Professional Documents
Culture Documents
Incident
Preparation for
EMS
Chronology of a Disaster
Incident with multiple casualties reported to CCE
Central Dispatch
Flow Chart
Law
Law
911
911
Call
Call
Fire
Fire
EMS
EMS
Incident
Incident
Command
Command
Size-up
Size-up
Activate
Activate
Mass
Mass
Casualty
Casualty
Plan
Plan
Establish
Establish
Command
Command
Post
Post
Central
Central
Dispatch
Dispatch
Chronology (continued)
Ambulance
Ambulance
Staging
Staging
EMS Ground
155.295 VHF
Helicopter
Helicopter
EMS
Ground
Establish
Establish
Command
Command
Post
Post
EMS
EMS
Command
Command
Central
Central
Dispatch
Dispatch
Transport
Transport
Alternate
Alternate
Activate
Activate
Hospital
Hospital
Emergency
Emergency
Plan
Plan
Alert
Alert
Nearest
Nearest
Hospital
Hospital
Victim
Victim
Collection
Collection
Area
Area
Triage
Triage
On-scene
On-scene
Treatment
Treatment
K
K
Medical
Medical
Control
Control
155.340 VHF
HERN
TX or 800Mghz
Notify
Notify
Area
Area
Hospitals
Hospitals
Notify
Notify
EMC
EMC
Activate
Activate
Hospital
Hospital
Emergency
Emergency
Plan
Plan
Activate
Activate
EOC
EOC
Determine
Determine
Capacity
Capacity
PIO
PIO
Emergency
Emergency
Declaration
Declaration
State
State
EOC
EOC
Tracking
Tracking
Additional
Resources
EMS RESPONSE
First arriving unit:
Senior EMS responder
assumes Command role
EMS RESPONSE
First arriving Unit:
Second EMS responder
assigned role of Triage
Officer
- Put on Triage Officer Vest
- Triage and tag victims
- Use MFR or medically trained
volunteers
EMS RESPONSE
Second Arriving Unit:
Third EMS person assigned role of
transportation officer
- Put on Transportation Officer
vest
- Establish communications with
Medical Control Hospital via
HERN on 155.340
- Establish communications with
staging on EMS Ground 155.295
- Strip rig of gear for use at victim
collection point
EMS Response
Second arriving Unit:
Fourth EMS responder
assigned role of Treatment
Officer
- Put on Treatment Officer vest
- Supervise establishment of
victim collection area
- Supervise treatment of
victims in collection area
Ambulance
Ambulance
Staging
Staging
EMS Ground
155.295 VHF
Helicopter
Helicopter
EMS
Ground
Establish
Establish
Command
Command
Post
Post
EMS
EMS
Command
Command
Central
Central
Dispatch
Dispatch
Transport
Transport
Alternate
Alternate
Activate
Activate
Hospital
Hospital
Emergency
Emergency
Plan
Plan
Alert
Alert
Nearest
Nearest
Hospital
Hospital
Victim
Victim
Collection
Collection
Area
Area
Triage
Triage
On-scene
On-scene
Treatment
Treatment
K
K
Medical
Medical
Control
Control
155.340 VHF
HERN
TX or 800Mghz
Notify
Notify
Area
Area
Hospitals
Hospitals
Notify
Notify
EMC
EMC
Activate
Activate
Hospital
Hospital
Emergency
Emergency
Plan
Plan
Activate
Activate
EOC
EOC
Determine
Determine
Capacity
Capacity
PIO
PIO
Emergency
Emergency
Declaration
Declaration
State
State
EOC
EOC
Tracking
Tracking
Additional
Resources
Coordination
Treatment Officer advises
Transportation Officer when
victim ready for transport.
Staging sends ambulance and
load patient
Treatment Officer advises
Medical Control of patients
Priority
Chief complaint
Gender and age
Coordination (continued)
Transportation Officer
verbally advises ambulance
of destination
Ambulance transports patient
observing radio silence
unless en-route emergency
Ambulance monitors HERN
on 155.340
Once patient delivered,
ambulance returns to Staging
for re-assignment
NMH
NMH
Treatment
Treatment
Transfer
Transfer
To Other
To Other
Facility
Facility
CAH
CAH
Morgue
Morgue
CMH
CMH
Otsego
Otsego
Munson
Munson
Straits
Straits
Staging
Staging area established by
IC with advice from Medical
Command
CCE notified of Staging
Location
Staging and Transportation
communicate on freg.155.295
Assets and Resources are
dispersed
General Considerations
Agency Responses
Police
Fire
EMS
Command Responsibility
Initial Agency on Scene
Multiple Disciplines
Unified Command
Communication
Obstacles
Terrain
Different Frequencies
Overloaded channels
Hospital
Medical Control
Patient Routing
Transportation Officer
Staging Officer
Things to Remember
Maintain strict radio procedures
Enroute communications must
be limited to urgent matters only
Transport patients in adequate
vehicles
Transport patients with
adequate escort staff
Maintain a log of all Patients
(PCR)
IN REVIEW
Flow Chart
Law
Law
911
911
Call
Call
Fire
Fire
EMS
EMS
Incident
Incident
Command
Command
Size-up
Size-up
Activate
Activate
Mass
Mass
Casualty
Casualty
Plan
Plan
Establish
Establish
Command
Command
Post
Post
Central
Central
Dispatch
Dispatch
Ambulance
Ambulance
Staging
Staging
EMS Ground
155.295 VHF
Helicopter
Helicopter
EMS
Ground
Establish
Establish
Command
Command
Post
Post
EMS
EMS
Command
Command
Central
Central
Dispatch
Dispatch
Transport
Transport
Alternate
Alternate
Activate
Activate
Hospital
Hospital
Emergency
Emergency
Plan
Plan
Alert
Alert
Nearest
Nearest
Hospital
Hospital
Victim
Victim
Collection
Collection
Area
Area
Triage
Triage
On-scene
On-scene
Treatment
Treatment
K
K
Medical
Medical
Control
Control
155.340 VHF
HERN
TX or 800Mghz
Notify
Notify
Area
Area
Hospitals
Hospitals
Notify
Notify
EMC
EMC
Activate
Activate
Hospital
Hospital
Emergency
Emergency
Plan
Plan
Activate
Activate
EOC
EOC
Determine
Determine
Capacity
Capacity
PIO
PIO
Emergency
Emergency
Declaration
Declaration
State
State
EOC
EOC
Tracking
Tracking
Additional
Resources
NMH
NMH
Treatment
Treatment
Transfer
Transfer
To Other
To Other
Facility
Facility
CAH
CAH
Morgue
Morgue
CMH
CMH
Otsego
Otsego
Munson
Munson
Straits
Straits
QUESTIONS?