Seattle / King County

Multiple Casualty Incident Plan

Introduction

• History• Significant Changes • Organization• Key responsibilities

Significant updates

• NIMS / ICS compliant• Emphasis on a transportation corridor• Roles & responsibilities vs “seat-assignments “

Who wears a vest and what this means

• Triage Criteria• Patient Tracking• Green patient area

Significant updates

• Triage may be assigned to Rescue• Elimination of formal funnel points• Elimination of patient numbering• Elimination of the treatment tag• Hospital Control is now DMCC

Key Roles and responsibilities

• First-in unit• Incident Command• Recon• Rescue– Triage– Extraction– Extrication

• Medical Group– Treatment

• Red Area• Yellow Area

– Transportation• Ambulance Staging• Ambulance Loading• DMCC• Tracking Aid

– Green Patient area

MCI with Competing Interests

• Suppression• HazMat• SWAT/AB/BDU• CBRNE

• Uses up personnel

Dispatch

• Zone Controlled

Arrival/Size up

• Jurisdiction dependant:– Short report– Estimate of total patient count– Early Recon

• Transportation Corridor

• Early notification of DMCC

Organizational Chart (simplified)

Incident Command

Medical

Treatment Transport Green Pt

Rescue Hazard Mitigation

Safety PIO

Liaison

Organizational Chart (Expanded)Incident

Command

Medical

Treatment

Yellow Unit

Red Unit

Dispatch Manager

Transport

Ambulance Staging

Ambulance Loading

DMCC Mgr

Tracking Aid

Green Pt

Rescue

Extraction Extrication

Hazard Mitigation

Decon Haz Mat Fire

Safety PIO

Liaison

Organizational Chart (Detailed)Incident Command

Finance Planning Logistics Operations

Medical

Treatment

Yellow Unit

Red Unit

Dispatch Manager

Transport

Ambulance Staging

Ambulance Loading

DMCC Mgr

Tracking Aid

Green Patients

Rescue

Extraction Extrication

Hazard Mitigation

Decon Haz Mat Fire

Recon

SafetyPIO

Liaison

Unit Leader / Supervisor

• Don the vest• Understand Action Plan• Determine supervisors role • Develop organization• Develop relationships • Maintain accountability• Provide progress reports• Manage and request resources

Rescue Group

• Initial triage– Flagging– Triage zones

• Extraction• Extrication

• May add ALS

Medical Group

• Ensure activation of DMCC• Verify Transportation Corridor / ambulance staging

• Assign/Assume key positions:– Treatment area– Transportation– Green Patient area

• Communications / talk group• Adequate resources and personnel

Green Patient Area

• May be managed by BLS company• Address obvious needs:– Containment– Shelter– Re-triage

• Liaison with Law Enforcement• Documentation

Treatment

Transportation is the priority

• Location• Team Leaders (Red area, Yellow area)

• Appropriate level of treatment• Resources– Personnel– Equipment

• Re-triage

Transportation

• Verify transportation corridor• Location:– Proximity to treatment area– Ambulance loading area- consider exhaust, hazards, etc.

– DMCC coordinator and tracking aid- remote location

• Resources– Backboards– Tracking bands– Transportation units

• Establish DMCC communication

Transportation

• Assign key positions: – Ambulance Staging– Ambulance loading– DMCC coordinator– Tracking Aid

Triage

“Sick or Not Sick”

Patient Tracking and Documentation

Patient Tracking and Documentation

Questions / Comments

Assignments

Josh – Lead In / Welcome / Introduction

Aaron - Intro through arrival/size-up (1 – 8)

Marty - Org charts through Vest wearers (9 – 12)

Josh - Rescue Group through Transportation (13 – 18)

John - Triage through Tracking (19 – 21)

All – Questions (22)