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Chapter 29
Mass-Casualty Incident Management
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Chapter 29: Mass-Casualty Incident Management
• 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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Chapter 29: Mass-Casualty Incident Management
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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Chapter 29: Mass-Casualty Incident Management
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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Chapter 29: Mass-Casualty Incident Management
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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Chapter 29: Mass-Casualty Incident Management
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?
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Chapter 29: Mass-Casualty Incident Management
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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Chapter 29: Mass-Casualty Incident Management
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
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Chapter 29: Mass-Casualty Incident Management
Structure of an Incident Command System
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Chapter 29: Mass-Casualty Incident Management
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.
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Chapter 29: Mass-Casualty Incident Management
ICS Structure: Medical Incident
• Command center
• Staging
• Extrication
• Triage
• Treatment
• Supply
• Transportation
• Rehabilitation
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Chapter 29: Mass-Casualty Incident Management
Typical ICS Organization
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Chapter 29: Mass-Casualty Incident Management
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.
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Chapter 29: Mass-Casualty Incident Management
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 Critical Incident Stress Debriefing (CISD) occurs.
• Success depends on every rescuer working within the system!
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Chapter 29: Mass-Casualty Incident Management
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.
