Mass Casuality Incident - Incident Command System (4 hours - Basic, Intermediate and Paramedic levels)

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Objectives: To inform and update the EMT of all levels about the Incident Command System Structure utilized at an MCI. Also to review the County MCI plan.

The class participant will be able to:
Define the threshold of an incident/system. Identify and describe the 10 steps/functions of an MCI Operation. Identify and set up various components of the Incident Command System. Complete "on-paper" exercises utilizing the MCI Plan and ICS. Understand triage via the S-M-A-R-T Triage format.

1. Introduction (10 minutes)  
2. History of EMS Response to MCI's (15 minutes)
   1. Poor Planning
   2. Inadequate on-scene needs assessment
   3. Inadequate communication
   4. Absence of sound medical approach to triage and treatment of patients
     
3. Defining the Mass Casualty Incident (30 minutes)
   1. Threshold
   2. Ten Steps/Functions of an MCI
      1. Needs Assessment
      2. Initial Notification
      3. Establishment of Command Structure
      4. Triage
      5. Tagging of all patients
      6. Treatment of all patients
      7. Evacuation of prioritized classified patients
      8. Stabilization of patients
      9. Coordination of communication
      10. Loading and transportation of patients
        

4. Command Structure (60 minutes)
   1. Incident Command (Defining-assigning the Incident Commander)
   2. Sub-Commands (Police; Fire; EMS)
   3. Initial responders-define who they are, who they report to and their overall role and function
      1. Triage/Tagging Officer
      2. Treatment Officer
      3. Loading/Transportation Officer
      4. Staging/Supply Officer
      5. Safety Officer
      6. Communication Officer
      7. Public Relations Officer
      8. Morgue Officer

5. S-M-A-R-T Triage (30 minutes)
   1. Concept
   2. Algorithm
   3. Use of Triage Tags
     
6. Overview of Typical Incident Diagrams (20 minutes)
   1. Review of different size MCIs and command systems
     
7. Review of County MCI Plan (45 minutes)  
8. Paper Drill-utilizing MCI Plan and ICS Structure (20 minutes)  
9. Review-Questions and Wrap-up (10 minutes)