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EMS MCI Management and Triage 5-2013

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Eric Pierce

on 7 May 2013

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Transcript of EMS MCI Management and Triage 5-2013

Mass Casualty Incidents Recognizing, Sorting, and Removing
Lots of People Very Quickly Eric W. Pierce EMT-P does the "W" stand for "Waldo"? Shouldn't a Waldo slide be used in a Search & Rescue class? Nope, that would make sense! MCI management is easy, really... But it's almost
never a day at
the beach... The purpose of triage... tri·age
noun \trē-ˈäzh, ˈtrē-ˌ\

the sorting of and allocation of treatment to patients and especially battle and disaster victims according to a system of priorities designed to maximize the number of survivors THE GOLDEN HOUR When
does it
start? The Golden Hour
starts at the
moment of impact So what is an MCI? Simply put... An MCI exists anytime there are more victims than resources on scene Depending on available resources... this could be an MCI... Or this... Huh? Triage is the process of
determining the priority
of patients' treatments
based on the severity
of their condition. Triaged patients can be
divided into 3 categories Those who are likely to live, regardless of what care they receive Those who are likely to die, regardless of what care they receive Those for whom immediate care might make a positive difference in outcome. Our initial efforts are focused on sorting these patients to best use our resources How do we sort? Those who are likely to live, regardless of what care they receive;

Those who are likely to die, regardless of what care they receive;

Those for whom immediate care might make a positive difference in outcome. There's those colors again - what gives? Pop Quiz!
Name one Triage Tool
we carry on our ambulances? So we know we have an MCI,
now what? Put Yourself In Charge Estimate Your Needs Ask For Help Help is on the way - Now What? The color code provides a quick visual indicator of the patient's priority Red Tag - Priority 1 Yellow Tag - Priority 2 Green Tag - Priority 3 Black Tag - Priority 0 Did you get all of that?
Good! Time to try it out... Let's break up into teams of 3 The tallest member of your team will be the
TRIAGE OFFICER The shortest member of your team is the
INCIDENT COMMANDER The remaining member of your team is the
TRANSPORTATION COORDINATOR Here's your scenario... Cooperstown Fire & Squad: Request for your response, vicinity of Linden Avenue and State Highway 28, gathering info of a motor vehicle accident Quick Risk Assessment -
What risks exist in this area? Mass Transit-
School Buses
Tour Buses
Trains Hazardous Materials -
NYSEG Equipment
Taylor's Fuel
County Highway
Chemical Deliveries A slow moving northbound tourist train has lost it's brakes. A school bus leaving Cooperstown High carrying the Redskins Baseball Team is stuck in traffic, and blocks the tracks As you are enroute to the scene, CPD notifies fire control of a large scale collision between a tourist train and a school bus. Access to the scene is limited due to traffic, and dispatch requests you expedite. First thoughts -
- What additional resources are this event?
- How big of an incident is this? Could this actually happen? Fox River Grove, Illinois, 1995
Commuter Train vs School Bus
4 students dead on scene, 3 died later
21 students injured

Rear 3" of bus struck by oncoming train Using the scenario described,
let's go practice triage
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