Transcript MCI PPT - Bothellfire.org

Zone One MCI Training
JUNE, 2012
July, 2012
Revised 2011 MCI Plan: WHY?
 Reduce choke (funnel) points
 Minimize unnecessary actions
 Improve division of labor
 Increase plan scalability for all events
 Simplify patient tracking
 Utilize NIMS terminology
Training Objectives
 Discuss Updates and Changes of the Plan
 Review of initial MCI scene size-up
 Overview of general MCI concepts
 Demonstrate each element of the MCI
process on the drill ground
 Review equipment on MCI-99
MCI Changes at a glance
 Develop “Rescue Group” to package and move
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patients
Eliminate formal funnel point
Eliminate use of treatment tags
Eliminate patient numbering (felt pen)
Utilize NIMS Terms: Hospital Control is now
Disaster Medical Control Center (DMCC)
WMD Incidents
Initial Size-up
Phase 1
 Look for SLUDGE
 Identify immediate hazards
 Consider access/egress options to secure a
transportation corridor.
 Observe base/staging options
 Estimate number of patients
Maintain the Transportation Corridor!
More Size-up
Phase 2
 Estimate number of non-ambulatory patients
 Consider extrication/relocation issues
 Scene status: Static or Dynamic?
 Decide: Complex…not complex
Requesting Resources
 Basic MCI Activities
 Rescue/Extrication
 Treatment/Transport
 Ambulance staging
 Complex Activities
 Fire
 Hazard Material
 CBRNE
 Collapse
No SLUDGE
No Fire, stable scene
Southbound lanes open
Overpass intact
Patients walking around
6-10 Reds
Simple extrication
Static scene
Commanding the radio
 Provide size-up
 Initiate command
 Initial assignments
 Safety & hoseline
 Triage
 Treatment
 Request “base” resources
 Request “transport”
resources
Physical Actions of the First-in Crew
 Engine/Ladder Company
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Recon / Risk Assessment
Mitigate immediate high risks
Secure Transportation Corridor
Begin Triage
Direct movement of “Green” Walking wounded
Implement Rescue Group
 Medic Units/MSO
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Medical Group
Treatment Unit
Transport Unit
Decide: Patient or Scene mgmt
Changes
Changes
The Previous MCI Plan
COMMAND
MEDICAL
GROUP
TRIAGE
TREATMENT
TRANSPORT
Typical MCI Org Chart 2012
COMMAND
RESCUE
GROUP
EXTRACTION
UNIT
EXTRICATION
UNIT
MEDICAL
GROUP
TREATMENT
UNIT
TRANSPORT
UNIT
GREEN
UNIT
Are you doing the job…or leading it?
Unit Leader/Group Supervisor
 Don the vest
 Understand Action Plan
 Determine supervisors role
 Develop organization
 Develop relationships
 Maintain accountability
 Provide progress reports
So, who does Triage?
 Rapid Field Triage -BLS
 Minimal Treatment
 Who Supervises Triage:
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Medical Group (small)
Rescue Group (Large)
 Secondary Triage – ALS
Treatment Unit
 Locate suitable area
 Secure supplies
 Develop treatment
teams
 Determine transport
priorities
Treatment Unit
 Reasons for a Treatment Area
 Visual indicator for injured
 No transportation available
 Immediate life-saving treatment
 Move the reds, hold others
 Assure appropriate treatment
 Use Aid/Medic Units for supplies
 Prioritize patients for transport
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Use a “Treatment Dispatch Manager”
 Benchmarks:
 All reds transported
 All patients transported
Expanding the Treatment Unit
Red Manager
Treatment Unit
Leader
Yellow Manager
Treatment
Dispatch Manager
King County MCI Resource Vehicles
 Units that are specifically designed to manage at least 35
MCI patients with medical equipment, backboards, and
oxygen supplies.
 There are regionally located:
 MCI-99
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North King County
MCI-9
Eastside
MCI-51 and 81 South King County
MCI-1
City of Seattle
MCI-777 Port of Seattle
Transport Unit
 Assure DMCC activation
 Establish Ambulance
Staging
 Confirm transporting
resources are inbound
 Coordinate patient
loading
 Track Destinations
Transportation Unit
 Apply tracking bands
 Communicate with DMCC
 Receive patient destination
 Manage documentation
 Benchmarks:
All reds transported
 All patients transported
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Tracking
 All transport capable
vehicles in King County
will have tracking bands
 Typically applied at the
ambulance loading or
DMCC activity area.
 Ensures that all patients
have a tracking band
Tracking
 Retain one peel-off
sticker on a tracking
board
 All MSO’s and Medic
Units will have tracking
sheets
 Tracking sheets allow for
sticker or Barcode
tracking
Tracking
 Instruct all transporting
personnel to place a
tracking sticker on the
Medical Incident Report:
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Hospital form
Agency form
EPCR agencies need to
enter number in laptop
Expanding the Transport Unit
Ambulance
Staging Manager
Ambulance
Loading Manager
Transport Unit
Leader
DMCC
Coordinator
Tracking Aide
Rescue Group/Unit
 Disentanglement
 Moves all patients to
Treatment area
 Personnel Intensive
 May report to Medical or
Operations
 May provide field triage
Expanding the Rescue Group
Rescue Group
Extrication
Unit
Extraction
Unit
Summary of Key Points for MCI
 Secure the transport corridor !!
 Keep transport units staged separately
 Medics focus on Medical/Treatment/Transport
 Early notification of DMCC
 Suppression focus on Rescue/Extraction
 Perform secondary triage before transport
 Separate loading from DMCC activities
 Questions?