Mass casualty incident

Background

Mass Casualty Incident (MCI) defined as an incident where the number of patients (or the rate of their arrival to a medical facility) overwhelms local resources (and the ability to immediately supplement them).[1][2]

Radiation exposure (disaster)
Dirty bomb
Bioterrorism
Chemical weapons
Mass shooting
Natural Disaster (e.g. Hurricane, Earthquake, Tornado, Tsunami, etc)
Unintentional large-scale incident (e.g. building collapse, train derailment, etc)
Major pandemic
Explosions

ICS Organization Structure

An Incident Command System (ICS) is designed to allow for coordination of response to an MCI by providing for an integrated organizational/command structure[3]
- ICS has been in use since the 1970's.
- Designed to expand or contract in size in response to scope of incident.
After the September 11, 2001 terrorist attacks, the Department of Homeland Security proposed the National Incident Management System (NIMS) in response to perceived deficiencies in coordination between emergency responders.[4]
- NIMS mandates the use of ICS in the United States for MCI response[3]

Briggs SM. Disaster management teams. Curr Opin Crit Care. 2005 Dec;11(6):585-9.
Lee JS, Franc JM. Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident. Prehosp Disaster Med. 2015 Jun 24:1-7.
FEMA IS 0100.b - Introduction to the Incident Command System (ICS), Student Manual. http://training.fema.gov/emiweb/is/is100b/student%20manual/02ics100b_sm_october2013.pdf. Accessed 07/24/2015.
Jensen J, Youngs G. Explaining implementation behaviour of the National Incident Management System (NIMS). Disasters. 2015 Apr;39(2):362-88. doi: 10.1111/disa.12103.

This article is issued from Wikem. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.