Major Incident Training

Question 1

Classification of Incidents

Answer 1

Major Incident – 10’s – Individual Trusts
Mass Casualty – 100’s – Mutual Aid
Catastrophic – 1000’s – National and International assistance
Big Bang
Rising Tide
Headline news – public / media alarm
Internal Incidents
Deliberate (acts of Terrorism)
Mass Casualties
Pre planned major events

Question 2

Core Management of an incident

Answer 2

C 	establish Command and Control
S	Safety of Self, Scene and Survivors
C 	Communication
A 	on-going Assessment 
T	Triage Sieve and Sort
T	Treatment
T	Transport

Question 3

FIRST AMBULANCE ON SCENE – ATTENDANT

Answer 3

1. Assume the role of Ambulance Incident Commander until relieved by an Ambulance Service Manager.
2. Don high visibility jacket and protective helmet - DO NOT ATTEMPT RESCUE OR TREATMENT OF CASUALTIES.
3. Assess the scene and if safe to enter, carry out the reconnaissance of the scene and provide a METHANE report to EOC:
4. In liaison with the other Emergency Services, initially set up:
   Access and egress to the site, Ambulance Parking Point
   Ambulance Control Point
   Casualty Clearing Station
   Area for decontamination (if appropriate)
5. Prepare “brief” for the first Ambulance Manager on scene (who will assume the Ambulance Incident Commander role).

Question 4

FIRST AMBULANCE ON SCENE – DRIVER

Answer 4

1. Don high visibility jacket and protective helmet.
2. Assume the role of Communications link.
3. Park as near to the scene as safety permits, upwind and uphill of the incident and adjacent to Police and Fire Controls (no closer than 10 metres).
4. Leave roof beacons on.
5. Inform EOC of the exact location, nature and magnitude of the incident using the METHANE report
6. Remain with your vehicle. DO NOT ATTEMPT RESCUE OR TREATMENT OF CASUALTIES.
7. Leave your engine running to ensure the vehicle battery is fully charged.
8. Maintain radio contact with EOC.

Question 5

Core information

methanes

Answer 5

M my call sign, Major incident declared or standby
E exact location of incident
T type of incident ( RTC,HAZCHEM etc)
H hazards actual and potential
A access and egress to incident ?RVP
N no of casualties (quick first estimate)
E Emergency services present or required

S Start a Log

Question 6

Hazardous substances

CBRN and HAZMAT

Answer 6

Hazmat (Hazardous Materials incident) - “accidental release of substance, agent or material which results in injury or illness to the public or denial of an area or interruption of the food chain.”

C.B.R.N. e (Chemical, Biological, Radiological, Nuclear & explosive) – “Is a deliberate, malicious and murderous act, the intention of which is to kill, sicken or prevent society from continuing with their normal daily basis.”

Question 7

Control Of Substances Hazardous to Health (COSHH)

Answer 7

COSHH covers substances that are hazardous to health. Substances can take many forms and include:
chemicals- products containing chemicals- fumes- dusts- vapours- mists- nanotechnology- gases and asphyxiating gases and- biological agents (germs). If the packaging has any of the hazard symbols then it is classed as a hazardous substance.
Germs that cause disease such as Leptospirosis or Legionnaires disease and germs used in laboratories.

Question 8

C.B.R.N.e / Hazmat Zones

Answer 8

HOT ZONE

WARM ZONE

COLD ZONE