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    This document provides definitions and guidelines for managing mass casualty situations. It defines a mass casualty incident as one that overwhelms local ambulance and medical resources due to the large number and severity of injuries. It recommends designating an incident as an MCI based on its size, location, or type. Preparations for an MCI include planning, training responders, and ensuring necessary equipment and supplies. The initial response involves alerting responders and organizing the site, with police cordoning off areas, fire services rescuing casualties, and medical services triaging and transporting patients. Hospitals prepare by mobilizing staff, creating space, and sending medical teams to the scene to continue triaging casualties into priority levels based on

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    This document provides definitions and guidelines for managing mass casualty situations. It defines a mass casualty incident as one that overwhelms local ambulance and medical resources due to the large number and severity of injuries. It recommends designating an incident as an MCI based on its size, location, or type. Preparations for an MCI include planning, training responders, and ensuring necessary equipment and supplies. The initial response involves alerting responders and organizing the site, with police cordoning off areas, fire services rescuing casualties, and medical services triaging and transporting patients. Hospitals prepare by mobilizing staff, creating space, and sending medical teams to the scene to continue triaging casualties into priority levels based on

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    334 views16 pages

    Management of Mass Casualties

    Uploaded by

    elobuemmy
    This document provides definitions and guidelines for managing mass casualty situations. It defines a mass casualty incident as one that overwhelms local ambulance and medical resources due to the large number and severity of injuries. It recommends designating an incident as an MCI based on its size, location, or type. Preparations for an MCI include planning, training responders, and ensuring necessary equipment and supplies. The initial response involves alerting responders and organizing the site, with police cordoning off areas, fire services rescuing casualties, and medical services triaging and transporting patients. Hospitals prepare by mobilizing staff, creating space, and sending medical teams to the scene to continue triaging casualties into priority levels based on

    Copyright:

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    of 16

    MANAGEMENT OF MASS CASUALTIES

    Disaster, Mass Casualty Incident / Situation, Majority Incident

    Definition of Mass Casualties


    General: Situation where the number of casualties & severity of injuries overwhelms the ambulance or medical resources available for their treatment. Hospital E.D: A disaster exists when: - the number of pts & the severity of injuries are such that normal daily E.D. operations are no longer possible.

    Definition contd
    Hospital ED - the number of patients presenting in a given time period are such that the E.D. can not provide care without assistance

    DESIGNATING AN INCIDENT AS MCS


    Depends on the size, location or type of the incident Greater than normal response required Senior police officer Health service officer Fire service officer

    HAZARDS
    NATURAL

    MAN-MADE

    PREPARATIONS FOR MCS


    Major Incident Procedures Responding Agencies : - POLICE - FIRE SERVICES - MEDICAL SERVICES - ETC

    Preparations
    PLANNING - Participants - Major Incident Procedure - ED & scene response TRAINING - Knowledge, Skills, - Certification, Drills EQUIPMENT/SUPPLIES

    INITIAL RESPONSE
    MCS Alert Standard phrases: MAJOR INCIDENT, STAND BY MAJOR INCIDENT, DECLARED MAJOR INCIDENT, CANCELLED MAJOR INCIDENT, STAND DOWN

    THE RESPONSE
    Site Organization Police-----------------Cordon Fire services--------Casualty rescue Medical Services--Triage, Medical Teams, Ambulance transport to hospitals

    INITIAL RESPONSE Hospital E.D.


    Preparations
    COORDINATION medical, nurse, administrator MOBILISE STAFF CREATE SPACE, E.D, Wards MEDICAL TEAMS P1, P2, P3 TRIAGE - labels BLOOD & OTHER MEDICAL SUPPORT MEDICAL TEAM TO SCENE

    TRIAGE
    Sorting of casualties into specific care categories depending on the number & severity of injuries & the resources available at that point in time. Management of casualties is prioritized

    Triage Concept

    DO THE GREATEST FOR THE GREATEST NUMBER OF PATIENTS

    TRIAGE
    Use the ABCDEs of care Who needs care immediately Who can wait for care Who is so severely injured that under the circumstances treatment is futile
    The most salvageable patients are managed first, then later those least likely to survive.

    TRIAGE PRIORITIES
    Priority Color Code Category of the Casualty
    Immediate, Life- threatening injury Delayed, Can For 1-2 Hrs Or More Minimal/Ambulatory, Can Wait For Many Hrs Expected To Die

    P1
    P2

    RED
    YELLOW

    P3

    GREEN
    GREY Or BLACK

    Re-evaluate the casualties: triage is continuous, not discrete.

    Other Issues
    RELATIVES MEDIA VIP visits STAND DOWN DEBRIEFING / THE AFTERMATH

    THANK YOU FOR YOR ATTENTION

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