Franklin County Multiple Casualty Incident Response Plan MCI PLAN - FRCOG
Franklin County Multiple Casualty Incident Response Plan MCI PLAN Franklin County Multiple Casualty Incident Response Plan For Official Use Only (FOUO) Prepared by: Franklin County EMS Franklin County MCI Planning Committee & Umass Regional Planning Graduate Students First Revision 07/89 Second Revision 07/91 Third Revision 10/93 Fourth Revision 10/98 Fifth Revision 2009 FOUO Page 1 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan Table of Contents I. Notification and Declaration. 3 Notification of A Possible MCI . 3 Confirmation and Notification of an MCI . 3 Mutual Aid Pre-Plan . 4 II. Responsibilities of the Shelburne Control Communications Center . 5 III. Duties of Section Chiefs, Commanders and Personnel . 6 Incident Commander . 6 Duties of Incident Commander . 7 Fire Section Chief . 8 Duties of Fire Section Chief . 8 Police Section Chief . 9 Duties of Police Section Chief . 9 EMS Section Chief . 10 Duties of EMS Section Chief . 10 Triage Officer . 10 Duties of the Triage Officer . 10 Treatment Officer . 11 Duties of Treatment Officer . 11 Loading/Transportation Officer . 11 Duties of Loading/Transportation Officer . 11 Staging Officer. 12 Duties of Staging Officer . 12 Appendix A – Contact info for Area Ambulances Alphabetical . 13 West County Ambulances . 14 Central County Ambulances . 15 Eastern County Ambulances . 16 Regional EMS Coordination Points . 17 Contacts for Specialized Units . 17 Appendix B – Area Hospitals That Accept Acute Care Patients . 18 Appendix C – Hospital Mutual Aid . 19 Appendix D – Statewide Fire and Emergency Medical Services Mobilization . 21 Appendix E – Weapons o Mass Destruction (WMD) / Chemical Weapons . 34 Appendix F – Franklin County Radio Zone Planning . 39 Appendix G – The MCI Trailer . 41 Appendix H – Acronyms and Definitions . 46 Attachment A – ICS Command Structure for a Major Incident . 48 (ICS Position Task Reference Cards) .49-58 Attachment B – Smart Tag Tracking system. 59 Attachment C – ICS 206: Medical Plan . 60 Attachment D – ICS 211: Check-In List . 62 Attachment E – ICS 214: Unit Log. 64 Attachment F – ICS: Demobilization Check. 66 FOUO Page 2 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan FRANKLIN COUNTY MULTIPLE CASUALTY RESPONSE PLAN The following plan is intended to outline a process for proper pre-hospital care for accident victims of Multiple Casualty Incidents (MCI) in Franklin County of Massachusetts. If this plan conflicts with a town's Comprehensive Emergency Management Plan (CEMP), the CEMP plan takes precedence. I. NOTIFICATION AND DECLARATION NOTIFICATION OF A POSSIBLE MCI The first arriving responder, upon determining there are more victims than could be handled by one ambulance, should request an appropriate number of mutual aid ambulances (Appendix A). If the first responder estimates that the scene could possibly be considered an MCI, this information should be immediately relayed to their dispatch center; this information will be relayed to Shelburne Control if in an area not primarily dispatched by them. CONFIRMATION AND NOTIFICATION OF AN MCI The senior EMT on the scene, after determining that the scene is safe, will survey the area and provide the dispatch center a size-up notifying of the incident status and confirming if the incident is an MCI. If the scene is unsafe for EMT entry, but it is his/her determination that it is an MCI, he can confirm the MCI without entering the scene. An MCI declaration is indicated where the threshold level of patients is exceeded. The threshold level is the number of severely injured patients that can be routinely handled by the responsible ambulance service and its normal back-up service. A threshold level to be used as a guideline is: three (3) “priority one” patients or a combination of priority one and two patient that exceed the capacity of the primary ambulance and its first two back up units. “Priority one patients” are those in which there is an immediate threat to risk to life or limb if patient care is delayed. FOUO Page 3 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan In declaring an MCI the EMT will report the following to The Shelburne Control Communication Center: Type of incident Scene Safety: hazards which might interfere with rescue operations Extent of incident: number of injured Number of patients and how many are critical Severity of incident: Geographic area of incident Landing Zones to be used Mutual Aid Pre-Plan The initial Fire and EMS mutual aid system is the Tri-State Fire Mutual Aid System running orders as maintained by the Tri-State Fire Mutual Aid members in coordination with the dispatch center at Shelburne Control. The Tri-State Running Orders will list the first ten mutual aid ambulances to call in order for each community or district. Incidents that deplete ambulances beyond the ten Tri-State units listed will require additional resources; this may require deployment of additional single resource ambulances geographically based from the Franklin County MCI plan and/or deployment of a State Mobilization EMS Task Force. Note: - EMTs responding to an MCI should report to their station and respond to the scene as a unit, unless otherwise directed. - Ambulances should respond with additional EMTs if possible, however ambulance response should not be delayed due to this. - First Responders may be required to drive ambulances, if available, to free EMTs for patient care. - Upon arrival at scene, all personnel should report to the Designated Staging Area to insure accountability of responders. FOUO Page 4 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan II. RESPONSIBILITIES OF THE SHELBURNE CONTROL COMMUNICATIONS CENTER In the event of an MCI in Franklin County, Massachusetts the Shelburne Control Communications Center is the designated DMAC - District Mutual Aid Center and referred hereafter as the Communications Center. All requests for personnel and equipment by the Incident Commander should be transmitted through the Communications Center. The Communications center should be immediately advised to the total number of patients and the corresponding number of patients tagged black, red, yellow, and green. Ambulances can typically transport 1 red tag patient and 1 yellow tag patient, or 1 red tag and 2 green tagged patients. The Communications Center should be advised when all patients have cleared the scene and must also be advised when the incident has been terminated. Upon confirmation of an MCI, the Communications Center is responsible for contacting: Fire and rescue agencies Local police State police Consider a priority traffic only announcement on the police frequencies for MCI event Additional EMS as requested (Appendix A) Consider EMS station cover Baystate Franklin Medical Center Additional hospitals (Appendix B) Activation of state HAZ-MAT plan if needed Activation of state DECON plan if needed Activation of WMEMS MCI trailer(s) if needed- Amherst fire (413-256-4899), or County Ambulance (in Pittsfield 413-499-2528) Ancillary agencies such as Mass Highways for traffic control Activation of the Massachusetts Fire and Emergency Medical Services Mobilization System (MFEMSMS) for ambulance resources, to facilitate requests for both fire and non-fire ambulance resources if the MFEMSMS Plan is activated the following shall apply: Notify the District Coordinator (Chief Annear of Orange Fire) of the request for outgoing assistance or the request for incoming resources. Coordinate the dispatch and tracking of requested resources within the District. Maintain an Emergency Resource Directory listing ALS and BLS transport resources and Task Force Leaders. Request additional resources under the Massachusetts State Fire and Emergency Medical Services Mobilization Plan according to prearranged procedures Mutual Aid Centers shall also follow Regional EMS notification protocols. (Tri-state Mutual Aid Run List) Notify MEMA at the State Emergency Operations Center of the activity and situation (if task forces are requested via NAWAS this notification should occur simultaneously). Notify Springfield & possibly Worcester CMED FOUO Page 5 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan III. DUTIES OF SECTION CHIEFS, COMMANDERS AND PERSONNEL The following sections provide general information about the organization of the MCI. The Incident Command System shall be used to coordinate the scene and provide for personnel and public safety. Checklist cards are included with this plan listing various Section Chief’s more specific roles and responsibilities in the incident. Incident Commander – The Incident Commander shall be dictated by the type of incident The Police Chief or senior police official, from the incident jurisdiction, or a State Police Officer, will be the Incident Commander (IC) in the following instances: - Civil Disturbances - Hostage or Sniper situations - Acts of Terrorism and or any crime scene The Fire Chief or senior fire official from the incident jurisdiction is the Incident Commander in: - All other situations The Incident Commander is identified by his/her “Incident Commander” reflective vest. He uses the Command Post as the scene communication center. The Command Post is made up of the first responding ambulance, first police car and a fire vehicle. The Command Post is identified by a white flag. (Appendix F: Frequency List) FOUO Page 6 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan The Incident Commander should delegate the duties of Fire, Police and EMS Section Chief. Duties of Incident Commander – Determines scene safety for responders. Decides if an evacuation is necessary. Oversees all scene operations making sure the efforts are as efficient and effective as possible. Establishes a Command Post Informs the Communications Center as to services enroute or already at scene before requesting additional services. Maintains communication with the Communications Center for requesting Mutual Aid, Ancillary Services and necessary equipment. Appoints a clerk to record scene developments and responders involved. Appoints, or acts as, a Public Relations Officer to communicate with the media. Communicates with the individual Section Chiefs: Fire, Police, EMS and in some situations Emergency Management and on-scene Ancillary Services. Determines the locations of the Command Post, Staging Area, Treatment/Patient Collection Area, morgue and helicopter landing zones. Notifies the Chief Town Official, through the Communications Center, of on-scene developments if necessary. Notifies the Communications Center and individual Section Chiefs of the termination of the MCI. Note: The ambulance Staging Area is to be located near the Patient Collection Area whenever possible. Staging Area may be established separately as needed for Fire and Police. These units will respond to specific parts of the scene as directed by radio. Staging Area for extra equipment can be established by the Incident Commander as needed. FOUO Page 7 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan Fire Section Chief – The Fire Chief from the jurisdiction of the incident or their designee is the Fire Section Chief. He is identified by his Section Chief's reflective vest. A designated fire unit becomes part of the Command Post and should be the last fire unit to leave the scene. Duties of Fire Section Chief FOUO Communicates with the Incident Commander and receives clearance to enter scene Contacts the Incident Commander concerning requesting additional equipment and personnel needs Oversees scene safety Recommends to Incident Commander if an evacuation is necessary Fire suppression, control and prevention Containment of hazardous or toxic materials Vehicle stabilization Coordinates heavy rescue equipment and techniques Victim extrication (but not patient removal) Provides lighting as necessary Manages Landing Zones for air medical resources May release fire personnel to control of EMS Section Chief for such purposes as driving ambulances or assisting in the removal of victims to the Patient Collection Area Is responsible for all fire personnel Notifies fire personnel of termination of MCI Page 8 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan Police Section Chief – The Police Chief, available senior police official from the town of the incident, or in some instances a State Police Officer, is the Police Section Chief. He is identified by his Section Chief's reflective vest. The first responding police car becomes part of the Command Post and should be the last police unit to leave the scene. Duties of Police Section Chief Communicates with the Incident Commander and receives clearance to enter scene After conferring with the Incident Commander, he can communicate with the Communications Center concerning: (a) what routes are to be kept clear for responding traffic and rescue egress, (b) needs for extra personnel or services Traffic management Oversees investigation of accident as needed Crowd control Incident area security Effecting any necessary evacuation of local citizens Security of equipment pool at Staging Area. Protects the bodies and belongings of the deceased and contacts Medical Examiner. Is responsible for all police personnel Notifies police personnel of termination of MCI FOUO Page 9 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan EMS Section Chief – The EMS Director/Manager, senior EMT of the first responding ambulance, having jurisdiction in the town of the incident, or their designee, is the EMS Section Chief. He is identified by his “EMS Section Chief” reflective vest. The first responding ambulance becomes part of the Command Post, and is the last ambulance to leave the scene. The ambulance may be relieved by a substitute vehicle with communication equivalent capability. If available, the first responding ambulance may later be moved to the Patient Collection Area for communications use by the Transportation Officer. Duties of EMS Section Chief Communicates with the Incident Commander and receives clearance to enter the scene Confirms MCI status through Communications Center Communicates the number and extent of casualties, including number of critical patients, to the IC for relay to the Communications Center Requests additional EMS resources through the Incident Commander Works with Incident Commander to locate the Patient Collection Area and Morgue Area Coordinates and insures the following positions roles are performed: Triage, Tagging, Treatment, Transportation, Communications and Staging Directs the efforts of any physicians on the scene, (physicians who arrive on the scene should follow Western Massachusetts EMS Pre-Hospital Protocols) Is responsible for all EMS and medical personnel Notifies EMS personnel of termination of MCI. Triage Officer – The junior EMT on the first ambulance is the Triage Officer. He/She will be identified by a “Triage” reflective vest. Duties of the Triage Officer Once the scene is cleared by the Incident Commander, he/she performs triage and tagging. Provide an approximate count of the total number of patients to the EMS Section Chief. Triage may be performed by a First Responder who has completed SMART Triage and MCI training if an EMT is unavailable. Directs movement of victims to the Treatment Area. FOUO Page 10 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan Treatment Officer – The Treatment Officer will be designated by the EMS Section Chief and will be a specifically trained EMT, if available. He/She will be identified by a “Triage” reflective vest. Duties of Treatment Officer Sets up a Treatment Area after communication with the EMS Section Chief. Coordinates activities at the Treatment Area. Communicates with EMS Section Chief if EMTs are needed to oversee treatment of individual patient category groups. Continually surveys victims and updates the victims’ status as necessary. Uses Patient Tally Sheet (Attachment B) to log all victims. Prioritizes patients for transport to hospitals and oversees ambulance assignment of victims according to prioritization. Communicates this information to the Transportation Officer. Loading/Transportation Officer – The Transportation Officer will be designated by the EMS Section Chief and will be a specifically trained EMT, if available. He will be identified by his reflective vest. (EMS Frequencies - Appendix F) Duties of Loading/Transportation Officer Oversees transport of victims according to prioritization established by the Treatment Officer. Uses Patient Tally Sheet (Attachment B) to log all victims who were transported. Coordinates patient distribution with hospitals to avoid overloading any one hospital. Directly handles all communications with nearby hospitals, unless patient condition worsens enroute. (i.e. ambulances in an MCI do not routinely provide radio reports to receiving hospitals) Coordinates communications with distant hospitals and helicopter transport via the Communications Center FOUO Page 11 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan Staging OfficerThe Staging Officer (if separate staging area is used): Responsible for units being held at staging area to insure an orderly response of resources when and as needed. Duties of Staging Officer – Insure the following are accomplished Transportation units are organized in a manner to insure they are readily available to respond to the needs of the Transportation Officer when requested. All vehicle crews shall stay in or with their units while at the staging area. Units are organized by vehicle type (ALS, BLS, Chairvan, etc) to assist in an orderly use of vehicles. The staging area shall be organized to allow the easy movement of vehicles and resources Request police presence if necessary to insure compliance with staging officer instructions FOUO Page 12 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan APPENDIX A --- AREA AMBULANCES ALPHABETICAL Adams Am-B-Care Amherst AMR Ambulance Athol Barre Belchertown BAYSTATE HEALTH Ambulance (Greenfield) Charlemont Colrain Conway Deerfield Deerfield Valley (Wilmington VT) Granby Hatfield Highland Ambulance North Adams Northfield Northampton Fire Dept. Ambulance Orange Rescue, Inc. (Brattleboro VT) Shelburne Falls Sunderland Templeton Village Ambulance (Williamstown) Whately Whittingham, VT Winchendon Winchester, NH Woods Ambulance (Gardner) FOUO Page 13 of 84 413-743-1212 877-624-4199 413-253-5378 413-736-0600 978-249-3533 978-335-4991 413-323-6655 413-773-4100 413-625-8200 413-625-8200 413-625-8200 413-625-8200 603-352-1100 413-467-9191 413-586-1508 413-586-1508 413-664-4933 413-625-8200 413-587-1100 978-544-2727 802-254-2010 413-625-8200 413-625-8200 978-939-5678 413-458-5080 413-625-8200 603-352-1100 978-297-2323 603-352-1100 978-632-1530 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan APPENDIX A Area Ambulances - Continued FOUO WEST COUNTY AMBULANCES West County Adams 413-743-1212 Am-B-Care 877-624-4199 BAYSTATE HEALTH Ambulance (Greenfield) 413-773-4100 Charlemont 413-625-8200 Colrain 413-625-8200 Conway 413-625-8200 County Ambulance- Pittsfield 413-499-2528 Dalton 413-684-0500 Diluzio, Keene, NH 603-357-0341 Highland Ambulance- Goshen 413-586-1508 Lanesborough 413-445-4559 North Adams 413-664-4933 Rescue, Inc. (Brattleboro VT) 802-254-2010 Shelburne Falls 413-625-8200 Village Ambulance (Williamstown) 413-458-5080 Whitingham, VT 603-352-1100 Winchester, NH 603-352-1100 Windsor 413-684-0500 Page 14 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan APPENDIX A Area Ambulances - Continued FOUO CENTRAL COUNTY AMBULANCES Central County Amherst 413-253-5378 Am-B-Care 877-624-4199 AMR Ambulance 413-736-0600 Belchertown 413-323-6655 BAYSTATE HEALTH Ambulance (Greenfield) 413-773-4100 Charlemont 413-625-8200 Colrain 413-625-8200 Conway 413-625-8200 Deerfield 413-625-8200 Deerfield Valley (Wilmington, VT) 603-352-1100 Diluzio, Keene, NH 603-357-0341 Easthampton 413-527-4200 Granby 413-467-9191 Hatfield 413-586-1508 Highland Ambulance 413-586-1508 Northfield EMS 413-625-8200 Northampton Fire dept Ambulance 413-587-1100 Orange 978-544-2727 Rescue, Inc. (Brattleboro VT) 802-254-2010 Shelburne Falls 413-625-8200 South Hadley 413-533-7111 Southampton 413-527-1120 Sunderland 413-625-8200 Whately 413-625-8200 Whittingham, VT 603-352-1100 Winchester, NH 603-352-1100 Page 15 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan APPENDIX A Area Ambulances - Continued FOUO EASTERN COUNTY AMBULANCES Eastern County Amherst 413-253-5378 Am-B-Care 877-624-4199 AMR Ambulance 413-736-0600 Athol 978-249-3533 Barre 978-335-4991 Belchertown 413-323-6655 BAYSTATE HEALTH Ambulance (Greenfield) 413-773-4100- Deerfield 413-625-8200 Deerfield Valley (Wilmington, VT) 603-352-1100 Diluzio, Keene, NH 603-357-0341 Granby 413-467-9191 Hatfield 413-586-1508 Northampton Fire Dept. Ambulance 413-587-1100 Orange 978-544-2727 Sunderland 413-625-8200 Templeton 978-939-5678 Ware 413-967-5901 Winchendon 978-297-2323 Winchester, NH 603-352-1100 Woods Ambulance (Gardner) 978-632-1530 Page 16 of 84 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan APPENDIX A Area Ambulances - Continued Regional EMS Coordination Points Berkshire County District 12 - West Hampshire County South-Central District 10 413-445-4559 413-586-1508 Springfield CMED 413-846-6129 413-846-6226 primary Worcester CEMD District 8 Control point East Hamden County District 11 South 508-854-0100 978-343-4801 413-732-4141 Contacts for Specialized Units FOUO Contacts Phone numbers Amherst MCI Trailer 413-256-4899 Pittsfield MCI Trailer County Ambulance 413-499-2528 Greenfield Fire DECON Unit 413-774-3167 Orange Fire DECON Unit 978-544-2727 Greenfield Fire Communications Unit 413-774-4737 Pittsfield Fire Communications Unit 413-448-9761 WMEMS Debriefing Unit 413-586-6065 Page 17 of 84 Alternate number 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan APPENDIX B AREA HOSPITALS THAT ACCEPT ACUTE CARE PATIENTS HOSPITAL LOCATION MINUTES TELEPHONE FROM I-91 ROTARY IN GREENFIELD # ACUTE PATIENTS Athol Memorial Hospital Athol 25 978-249-1250 6 Baystate Franklin Medical Center Greenfield 5 413-773-0211 413-773-2263 3-4 Baystate Mary Lane Hospital Ware 75 413-967-2275 3 BAYSTATE MEDICAL CENTER Springfield 45 413-794-0000 413-794-3233 5-10 BERKSHIRE MEDICAL CENTER Pittsfield 60 413-447-2834 5-10 Brattleboro Memorial Hospital Brattleboro VT 30 802-257-8222 3-4 CHESHIRE MEDICAL CENTER Keene NH 45 Cooley Dickinson Hospital Northampton 25 Fairview Hospital Gt Barrington 90 Hartford Hospital Hartford CT 90 Henry Heywood Hospital Gardner 45 Holyoke Hospital Holyoke 40 Leominster Hospital Leominster 50 Mercy Hospital Springfield 45 Noble Hospital Westfield 65 North Adams Regional Hospital N. Adams 45 UMASS MEDICAL CENTER Worcester 90 Wing Memorial Hospital Palmer 60 Worcester 95 Worcester 90 Worcester Medical Center St Vincent’s Worcester Memorial Hospital UMASS FOUO Page 18 of 84 603-354-6600 603-354-6603 413-582-2108 or 413-582-2000 413-528-8600 413-854-9700 860-545-5000 860-545-0000 978-630-6280 413-534-2500 413-534-2570 978-466-2000 or 978-466-2451 413-748-9000 413-748-9670 413-568-2811 or 413-572-5075 413-664-5000 413-664-5256 508-334-1000 413-283-7651 413-284-5308 508-363-5000 508-363-6025 508-334-1000 or 508-334-6481 3-4 3-4 4-5 5-10 5 5 2-3 5 3-5 3-4 30 6 2-3 5-10 5th Revision 2009
Franklin County Multiple Casualty Incident Response Plan Appendix C - Hospital Mutual Aid The following are a list of hospitals to be contacted in the event that an MCI occurs in the named town. The listed hospitals should be contacted by the Communications Center, advised of the declaration of an MCI, and current status for accepting MCI patients obtained. This is also a guide for the Transportation Officer in determining patient distribution, based upon geographic considerations. ASHFIELD Baystate Franklin Medical Cooley Dickinson Berkshire Medical** Baystate Medical* North Adams BERNARDSTON Baystate Franklin Medical Brattleboro Hospital Cooley Dickinson Holyoke Hospital Baystate Medical* BUCKLAND Baystate Franklin Medical North Adams Cooley Dickinson Berkshire Medical ** Baystate Medical * CHARLEMONT Baystate Franklin Medical North Adams Hospital Berkshire Medical** Cooley Dickinson Baystate Medical* COLRAIN Baystate Franklin Medical Brattleboro Hospital Cooley Dickinson Holyoke Hospital Baystate Medical* CONWAY Baystate Franklin Medical Cooley Dickinson Holyoke Hospital Baystate Medical* Berkshire Medical** DEERFIELD Baystate Franklin Medical Cooley Dickinson Holyoke Hospital Brattleboro Memorial Baystate Medical* ERVING CENTER Athol Memorial Baystate Franklin Medical Henry Heywood Hospital UMASS Medical Center* Baystate Medical Center* ERVINGSIDE Baystate Franklin Medical Athol Memorial UMASS Medical * Baystate Medical * Cooley Dickinson GILL Baystate Franklin Medical Brattleboro Hospital Cooley Dickinson Baystate Medical * Holyoke Hospital GREENFIELD Baystate Franklin Medical Brattleboro Hospital Cooley Dickinson Holyoke Hospital Baystate Medical* HAWLEY Baystate Franklin Medical North Adams Hospital Berkshire Medical** Cooley Dickinson Baystate Medical* HEATH Baystate Franklin Medical North Adams Hospital Berkshire Medical** Cooley Dickinson Baystate Medical* LEVERETT Cooley Dickinson Baystate Franklin Medical Holyoke Hospital Baystate Medical* Mercy LEYDEN Baystate Franklin Medical Brattleboro Hospital Cooley Dickinson Holyoke Hospital Baystate Medical* MONROE North Adams Hospital Baystate Franklin Medical Berkshire Medical** Cooley Dickinson Brattleboro Hospital MONTAGUE Baystate Franklin Medical Cooley Dickinson Brattleboro Hospital Holyoke Hospital Baystate Medical* NEW SALEM Athol Memorial Baystate Franklin Medical Henry Heywood Hospital UMASS Medical Center* Leominster Hospita
MCI PLAN Franklin County Multiple Casualty Incident Response Plan For Official Use Only (FOUO) Prepared by: Franklin County EMS Franklin County MCI Planning Committee & Umass Regional Planning Graduate Students First Revision 07/89 Second Revision 07/91 Third Revision 10/93 Fourth Revision 10/98 Fifth Revision 2009
Incident Management Process Map 1. Incident Management Process Map 1. Incident Management Description and Goals 9. Incident Management Description and Goals 9. Description 9. Description 9. Goals 9. Goals 9. Incident Management RACI Information 10. Incident Management RACI Information 10. Incident Management Associated Artifacts Information 24
12/17/2013 3 Approved by the Franklin County Commissioners Chapter 2 ‐ Introduction 2.0 Authority The Franklin County Access Management Regulations derive from the powers conferred on the Franklin County Commissioners by Section 5552.02 and Section 5552.06 of the Ohio Revised Code.
TACTICAL COMBAT CASUALTY CARE (TCCC / TC3) ABBREVIATED TCCC GUIDELINES 31 JAN 2017 Return Fire and take cover Direct or expect casualty to remain engaged as a combatant if appropriate Direct casualty to move to cover and apply self-aid if able.
casualty develops progressive difficulty breathing, consider this a tension pneumothorax and perform a needle chest decompression. If no capability of NCD exists and the casualty continues to have progressive respiratory distress, . Tactical Combat Casualty Care Author:
Tactical Combat Casualty Care (TCCC) based casualty cards, TCCC after action reports, and unit-based prehospital trauma registries need to be implemented globally and linked to the DoD Trauma Registry in a seamless manner that will optimize prehospital trauma care delivery.
casualty card. 6 (3) Tactical Evacuation Care (a) Casualty picked up by an aircraft, vehicle or boat. Additional personnel and equipment may be pre-staged for continued casualty care. 1 Encompasses both Casual
Tactical Field Care / Indirect Threat: What medical care would you provide across the street from the burning building? 3. Casualty Evacuation Care: The threat is largely over, the casualty is ready to be taken to the hospital. Why does it matter? 40% of Vietnam combat casualty deat
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