Multi-Casualty Incidents

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Multi-Casualty Incidents

• Tactical Standard
• Henderson Fire Department
• 3rd Edition

2
Objectives

• Define MCI
• Describe the difference between level 1, 2 or 3
  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
• Explain the evolution of a MCI event

3
Overview

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

4
Six Stages of MCI Management

1. Preplanning Training
2. Initial Response
3. Operations
4. Stabilization
5. Demobilization
6. Termination

5
Unified Command

• Two Primary Situations
• Single Jurisdiction
• Multi-jurisdiction

6
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

7
Rescue/Extrication

• Assigned Early
• Hazard Zone
• Prioritize Patients
• Responsibilities

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Medical Group

• Responsibilities
• Triage Unit
• Treatment Unit

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Transportation Group

• Responsibilities

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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

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Advanced Plan (MCI-A)Extreme Mass Casualty

• The Mass Casualty Incident Advanced Plan provides
  guidance and procedures for the response to any
  incident involving 300 or greater casualties
  hereinto referred to as an Extreme Mass Casualty
  - Clark County Multi-Jurisdictional Mass Casualty
  Plan

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Organization

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

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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
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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

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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?
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Resources Needed?

• Triage Report
• Green Car 2 immediate, 2 delayed, extrication
  needed
• Silver Car 1 delayed, 2 minor, no extrication

Brief Initial Report?
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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?
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Resources Needed?

• Triage report
• White Truck 2 immediate, no extrication
• White Car 1 dead, 1 immediate, 2 delayed,
  extrication needed

Brief Initial Report?