Implementation Of Multi Casualty Incident

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					                            OPERATIONS – POLICY AND PROCEDURE
                            TOPIC:       Implementation Of Multi-Casualty Incident
                            EFFECTIVE DATE:              01/06       DOC NO:      MED009
                            CROSS REF:     Contra Costa County Emergency Medical Services Multi-
                                           Casualty Plan



INTRODUCTION

Contra Costa County Emergency Medical Services (EMS) Agency has developed a County
Multi-Casualty Plan which utilizes the fundamentals of the Incident Command System (ICS). A
Multi-Casualty Incident (MCI) is when the number of injured persons may exceed the medical
resources of the affected area.

PURPOSE

This document provides a summary of the Contra Costa County EMS Multi-Casualty Plan. Refer
to the current Contra Costa County EMS Multi-Casualty Plan for details. The purpose of the
Multi-Casualty Plan is to establish a common organization and management structure for the
coordination of emergency response to a multi-casualty incident; to establish an efficient and
effective emergency medical response process and to establish methods of triage and
transportation that will provide for the survival of the greatest number of casualties.

POLICY

The MCI will be organized based upon standard ICS. This allows for the incident command
structure to expand as needed.

PROCEDURE

    A. Incident Commander (IC) evaluates the scene to determine the need to activate the MCI plan.

    B. Initiate immediate steps to stabilize the emergency.

    C. The IC notifies Communications Center to contact Sheriff’s Dispatch to implement the MCI
       Plan.
    D. Relay the following information to Sheriff’s Dispatch:
         1. Type of incident.
         2. Location and best access routes.
         3. The need for additional resources; police, fire, other agencies, MCI unit and trailer.
         4. Approximate number of injured persons.
         5. Type of injuries.
         6. Number of additional ambulance needed.
 AUTHOR:      Debra Meier, EMS Coordinator                                                  Page 1 of 2
 REVIEWED:         Michael Sylvia, Assistant Chief
 APPROVED:         Craig Bowen, Fire Chief
 ORIGIN DATE:                                        REVISED DATE:   12/05
                           OPERATIONS – POLICY AND PROCEDURE
                           TOPIC:       Implementation Of Multi-Casualty Incident
                           EFFECTIVE DATE:              01/06       DOC NO:      MED009
                           CROSS REF:     Contra Costa County Emergency Medical Services Multi-
                                          Casualty Plan



   E. Assign other first in units:
        1. Police may be utilized as Unified Command, Scene Security and possibly the Morgue
           Manager.
        2. First responder units, both fire and ambulance, will place priority on triaging all
           casualties, as rapidly as possible, utilizing the START method of triage.
        3. As medical care resources arrive at the scene, initial triaging is to be completed or
           sufficiently completed so that treatment and transportation procedures can be
           implemented.
        4. Casualties triaged Immediate (tagged red), or non-ambulatory casualties triaged as
           Delayed (tagged yellow) will be moved as quickly as possible with minimal stabilization
           to designated treatment areas for reassessment and treatment.
        5. Casualties triaged Minor (tagged green) will be moved as quickly as possible to the
           ambulatory casualty collection area for reassessment and treatment.
        6. Deceased casualties (tagged black) will not be moved, searched or treated.
        7. Ambulatory casualties may be moved by bus or other means of transportation to a
           medical facility remote from the incident. This is dependent on the incident size and
           availability of resources.
        8. The incident may be divided into physical areas, called Divisions, or functional
           assignments, called Groups. Designated resources will be assigned. to operate within an
           assigned Division or Group.

   For additional information refer to the current Contra Costa County Multi-Casualty Incident Plan.




AUTHOR:      Debra Meier, EMS Coordinator                                                Page 2 of 2
REVIEWED:         Michael Sylvia, Assistant Chief
APPROVED:         Craig Bowen, Fire Chief
ORIGIN DATE:                                        REVISED DATE:   12/05

				
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Description: Implementation Of Multi Casualty Incident