Renton Fire & Emergency Services MCI Training

Review the ICS system

Realize the need for each member to know ICS

Understand how ICS will help the efficiency and effectiveness of response

Understand how ICS relates to MCI operations

Responsibilities of Command

Functions of Command

Communication

Developing a Tactical Worksheet

Organizational Structure: (Getting Good at Drawing Boxes)

When Command

When Operations

When Groups/Division

Who fills the Box?

Initial Response

ICLt. / Capt.

Medical Group

FF

Fire Control GroupDriver/FF

TriageFF

Reinforced Response: A

ICBC/SO

Medical Group

FF

Fire Control GroupLt. / Capt.

Extrication GroupLt. / Capt.

FF

FF

Lt.

FF

FF

FF

Triage

FF

Treatment

FF

FF

Reinforced Response: B

ICBC/SO

Medical Group

FF

Fire Control GroupLt. / Capt.

Extrication GroupLt. / Capt.

Med

Lt.

FF

FF

FF

Triage

FF

Treatment

FF

FF

Staging AreaLt. / Capt.

Safety

BC/SO

FF

FF

Med

Transfer of Command

Incident Conditions

Tactical Work Sheet

Progress

Safety Considerations

Status of Assigned Resources

Additional Needs

King County MCI

Monthly Incidents

Objectives

Relate KC MCI plan more appropriately to calls we see frequently

Rank vs Boxes

Active vs Passive Response

Role Play Scenarios

Frustrations!

So many plans-what to do?

Is this an MCI?

Can I declare an MCI?

?????????

Organizational Positions

Incident Commander

Medical Group Supervisor

Triage

Treatment

Transport

Incident Commander

Responsibilities

Size-up

360/scene survey

Establish command

Request resources/declare MCI

Manage resources/staging

Accountability

Safety

Incident Commander

Simply Put…

Stabilize the Scene

Stabilize the Vehicles

Stabilize the Patients

Medical Group Supervisor (MGS)

Responsibilities

3 T’s

Request Resources from IC

Manage Resources

Accountability

Safety

Triage

Responsibilities

Initial Triage Numbers

Flag, Tag, and Number

Request Resources

Manage Resources Harvesters

Coordinate with Treatment / Extrication

Re-triage

Safety

Triage

Determining Patient Color

START TriageAirway

Respirations >30

Absence of Radial Pulse

Unconscious / Unable to Obey Commands

Color Based on Mechanism

Treatment

Responsibilities

Establish / Announce Treatment Area Use Colored Tarps!!!!

Request Resources

Manage Resources

Coordinate with Transportation

Re-triage

Document

Safety

Transportation

Responsibilities

Ensure Adequate Resources

Establish Transport Corridor EARLY

Activate Hospital Control

Manage Resources

Document

Safety

Other Common Groups

Fire Control / Vehicle Stabilization

Extrication

Harvesters

FF’s-Which Box is YOURS?

IC

MGS Triage Treatment Transportation

The Truth!

Any member may be IC!

Any member may be MGS!

Any member may be Triage!

Any member may be Treatment!

Any member may be Transportation!

NEWSFLASH!!!

Your BOX may trump RANK

What If…….

What if I don’t do IC?

What if I don’t perform Triage right away?

What if I don’t declare MCI/need for resources?

What if I don’t establish a transport corridor?

Supplies

What’s in your belt?

Cell phone

Active vs Passive—It’s up to You

No knowledge = Passive

Knowledge = Active

No Practice = Passive

Practice = Active

Scenarios