Incident Management
A system implemented to manage disasters and mass-casualty incidents in which section chiefs, including finance/administration, logistics, operations, and planning report to the incident commander.
What is the incident command system?
A command system used in larger incidents in which there is a multiagency response or multiple jurisdictions are involved
What is a unified command system?
In incident command, the position that carries out the orders of the commander to help resolve the incident.
What is the operations section?
In incident command, the person who keeps the public informed and relates any information to the media.
Who is the public information officer (PIO)?
Signs & Symptoms of Nerve Agent Exposure
What is: SLUDGEM
In incident command, the person in charge of the transportation sector in an MCI who assigns patients from the treatment area to waiting ambulances in the transportation area.
Who is the transportation supervisor?
What triage category would they be: 19 years old. Found walking around scene trying to help others. Minor bruising to head and extremities.
Respiratory rate 16
Strong radial pulse
Follows commands
Green (walking wounded)
An incident in which hazardous material is no longer properly contained and isolated.
What is a hazardous materials incident?
3 factors that help protect you from radiation exposure?
What is: Time, Distance, Sheilding
An agreement between neighboring EMS systems to respond to mass-casualty incidents or disasters in each other's region when local resources are insufficient to handle the response.
What is mutual aid response?
The position that oversees the incident; establishes the objectives and priorities, and develops a response plan.
What is command?
In incident command, the position in an incident responsible for accounting of all expenditures.
What is finance/administration?
An area designated by the incident commander in which public information officers from multiple agencies distribute information about the incident.
What is the joint information center(JIC)?
Chemical Agent that affects the pulmonary system causing a delayed reaction of pulmonary edema and has the smell of cut grass
What is Phosgene.
Who is the triage supervisor?
What triage category would this patient be:
patient has chest pain, SOB, slurred speech, right sided weakness, A&Ox1,
respiratory rate is 24, strong radial pulse
Immediate (RED)
A widespread event that disrupts community resources and functions, in turn threatening public safety, citizens lives, and property.
What is a disaster?
The Type of Blast Injury that includes injury to the body following a blast from shrapnel or flying debris propelled by the explosion
When individual units or different organizations make independent and often inefficient decisions about the next appropriate action.
What is freelancing?
The key problem in many MCIs
What is: communication
An oral or written plan stating general objectives reflecting the overall strategy for managing an incident.
What is an incident action plan?
In incident command, the person who monitors the scene for conditions or operations that may present a hazard to responders and patients.
Who is the safety officer?
What is the treatment for organophosphate poisoning?
DuoDote Auto-Injectors Atropine (2.1 mg) and 2-PAM (Pralidoxime Chloride – 600 mg)
In incident command, the person appointed to determine the type of equipment and resources needed for a situation involving extrication or special rescue; also called the rescue officer.
Who is the extrication supervisor?
What would you triage: patient has blood in the nose, mouth and ears and isn't breathing. when you
open the airway, the patient begins to breathe with a respiratory rate of 10
Red (immediate)
An incident that depletes or strains the resources available for a system
What is: a multiple-casualty incident
What level of PPE provides protection including the use of non permeable clothing and eye protection and HEPA filtration makes (Hint: PPE level decreases from A—>Z)
Level C PPE
A department of Homeland Security system designed to enable federal, state, and local governments and private-sector and nongovernmental organizations to effectively and efficiently prepare for, prevent, respond to, and recover from domestic incidents.
What is the National Incident Management System (NIMS)?
The individual who has overall command of the incident in the field.
Who is the Incident commander?
In incident command, the position that helps procure and stockpile equipment and supplies during an incident.
What is the logistics section?
Besides the incident commander, this officer has the authority to stop an emergency operation whenever a rescuer is in danger.
Who is the safety officer?
What should you be doing during the Scene Size Up?
What is assess the potential hazards using PENMAN.
Good questions to ask yourself include: What do I have, what resources do I need, and what do I need to do,
In incident command, the person, usually a physician, who is in charge of and directs EMS providers at the treatment area in a mass-casualty incident.
Who is the treatment supervisor?
A sorting system for pediatric patients younger than 8 years or weighing less than 100 pounds. There is a minor adaptation for infants because they cannot ambulate on their own.
What is Jump START triage?
An area set up by physicians, nurses, and other hospital staff near a major disaster scene where patients can receive further triage and medical care.
What is a casualty collection area?
Any substance that is toxic, poisonous, radioactive, flammable, or explosive and causes injury or death with exposures.
What is a hazardous material?
In incident command, the subordinate positions under the commander's direction to which the workload is distributed. (Hint: this is defined as a number between 3 & 7 subordinates)
What is span of control?
The process of directing responders to return to their facilities when work at a disaster or MCI has finished, at least for those particular responders.
What is demobiliztion?
In incident command, the position that ultimately produces a plan to resolve any incident.
What is the planning section?
In incident command, the person who relays information, concerns, and requests among responding agencies.
Who is the liaison officer?
Collateral injuries such as burns, crush injuries, toxic inhalation that occur after a Blaast
What: is Quaternary Blast Injury
In incident command, the person who locates an area to stage equipment and personnel and tracks unit arrival and deployment from the staging area.
Who is the staging supervisor?
7 year old. Found with bilateral leg fractures.
Unresponsive
Patient is apneic, does not start breathing when airway manually opened.
Patient has a pulse but does not start breathing spontaneously after ventilations
Black
What metabolic agent is a colorless gas produced by industrial processing can cause a patient to experience SOB despite having a high pulse oximetry reading?
What is Cyanide
What Toxicity level would include materials that can cause temporary damage or residual injury unless prompt medical treatment is provided (Hint: remember the greater the number teh greater the toxicity)