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Mass-Casualty Incident- (MCI) Management

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Mass-Casualty Incident-

(MCI) Management

High number of casualties with serious injuries.

Insufficient availability of resources and medical

personnel to move in a timely manner.

Inability to handle the wounded with the usual

criteria.

Mass Casualty Incident

Two main strategies for action:

Israelite: Immediate evacuation of victims to the nearest

hospital

Short distances to hospitals

Risk of trap attacks after the incident

European: Triage and initial on-site care.

Fastest care during the “gold hour”

Optimized evacuation and customized victims care

Tassica is working with European strategy

Emergency services should have tablets and

wireless communications.

Mass Casualty Incident

Stage and overall operational in MCI

FOCUS

Escenario y operativa general en un IMV

FOCUS

Stage and overall operational in MCI

FOCUS

Escenario y operativa general en un IMV

FOCUS

FOREWARD

COMMAND POSTIncident Medical Commander

BASE ZONE

Escenario y operativa general en un IMV

RELIEF

AREA

FOCUS

NEAR

RESCUE

FOREWARD

COMMAND POSTIncident Medical Commander

BASE ZONE

Escenario y operativa general en un IMV

RELIEF

AREA

FOCUSCONCENTRA

TION OF

VICTIMS

ZONE

NEAR

RESCUE

TRIAGE

Resource

Management

Executive

FOREWARD

COMMAND POST

Incident Medical Commander

BASE ZONE

Escenario y operativa general en un IMV

RELIEF

AREA

FOCUSCONCENTRA

TION OF

VICTIMS

ZONE

MORGUE

GREEN

AREA

NEAR

RESCUE

TRIAGE

Resource

Management

Executive

Medical Commander

ASP

LOADING

ZONE

FOREWARD

COMMAND POST

Incident Medical Commander

BASE ZONE

Escenario y operativa general en un IMV

RELIEF

AREA

FOCUSCONCENTRA

TION OF

VICTIMS

ZONE

MORGUE

GREEN

AREA

NEAR

RESCUE

TRIAGE

Resource

Management

Executive

ASP

LOADING

ZONE

FOREWARD

COMMAND POST

Incident Medical Commander

Medical Commander

BASE ZONE

Escenario y operativa general en un IMV

RELIEF

AREA

FOCUSCONCENTRA

TION OF

VICTIMS

ZONE

MORGUE

GREEN

AREA

NEAR

RESCUE

TRIAGE

Resource

Management

Executive

ASP

LOADING

ZONE

FOREWARD

COMMAND POST

Incident Medical Commander

Medical Commander

BASE ZONE

Escenario y operativa general en un IMV

RELIEF

AREA

FOCUSCONCENTRA

TION OF

VICTIMS

ZONE

MORGUE

GREEN

AREA

NEAR

RESCUE

TRIAGE

Resource

Management

HOSPITAL

Executive

ASP

LOADING

ZONE

FOREWARD

COMMAND POST

Incident Medical Commander

Medical Commander

Opening of MCI Focus

Mando Médico

TRIAGE

Control de

Recursos

FOCO

Opening of MCI Focus

Opening of MCI Focus

Geo-positioning of MCI stage

Accessibility initial critical information

Annotation of resources as they arrive

Decision Making of Incident MedicalCommander

Reliable intercom with internal messaging

Reliable intercom with internal messaging

Reliable intercom with internal messaging

Identification and tracking of victims using Tassica cards

• Material appropriate to the context

• Easy to hook to the victim

• Uniform guide for the participants

• Traceability of victims during assistance

Identification and tracking of victims using Tassica cards

• Material appropriate to the context

• Easy to hook to the victim

• Uniform guide for the participants

• Traceability of victims during assistance

Identification and tracking of victims using Tassica cards

• Material appropriate to the context

• Easy to hook to the victim

• Uniform guide for the participants

• Traceability of victims during assistance

Early victims scoring at first triage

Confirmation data of first triage

Confirmation data of first triage

New victim: data coming from Tassica triage card

Confirmation data of first triage

New victim: data coming from Tassica triage card

On-line monitoring in the EmergencyOperations Center and authorities

Executive

Where there is a + sign, you are

allowed to access to detailed data

Reception of victims at Advanced SanitaryPost

Filiation Manager certifies the entrance of a victim to the

Advanced Sanitary Post introducing data from triage card

Filiation Manager certifies the entrance of a victim to the

Advanced Sanitary Post introducing data from triage card

Reception of victims at Advanced SanitaryPost

Victims care and second triage

During assistance in the advanced

sanitary post and in the area of green

victims, commonly accepted

methodologies are used, guided by a

reading from up to down of the Tassica

card

Management and outcomes annotation of second triage

Management and outcomes annotation of second triage

The Medical Commander in Advanced Sanitary Post performs a series of

systematized questions to the sanitary assistants to gain speed and security

Management and outcomes annotation of second triage

The Medical Commander in Advanced Sanitary Post performs a series of

systematized questions to the sanitary assistants to gain speed and security

Management of evacuation prioritiy

The system proposes an evacuation level protocol based on

Revised-RTS. The medical commander takes the final decision

Allocation of target hospitals

Implementation of evacuations

Implementation of evacuations

Confirmation of evacuations

Confirmation of evacuations

Personal data if available. In any case, traceability is always maintained

based on the unique number of Tassica triage card

Confirmation of evacuations

Personal data if available. In any case, traceability is always maintained

based on the unique number of Tassica triage card

Traceability continued during evacuation

The victim arrives at hospital with

data of identification and

traceability, of the received

care, and vital data monitored

during the process leading to the

evacuation

Preventive monitoring of expected victims from a hospital

Clinical report generated at the request of hospital

Executive

Executive report to the authorities at the end of MCI

Executive report to the Emergency Operations Centre at the end of MCI

TASSICA IMV Management: Summary

Customizable system developed with free

software and web based architecture.

Available under traditional license model and SaaS.

Stand alone service or called by corporate

applications via web services

TASSICA IMV Management: Summary

Performance and benefits (I/II):

Guides to the participants:

Reduces the risk in decision making

Reduces the risk of post-traumatic stress

Unifies procedures:

Quality of care

Continuing care process.

Traceability of actions on victim

Costs savings.

operating efficiency

Continuous Improvement

TASSICA IMV Management: Summary

Performance and benefits (II/II):

Records the data where it is produced.

Relevant information to each level of care

Informed decision making

Transparency in public information

Internal communication more fluid and effective.

Decreases overall time of victims attention

Direct influence on survival and sequelae

Reduces the physical risk of the participants

TASSICATriage y Asistencia Sanitaria Sistematizada en Incidentes de Múltiples Víctimas y CAtástrofes

• Experts in training professionals in the emergency

• Consultancy specializing in emergency

• Solutions for emergency management

www.tassica.com

[email protected]