ch09 - Chapter 9 Medical Incident Management Topics F...

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Chapter 9 Medical Incident Management
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    Topics F Origin of the Incident Command System F Command at a Mass-Casualty Incident F Divisions of Command F Command System Support F The START System F San Diego County Annex D
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    Multiple-Casualty Incident F An incident that generates large numbers of patients F Makes traditional EMS response ineffective F How many patients = MCI? F 2 or more units, or; 2 or more patients F Also called a “mass-casualty incident” (MCI) F Vehicle accident F Industrial accident F Natural Disaster F Terrorist event
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    On February 26, 1993, the incident command system was used in response to the bombing of the World Trade Center in New York.
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    Origins of the Incident Command System F Developed by LA County/ City FD in response to major fires in the 1970’s to control, direct and coordinate services F Adopted by the State of CA as “FIRESCOPE” F www.FIRESCOPE.com for additional information, SIMS F Later adopted by DHS as a universal management system for all emergency incidents known as NIMS
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    Incident Management System F A national system used for the management of multiple-casualty incidents F Involves assumption of command and the designation and coordination of elements such as triage, treatment, transport, and staging F Most important goal in a MCI is implementation of IMS F Creates a “Span of Control” of 3-7 Subordinates
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    The scene of the April 19, 1995, bombing of the Alfred P. Murrah Federal Building in Oklahoma City
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    Crews with various kinds of protective gear attempting to locate and extricate victims from the debris.
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    A Uniform, Flexible System (C-FLOP) F C—Command F F—Finance/administration F L—Logistics F O—Operations F P—Planning
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Command at Mass-Casualty Incidents
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    Incident Commander (IC) F A single person is responsible for ALL incident activities. F Scene Authority Law F Chain of command – delegation of authority. F All non-delegated functions are left to command. F Controls, Directs, and Coordinates all resources F Coordinates all scene activities. F Also called Incident Manager (IM) or F Officer in Charge (OIC). F Most important functional area of IMS F Prevent “Freelance” EMS
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    Establishing Command F First arriving unit establishes command F Provides windshield service (size-up) F Quick assessment of inc type and hazards F Establish staging locations, primary/ Secondary F Assign command early in an incident F Establish a command post.
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This note was uploaded on 03/25/2010 for the course PAR 100 taught by Professor Alan during the Spring '10 term at Miramar College.

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ch09 - Chapter 9 Medical Incident Management Topics F...

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