down an embankment 25 feet. Appear to be at least 15 victims.

  • Assuming Lake Command

    LifeLine 22 to Liberty Communications:

  • On scene


2007 hours l.jpg
2007 Hours

Lake Command to Liberty Communications:

  • This will be a mass-casualty incident. Triage in progress. Request an MCI response per Liberty County EMS plan.

    Liberty Communications to Lake Command:

  • Copy MCI response—prepare to copy resources

  • Liberty Battalion 1 Copies


2007 hours continued l.jpg
2007 Hours (continued)

Central Truck 101 to Liberty Communications:

  • On scene

    Liberty Battalion 1 to Liberty Communications:

  • On scene assuming; Lake Command


2008 hours l.jpg
2008 Hours

Liberty Communications to Lake Command:

  • Copy Liberty Battalion 1 now Lake Command

  • Stand by to copy the MCI response

  • Liberty Chief has been notified and is responding—ETA 20 minutes.


2009 hours l.jpg
2009 Hours

Liberty Communications to Lake Command:

  • MCI response and ETA’s are

  • Liberty Battalion: 2 to 5 minutes

  • Liberty Engine 201: 6 minutes

  • Liberty Engine 202: 6 minutes

  • Liberty Engine 205: 7 minutes

  • Central Truck 102: 8 minutes W/3

  • Central Mass-Casualty: 8 minutes W/1


2009 hours continued l.jpg
2009 Hours (continued)

  • Medflight 1: 8 minutes

  • Medflight 2: 16 minutes

  • LifeLine 21: 5 minutes

  • LifeLine 24: 5 minutes

  • LifeLine 25: 8 minutes

  • Community 31: 6 minutes

  • Community 33: 8 minutes

  • Community 34: 9 minutes

  • Central Medic 101: 7 minutes

  • Central Medic 103: 9 minutes

  • Central Medic 106: 10 minutes


2010 hours l.jpg
2010 Hours

Triage to Lake Command:

  • There is a total of 30 patients. Triage report is being brought to the Command Post at this time.

  • At least 10 patients will require extensive extrication work. At least 2 hours to free all patients.

  • The bus appears stable. No fuel leak detected at this time. Second vehicle stable with fuel leak. One DOA.


Module summary l.jpg
Module Summary

  • Basic ICS organization at EMS incidents

  • Expanded ICS organization at ICS incidents

  • Multicasualty Branch at EMS incidents


ad