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					    Chapter 29
    Mass-Casualty
Incident Management
Chapter 29: Mass-Casualty Incident Management


               Objectives (1 of 3)
    • 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).

                                                  2
Chapter 29: Mass-Casualty Incident Management


                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.

                                                3
Chapter 29: Mass-Casualty Incident Management


                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.
                                                4
Chapter 29: Mass-Casualty Incident Management


             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.
                                                     5
Chapter 29: Mass-Casualty Incident Management


                Key Questions
        • Does the incident require a technical
          rescue team (HazMat, dive rescue,
          etc.)?
        • What equipment is needed?
        • What environmental injuries are to be
          expected?
        • What happens when there are
          multiple patients?

                                                  6
Chapter 29: Mass-Casualty Incident Management


      Emergency Operation Plan
     Components:
       • Control/management      • Security
       • Communications          • Fire and rescue
       • Logistics                 coordination
       • Evacuation              • Public works/utility
                                   repair or contact
       • Public information
       • Emergency medical
         care

                                                      7
Chapter 29: Mass-Casualty Incident Management


 Incident Command System (ICS)
      • Used to help control, direct, and
        coordinate resources.
      • Ensures clear lines of responsibility and
        authority
      • Incident commander (IC) has overall
        responsibility for managing incident
      • System can expand to meet needs as the
        incident progresses
                                                    8
Chapter 29: Mass-Casualty Incident Management


            Structure of an
      Incident Command System




                                                9
Chapter 29: Mass-Casualty Incident Management


              ICS Components
     • Incident commander (IC) remains at a
       centralized command post.
     • Safety officer has full authority of IC and
       is responsible for rescuer safety.
     • IC selects “sector” leaders, ie,
       operations, planning, finance, public
       information, etc.
     • “Unified Command” is used to
       incorporate various agencies within ICS.
                                                 10
Chapter 29: Mass-Casualty Incident Management


   ICS Structure: Medical Incident
    •   Command center        •   Treatment
    •   Staging               •   Supply
    •   Extrication           •   Transportation
    •   Triage                •   Rehabilitation




                                                   11
Chapter 29: Mass-Casualty Incident Management


       Typical ICS Organization




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Chapter 29: Mass-Casualty Incident Management


             Medical Response
   • Three important stages: triage, treatment,
     and transport
      – Triage determines priority of treatment.
      – RED patients are moved to treatment
        area for assessment and care.
      – Transport officer assigns ambulances
        and destinations.

                                                   13
Chapter 29: Mass-Casualty Incident Management


             Medical Response
      • Resource needs and allocation are
        communicated to command center.
      • YELLOW and GREEN patients are treated
        and transported as resources allow.
      • After full evacuation, evaluation for Critical
        Incident Stress Debriefing (CISD) occurs.
      • Success depends on every rescuer
        working within the system!
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Chapter 29: Mass-Casualty Incident Management


          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.

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