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Mass Casualty Incident Annex

Mass Casualty Incident Annex. See Page 6-10. PURPOSE OF THE ANNEX Provide direction for managing emergency medical care during Mass Casualty Incidents (MCI) in Lewis County SCOPE

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Mass Casualty Incident Annex

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  1. Mass Casualty Incident Annex

  2. See Page 6-10 • PURPOSE OF THE ANNEX • Provide direction for managing emergency medical care during Mass Casualty Incidents (MCI) in Lewis County • SCOPE • This plan applies to all Fire Services/Emergency Medical Services (EMS) response entities and provides guidance and direction to supporting entities that are assisting during a mass casualty incident

  3. See Page 6-12 Mass Casualty Incident: Any medically oriented incident that overwhelms the initial EMS response ·  Level I - MCI: Exceeds capabilities of initial responding agencies involving 10 or less patients ·  Level II - MCI: Greater than 10 victims but less than 30. May require out of county resources and multiple medical facilities ·  Level III - MCI:Medical Disaster with more than 30 victims. May require out of county resources and multiple medical facilities

  4. See Page 6-25 Suggested Operating Procedures for Responding EMS Units to MCI • Keep radio communications to a minimum • Dispatch will advise of staging area location • Respond directly to the Staging Area • Do not abandon your unit unless approved by command • Dispatch will advise of operations frequency after signing en route • Instructions given on scene by radio should be repeated back to assure the message is received accurately

  5. See Page 6-25 EMS Response • First arriving unit - determine Incident Commander who will complete IC Help Sheet • Additional responders proceed to the Staging Area unless directed to the scene

  6. See Page 6-26 Incident Commander • Establishes command and command post • Identifies operations frequencies • Gets additional assistance if needed • Establishes staging area • Determines level of MCI • Assigns staff positions

  7. See Page 6-28 Medical Officer • Directs all medical operations • Responsible for accountability tracking of the medical group officers: • Triage Officer • Treatment Officer • Transport Officer •  Staging Officer • Ensures placement of Medical Supply area and Medical Command Post if needed • Obtains patient count from Triage Officer

  8. See Page 6-29 Triage Officer • Responsible for:   • Development of tagging and backboard teams   • Establishing triage funnel(s)   • Triaging patients at funnel(s)   • Accountability tracking of personnel assigned to Triage Group

  9. See Page 6-30 Triage System Help Sheet • TAGGING: • Distribute triage tags • Place triage tags on victims • TRIAGE: • Set up and mark the triage area (funnel) • Use walking wounded and non-injured to assist • Triage the victims at the funnel • TREAT: • Set up treatment areas near triage funnel • Take patients to the treatment area • Treatment Officer coordinate patient evacuation

  10. Page 6-19 Triage System Philosophy • An organized approach for sorting, treating and transporting patients in a mass casualty situation • Real patient care occurs in the treatment area • Treating patients where they lay slows the system • With overwhelming number of victims, even care in the treatment areas will be less than normal   • Use the walking wounded and non-injured to assist with patient care • MCI Bags: • Keep MCI bags current and in all response vehicles • Use recommended contents list on page 6-19 to standardize all kits throughout the county

  11. See Page 6-31 Treatment Officer •   Develops and supervises treatment areas  •   Coordinates patient loading with Transport Officer   •   Tracks personnel assigned to Treatment Group •   Maintains treatment area medical supply •   Uses Log Sheet on page 6-31 for tracking

  12. See Page 6-33 Transport Officer • Obtains patient destinations from Medical Facility • Supervises patient loading activities • Tracks personnel assigned to Transport Group • Uses Log Sheet on page 6-33 for tracking

  13. See Page 6-35 Staging Officer Develops and manages three-part staging area ·  Part One: Transport Units ·  Part Two: Consists of single resources, i.e. extrication crews should stay together ·  Part Three: Consists of all other equipment Uses Log Sheet on page 6-35 for tracking

  14. MCI Scene Staging Area Medical Supply Loading Zone Treatment Area Triage Area Incident Command Morgue Area Scene

  15. Summary • Expect chaos • Establish positions quickly to disseminate tasks and responsibilities • Use checklists to guide actions • Do the best you can for the most you can • Prepare ahead of time: • Training and practice • Keep Triage bags current and available

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