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37 Cards in this Set
- Front
- Back
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Define "multiple casualty incident"
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Any medical or trauma incident involving multiple patients.
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What is the most common MCI?
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Automobile accident with three or more patients.
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Define "disaster plan."
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A predefined set of instructions for a community's emergency responders.
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Define "National Incident Management System."
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NIMS - The management system used by federal, state, and local governments to manage emergencies in the united states.
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Define "Incident Command System."
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ICS - A subset of the National Incident Managementy System (NIMS) designed specifically for management of multiple casualty incidents.
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Define "command."
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The first on the scene to establish order and initiate the Incident Command System.
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What is the generally excepted limit of span of control?
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6 people
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What are the four ICS sections that are subordinate to command?
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Operations
Planning Finance Logistics |
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Define "singular command"
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Command organization in which a single agency controls all resources and operations.
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Define "unified command"
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Command organization in which several agencies work independently but cooperatively.
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Define "Incident Command"
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The person or persons who assume overall direction of a large-scale incident.
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If the situation isn't terribly complex, will there be designated sections other than command?
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No
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Who assumes initial incident command?
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The most senior member of the first service on the scene.
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What does Incedent Command do as the situation first starts to unfold?
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1) Scene size-up
2) Call for assistance 3) Begin triage |
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Define "Incident Command"
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The person or persons who assume overall direction of a large-scale incident.
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If the situation isn't terribly complex, will there be designated sections other than command?
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No
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Who assumes initial incident command?
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The most senior member of the first service on the scene.
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What does Incedent Command do as the situation first starts to unfold?
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1) Scene size-up
2) Call for assistance 3) Begin triage |
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If the situation isn't terribly complex, will there be designated sections other than command?
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No
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Who assumes initial incident command?
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The most senior member of the first service on the scene.
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What does Incedent Command do as the situation first starts to unfold?
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1) Scene size-up
2) Call for assistance 3) Begin triage |
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What are the first three steps that command should take upon arriving at an MCI?
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SCENE SIZE UP:
1) Establish command and don proper ID 2) Do a quick walkthrough (or distant observation if hazmat) and assess number of patients, hazards, degree of entrapment. 3) Radio in an initial scene report and call for more resources |
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When waiting for help at the scene of an MCI, what should you do?
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Begin triage
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Once resources have arrived, what is the preferred method of communication on-scene, and why?
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Face-to-face communication: it cuts down on radio channel crowding and makes orders and questions easily understood
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When calling for additional resources in urban and suburban incidents, what important factor must be considered?
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Staging areas. Traffic can quickly back up and become overwhelming. It's important to establish a good staging area with easy access to the scene before being completely blocked in.
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What EMS operations must be accounted for at the scene of an MCI?
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Mobile command
Extrication Staging area Triage area Treatment area Transportation area Rehabilitation area |
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Define "triage."
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The process of quickly assessing patients at a multiple-casualty incident and assigning each a priority for receiving treatment.
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Define "triage supervisor."
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The person responsible for overseeing triage at a multiple-casualty incident.
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In a medium-sized MCI, what three supervisors will be established and subordinate to command?
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1) Triage supervisor
2) Treatment supervisor 3) Transportation supervisor |
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Besides triage, treatment, and transportation supervisors, what other roles must be assigned at a large-scale MCI?
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1) Staging officer
2) Safety officer 3) Rehab supervisor |
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What are the four triage priorities, and what do they mean?
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Priority 1: Treatable life-threatening illnesses or injuries (airway and breathing problems, severe or uncontrolled bleeding, decreased mental status, severe medical issues, shock, severe burns)
Priority 2: Serious but not life-threatening illnesses or injuries (burns without airway problensm major/multiple bone or joint injuries, back injuries with or without spinal injuries) Priority 3: "walking wounded" Priority 4 (sometimes called priority 0): Dead or fatally injured (exposed brain matter, cardiac arrest with no pulse for over 20 minutes -- EXCEPT in cases of cold water drowning or severe hypothermia -- decapitation, severed trunk, incineration) |
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What's the "staging area?"
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The area where ambulances are parked and other resources are held until needed.
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Define "staging supervisor"
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Person responsible for overseeing ambulances and ambulance personnel at an MCI
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In what order are patients transported to the hospital?
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According to triage priority
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How are patients organized after initial triage?
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They are physically separated into groups based on triage priority.
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What is secondary triage?
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The re-assessment of patients already organized into treatment areas, in order to better assess their priority. Patients can be upgraded or downgraded at this time.
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In a large scale MCI, when can an ambulance proceed to a treatment area?
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ONLY when directed by the transportation and staging supervisors.
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