Deck 1 Flashcards

Question

Marauding Terrorist Attacks (MTA)

Answer 1

• Developed from operational experience, learning from attacks which took place in 2017, the Kerslake Report and lessons from live exercises & further updated in 2020 following further lessons learned • They are primarily designed to assist the emergency services to deliver an effective and coordinated multi-agency response to an ongoing MTA • Currently under review with an updated version to follow.

Answer 2

• Operation PLATO is described as: • ‘The agreed national identifier for the multi agency response to an ongoing Marauding Terrorist Attack (MTA).’ • ‘A marauding attack will involve an attacker actively and deliberately seeking out new victims.’ • This definition will have an impact upon how commanders, supervisors, specialist responders, non-specialist responders and control room staff deal with an MTA. AAP / Session Title / Date Created / Version No 63 An OP PLATO declaration initiates adoption of the JOP’s by the emergency services. It also: • Activates the coordinated multi-agency response • Prepares the ‘mind set’ of nature of incident • Mobilise armed resources/ specialist military assets • Mobilise national Counter-Terrorism policing network & partners Only the POLICE can formally declare Operation PLAT

Answer 3

An area assessed to contain a credible and continuing threat to life, including the presence of attackers with weapons.’ ▪ The response in the Hot Zone may include a combination of specialist and non-specialist multi- agency responders dependent upon the nature of the threat and attack methodolog

Answer 4

OFFICIAL - Business data that is not intended for public consumption. However, this can be shared with external partners, as required. SCENE ASSESSMENT Warm Zone ‘An area where the attackers are not believed to be present at this time, but an identified threat remains.’ ▪ The response in the Warm Zone will vary depending on the attack methodology, the threat, and measures in place to mitigate that threat. ▪ Warm Zone response may include both specialist and non-specialist multi-agency responders.

Answer 5

An area where no known threat exists or where appropriate control measures have been implemented.’ ▪ The RVP and FCP will be in the Cold Zone. ▪ Some Cold Zones will not require any control measu

Answer 6

▪ The size, location and necessity for zones should be continuously reviewed and every effort should be made to reclassify or remove zones to accurately reflect the constantly evolving threat and risk. ▪ This revision to the JOPs places much greater emphasis on the dynamic assessment of risk and joint decision-making by commanders from all 3 services, in particular those assigned to the RVP or FCP

Answer 7

‘The overarching priority is the rapid deployment of responders to deliver clinical care to save life.’ ‘The speed at which patients are treated and moved from the point of injury to definitive care will affect survival rates.’ ▪ A range of tactical options are available, and responders should be pragmatic with their application.

Answer 8

The Casualty Management Plan (CMP) should be developed by the Tactical Commander before the deployment of responders. It should be continually reviewed and adjusted, with regards to the threat, mechanism and types of injuries encountered. ▪ Decisions regarding the deployment and locations of responders (and zones) will be made as part of a joint assessment of risk. This must also include appropriate risk mitigation before responders are deployed ▪ Responders should rapidly assess and treat casualties, and if required, move on to the next casualty. Where casualty numbers are significant, ‘treat and leave’ should be considered

Answer 9

• A Process of removing all P1 & P2 as they are triaged. • Triage Sieve is still carried out • Where there are casualty ‘clusters’ they should still be removed by priority. • To be used when there are sufficient resources to allow without denying further casualties their Article 2 Right to Life • Must be coordinated by Paramedics

Answer 10

• Down to DRA of Responder • Only carry out if no other way • Ensure to notify someone of intent

Answer 11

bility • Personnel Casualty Collection Point 8 1 A Casualty Collection point (CCP) is an area where casualties are grouped, their condition reviewed, and BASIC clinical care provided. The CCP may be some distance from the more heavily resourced CCS and CLP. It provides an interim location to allow basic lifesaving interventions to ensure the best possible chance of survival during extrication

Answer 12

• Safety / Size • Access / Egress • Dispersal • Communications • Hard Standing • Anticipated • Mobility • Personnel

Answer 13

Information Intent Method Administration Risk assessment Communication Humanitarian issues

Answer 14

HAZMAT Is an accidental release of a substance, agent or material which results in illness or injury to the public or the denial of an area or the interruption of the food chain

Answer 15

CBRNe Is a deliberate murderous and malicious act, the intention of which is to kill, sicken or prevent society from continuing with their normal daily business

Answer 16

IOR provides potentially lifesaving interventions in the absence of specialist training or equipment and merges into SOR as specialist assets and resources become available. The removal of clothing (disrobe) has been deemed as extremely effective in removing contaminants from a casualty. The overarching objective is to ensure that all casualties receive the best possible treatment at the earliest opportunity.

Answer 17

• Co-ordination of NHS resources at the scene • Act as gatekeeper to wider NHS services • Decontamination of casualties • Treatment and care of casualties at scene • Provision of appropriate means of transporting casualties to treatment centres • Provide NHS communications at the scene

Answer 18

Recognise Assess React

Answer 19

OFFICIAL - Business data that is not intended for public consumption. However, this can be shared with external partners, as required. 11 1 • Special Operations Response Team (SORT) Operatives are clinical members of staff who complete specialist training. They have no extra clinical capability, but acquire the skills to work in specialist PPE • They may be required to decontaminate casualties with clinical interventions such as airway adjuncts in situ, tourniquets and IO needles sited and medications such as antidotes and pain relief administered. • Operatives are competent in the use of Powered Respiratory Protective Suits (PRPS) to enable them to work within the Warm Zone, completing technical decontamination as part of SOR

Answer 20

Early IOR and implementation of the ‘Remove, Remove, Remove’ principles, commencing as soon as possible • There are a number of specialists within the Trust who are here to support you, including HART, NILO, TIC and the TCC • Early communication of concerns from scene is key to allow specialist resources to be deployed in a timely manner to support the incident • You MUST follow the instruction of the incident commander to ensure your own personal safet

Deck 1 Flashcards

(44 cards)