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Multi-Casualty Incidents

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Title: Multi-Casualty Incidents


1
Multi-Casualty Incidents
  • Tactical Standard
  • Henderson Fire Department
  • 4th Edition

2
Objectives
  • 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

3
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

4
Overview
  • Definition of MCI
  • Level 1, 2, 3,4, or 5
  • Variety
  • Frequency
  • Evolution of the MCI
  • Multi-jurisdictional

5
Six Stages of MCI Management
  1. Preplanning Training
  2. Initial Response
  3. Operations
  4. Stabilization
  5. Demobilization
  6. Termination

6
Unified Command
  • Two Primary Situations
  • Single Jurisdiction
  • Multi-jurisdiction

7
Basic MCI Operations
  • Dispatch
  • Arrival
  • Additional Resources
  • ICS Assignments
  • Traffic/Crowd Control
  • Rescue/Extrication Group
  • Medical Group
  • Triage Unit
  • Treatment Unit
  • Transportation Group
  • Possibly LZ Group

8
Rescue/Extrication
  • Assigned Early
  • Hazard Zone
  • Prioritize Patients
  • Responsibilities

9
Medical Group
  • Responsibilities
  • Triage Unit
  • Treatment Unit

10
Transportation Group
  • Responsibilities

11
Additional Unit, Group or Branches
  • Morgue
  • Safety
  • Staging
  • Medical Supply

12
Basic MCI Response
  • En-route
  • Arrival
  • Apparatus Positioning
  • Secure Hazards
  • Initial Triage
  • Additional Resources
  • Patient Stabilization
  • Traffic/Crowd Control
  • Rescue/Extrication
  • Medical Group
  • Possible LZ Group
  • Possible Transportation Group

13
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.

14
Organization
  • Initial Arriving Company - IC Sifting
  • Rescue/Extrication Group
  • Holding Area Group
  • 2nd Opinion Group
  • Medical Group
  • Transportation Group
  • Casualty Collection Points

15
(No Transcript)
16
Hot Zone - Deceased
Warm Zone non-ambulatory
CP
Cold Zone
To Hospital
Decon
Hazmat
Rescue/Ext
Medical
Loading
2nd opinion
Holding Area
Ambulance Staging
To Casualty Collection Point
17
Sets Reps
  • Receive Dispatch
  • Verbalize Pre-incident Information
  • Complete En route Research
  • Verbalize En route concerns
  • Complete Brief Initial Report
  • Conduct Survey of Incident Identify Hazards
  • Verbalize Securing of Scene
  • Complete Initial Triage
  • Request Appropriate Resources
  • Assign Track Units
  • Complete IC Worksheet

18
Resources Needed?
  • Triage Report
  • Silver Car 1 delayed, 1 minor, no extrication
  • Black Car 1 immediate, 1 delayed, extrication
    needed
  • Green Car 1 immediate, 2 delayed, 1 minor,
    extrication needed

Brief Initial Report?
19
Resources Needed?
  • Triage Report
  • Green Car 2 immediate, 2 delayed, extrication
    needed
  • Silver Car 1 delayed, 2 minor, no extrication

Brief Initial Report?
20
Resources Needed?
  • Triage Report
  • Black Truck 1 dead, 2 immediate, extrication
    needed
  • School Bus 2 immediate, 10 delayed, 12 minor,
    no extrication

Brief Initial Report?
21
Resources Needed?
  • Triage report
  • White Truck 2 immediate, no extrication
  • White Car 1 dead, 1 immediate, 2 delayed,
    extrication needed

Brief Initial Report?
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