3510 Mass Casualty Incident Response (ems Operations) Flashcards Preview

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Flashcards in 3510 Mass Casualty Incident Response (ems Operations) Deck (35):
1

What policy number is Mass Casualty Incident Response

3510 ems operations

2

Who is responsible for Announcing over the radio whether OPEN or CLOSED Triage is being utilized.

IC

3

Who is responsible for all EMS operations to
include medical triage, treatment, and transport

The Medical Group Supervisor

4

Who is responsible for Contacting the Disaster Medical Control Center (DMCC) to:
a. Declare an MCI and
b. Request to open patient care protocols

The Medical Group Supervisor

5

The Triage Unit Leader shall be responsible for?

1. Assisting with the establishment of the OPEN or CLOSED Triage area(s) and funnel point (s) as designated by the Medical Group Supervisor or the IC.
2. Triaging and prioritizing patients according to their injuries and placing them in the appropriate treatment or transport areas.
3. Numbering and tagging patients for tracking purposes.
4. Coordinating Litter Bearers to facilitate patient movement

6

Define:
Closed Triage

A tactic of triage where the patient is immediately moved by litter bearers from where they are found to a designated funnel point. Patients are triaged at the funnel point utilizing the S.T.A.R.T. system and moved to the appropriate
treatment area.

7

Define
Disaster Medical Control Center (DMCC)

The hospital designated to
coordinate patient transport destination.

8

Define
Hospital Emergency Administrative Radio System (H.E.A.R. System)

Used to communicate from mobile-to-hospital and hospital-to-hospital.

9

Define
Mass Casualty Incident (MCI)

An incident scene that includes 3 or more
seriously injured people (triaged as RED) or 5 or more injured people of any severity (any triage color).

10

Define
Medical “1-11”

An MCI scene to which is dispatched 4 engine companies, 2 ladder companies, 2 medic companies (one of which shall be the on-duty Captain, a Battalion Chief and 2 private ambulances).

11

Define
Open Triage

A tactic of triage where the patient is assessed where they are found using the S.T.A.R.T. system. The patient is later moved by litter bearers to the appropriate treatment area.

12

Define
Simple Triage and Rapid Treatment (START)

Triage system used for quick identification and classification of patients into treatment categories.

13

Define
Triage tape

Colored surveyors tape (red, yellow, green, black, white) affixed to each patient in the process of medical prioritization prior to movement into the treatment area.

14

Define
White triage tape

Identifies patients that have been decontaminated following a hazardous material or chemical exposure.

15

When shall the DMCC be notified?

For any MCI with three or more RED (immediate) patients or five patients
of any severity

16

Who serves as the primary and secondary DMCC?

The primary DMCC is Good Samaritan Hospital with Madigan Army Medical Center serving as back up when necessary.

17

Who is the lead agency for the coordination of public health services.

The Tacoma-Pierce County Health Department (TPCHD)

18

The Federal Bureau of Investigation (FBI) may assume identification responsibilities in incidents involving?

interstate commercial carriers, hostage situations or citizens killed in acts of terrorism. For terrorist events the FBI will have responsibility for investigation and security.

19

Who maintains this document.

The Assistant Chief, Operations Bureau

20

The Medical Group Supervisor (radio call sign “Medical”) shall be?

The first arriving in charge Paramedic until the Paramedic Supervisor (and
subsequently the MSO) arrives. This person is assigned by the Operations Sections Chief, or Incident Commander if an Operations Section Chief has not been assigned, and reports accordingly.

21

The Triage Unit Leader (radio call sign “Triage”) shall be?

Initially the first arriving medic unit driver or another person as assigned by the
Medical Group Supervisor, in consultation with the Incident Commander. This person reports to the Medical Group Supervisor.

22

The Treatment Unit Leader (radio call sign “Treatment”) shall be?

A Paramedic as assigned by the Medical Group Supervisor, in consultation with the Incident Commander. This person reports to the Medical Group Supervisor.

23

The Transport Unit Leader (radio call sign “Transport”) shall be

A Paramedic or Fireground Company Officer as assigned by the Medical Group Supervisor, in consultation with the Incident Commander. This person reports to the Medical Group Supervisor.

24

All EMS communications with the DMCC will be limited to?

the Medical Treatment and Transport Units.

25

Transport units shall not communicate with receiving hospitals. Information pertaining to those patients will be made by

Transport and the DMCC.

26

What shall each patient have on them prior to transport?

Each patient shall be numbered with a permanent marking pen for tracking
purposes and have a treatment tag (if possible) and appropriate color tape affixed to them prior to transport.

27

Triage Criteria and Tape Colors:
RED (Immediate)
A patient who?

• is breathing fast (greater than 30 times per minute)
• has capillary refill greater than two seconds or does not have a palpable radial pulse
• has an altered mental state; not oriented to person, place or time and/or unable to follow commands

28

Triage Criteria and Tape Colors:
YELLOW (Delayed)
A patient who?

• Is breathing less than 30 times per minute
• Capillary refill less than two seconds or does have a palpable radial pulse
• Is able to follow simple commands but is injured and unable to walk.

29

Triage Criteria and Tape Colors:
GREEN (Minor/Non-injured)
A patient who?

Any person who can initially walk away from an incident scene to a designated triage or treatment area.

30

Triage Criteria and Tape Colors:
BLACK STRIPED/SOLID BLACK (Obvious Dead—DOA)

A person who has obviously died or is expected to die because of his/her injuries or a person with no respirations.

31

Triage Criteria and Tape Colors:
ALL WHITE (HazMat)

Additional tape used to signify a person has been decontaminated after a hazardous material exposure.

32

Under all circumstances, patient information shall be documented on the Patient Tracking Chart controlled by?

the Transport Unit Leader.

33

If CLOSED Triage is utilized, the IC will?

announce over the radio the location of triage.

34

When a Medical “1-11” is requested, dispatch personnel shall?

1. Dispatch the appropriate number of units to the scene.
2. Notify the Assistant Chief of Operations (189).
3. Notify the Medical Services Officer (221).
4. Coordinate with the on-scene Incident Commander regarding the need for
additional transport resources.

35

What 3 things are checked while triaging a patient?

Respirations
Perfusion
Mental status

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