MCI

Question 1

EMS Taskforce Incident?

Answer 1

low impact incident with conventional response characteristics that can be handled with readily available resources. Pt’s are assigned directly to EMS units and the incident should not require establishment of treatment and transportation areas

Question 2

Multiple Casualty Incident?

Answer 2

high-impact incident which reduces the effectiveness of traditional fire/EMS response because of number of pts, special hazards, or difficult rescue. Will require the full development of the EMS Branch

Question 3

EMS Taskforce is good for up to how many pts?

Answer 3

10pts max

Question 4

MCI Alarm is used when there are how many pts?

Answer 4

More than 10, dispatch one MCI alarm per 25 pts. Mobile Communications Unit should be added as a specialized resource during an MCI

Question 5

What is the assignment of the first due suppression unit on the EMS Task Force?

Answer 5

triage unit leader

Question 6

What is the assignment of the 2nd due suppression unit on the EMS taskforce?

Answer 6

porters/ loaders

Question 7

An EMS taskforce consists of?

Answer 7

5 EMS transport units
1 BC
2 EMS Supers
2 Suppression Units
Air Transport Units (upon request)

Question 8

MCI alarm consists of?

Answer 8

10 Suppression Units
10 EMS Transport Units (min. 5 ALS)
3 EMS Supers
1 BC
1 Mobile Comms Unit
1 Green (civilian) Transport Bus
Air Transport Units (upon request)
1 Multiple Casualty Support Unit (MCSU)
1 Medical Ambulance Bus (MAB)

Question 9

ALS and BLS Strike Teams?

Answer 9

5 like resources

Question 10

Engine/Truck Strike Teams?

Answer 10

5 like resources

Question 11

What are the five S’s of the Multiple Casualty Incident?

Answer 11

Safety
Size-Up
Send
Set Up
Start/Jump Start Triage

Question 12

Who is used to establish triage operations?

Answer 12

First available suppression unit

Question 13

Who is used to establish Transport operations?

Answer 13

first available EMS transport unit

Question 14

Crisis Standard of Care means?

Answer 14

as many lives as possible are saved with the resources that are available

Question 15

What are characterized as a slow developing MCI?

Answer 15

Pandemic Events

Question 16

If the event involves Hazmat or WMD who performs initial triage?

Answer 16

Hazmat/WMD entry team

Question 17

For incidents that pts must be decontaminated what is the order they get to the treatment area?

Answer 17

Decon to the casualty collection point, triaged, then ported to a treatment area.

Question 18

Where is the Casualty Collection Point located?

Answer 18

the transition point between the warm zone and the cold zone

Question 19

On an MCI the EMS Branch Director position is held by?

Answer 19

The first due EMS super on the MCI alarm initially, then assumed by the first due BC on the MCI alarm

Question 20

When is the treatment/transport liaison position established?

Answer 20

When more than one treatment unit exists

Question 21

Who should assume the role of Medical Supply Coordinator?

Answer 21

The suppression unit officer assigned to respond with the Medical Care Support Unit (MCSU)

Question 22

The triage unit leader position should be filled by?

Answer 22

The first arriving suppression unit after hazards are addressed

Question 23

Who established the transportation group and assumes the role of transportation group supervisor?

Answer 23

The first due transport unit OIC, until relieved by the second due EMS super and then they become the Medical Communications Coordinator, the unit driver shall assume and maintain the role of Air/Ground Ambulance Coordinator (to include the role of pt transport recorder)

Question 24

The staging area manager is usually?

Answer 24

The driver of the first due engine on the second alarm

Question 25

With an EMS Task Force how many EMS tactical channels should be sufficient for the incident?

Answer 25

1 EMS tactical cahnnel--assigned to the Medical Group Supervisor

Question 26

How many EMS tactical channels will be required for an MCI Alarm?

Answer 26

2, 1 for Medical Group Supervisor and 1 for Transportation Group Supervisor

Question 27

What number can families call during an MCI to try and find out where their family members have been transported?

Answer 27

2-1-1

Question 28

Impact Area?

Answer 28

The immediate area of an incident scene where the pts received their injuries and were initially found

Question 29

Patient Exit Point (PEP)

Answer 29

the physical location through which the pt exits the scene via the transport unit

Question 30

Patient Intake Point (PIP)

Answer 30

The physical location(s) prior to entering the treatment areas through which all pts are funneled and a disaster tag is applied

Question 31

1st Suppression Unit on an MCI?

Answer 31

triage unit leader--initiate and complete primary pt triage

Question 32

2nd suppression unit on an MCI?

Answer 32

treatment unit leader--establish and set up pt treatment area(s), establish and announce PIP

Question 33

3rd suppression unit on MCI?

Answer 33

assume air/ground coordinator, reinforce transport loading area

Question 34

4th suppression unit on an MCI?

Answer 34

report to triage unit leader

Question 35

5th suppression unit on an MCI?

Answer 35

report to treatment unit leader

Question 36

6th suppression unit on an MCI

Answer 36

report to staging or establish staging if not already done

Question 37

1st EMS transport unit on an MCI?

Answer 37

Establish transport group and transport recorder. Establish and announce PEP

Question 38

1st EMS Super on an MCI?

Answer 38

Establish EMS Branch (then Med. Group Super once relieved)

Question 39

2nd EMS Super on an MCI alarm?

Answer 39

assume transport group supervisor

Question 40

3rd EMS super on an MCI alarm?

Answer 40

Assume treatment unit leader

Question 41

1st BC on an MCI

Answer 41

assume EMS Branch Director

Question 42

The RHCC will be notified to activate for incidents meeting ANY of the following criteria?

Answer 42

- Non hazmat incident involves 10 or more pts, and/or where 3 or more NVHA hospitals are to receive pts - Hazmat incident with 3 or more pts that will be decon in the field by EMS prior to transport - An event in NOVA involves a suspected or confirmed Cat A biological agent - A NOVA Fire/EMS agency has activated an USAR team for an event occurring in the National Capital Region - A NOVA Fire/EMS agency has activated a Mass Casualty Unit, Task Force, or equivalent - A NOVA EMS agency has accessed and/or requested a CHEMPACK or MMRS Rx cache - A NOVA EOC has activated and staffed the Health and Medical Services (ESF 8) Function

Question 43

At a minimum the EMS field officer will relay to the RHCC the following information for each transporting unit, preferably before the unit leaves the scene:

Answer 43

- unit number - destination facility - number and category's of pt's on unit (with notice for peds)

Question 44

What info are EMS units enroute to hospitals (during MCI) requested to relay to the receiving hospital?

Answer 44

- Systolic BP - Airway Status - GCS - ETA - Other significant medical interventions performed