Multiple Victim Incidents
Multiple Victim Incidents
Multiple Victim Incidents
OBJECTIVES
Describe the key factors of an organized response to multiple victim incidents Recognize the relationship between a normal day to day medical aid call, expanded into a multiple victim incident, expanded into a mass casualty incident Understand the major incident command components of a multiple victim incident
MVI DEFINED
A multiple victim incident is a medical emergency which exceeds normal first response capabilities and is severe enough to require the use of a streamlined mode of operation to assure proper patient treatment
What are some of the problems that you have encountered on an MVI?
NEED ADDITIONAL RESOURCES Who is responsible for requesting additional manpower and equipment?
TRIAGE PROBLEMS
EMS PROBLEMS
Paramedics performing operational functions instead of treating patients Whos in charge of the scene v.s. whos in charge of the patient
COMMUNICATIONS
TRANSPORTATION
Extended scene-time waiting for ground and air ambulances Ambulances blocking exiting from the scene Split ambulance crews (need to locate to transport)
QUALITY ASSURANCE
Reluctance to admit errors Good old boy (pat yourself on the back syndrome) System improvement accountability
We must use the Incident Command System (ICS) on small incidents in order for it to be useful on large incidents
What is the difference between a Multiple Victim Incident (MVI) and a Mass-Casualty Incident?
We have learned from our firefighting experience that if we dont approach a single dwelling house fire, from an incident command point of view, we really mess up the bigger fires
INCIDENT COMMANDER
TRIAGE UNIT LEADER TREATMENT UNIT LEADER MEDICAL COMMUNICATIONS COORDINATOR AMBULANCE MANAGER
INCIDENT COMMANDER
Identify and prioritize problems Assign triage function Determine total number of patients Declare the incident an MVI Request additional resources Assign staging areas Assign and brief staff
TRIAGE PERSONNEL
AMBULANCE MANAGER
Ambulance staging established early Ambulance crews staged with units Supervise patient movement Report time ambulances off-scene
FIRST RESPONDERS
It is essential to the plan that working positions are assigned first This means build from the bottom up If only a few Responders initially arrive onscene, the IC may also be the Triage Unit Leader, and part of the Triage Personnel
PARAMEDICS
Paramedic resources are limited so they should be used for treatment and not managing
TRIAGE PERSONNEL
Are there any questions or comments about the Multiple Victim Incident System?