Mass-Casualty Incident Management PART-III. Chapter 29: Mass-Casualty Incident Management 2 Discuss...

Mass-Casualty Incident Management

PART-III

Chapter 29: Mass-Casualty Incident Management

2

• 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)

Chapter 29: Mass-Casualty Incident Management

3

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.

Chapter 29: Mass-Casualty Incident Management

4

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.

Chapter 29: Mass-Casualty Incident Management

5

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.

Chapter 29: Mass-Casualty Incident Management

6

AREAS TO BE TOUCHED

• Assess requirement of technical rescue team (HazMat, dive rescue, etc.)?

• Equipment is needed• Injuries are to be expected • Management Of Multiple Patients

Chapter 29: Mass-Casualty Incident Management

7

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

Chapter 29: Mass-Casualty Incident Management

8

Incident Command System (ICS)• He control, direct, and coordinate

resources.• Ensures clear responsibility and authority• Incident commander (IC) overall

responsibility• Expand System to meet needs.

Chapter 29: Mass-Casualty Incident Management

9

Structure of an Incident Command System

Chapter 29: Mass-Casualty Incident Management

10

ICS Components• Incident commander (IC) -centralized

command post. • Safety officer -full authority of IC and for

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

operations, planning, finance, public information, etc.

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

Chapter 29: Mass-Casualty Incident Management

11

ICS Structure: Medical Incident

• Command center • Staging• Extrication • Triage

• Treatment • Supply • Transportation • Rehabilitation

Chapter 29: Mass-Casualty Incident Management

12

Typical ICS Organization

Chapter 29: Mass-Casualty Incident Management

13

Medical Response • Three important stages: triage, treatment,

and transport – Triage -priority of treatment.– RED patients moved to area -

assessment and care.– Transport

Chapter 29: Mass-Casualty Incident Management

14

Medical Response • Communicate need commander.• Action for YELLOW and GREEN -

transported as resources. • Full evacuation, evaluation for Critical

Incident Stress Debriefing (CISD) occurs. • Success -every rescuer working within the

system!

Chapter 29: Mass-Casualty Incident Management

15

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.