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39 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Definition of an MCI
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A mass-casualty incident is an event in which the number of patients exceeds the resources of the initial responders.
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47.4
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Open vs closed incidents
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A open incident has an unknown amount of patients not yet determine at initial call. There is an ongoing situation which produces more patients.
A closed incident is a situation that is not expected to produce more patients than initially present. A closed incident may become a open incident. |
47.5
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The definition of freelancing
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When individual units or different organizations make independent and often ineffecient decisions about the next appropriate action.
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47.19
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The definition of span of control
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In incident command, the subordinate positions under the commander's direction to which the workload is distributed; the supervisor/worker ratio. 3 to 7 per supervisor.
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47.19
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What are the four main parts of ICS?
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Operations, planning, logistics, and finance.
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47.6
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Incident commander
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The person in charge of the overall incident.
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47.5
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unified command system
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A command system used in larger incidents in which there is multiagency response or multiple jurisdictions are involved.
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47.20
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single command system
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A command system in which one person is in charge, generally used with small incidents that involve only one responding agency or jurisdiction.
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47.19
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When the transfer of incident command should occur
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IC may turn over command to someone with more experience in a critical area. Should take place face to face.
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47.6
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Responsibility of finance section
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Documenting all expenditures at an incident for reimbursement. Usually only needed for larger events.
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47.6
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Responsibility of logistics section
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Responsible for communications for equipment, facilities, food and water, fuel, lighting, and medical equipment and supplies for patients and emergency responders.
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47.7
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Responsibility of operations section
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Responsible for managing the tactical operations job usually handled by the IC on routine EMS calls. Supervieses the workers on scene, assigns branches, divisions, and groups.
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47.7
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Responsibility of planning section
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Solves problems as they arise, obtains data, analyze, and makes plans.
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47.7
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Who is part of command staff?
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Incident Command, safety officer, the public information officer, and the liaison officer.
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47.7-8
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Responsibility of the safety officer
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Monitors the scene for conditions or operations that may present a hazard to responders and patients. The officer has the authority to stop and operation whenever a rescuer is in danger.
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47.8
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Responsibility of PIO
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Public information officer provides the public and media with clear and understandable information of the incident.
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47.8
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Responsibility of liaison officer
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Relays information and concerns among command, the general staff, and other agencies. If an agency is not represented in the command structure, questions and input should be given through the LNO (liaison officer).
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47.8
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What is NIMS designed to do?
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National Incident Management System provides a consistent nationwide template to enable federal state and local governments, as well as private-sectors and nongovernmental organizations, to work together effectively and efficiently. NIMS is used to prepare, prevent, respond and recover, regardless of cause, size, or complexity of event.
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47.8
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The basis for NIMS incident command structure
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The major NIMS components are:
-Command and management. -Preparedness. -Resource management. -Communication and information management. -Supporting technologies. -Ongoing management and maintenance. |
47.8
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The underlying principles of NIMS
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Flexibility and standardization. Must be flexible enough to be rapidly used and standard enough to work easily with multiple agencies, etc.
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47.8
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Who should assume command at an MCI?
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Command should be establish early, preferably by the first arriving, most experienced public safety official. This may include police, fire, EMS, or even local government officials.
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47.10
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Communication parameters at an MCI
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If possible use face to face communication to limit radio traffic. Don't use codes or signals. Have a "Plan B" in case of communication failure.
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47.10
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Medical Incident Command
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The medical or EMS branch of ICS. The person supervises the primary roles of the medical group-triage, treatment, and transport.
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47.10
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Responsibility of triage officer
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In charge of counting and prioritizing patients. Remember in a large incident you will not start treating until all patients are triaged, or you will compromise triage efforts.
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47.10
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Responsibility of treatment officer
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Locate and set up the treatment area with a tier for each priority of patient. Assist in moving patients to the transport area.
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47.11
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Responsibility of transportation officer
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Coordinates the transportation and distribution of patients to appropriate receiving hospitals. Communicate with the local hospitals to determine where patients are transported.
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47.11
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Responsibility of staging officer
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Locate an area to stage equipment and responders, tracks unit arrivals and sends out vehicles and supplies when ordered by command.
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47.11
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Emergency physician considerations at an MCI
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May make difficult triage decisions, on-scene medical command, and provide treatment as appropriate.
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47.12
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Responsibility of rehabilitation officer
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Establish an area that provides protection from the elements and the situation for responders to rest, eat, drink, and protection from the elements. Monitor responders for signs of stress.
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47.12
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Where is EMS located in IMS?
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In operations under the medical branch. Operations also consist of a rescue branch ie fire department.
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47.6
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Where extrication and rescue function are placed in the ICS structure?
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Because extrication and rescue are medically complex, the extrication or rescue officers will usually function under the EMS branch of ICS.
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47.12
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Triage
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Simply means "to sort" your patient based on the severity of injuries and condition.
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47.13
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Primary vs. Secondary triage area
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Primary is the initial triage done in the field. Secondary is done as patients are brought to the treatment area.
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47.13
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Triage priorities from highest to lowest
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-Immediate (red)-problem with ABCs, head traumas, s/s of shock, alter mental status.
-Delayed (yellow)-Need transport but can be delayed, not immediately life threatening. -Minimal (green)-No or little treatment needed, "walking wounded." -Expectant (black) Dead, cardiac or respiratory arrest, based off resources. |
47.13
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The first step of the START Triage system
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"If you can hear my voice and are able to walk...." Thus this separates the "walking wounded."
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47.14
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What are you looking for in START Triage
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-Breathing- >30 likely red
-Pulse- Not present likely red. -AMS-Alter likely red. |
47.15
likely is my wording |
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JumpSTART Triage
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Intended for patients under 8 years of age or < 100 lbs.
If you find the pediatric pt not breathing check for a pulse. No pulse label black. If pulse, open airway and give 5 rescue breaths if no respirations, than reassess.If still not breathing label black. The primary reason for this is that the most common cause of cardiac arrest in children in respiratory arrest. <15 breaths/min or >45 consider red continue the rest like START Triage. |
47.15-16
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Consideration for hysterical and disruptive patient on scene of an MCI
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Made need to be made Immediate, even if not seriously injured, as panic breeds panic.
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47.16
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Who do triage tags help the most?
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Transportation officer
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