MCI Policy & Definitions
This role is responsible for initial and subsequent base station contacts, reporting patient counts, receiving bed availability, and coordinating destinations.
MEDCOM
The software system used by the Trauma Base Hospital and MICN to track hospital bed availability during an MCI
ReddiNet
In the initial "Sort" step of SALT triage, this group of patients is instructed to move first and is assessed last.
Walking Wounded / Minor
The tag color assigned to a patient who obeys commands, has a peripheral pulse and no respiratory distress
Green (Minor)
The minimum patient count required to declare an MCI instead of an EMS Surge
10
Who gives full patient report to the Trauma Base Hospital?
Transporting unit
This new SALT triage tag category is used for patients with severe injuries who are unlikely to survive given the current resources on scene
Expectant
What pockets do you keep tags in to stay organized?
Right = Tags for MEDCOM
Left = Litter/trash
An incident with multiple patients that does not overwhelm prehospital resources
EMS Surge event
The final task performed during MedCom's last contact with the Base Hospital before closing the incident
Reconciliation of final patient counts and destinations
How should a patient be triaged that can wave and make purposeful movements but cannot walk?
Delayed (Yellow)
The tag receipt that is removed prior to transport and kept by the ambulance crew for ePCR and tracking records
Ambulance Receipt
How do we name an EMS Surge incident?
Incident's geographic location
Three specialty destination categories MedCom must consider when communicating bed needs
Trauma, Burn, Pediatrics,
The action taken if an apneic adult patient does not start breathing after opening their airway.
Tag them as Dead
WITHOUT LOOKING AT TRIAGE TAG. Define at least 5 of the 7 letters in SLUDGEM
S – Salivation (excessive drooling)
L – Lacrimation (excessive tearing)
U – Urination (involuntary)
D – Defecation
G – GI Upset /Cramping
E – Emesis (vomiting)
M – Miosis (pinpoint pupils)
The minimum level of care to staff alternative transport like a bus for Minor patients.
2 EMTs
The maximum distance in minutes for ground ambulance transport before considering air transport?
30 minutes
Define SALT Acronym
Sort
Assess
Lifesaving Interventions
Triage / Treatment
Other than MEDCOM, the four core leadership positions managing field sorting, patient care, ambulance transport, and vehicle staging during a mass casualty incident.
Triage Unit Leader
Treatment Unit Leader
Transportation Unit Leader
Staging Area Manager