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Chapter 29

Chapter 29. Mass-Casualty Incident Management. Objectives (1 of 3). 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).

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Chapter 29

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  1. Chapter 29 Mass-Casualty Incident Management

  2. Objectives (1 of 3) • 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).

  3. 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.

  4. 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.

  5. 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.

  6. Key Questions • Does the incident require a technical rescue team (HazMat, dive rescue, etc.)? • What equipment is needed? • What environmental injuries are to be expected? • What happens when there are multiple patients?

  7. Components: Control/management Communications Logistics Evacuation Public information Emergency medical care Security Fire and rescue coordination Public works/utility repair or contact Emergency Operation Plan

  8. Incident Command System (ICS) • Used to help control, direct, and coordinate resources. • Ensures clear lines of responsibility and authority • Incident commander (IC) has overall responsibility for managing incident • System can expand to meet needs as the incident progresses

  9. Structure of an Incident Command System

  10. ICS Components • Incident commander (IC) remains at a centralized command post. • Safety officer has full authority of IC and is responsible for rescuer safety. • IC selects “sector” leaders, ie, operations, planning, finance, public information, etc. • “Unified Command” is used to incorporate various agencies within ICS.

  11. Command center Staging Extrication Triage Treatment Supply Transportation Rehabilitation ICS Structure: Medical Incident

  12. Typical ICS Organization

  13. Medical Response • Three important stages: triage, treatment, and transport • Triage determines priority of treatment. • RED patients are moved to treatment area for assessment and care. • Transport officer assigns ambulances and destinations.

  14. Medical Response • Resource needs and allocation are communicated to command center. • YELLOW and GREEN patients are treated and transported as resources allow. • After full evacuation, evaluation for CriticalIncident Stress Debriefing (CISD) occurs. • Success depends on every rescuer working within the system!

  15. 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.

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