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40 Cards in this Set

  • Front
  • Back

What 2 roles can HEMS teams take at an MI

MERIT (Medical Emergency Response Incident Team) or MIO

How does LAA define an MI

Any incident where the LOCATION, NUMBER, SEVERITY or TYPE of LIVE casualties requires extraordinary resources

Who is the first MERIT response for London

HEMS

TorF Is it likley that current teams will have to manage a MI

T - they are fairly frequent

What are the civil contingencies act 2004 requirements for preparedness that LAA has committed itself to upholding

One live exercise every 3 years


One table top exercise every year


A test of the communication cascade every 6 months

Where will details of the exercises planned for LAA be kept

The MI resource file in the operations room of helipad

Where will the reports of the exercises be stored

Q drive

What MI training forms part of sign-off

Major incident, chemical hazard, decontamination

How will HEMS get in touch with staff in the event of an MI being declared. What should staff therefore do?

The fire-crew will log mobile numbers of current staff and send a message via PageOne if an MI is declared



Staff should log the number of PageOne and ensure the ring tone is oud enough to wake you from sleep

How often is the PageOne text system tested

Once a month during the day


Every six months at night

What will you have been expected to read at sign off in terms of MI's

LAS MI plan


LESLP


Barts MI Plan


NHS guidance on MI

TorF the HEMS MI plan is the same regardles of the time of day

F - the plan has night and day versions

What are three key roles in the LAA MI response at the helipad

Helipad commander



Equipment officer



MI Loggist

Where are the action cards for the key roles kept

In a folder next the the MI board (ops room)

Whatare the first priorities inn response to an MI

Put out the PageOne text alert


call RLH switchbord to put out HEMS group call



Set up ops room and start log

Who should be helipad commander



TorF this is a permanent role throughout the MI

The most senior and enabled member of staff on the helipad



F - as more senior staff arrive the initial HC will probably be relieved

What are the inital responsibilites of the Helipad commander

The ensure text/phone alerts are sent and fully equipped teams are made ready and offered to LAS

TorF LAA does not decide where or how the teams offered to LAS arew deployed

T - this is decided by LAS

How many teams and MI sites can be detiled on the MI board

4 sites and 11 teams

What is in the black file cabinet in the ops room

This is the MI filing cabinet. It contains:



Major incident folder


Team allocation clipboards


Log


Dictaphone

TorF the maps on the table in ops room are not the only maps available for use

T

What channel should the crew room TV be set to and why

A 24hour rolling news channel - the media will be able to give useful info on occurances at the scenes of incidents

What is in place to ensure LAAhave a good log of events that take place in response to an MI

A log is started by the HC or delegate



Photos of the MI board, maps and clipboards are taken periodically



A dictaphone capable of recording 72hours can be used

What is te role of the equipmemt officer

To set up sets of equipmement and hand out drugs packs

How many sets of drugs are kept in readiness for an MI in the drugs cupboards

8

How many MI pods are kept in readiness and where are they

3 - 2 at the helipad, 1 at RAF northolt

If it is likely that the incident you are going to might be an MI what should be taken into the cabin ofthe aircraft and what does this contain

The MI file from the boot of the aircraft



Contains:


Incident and log sheets


Multi casualty record sheets


Triage tags


MI commander tabard


Tabrad labels


Back up radios


Command board


Pens dictaphone


LAS action cards

What may prove invaluable once on the gfround that you can do in the air

Take photos, draw diagrams of the scene - it might be useful to circle a few times

What question should you ask yourself when considering whether to declare an MI

Will the ambulance service or hospitals have to make special arrangements to deal with this situation and will the incident impact on the normal running of services?

What is METHANE

Major/significant incident declared


Exact location


Type of incident


Hazards, real or potential


Access and egress


Numbers and categories of casualties


Emergency services in scene and rerquired

What channel should methane reports be sent to

Channel 220

What roles do the first HEMS team on scene assume

Broze Doctor - Medical Incident Commander



Bronze Medic - Ambulance Incident Commander (paramedic)

What is the key function at the start of an MI for the MIC/AIC

Setting up the infrastructure in conjunction with the other emergency service commanders

What areas need to be defined very soon after the incident is declared

RVP


Access in


Egress out


Amblance parking point


Casualty clearing


Ambulance loading


Forward command point

Where should the RVP be

This needs to be away from the scene, so you avoid cluttering the scene with ambulances while your trying to gain control



Designate early



May be combined with ambulance parking point

What features should the access route have

Free from obstructions including parked or waiting emergecy service vehicles

What features should the Egress route have?

Free from obstruction and a quick and easy route out towards hospitals

What isd the ambulance parking point

Where crews stop to be called forward or ambulances left unmanned



IT NEEDS TO BE LOCATED ON THE ACCESS ROUTE

Describe the casualty clearing station

Where casualties are brought from the scene for triage sort and treatment prior to transport



Needs to be upwind and safe but not so far from scene that patients cant be removed effectively



It should be very close to ambulance loading point

What is the Forward Command Point

Where thwe three service command vehicles are set up so the commanders can easily communicate