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MCI levels
- • MCI LEVEL 1 – 5 – 10 VICTIMS
- • MCI LEVEL 2 – 11–20 VICTIMS
- • MCI LEVEL 3 – 21 – 100 VICTIMS
- • MCI LEVEL 4 – 101–1000 VICTIMS
- • MCI LEVEL 5 – OVER 1000 VICTIMS, OR WHEN REGIONAL RESOURCES ARE EXHAUSTED OR OVERWHELMED
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THE FIRST-ARRIVING UNIT SHALL PROCEED AS FOLLOWS:
- 1. Size-up
- 2. Determine # of victims
- 3. Request MCI level based on # of victims prior to triage
- 4. Est. Command (FOG #2)
- 5. BEGIN INITIAL TRIAGE.
- 6. IDENTIFY A STAGING AREA.
- 7. LOCATE AND REMOVE THE WALKING WOUNDED.
- Remove and assess ASAP
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LEVELS OF RESPONSE WILL BE
IN ADDITION TO THE UNITS ALREADY ON SCENe
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AS ADDITIONAL UNITS ARRIVE, COMMAND WILL DESIGNATE THE FOLLOWING OFFICERS:
- • TRIAGE (ALREADY BEGUN)
- • TREATMENT
- • TRANSPORT
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ADDITIONAL OFFICERS MAY BE REQUIRED DEPENDING ON THE COMPLEXITY OF THE INCIDENT.
THESE OFFICERS MAY INCLUDE THE FOLLOWING:
- • LANDING ZONE
- • EXTRICATION
- • HAZMAT
- • CISD
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MEDICAL BRANCH OFFICER
• OVERSEES
- MEDICAL OPERATIONS (TRIAGE, TREATMENT, AND TRANSPORTATION
- SECTORS) AT THE SCENE
- • FIRST-ARRIVING RESCUE CHIEF
- • WILL PERFORM DUTIES AS OUTLINED IN FOG #3
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TRIAGE OFFICER
- DIRECTS TRIAGE OF ALL VICTIMS
- • COMPANY OFFICER OF THE FIRST-ARRIVING RESCUE UNIT
- • WILL PERFORM DUTIES AS OUTLINED IN FOG #4
- TREATMENT OFFICER
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TREATMENT OFFICER
- • COORDINATES THE RE-TRIAGE OF ALL VICTIMS AND ON-SITE MEDICAL CARE, AS
- NECESSARY
- • COMPANY OFFICER OF THE SECOND-ARRIVING RESCUE UNIT
- • WILL PERFORM DUTIES AS OUTLINED IN FOG #5
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TRANSPORTATION OFFICER
- • TRACKS AND ENSURES TRANSPORT OF VICTIMS TO APPROPRIATE MEDICAL FACILITIES
- • WILL PERFORM DUTIES AS OUTLINED IN FOG #6
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STAGING OFFICER
- • COORDINATES ACTIVITIES IN THE STAGING AREA
- • WILL PERFORM DUTIES AS OUTLINED IN FOG #7
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INDEPENDENT DECISIONS SHOULD BE MADE FOR EACH VICTIM AND SHOULD BE DONE IN
LESS THAN 60 SECONDS. IF IN DOUBT, ALWAYS TRIAGE TO THE HIGHER PRIORITY.
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IF RESPIRATORY RATE IS 30 PER MINUTE OR LESS,
MOVE ON TO PERFUSION
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IF RESPIRATORY RATE IS 31 PER MINUTE OR MORE,
TAG RED
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IF CAPILLARY REFILL IS 2 SECONDS OR LESS,
MOVE ON TO MENTAL STATUS
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IF CAPILLARY REFILL IS 3 SECONDS OR MORE,
IN ADDITION,
- TAG RED
- ANY MAJOR BLEEDING SHOULD BE CONTROLLED AT THIS TIME
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ASSESS THE PATIENT’S ABILITY TO FOLLOW SIMPLE COMMANDS AND THEIR ORIENTATION TO:
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IF THE VICTIM EXHIBITS ANY SIGNS OF ALTERED LEVEL OF CONSCIOUSNESS,
TAG RED
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ATU
important to call___ ASAP This will alert ___to the seriousness of situation and need for ATU
- Cardiac and trama reds and/or trama alerts
- FRCC,other units
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___ can call for ATU
any JFRD personnel
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ATUs will not be launched on the basis of___ unless from a reliable___
- Telephone orThird party reports
- Authorized source (FHP, local police,other FD,physician,other medical personnel,ect.)
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Consider the following when determining use for ATU
- Immediate surgical or life saving intervention
- Distance from ED
- traffic
- Extended scene times due to extrication
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Suspected spinal injuries may be trans by ground when...
When pt is properly imobilized
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SPINAL INJURIES
ATU SHOULD BE CONSIDERED IF
Terrain is difficult and a LZ is convenient
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ATUs are not usually indicated for
Cardiac pt or cardiac arrest
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___ will be dispatched upon any request for an ATU. he will respond to___ to eval___
- Rescue chief
- Scene or hospital
- Pt care
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LZ criteria
Min size
Free of
If loose sand is a factor
Ground slope
- 60x60 day
- 100x100 nite
- Wires, poles, loose obj, and loose sand
- Attempt alternate if not wet with booster
- Less than 10°
- Open approch and take off
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•Marking LZ•
>whenever possible
- Use emr lights in ATU kit
- Reduce scene lights around LZ so emr lights will stand out
- Use police cars to identify hazards
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___ must be designated as soon as possible after calling for ATU
Ground guide
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The ground guide will provide the following to ATU PILOT
- Location-distance from major roads landmarks
- Definition-terain and slope
- Obstructions-wires,light pole, trees ect.
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The following safety equipment shall be used by the ground guide
- Eye and Ear protection
- Helmet
- Reflective vest
- Orange batons(flashlight)
- Turnout coat and pants
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With ATU on the ground stay___,following these safety rules:
- Keep personnel. Ack 100'
- Keep bystandards back 200'
- Dont approach until signaled by crew
- Never approach from rear
- Trans of pt away from ATU IN BACK OF RESCE
- Use fewest personnel practical
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Use caution when using ATUs in areas where
Haz-mat are present
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Make flight crews aware of
Explosives, flammable, toxic,or haz environment
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