A/V 5-1

1
UNIT 5THE INITIAL RESPONSE/BASIC ORGANIZATION
2
KNOWLEDGE OBJECTIVES
The students will be able to describe the

• Five components of the basic organization.
• Responsibilities of the Extrication Group
  Supervisor.
• Responsibilities of the Triage Unit Leader.
• Responsibilities of the Treatment Unit Leader.
• Responsibilities of the Patient Transportation
  Group Supervisor.
• Responsibilities of the Medical Group Supervisor.

3
ROLES AND RESPONSIBILITIES OF THE INCIDENT
COMMANDER

• Ensures life safety of responders and citizens
• Determines objectives and strategies, setting
  immediate priorities
• Determines/Approves tactical objectives

4
ROLES AND RESPONSIBILITIES OF THE INCIDENT
COMMANDER (cont'd)

• Establishes an Incident Command Post (ICP)
• Coordinates activities of assigned staff
• Authorizes release of information to the news
  media
• Establishes an ICS organization to meet incident
  needs, both current and projected

5
INCIDENT
COMMANDER
6
ROLES AND RESPONSIBILITIES OF DIVISION/GROUP
SUPERVISORS AND UNIT LEADERS
7
INCIDENT
COMMANDER
RESCUE/ EXTRICATION GROUP
8
RESCUE/EXTRICATION GROUP SUPERVISOR

• Implements assigned incident objectives
• Provides tactical direction and supervision to
  assigned resources
• Determines resources needed to extricate patients
• Communicates resource requirements to Incident
  Commander (IC) as necessary

9
RESCUE/EXTRICATION OFFICER (cont'd)

• Ensures safety of members operating in area
• Coordinates with Treatment Unit Leader for
  patient care during the rescue operation
• Ensures efficacy of rescue/extrication operations
• Coordinates patient transportation to triage area
• Provides frequent progress reports to the IC
• Maintains incident documentation

10
INCIDENT
COMMANDER
RESCUE/ EXTRICATION GROUP
MEDICAL GROUP
11
INCIDENT
COMMANDER
RESCUE/ EXTRICATION GROUP
MEDICAL GROUP
TRIAGE UNIT
12
TRIAGE UNIT LEADER

• Determines location of triage area(s)
• Ensures that all patients are assessed and sorted
  in accordance with appropriate triage protocols

13
TRIAGE UNIT LEADER (cont'd)

• Determines resources required to conduct triage
  operations
• Communicates resource requirements to Medical
  Group Supervisor as necessary
• Develops triage organization sufficient to handle
  assignment
• Ensures safety and security of all members
  operating in the triage area
• Ensures efficacy of triage operations

14
TRIAGE UNIT LEADER (cont'd)

• Provides frequent progress reports to Medical
  Group Supervisor
• Establishes initial morgue operations
• Coordinates movement of patients from triage area
  to treatment area
• Maintains incident documentation

15
INCIDENT
COMMANDER
RESCUE/ EXTRICATION GROUP
MEDICAL GROUP
TREATMENT UNIT
TRIAGE UNIT
16
TREATMENT UNIT LEADER

• Identifies and establishes a suitable area(s) for
  treatment operations
• Identifies and requests additional resources as
  needed
• Coordinates with Triage Unit Leader the movement
  of patients from the triage area to treatment
  area(s)

17
TREATMENT UNIT LEADER (cont'd)

• Receives patients in the treatment area(s)
• Establishes communication and coordination with
  Patient Transportation Group Supervisor
• Assigns, supervises, and coordinates personnel
  within the area(s)

18
TREATMENT UNIT LEADER (cont'd)

• Ensures safety of all members operating in
  area(s)
• Ensures efficacy of treatment operations
• Directs movement of patients to ambulance loading
  area
• Provides frequent progress reports to the Medical
  Group Supervisor
• Maintains incident documentation

19
INCIDENT
COMMANDER
PATIENT TRANSPORTATION GROUP
RESCUE/ EXTRICATION GROUP
MEDICAL GROUP
TREATMENT UNIT
TRIAGE UNIT
20
TRANSPORTATION GROUP SUPERVISOR

• Establishes an adequately sized, easily
  identifiable patient loading area
• Establishes communication with area hospitals
• Designates an ambulance staging area
• Identifies and requests additional resources
• Directs the transportation of patients in
  coordination with the Treatment Unit Leader

21
TRANSPORTATION GROUP SUPERVISOR (cont'd)

• Requests air and ground ambulances as needed
• Coordinates air ambulance transportation

22
TRANSPORTATION GROUP SUPERVISOR (cont'd)

• Establishes an air ambulance helispot(s)
• Maintains patient tracking records and other
  incident documents

23
INCIDENT
COMMANDER
PATIENT TRANSPORTATION GROUP
RESCUE/ EXTRICATION GROUP
MEDICAL GROUP
TREATMENT UNIT
TRIAGE UNIT
24
Activity 5.120th Street Incident Analysis
Purpose To analyze the incident for basic command
procedures, including communication processes and
development of the incident organization
25
Activity 5.2Central City Traffic Collision
Purpose To address several issues relative to
incident management, including organization
structure, identifying resource needs, and
identifying potential problems.
26
SCENARIO 1 BASIC INFORMATION

• TIME 1630
• DATE Friday, January 20
• WEATHER 65 degrees, clear skies, breezy

27
1631 HOURS

• Liberty Communications to
• Central City Police
• Central Engine 101
• Central Medic 103
• Reported traffic accident at the intersection of
  US 10 and State Route 19
• No further information at this time

28
1632 HOURS

• Liberty Communication--Central City Police
• On scene with a two-vehicle accident
• One vehicle is overturned. There is a
  possibility of a trapped victim.

29
1634 HOURS

• Liberty Communication--Central Medic 103
• Central Medic 103 on scene. Two vehicles
  involved with one overturned
• A total of 5 victims
• 2 critical, 2 moderate, and 1 minor
• 1 of the critical and the minor-status victim
  are trapped

30
1636 HOURS

• Liberty Communications--Central Medic 103
• Request two additional medic units, a truck
  company, and a battalion chief
• Central Medic 103 assuming Highway Command
• Liberty Communications--Central Engine 101
• Central Engine 101 on scene

31
1637 HOURS

• Highway Command--Liberty communications
• Additional resources and ETA's are
• Central Truck 101--5 minutes
• Central Medic 105--6 minutes
• Community Medic 31--8 minutes
• Central Battalion 1--10 minutes