Chapter 29 Mass-Casualty Incident Management. Chapter 29: Mass-Casualty Incident Management 2 Discuss the various environmental hazards that affect the.

Chapter 29

Mass-Casualty Incident Management

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Chapter 29: Mass-Casualty Incident Management

• Discuss the various environmental hazards that affect the OEC technician.

• Evaluate the role of the OEC technician in the multiple-casualty incident.

• Review the local mass-casualty incident plan (MCI).

• Define the incident command system (ICS).

Objectives (1 of 3)

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Chapter 29: Mass-Casualty Incident Management

Objectives (2 of 3)

• Identify main ICS functions and their responsibilities during a mass-casualty incident.

• Describe the advantages of using ICS as an organized approach to the management of mass-casualty incidents.

• Explain how the ICS structure expands or contracts to meet the needs of an incident.

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Chapter 29: Mass-Casualty Incident Management

Objectives (3 of 3)

• Describe where you might be assigned within an ICS structure and list possible job responsibilities.

• Apply the four-color categories to a mass-casualty incident.

• Apply the sequence of emergency care for a single patient with multiple injuries.

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Chapter 29: Mass-Casualty Incident Management

MCI Management • MCI: An incident that places great

demands on rescuer resources (manpower, equipment, vehicles, hospitals, etc.)

• May require technical rescue team to access and treat patients, ie, ski patrol

• A practiced, well designed Emergency Operations plan is essential.

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Chapter 29: Mass-Casualty Incident Management

Key Questions

• Does the incident require a technical rescue team (HazMat, dive rescue, etc.)?

• What equipment is needed?• What environmental injuries are to be

expected? • What happens when there are

multiple patients?

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Chapter 29: Mass-Casualty Incident Management

Emergency Operation Plan

Components:

• Control/management

• Communications

• Logistics

• Evacuation

• Public information

• Emergency medical care

• Security

• Fire and rescue coordination

• Public works/utility repair or contact

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Chapter 29: Mass-Casualty Incident Management

Incident Command System (ICS)

• Used to help control, direct, and coordinate resources.

• Ensures clear lines of responsibility and authority

• Incident commander (IC) has overall responsibility for managing incident

• System can expand to meet needs as the incident progresses

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Chapter 29: Mass-Casualty Incident Management

Structure of an Incident Command System

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Chapter 29: Mass-Casualty Incident Management

ICS Components• Incident commander (IC) remains at a

centralized command post. • Safety officer has full authority of IC and

is responsible for rescuer safety. • IC selects “sector” leaders, ie,

operations, planning, finance, public information, etc.

• “Unified Command” is used to incorporate various agencies within ICS.

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Chapter 29: Mass-Casualty Incident Management

ICS Structure: Medical Incident

• Command center

• Staging

• Extrication

• Triage

• Treatment

• Supply

• Transportation

• Rehabilitation

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Chapter 29: Mass-Casualty Incident Management

Typical ICS Organization

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Chapter 29: Mass-Casualty Incident Management

Medical Response • Three important stages: triage, treatment,

and transport

– Triage determines priority of treatment.

– RED patients are moved to treatment area for assessment and care.

– Transport officer assigns ambulances and destinations.

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Chapter 29: Mass-Casualty Incident Management

Medical Response • Resource needs and allocation are

communicated to command center.

• YELLOW and GREEN patients are treated and transported as resources allow.

• After full evacuation, evaluation for Critical Incident Stress Debriefing (CISD) occurs.

• Success depends on every rescuer working within the system!

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Chapter 29: Mass-Casualty Incident Management

Disaster Management

• Widespread event that disrupts and threatens community

• Rescuer roles will be assigned by ICS.

• Hospitals may be overburdened.

• Casualty collection areas may be set up and staffed by nursing and medical staff with equipment.