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Mass Casualty Incident Plan Training

Mass Casualty Incident Plan Training. Section 4 - Operations. Overview. Operations Section Review Operations Modular Structure The Medical Branch MCI Categories Case Example. Operations Section Structure. Operations Section Function.

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Mass Casualty Incident Plan Training

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  1. Mass Casualty Incident Plan Training Section 4 - Operations

  2. Overview • Operations Section Review • Operations Modular Structure • The Medical Branch • MCI Categories • Case Example

  3. Operations Section Structure

  4. Operations Section Function • Directs and coordinates all incident tactical operations • Is typically one of the first organizations to be assigned to the incident • Expands from the bottom up • Has the most incident resources • May have Staging Areas/special organizations

  5. Operations Modular Structure • Span of control • Divisions • Groups • Branches

  6. Operations Modular Structure • Small incidents • Large incidents All incidents regardless of size should utilize ICS

  7. Medical Branch Director Medical Group/Division Director Triage Unit Leader Morgue Manager Treatment Unit Leader Treatment Dispatch Manager Immediate Treatment Manager Delayed Treatment Manager Minor Treatment Manager Transportation Supervisor Medical Communications Coordinator Ground Ambulance Coordinator Medical Supply Coordinator Medical Branch Positions

  8. 2-5 patients Establish/Report Command Most qualified EMT attends most serious EMT- B performs triage Triage and tag Request resources Package all patients Most qualified EMT sees all critical patients MCI-0

  9. 6-15 Patients Personnel recommended 1 ALS EMT & 1 EMT or FR for each critical patient 1 EMT for every 3 non-critical patient 1 Senior EMT as Medical Communication & Transportation Leader 1 Senior EMT as Triage Control Officer MCI-1

  10. 6-15 Patients Medical Command Must Assure: Sufficient ambulance Sufficient fire suppression Activation of Hospital and Mutual Aid Frequencies MCI-1

  11. 6-15 Patients Minimum Positions: Triage Control Officer Transportation Control Officer MCI-1

  12. 16-50 patients Personnel recommended A complete Medical Division appropriately staffed pursuant to the number of casualties. 1 ALS EMT per three critical victims. 1 EMT-B per seven minor injuries. MCI-2 RegionalMutual Aid will be needed

  13. >51 Patients Personnel recommended A minimum of one complete Medical Division. 1 ALS EMT per three critical patients. 1 EMT per seven minor injuries. MCI-3 County, and/or State assistance will be needed

  14. Review & Questions • Operations Section Review • Operations Modular Structure • The Medical Branch • MCI Categories Questions about Operations?

  15. Case Example • Questions • What type of command needs to be established? • How will ICS be used in this situation? The first arriving unit from the fire department assumes command and reports that there are 5 patients total. Four survivors and one probable fatality.

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