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Multi-Casualty Multi-Casualty IncidentsIncidentsTactical StandardTactical Standard
Henderson Fire DepartmentHenderson Fire Department44thth Edition Edition
ObjectivesObjectives
Define MCI Describe the difference between level 1, 2, 3,
4, or 5 MCI Understand the 6 stages of MCI management Explain Unified Command Describe the basic ICS structure of MCI Identify the primary responsibility of each
group or unit of a normal MCI Explain the requirements of the morgue
Objectives cont.Objectives cont.
Describe the role of the medical supply group
Explain the evolution of a MCI event Define “Extreme MCI” Explain the organization of an Extreme MCI Understand the operations of an extreme
MCI Identify the locations of Casualty Collection
Points for Extreme MCI
OverviewOverview
Definition of MCIDefinition of MCI– Level 1, 2, 3,4, or 5Level 1, 2, 3,4, or 5
VarietyVariety FrequencyFrequency Evolution of the MCIEvolution of the MCI Multi-jurisdictionalMulti-jurisdictional
Six Stages of MCI Six Stages of MCI ManagementManagement
1.1. Preplanning & TrainingPreplanning & Training
2.2. Initial ResponseInitial Response
3.3. OperationsOperations
4.4. StabilizationStabilization
5.5. DemobilizationDemobilization
6.6. TerminationTermination
Unified CommandUnified Command
Two Primary SituationsTwo Primary Situations1.1. Single JurisdictionSingle Jurisdiction
2.2. Multi-jurisdictionMulti-jurisdiction
Basic MCI OperationsBasic MCI Operations DispatchDispatch ArrivalArrival Additional ResourcesAdditional Resources ICS AssignmentsICS Assignments
– Traffic/Crowd ControlTraffic/Crowd Control– Rescue/Extrication GroupRescue/Extrication Group– Medical GroupMedical Group
Triage UnitTriage Unit Treatment UnitTreatment Unit
– Transportation GroupTransportation Group– Possibly LZ GroupPossibly LZ Group
Rescue/ExtricationRescue/Extrication
Assigned EarlyAssigned Early Hazard ZoneHazard Zone Prioritize PatientsPrioritize Patients ResponsibilitiesResponsibilities IC
Rescue/Extrication
Medical GroupMedical Group
ResponsibilitiesResponsibilities Triage UnitTriage Unit Treatment UnitTreatment Unit
IC
Rescue/Extrication
Medical Group
Triage Unit Treatment Unit
Transportation GroupTransportation Group
ResponsibilitiesResponsibilities
IC
Rescue/Extrication
Medical Group
Triage Unit Treatment Unit
Transportation Group
Additional Unit, Group or Additional Unit, Group or BranchesBranches
MorgueMorgue SafetySafety StagingStaging Medical SupplyMedical Supply
Basic MCI ResponseBasic MCI Response En-routeEn-route ArrivalArrival Apparatus PositioningApparatus Positioning Secure HazardsSecure Hazards Initial TriageInitial Triage Additional ResourcesAdditional Resources Patient StabilizationPatient Stabilization Traffic/Crowd ControlTraffic/Crowd Control Rescue/ExtricationRescue/Extrication Medical GroupMedical Group Possible LZ GroupPossible LZ Group Possible Transportation GroupPossible Transportation Group
Advanced Plan (MCI-A)Extreme Mass Casualty
An Extreme MCI is an event in which the number of patients exceeds 300 or greater. The Mass Casualty Incident Advanced Plan (MCI-A) is included in the Clark County Multi-Jurisdictional Mass Casualty Plan. It provides guidance and procedures for the response to any incident involving 300 or greater casualties herinto referred to as an Extreme Mass Casualty. It was designed specifically to deal with local disasters including Weapons of Mass Destruction, Chemical, Biological, Radiological, Nuclear, and high-yield explosives or CBRNE.
Organization
Initial Arriving Company - IC & “Sifting”
Rescue/Extrication Group Holding Area Group 2nd Opinion Group Medical Group Transportation Group Casualty Collection Points
Hot Zone - Deceased
Warm Zone non-ambulatory
Holding Area
Initial Arriving Company
•Establish Command BIR
•Request Resources
•Begin “Sifting” ambulatory to Holding Area.
Cold Zone
Sifting
Hot Zone - Deceased
Warm Zone non-ambulatory
De
con
Rescue/Ext
Cold Zone
Triage TX Transport
Ambulance Staging
Loading
To Hospital
2nd opinionHolding Area
CP
To Casualty Collection Point
Hazmat
Medical
Sets & RepsSets & Reps Receive DispatchReceive Dispatch Verbalize Pre-incident Information Verbalize Pre-incident Information Complete En route ResearchComplete En route Research Verbalize En route concernsVerbalize En route concerns Complete Brief Initial ReportComplete Brief Initial Report Conduct Survey of Incident & Identify HazardsConduct Survey of Incident & Identify Hazards Verbalize Securing of SceneVerbalize Securing of Scene Complete Initial TriageComplete Initial Triage Request Appropriate ResourcesRequest Appropriate Resources Assign & Track UnitsAssign & Track Units Complete IC WorksheetComplete IC Worksheet
Brief Initial Report?
Triage Report:
1. Silver Car – 1 delayed, 1 minor, no extrication
2. Black Car – 1 immediate, 1 delayed, extrication needed
3. Green Car – 1 immediate, 2 delayed, 1 minor, extrication needed
Resources Needed?
Brief Initial Report?
Triage Report:
1. Green Car – 2 immediate, 2 delayed, extrication needed
2. Silver Car – 1 delayed, 2 minor, no extrication
Resources Needed?
Brief Initial Report?
Triage Report:
1. Black Truck – 1 dead, 2 immediate, extrication needed
2. School Bus – 2 immediate, 10 delayed, 12 minor, no extrication
Resources Needed?
Brief Initial Report?
Triage report:
1. White Truck – 2 immediate, no extrication
2. White Car – 1 dead, 1 immediate, 2 delayed, extrication needed
Resources Needed?