EMS Systems. The Realm

Size: px
Start display at page:

Download "EMS Systems. The Realm"

Transcription

1 EMS Systems The Realm And a certain Samaritan... going up to him bound up his wounds, pouring in oil and wine; and setting him upon his own beast, brought him to an inn and took care of him." Luke 10:33-34

2 A System Contains several areas of function! Maybe a complete realm? Where do you fit? Is there an unimportant position? Are you just a first responder? Where to begin young Jedi?

3 Who are we Medical Fire Ambulance/EMS Rescue First Responder Public Works Utilities Local Government Others as needed

4 Emergency Medical System Medical Direction Emergency Medical Service Anyone working under the authority of Record keeping Training Legal Hospital Emergency Department & physicians Others

5 Where do we fit in Medical First Responders Medical direction Local authority EMS

6 Requirements Level and Scope of training Set by state standards and local medical direction Annual training Renewal of licensure every two years

7 EMS operations Team effort

8 Safety and preparation SOP s s and SOG s Personal safety PPE Scene safety Personal training Equipment and supplies Vehicles ready

9 Incident operations Dispatch and location of incident Proper communications Appropriate response Only necessary resources Safe response On scene Size up and organization Managing patients and resources

10 Dispatch How are you notified Knowledge of how communications works Proper communication skills Common terminology Effective use of communication system How many others will be using the system Location of incident

11 Scene operations Size-up What do I have and what do I need to handle it Call for additional resources early Early organization If you don t t control scene it will control you NIMS/ICS Command center if necessary How are resources deployed Assign groups, keep groups intact Scene priorities Life safety Property conversation Life safety Rescuers Bystanders Patients Hazards Existing and potential

12 Scene size-up Notable hazards Existing and potential Personal protection Level of protection to level of threat Blood borne Infectious diseases Number of patients One critical = one EMS unit Additional resources

13 Rescue Responsibilities What do you do? Removing patients Homes Vehicular Fires Confined spaces Collapses Others

14 How to we get them out? Training and experience Get help

15 Specialized rescue What type of training is needed? Where to get the help

16 Vehicle crashes Common incident Can be challenging Knowledge for rescuing Access to patients Positions of vehicle Types of collisions Stabilization Extrication and safety zones Scene organization

17 Hazards Adverse conditions Weather: rains/floods, freezing, hot, storms Electrical Atmosphere: toxic, low O2, hot Haz Mat Violence Collapse Explosive Traffic Fire

18 Hazardous materials Motor freight, common carrier, rail, facilities Indentify product DOT/ERG Chemtrec Shipping company Shipping papers Placards and labels Product characteristics PPE Training Scene organization Containment Hot zone Warm zone Cold zone Patients needs Decon Patient transportation

19 Aero medical Need for helicopter Critical patients Golden hour Scene operations LZ night and day LZ description Security Communication In serious cases rapid air transportation may be necessary. Emergency personnel on scene have the authority to call for air medical transport. Keeping in mind the Golden Hour, time of injury to time of definitive treatment at a trauma center and the need for the most efficient means of transport available. Scene prep is important for safety and ground operations. Day time area is a minimum 100 x100, night 125 x125. Watch for overhead obstacles, weather and wind direction. Secure the scene letting no one enter who is not directly involved with handling the patient. Communication to the aircraft should be done by only once designated person on a common radio frequency. Directions to the landing zone and conditions should be given and the site prepared by clearing for all debris that can be moved by the rotor down wash.

20 Mass casualty How many patients What is needed Triage Staging area Who goes first Types of systems When the amount of patients exceeds the normal operating capacity of the local EMS a mass casualty incident should be called according to local standards. Early on it must be determined how much resources must be called to treat and transport patients. Patients are arranged, or sorted, according to the seriousness of the injury or condition, Triage, and transported in order accounting for who is being sent out and to where. A staging area assembles resources not immediately needed but quickly accessible. Several triage systems are available, use what is according to local protocol. Remember, triage is an ongoing process just as assessment, as patient needs change according to a reassessment the priority of transport will also change.

21 EMS Operations Local service Medical director Protocols Guidelines Documentation NIMS/ICS A system of operating is necessary for efficient and safe operating. The local ambulance service and its medical director are responsible for establishing the standards of patient care for the local responders, These can be available through protocols and guide lines from the local service. Reporting is just as important and any other part of the system. It provides accountability of the patients condition, use of equipment, personnel activities, and statistical information. Organization during incidents at different locations, command post, as well on the operations scene should be done through an organized incident command system.

22 Local EMS report Example of a typical patient care report for medical responders. It identifies the patient, what the chief complaint is, vital signs, condition at time of examination, what was done for the patient, and progressive condition. These reports become part of the patient care record and are sent to the local service for filing. These reports are confidential and must be keep in a protected place accessible only to the patient or personnel directly responsible for patient care on request with proper authorization.

23 Communications Type used by your organization Familiar with its use Effective Terminology Interactive with other departments/agencies Specialized use

24 Types of Communication Face to face Telephone/Cell Radio Signals Codes Communication is essential for all incidents large or small and it must be properly used and applied. Several types are listed here. Radio usage is the most common at incidents where distant is involved. However it is the most commonly misused. Over use by high volumes of lengthy traffic, unfamiliarity of how the system works, unfamiliar controls, different frequencies among responding agencies, and use of slang or unfamiliar codes. Open plan English is the most preferred form of speech, everyone must know and understand what is said and intended. When a request or command is given it should be repeated back to the one issuing the command.

25 NIMS/ICS Someone must take charge What does it means to be in charge How to you use it to manage the incident Expandable tool for any incident Common terminology Everyone knows who to work under Maintains accountability and span of control

26 ICS/NIMS Must have system for managing an incident Can be used for all incidents Grows in size with incident Who is in charge System for managing incidents Maintains accountability Common terminology Communication skills

27 What does it take to make it work Time Getting it there when it means the most Safety Teamwork Competency Knowledge

28 Continuing Education When will it ever stop? As long as you do this it won t! Changes Experiences Methods Requirements Renewals

29 Remember we are all part of a system intended to deliver emergency care to the community that includes all public safety personnel and organizations; the EMS or Emergency Medical System. Each organization has its own responsibility and method of operating. EMS, or Emergency Medical Service, ambulance service is primarily responsible for rendering medical care to patients on the scene and in transport to a hospital. Included in this are medical first responders, formerly first responders. They are part of the local ambulance service, respond to and care for patients under its authority. Standards of local care and protocols are set, determined, and authorized by the EMS medical director. All medical responders work under theses license. All aspects of the system work toward its implementation, operating, reporting, safety, and medical care.

Mass Casualty Incident (MCI)

Mass Casualty Incident (MCI) Mass Casualty Incident (MCI) This Mass Casualty Incident (MCI) procedure is to be used for any incident when the number of injured exceed the capabilities of the first arriving units to efficiently triage,

More information

Chelan & Douglas County Mass Casualty Incident Management Plan

Chelan & Douglas County Mass Casualty Incident Management Plan Chelan & Douglas County Mass Casualty Incident Management Plan Updated 6/2016 1.0 Purpose 2.0 Scope 3.0 Definitions 4.0 MCI Management Principles 4.1 MCI Emergency Response Standards 4.2 MCI START System

More information

OKALOOSA COUNTY EMERGENCY MEDICAL SERVICES STANDARD OPERATING PROCEDURE Medical Incident Command Policy:

OKALOOSA COUNTY EMERGENCY MEDICAL SERVICES STANDARD OPERATING PROCEDURE Medical Incident Command Policy: Title: Medical Incident Command Policy: 429.00 Purpose: Policy: This standard operating procedure (SOP) identifies the procedure to be employed when establishing EMS Command. It also designates responsibility

More information

ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES

ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES R SUBJECT: ARLINGTON COUNTY FIRE DEPARTMENT STANDARD OPERATING PROCEDURES Rescue Task Force Response SOP# A.* * /Cat * Initiated APPROVED: James Schw artz Fire Chief Revised A. PURPOSE To establish policies

More information

ESCAMBIA COUNTY FIRE-RESCUE

ESCAMBIA COUNTY FIRE-RESCUE Patrick T Grace, Fire Chief Page 1 of 7 PURPOSE: To create a standard of operation to which all members of Escambia County Public Safety will operate at the scene of incidents involving a mass shooting

More information

Emergency Care 1/11/17. Topics. Hazardous Materials. Hazardous Materials Multiple-Casualty Incidents CHAPTER

Emergency Care 1/11/17. Topics. Hazardous Materials. Hazardous Materials Multiple-Casualty Incidents CHAPTER Emergency Care THIRTEENTH EDITION CHAPTER 37 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management Topics Hazardous Materials Multiple-Casualty Incidents Hazardous Materials 1 Hazardous

More information

Active Shooter Guideline

Active Shooter Guideline 1. Purpose: This procedure establishes guidelines for Monterey County Public Safety Personnel who respond to Active Shooter Incidents (ASI). The goal is to provide effective rescue and treatment procedures,

More information

Palm Beach County Fire Rescue Standard Operating Guideline

Palm Beach County Fire Rescue Standard Operating Guideline Palm Beach County Fire Rescue Standard Operating Guideline Operational Procedure for the Protective Element Medical Team Effective Date /DRAFT Revised Date DRAFT SCOPE: PURPOSE: AUTHORITY: This guideline

More information

LAKE VALLEY FIRE PROTECTION DISTRICT JOB DESCRIPTION Apprentice Firefighter/Paramedic

LAKE VALLEY FIRE PROTECTION DISTRICT JOB DESCRIPTION Apprentice Firefighter/Paramedic LAKE VALLEY FIRE PROTECTION DISTRICT JOB DESCRIPTION Apprentice Firefighter/Paramedic Nature of Agency The is a local government agency created and operated pursuant to California State Law; by the Fire

More information

MASS CASUALTY INCIDENT S.O.P January 15, 2006 Page 1 of 13

MASS CASUALTY INCIDENT S.O.P January 15, 2006 Page 1 of 13 January 15, 2006 Page 1 of 13 INTRODUCTION This plan establishes a standard structure and guidelines for the management of fire and E.M.S. Operations in a multi-casualty emergency medical situation. This

More information

Oswego County EMS. Multiple-Casualty Incident Plan

Oswego County EMS. Multiple-Casualty Incident Plan Oswego County EMS Multiple-Casualty Incident Plan Revised December 2013 IF this is an actual MCI THEN go directly to the checklist section on page 14. 2 Index 1. Purpose 4 2. Objectives 4 3. Responsibilities

More information

Resource classification Personnel. 6 NIMS (3 of 3) Major NIMS components: Command and management

Resource classification Personnel. 6 NIMS (3 of 3) Major NIMS components: Command and management 1 Chapter 38 Incident Management and Triage 2 Incident Command System (1 of 2) ICS=An organized approach for dealing with operations. ICS is used to help control, direct, and coordinate resources. It ensures

More information

Incident Command System Awareness Participant Guide May 2016

Incident Command System Awareness Participant Guide May 2016 Incident Command System Awareness Participant Guide May 2016 Copyright 2016 Midwest Consortium for Hazardous Waste Worker Training Acknowledgments The Midwest Consortium developed this course for Hazardous

More information

Active Violence and Mass Casualty Terrorist Incidents

Active Violence and Mass Casualty Terrorist Incidents Position Statement Active Violence and Mass Casualty Terrorist Incidents The threat of terrorism, specifically active shooter and complex coordinated attacks, is a concern for the fire and emergency service.

More information

COMMAND MCI PROCEDURE FOG #1

COMMAND MCI PROCEDURE FOG #1 COMMAND MCI PROCEDURE FOG #1 Don the appropriate vest and use the radio designation COMMAND. Establish the Command Post in a safe, visible and fixed location uphill and upwind. Consider assigning an aide.

More information

San Diego Operational Area. Policy # 9A Effective Date: 9/1/14 Pages 8. Active Shooter / MCI (AS/MCI) PURPOSE

San Diego Operational Area. Policy # 9A Effective Date: 9/1/14 Pages 8. Active Shooter / MCI (AS/MCI) PURPOSE PURPOSE The intent of this Policy is to provide direction for performance of the correct intervention, at the correct time, in order to stabilize and prevent death from readily treatable injuries in the

More information

Cumru Township Fire Department 4/27/2010 Standard Operating Guidelines Page: 1 of 13 Section 15.02

Cumru Township Fire Department 4/27/2010 Standard Operating Guidelines Page: 1 of 13 Section 15.02 Standard Operating Guidelines Page: 1 of 13 15.0201 Preparing for the response: A. Personnel shall don protective clothing in the fire station. B. Apparatus Operators shall know location of incident before

More information

FIRE TACTICS AND PROCEDURES HAZARDOUS MATERIALS 12 October 19, 2005 TECHNICAL DECONTAMINATION TASK FORCES 1. INTRODUCTION

FIRE TACTICS AND PROCEDURES HAZARDOUS MATERIALS 12 October 19, 2005 TECHNICAL DECONTAMINATION TASK FORCES 1. INTRODUCTION FIRE TACTICS AND PROCEDURES October 19, 2005 1. INTRODUCTION 1.1 The grouping of several companies into a task force enables an Incident Commander to quickly deploy several units to address a specific

More information

SAN LUIS OBISPO CITY FIRE EMERGENCY OPERATIONS MANUAL E.O MULTI-CASUALTY INCIDENTS Revised: 8/14/2015 Page 1 of 10. Purpose.

SAN LUIS OBISPO CITY FIRE EMERGENCY OPERATIONS MANUAL E.O MULTI-CASUALTY INCIDENTS Revised: 8/14/2015 Page 1 of 10. Purpose. Revised: 8/14/2015 Page 1 of 10 Purpose The establishment of these procedures is designed to provide an organized, coordinated and expandable resource management approach to be utilized by the numerous

More information

NOTIFICATION, RESPONSE, AND ON-SCENE

NOTIFICATION, RESPONSE, AND ON-SCENE DAYTON MMRS RESCUE TASK FORCE (RTF): NOTIFICATION, RESPONSE, AND ON-SCENE BY DAYTON MMRS MUMBAI COMMITTEE Chief Jacob King, WPAFB FD CONFIDENTIAL - FOUO Presentation is CONFIDENTIAL (nonclassified) and

More information

San Joaquin County Emergency Medical Services Agency. Active Threat Plan

San Joaquin County Emergency Medical Services Agency. Active Threat Plan San Joaquin County Emergency Medical Services Agency Active Threat Plan An Integrated Response for Law Enforcement and Multi-Casualty Branch Operations Page 1 of 13 Acknowledgments This plan is based on

More information

Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the

Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the April, 2015 Understand the history of school shootings Understand the motivation and similarities regarding school shootings Improve understanding of the planning, training, and equipment required to manage

More information

HAZARDOUS MATERIALS EMERGENCY. Awareness Level Response Plan 29 CFR (q) and 40 CFR 311

HAZARDOUS MATERIALS EMERGENCY. Awareness Level Response Plan 29 CFR (q) and 40 CFR 311 HAZARDOUS MATERIALS EMERGENCY Awareness Level Response Plan 29 CFR 1910.120 (q) and 40 CFR 311 This plan addresses health and safety protection for the Med-Care Ambulance Service Prepared By: Chris Moretto

More information

INCIDENT COMMAND STANDARD OPERATING GUIDELINE

INCIDENT COMMAND STANDARD OPERATING GUIDELINE INCIDENT COMMAND STANDARD OPERATING GUIDELINE I. Scope This standard establishes guidelines for the management of fire and rescue incidents. II. General A. It shall be the policy to implement the incident

More information

Incident title: Prison fire

Incident title: Prison fire Incident title: Prison fire Reporter Incident location Dr. Patricio Cortés Picazo Director EMS SAMU Metropolitano Santiago de Chile 2010-2013 Emergency Medical Services SAMU Metropolitano Santiago de Chile

More information

Town of Brookfield, Connecticut Mass Casualty Incident Plan

Town of Brookfield, Connecticut Mass Casualty Incident Plan Town of Brookfield, Connecticut Mass Casualty Incident Plan 1.0 Definition Of Mass Casualty Incident: A Mass Casualty Incident is an incident having multiple patients that would exceed the amount Brookfield

More information

EOC Procedures/Annexes/Checklists

EOC Procedures/Annexes/Checklists Response Recovery Planning Charlotte-Mecklenburg Emergency Management Emergency Operations Plan (EOP) EOC Procedures/Annexes/Checklists Charlotte Mecklenburg Emergency Management Emergency Operations Plan

More information

BURLINGTON COUNTY TECHNICAL RESCUE TASK FORCE OPERATING MANUAL

BURLINGTON COUNTY TECHNICAL RESCUE TASK FORCE OPERATING MANUAL BURLINGTON COUNTY TECHNICAL RESCUE TASK FORCE OPERATING MANUAL 1 I. Burlington County Technical Rescue Task Force Mission Statement The Mission of the Burlington County Technical Rescue Task Force shall

More information

NFPA 1001 Text from 2008 Edition

NFPA 1001 Text from 2008 Edition NFPA 1001 Text from 2008 Edition 5.3.3* Establish and operate in work areas at emergency scenes, given protective equipment, traffic and scene control devices, structure fire and roadway emergency scenes,

More information

THE INCIDENT COMMAND SYSTEM FOR PUBLIC HEALTH DISASTER RESPONDERS

THE INCIDENT COMMAND SYSTEM FOR PUBLIC HEALTH DISASTER RESPONDERS THE INCIDENT COMMAND SYSTEM FOR PUBLIC HEALTH DISASTER RESPONDERS by Walter G. Green III, Ph.D., CEM Assistant Professor of Emergency Management University of Richmond A Paper Presented At The August 2002

More information

MANDAN FIRE DEPARTMENT STANDARD OPERATION PROCEDURES

MANDAN FIRE DEPARTMENT STANDARD OPERATION PROCEDURES GENERAL ORDER # 105.03 DATE: September 18, 1998 Incident Command System 1 of 22 OBJECTIVE: To establish a procedure that will provide for a uniform Incident Management System. SCOPE: The Incident Command

More information

Evansdale Fire Rescue Position Description

Evansdale Fire Rescue Position Description Evansdale Fire Rescue Position Description Emergency Medical Service Paramedic Captain Full-time Description Number: EMT17 Revision: - 01/05/2017 Effective Date: 01/05/2017 This document shall supersede

More information

Essex County Fire. Standard Operating Guideline

Essex County Fire. Standard Operating Guideline Essex County Fire Standard Operating Guideline Category: Emergency Operations SOG # 603.00 Issued by: ECFCA Issued on: 12.10.2008 Revised by: Training Division Revised on: Page 1 of 6 REVISION # RAPID

More information

South Central Region EMS & Trauma Care Council Patient Care Procedures

South Central Region EMS & Trauma Care Council Patient Care Procedures South Central Region EMS & Trauma Care Council Patient Care s Table of Contents PCP #1 Dispatch PCP #2 Response Times PCP #3 Triage and Transport PCP #4 Inter-Facility Transfer PCP #5 Medical Command at

More information

Jackson Hole Fire/EMS Operations Manual

Jackson Hole Fire/EMS Operations Manual Jackson Hole Fire/EMS Operations Manual Approved by: Title: Mass Casualty Incident Willy Watsabãgh, Chief Plan Division: 20 Approved by: 1,-# Article: 1 Will Sni i,m1mical Director Revised: May 2016 Pages:

More information

Mass Casualty Incident Response Plan

Mass Casualty Incident Response Plan Mass Casualty Incident Response Plan Annex to the Cuyahoga County EOP Revised: 1/2016 Approval This plan was developed in collaboration between the Cuyahoga County Office of Emergency Management and the

More information

The EMS CEU Super Saturday Training Program

The EMS CEU Super Saturday Training Program The Northern Shenandoah Valley Fire Service Organizations Present: The EMS CEU Super Saturday Training Program Date: Time: Location: Course Description: Saturday, April 14 th 0800hrs 1700hrs Skyline High

More information

Model Policy. Active Shooter. Updated: April 2018 PURPOSE

Model Policy. Active Shooter. Updated: April 2018 PURPOSE Model Policy Active Shooter Updated: April 2018 I. PURPOSE Hot Zone: A geographic area, consisting of the immediate incident location, with a direct and immediate threat to personal safety or health. All

More information

THE INCIDENT COMMAND SYSTEM ORGANIZATION

THE INCIDENT COMMAND SYSTEM ORGANIZATION THE INCIDENT COMMAND SYSTEM ORGANIZATION PURPOSE AND SCOPE This unit will help you understand the ICS organization and how it expands and contracts to meet the needs of an incident. The unit will use a

More information

EMS Systems 12/27/ : Accidental Death and Disability: The Neglected Disease of Modern Society

EMS Systems 12/27/ : Accidental Death and Disability: The Neglected Disease of Modern Society s History of E.M.S. Philosophy dates back to WWI and WWII. Korean War used Field Medics and helicopters Early 1960 s EMS care began in US 1966: Accidental Death and Disability: The Neglected Disease of

More information

Palm Beach County Fire Rescue

Palm Beach County Fire Rescue Palm Beach County Fire Rescue MCI Dispatch Protocol Revisions The following packet contains the changes to the MCI Dispatch Protocol along with a brief review of Scene Size Up involving an MCI, Declaration

More information

9 ESF 9 Search and Rescue

9 ESF 9 Search and Rescue 9 ESF 9 Search and Rescue THIS PAGE LEFT BLANK INTENTIONALLY Table of Contents 1 Introduction... 1 1.1 Purpose and Scope... 1 1.2 Relationship to Other ESF Annexes... 1 1.3 Policies and Agreements... 2

More information

Paramedic First Responder Policies and Procedures December 1, 2015

Paramedic First Responder Policies and Procedures December 1, 2015 Emergency Medical Services Division Paramedic First Responder Policies and Procedures December 1, 2015 Kern County Fire Department Station 58 Pine Mountain Club Edward D. Hill EMS Director Kristopher Lyon,

More information

EMERGENCY PREPAREDNESS 2017 Additional information for staff of Children s Hospital of Pittsburgh

EMERGENCY PREPAREDNESS 2017 Additional information for staff of Children s Hospital of Pittsburgh EMERGENCY PREPAREDNESS 2017 Additional information for staff of Children s Hospital of Pittsburgh CHP Emergency Preparedness Program (EPP) Children s Hospital of Pittsburgh of UPMC Emergency Preparedness

More information

Responding to A Radiological Dispersal Device (RDD) Medical Aspects of Response

Responding to A Radiological Dispersal Device (RDD) Medical Aspects of Response Responding to A Radiological Dispersal Device (RDD) Medical Aspects of Response Initial Concerns Who is the radiation accident victim? Is he radioactive? What are the main types of radiation injury/illness?

More information

After Action Report / Improvement Plan

After Action Report / Improvement Plan After Action Report Improvement Plan August 31, 2012 Neptune Township Office of Emergency Management 1 Page ADMINISTRATIVE HANDLING INSTRUCTIONS 1. The title of this document is The "Hazardous Haze - A

More information

Read the scenario below, and refer to it to answer questions 1 through 13.

Read the scenario below, and refer to it to answer questions 1 through 13. Instructions: This test will help you to determine topics in the course with which you are familiar and those that you must pay careful attention to as you complete this Independent Study. When you have

More information

Mercer County Fire Department Junior Firefighter Program 200 Morris Drive Harrodsburg, KY Phone (859) Standard Operating Procedures

Mercer County Fire Department Junior Firefighter Program 200 Morris Drive Harrodsburg, KY Phone (859) Standard Operating Procedures Mercer County Fire Department Junior Firefighter Program 200 Morris Drive Harrodsburg, KY 40330 Phone (859) 734-4688 Standard Operating Procedures This organization shall be known as the Junior Firefighter

More information

New Hampshire Bureau of Emergency Medical Services. EMS in the Warm Zone Active Shooter Best Practice Guide. Version 1.

New Hampshire Bureau of Emergency Medical Services. EMS in the Warm Zone Active Shooter Best Practice Guide. Version 1. 2015 New Hampshire Bureau of Emergency Medical Services EMS in the Warm Zone Active Shooter Best Practice Guide Version 1.0 02/05/2015 1 EMS in the Warm Zone Active shooter events can happen in any community

More information

Kanawha Putnam Emergency Management Plan Functional Annex. (completed by plan authors) Local / County Office of Emergency Management

Kanawha Putnam Emergency Management Plan Functional Annex. (completed by plan authors) Local / County Office of Emergency Management Kanawha Putnam Emergency Management Plan Functional Annex Chemical HazMat Response A16 Coordination: Primary Agency: (completed by plan authors) Local / County Office of Emergency Management Support Agencies:

More information

The 2018 edition is under review and will be available in the near future. G.M. Janowski Associate Provost 21-Mar-18

The 2018 edition is under review and will be available in the near future. G.M. Janowski Associate Provost 21-Mar-18 The 2010 University of Alabama at Birmingham Emergency Operations Plan is not current but is maintained as part of the Compliance Certification for historical purposes. The 2018 edition is under review

More information

CRITICAL INCIDENT MANAGEMENT

CRITICAL INCIDENT MANAGEMENT CRITICAL INCIDENT MANAGEMENT Dr Praveena Ali Principal Medical Officer Ministry of Health Fiji Performance Objectives Describe critical incident characteristics Discuss the characteristics of a mass casualty

More information

BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON ORDINANCE NO.

BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON ORDINANCE NO. BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR MULTNOMAH COUNTY, OREGON ORDINANCE NO. Amending Multnomah County Code Chapter 21 Health 21.400 Emergency Medical Services. (Language stricken is deleted; double

More information

AMBULANCE S ERVICE NHS AMBULANCE SERVICE NATIONAL RESILIENCE

AMBULANCE S ERVICE NHS AMBULANCE SERVICE NATIONAL RESILIENCE E BULANC AM SE RV I C E NHS AMBULANCE SERVICE NATIONAL RESILIENCE Information for Commissioners E BULANC AM WELCOME SE RV I C E WELCOME Preparing for the future, protecting lives today This short booklet

More information

APPARATUS STAGING SOG

APPARATUS STAGING SOG APPARATUS STAGING SOG SCOPE This guideline shall apply to all members of the Stoney Point Fire Department (SPFD) and shall be adhered to by all members. PURPOSE The purpose of this guideline is to establish

More information

NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM

NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM A Component of the National Response Framework Emergency Support Function # 9 July 2011

More information

Vehicle Rescue NFPA 1006, Chapter 10, 2008 Ed. Level II

Vehicle Rescue NFPA 1006, Chapter 10, 2008 Ed. Level II Vehicle Rescue NFPA 1006, Chapter 10, 2008 Ed. Level II Name: Overall Score: Pass Fail Incomplete Class Number: Instructor Signature Skill Number 1 Skill Plan for a Commercial Heavy Vehicle/Machinery NFPA

More information

Assuming Accountability

Assuming Accountability FOUNTAIN OFFICE OF EMERGENCY MANAGEMENT (OEM) COFFEE BREAK TRAINING Coffee Break Training #5 Topic: Putting it all Together Learning Objectives: You are personally ready to follow the ICS principles. Your

More information

Monroe Fire Department

Monroe Fire Department Monroe Fire Department Standard Operating Guidelines Rapid Intervention Team Operations Purpose: This document establishes guidelines for the Rapid Intervention Team (RIT). The City of Monroe Fire Department

More information

Providence Holy Cross Medical Center 2008 Metrolink Train Derailment

Providence Holy Cross Medical Center 2008 Metrolink Train Derailment Providence Holy Cross Medical Center 2008 Metrolink Train Derailment Presented by Melanie Ridgley RN, MICN, PCC Missy Blackstock RN, ED Manager Patricia Aidem Public Information Officer Introduction On

More information

SANTA BARBARA COUNTY

SANTA BARBARA COUNTY SANTA BARBARA COUNTY MULTI-CASUALTY INCIDENT (MCI) RESPONSE PLAN Santa Barbara County Emergency Medical Services Agency Updated August 22, 2013 - i - Santa Barbara County MCI Plan TABLE OF CONTENTS Page

More information

DISASTER MANAGEMENT PLAN

DISASTER MANAGEMENT PLAN DISASTER MANAGEMENT PLAN Purpose This Allen University Disaster Management Plan (AUDMP) will be the basis to establish policies and procedures, which will assure maximum and efficient utilization of all

More information

Gaining Access and Rescue Operations

Gaining Access and Rescue Operations CHAPTER 34 Gaining Access and Rescue Operations Fundamentals of Extrication Role of Non-Rescue EMT B Advocate for patient care Assure patient removed without further injury Vigilant about scene safety

More information

Integrated Operations for HighThreat Incidents. (Rescue Task Force) 1/24/2018. Disclaimers. Are We Paying Attention Yet?

Integrated Operations for HighThreat Incidents. (Rescue Task Force) 1/24/2018. Disclaimers. Are We Paying Attention Yet? Integrated Operations for HighThreat Incidents (Rescue Task Force) Geoffrey L. Shapiro Director, EMS & Operational Medicine Training The George Washington University Committee for Tactical Emergency Casualty

More information

Special Events / Mass Gathering

Special Events / Mass Gathering Special Events / Mass Gathering Emergency Action Plan Information & Event Safety Tips Public safety is an important element of special event planning. The City of Toronto requires that event organizers

More information

Westbrook Fire & Rescue Department Standard Operating Procedure

Westbrook Fire & Rescue Department Standard Operating Procedure 2017-212 Accountability System Westbrook Fire & Rescue Department Standard Operating Procedure Section: Emergency Operations TOPIC: Accountability System NUMBER: 2017-212 ISSUE DATE: April 1, 2000 REVISED

More information

The Israeli Experience

The Israeli Experience E.M.S Response To Terrorism The Israeli Experience GUY CASPI Chief MCI Instructor and Director of Exercises and Operational Training MAGEN DAVID ADOM IN ISRAEL Israel National EMS and Blood Services guyc@mda.org.il

More information

Sierra Sacramento Valley EMS Agency Program Policy. EMT Training Program Approval/Requirements

Sierra Sacramento Valley EMS Agency Program Policy. EMT Training Program Approval/Requirements Sierra Sacramento Valley EMS Agency Program Policy EMT Training Program Approval/Requirements Effective: 07/01/2017 Next Review: As Needed 1002 Approval: Troy M. Falck, MD Medical Director Approval: Victoria

More information

ICS MANUAL CHAPTER 2 EMS OGP March 23, 2006 ICS POSITION DESCRIPTION AND RESPONSIBILITIES

ICS MANUAL CHAPTER 2 EMS OGP March 23, 2006 ICS POSITION DESCRIPTION AND RESPONSIBILITIES ICS MANUAL CHAPTER 2 EMS OGP 112-02 ICS POSITION DESCRIPTION AND RESPONSIBILITIES 1. POSITION DESCRIPTION AND RESPONSIBILITIES 1.1 Incident Command Organization The Incident Command System (ICS) is a combination

More information

STANDARD OPERATING GUIDELINES

STANDARD OPERATING GUIDELINES SFTFR Sherrills Ford-Terrell Fire & Rescue STANDARD OPERATING GUIDELINES Subject: Jr. Firefighter Program Section: Organization Number: 1.1.5 Revision: N/A Date Initiated: 05/23/17 Date Revised: N/A Approved:

More information

Chapter 1 - Introduction to Emergency Medical Care

Chapter 1 - Introduction to Emergency Medical Care Introduction to Emergency 1 OBJECTIVES 1.1 Define key terms introduced in this chapter. Slides 16-18, 26 27, 42 44 1.2 Give an overview of the historical events leading to the development of modern emergency

More information

IVROP JOB SHADOW PROGRAM ORIENTATION

IVROP JOB SHADOW PROGRAM ORIENTATION IVROP JOB SHADOW PROGRAM ORIENTATION Hospital Incident Command System (HICS) Emergency Codes Hospital Emergency Incident Command System Emergency Codes HEICS Emergency Codes These codes are part of the

More information

DELAWARE COUNTY COMPREHENSIVE EMERGENCY MANAGEMENT PLAN RISK REDUCTION

DELAWARE COUNTY COMPREHENSIVE EMERGENCY MANAGEMENT PLAN RISK REDUCTION DELAWARE COUNTY COMPREHENSIVE EMERGENCY MANAGEMENT PLAN Section II RISK REDUCTION A. Designation of County Hazard Mitigation Coordinator 1. The Delaware County Planning Director has been designated by

More information

Annex 8: Lewis County Hazardous Materials Incident Response Plan. Revised July 2013

Annex 8: Lewis County Hazardous Materials Incident Response Plan. Revised July 2013 Annex 8: Lewis County Hazardous Materials Incident Response Plan Revised July 2013 PAGE INTENTIONALLY LEFT BLANK Table of Contents I. Introduction... 1 II. Hazmat/Fire Response Procedures... 2 III. Agency

More information

Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN

Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN Benton Franklin Counties MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted January 2000 Revised February 2008 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organizations Affected 5.0 Standard

More information

Observed Agency/Entity Name:

Observed Agency/Entity Name: This instrument is designed to assess the emergency response capabilities required to respond to a Hazardous Material exercise. To create this type of tool and customize it to your own exercise objective,

More information

GUERNSEY COUNTY EOP, ESF # 4 FIREFIGHTING, EMS & RESCUE

GUERNSEY COUNTY EOP, ESF # 4 FIREFIGHTING, EMS & RESCUE GUERNSEY COUNTY EOP, ESF # 4 FIREFIGHTING, EMS & RESCUE COORDINATING AGENCY: PRIMARY AGENCIES: Guernsey County Firefighter s Association Antrim Vol. Fire Department Byesville Vol. Fire Department Cambridge

More information

Chapter 1. Learning Objectives. Learning Objectives 9/11/2012. Introduction to EMS Systems

Chapter 1. Learning Objectives. Learning Objectives 9/11/2012. Introduction to EMS Systems Chapter 1 Introduction to EMS Systems Learning Objectives Define the attributes of emergency medical services (EMS) systems List 14 attributes of a functioning EMS system Differentiate the roles and responsibilities

More information

Cortland County. Department of Fire and Emergency Management. Fire / EMS. Mass Casualty Incident MCI Plan

Cortland County. Department of Fire and Emergency Management. Fire / EMS. Mass Casualty Incident MCI Plan Page 1 of 22 Cortland County Department of Fire and Emergency Management Fire / EMS Mass Casualty Incident MCI Plan Revised May 1 st, 2010 Page 2 of 22 INTRODUCTION FOREWORD The rationale for a consolidated

More information

University of Alaska Southeast Health Sciences Program Emergency Trauma Technician/First Responder SAMPLE Course Syllabus

University of Alaska Southeast Health Sciences Program Emergency Trauma Technician/First Responder SAMPLE Course Syllabus University of Alaska Southeast Health Sciences Program Emergency Trauma Technician/First Responder SAMPLE Course Syllabus Instructor: NAME Email: Phone: (907) Office Hours: by appointment Semester: Spring

More information

Mosier Fire District

Mosier Fire District Mosier Fire District Policies and Procedures Section: OPERATIONS & EMS Title: INCIDENT MANAGEMENT Policy Number: 3002 Approved by: Jim Appleton /s/ Darin Molesworth /s/ Date: 9AUG12 Written by: Jim Appleton

More information

REVISION OF THE CONSOLIDATED RESOLUTIONS ON ROAD TRAFFIC (R.E.1) AND ON ROAD SIGNS AND SIGNALS (R.E.2)

REVISION OF THE CONSOLIDATED RESOLUTIONS ON ROAD TRAFFIC (R.E.1) AND ON ROAD SIGNS AND SIGNALS (R.E.2) UNITED NATIONS E Economic and Social Council Distr. GENERAL TRANS/WP.1/2000/12 21 January 2000 Original: ENGLISH ECONOMIC COMMISSION FOR EUROPE INLAND TRANSPORT COMMITTEE Working Party on Road Traffic

More information

TILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI

TILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI TILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI I. PURPOSE A. Tillamook coastal communities are at risk to both earthquakes and tsunamis. Tsunamis are sea waves produced

More information

The Basics of Incident Command

The Basics of Incident Command 2009 The Basics of Incident Command ICS got its start back in the 1970s as a result of fires in California Rob Vajko 5/1/2009 The Basics of Incident Command Defining the Terms The first step in setting

More information

Plane crash exercise Kuusamo

Plane crash exercise Kuusamo Plane crash exercise Kuusamo Reporter Incident location Dr. Lasse Raatiniemi Role in incident: Treatment officer Co-authors Tommi pekanoja Role in incident: Observer, Field supervisor Pasi Lehto Role in

More information

NORTH COUNTY FIRE AUTHORITY POLICY & PROCEDURE MANUAL SAFETY

NORTH COUNTY FIRE AUTHORITY POLICY & PROCEDURE MANUAL SAFETY PURPOSE: To provide guidelines for safe operations at emergency scenes. POLICY: Operations at emergency scenes shall be implemented only if an initial size up and risk assessment has been conducted and

More information

Position Description

Position Description Position Description Job Title: Ambulance or Emergency Medical Task Force Leader Date: April 2013 Department: Operations & Office of Emergency Management Status: Non-exempt or Exempt Reports To: Ambulance

More information

Wake County Department of Public Safety

Wake County Department of Public Safety Wake County Department of Public Safety Multiple Patient Incident Management Plan Prepared for: Wake County Department of Public Safety Wake County, North Carolina March 2006 Table of Contents TABLE OF

More information

Contra Costa County. Emergency Medical Services Multi-Casualty Incident Plan

Contra Costa County. Emergency Medical Services Multi-Casualty Incident Plan Contra Costa County Emergency Medical Services Plan July 1, 2007 Contra Costa County Health Services Department Emergency Medical Services Agency Plan Table of Contents Plan Scope 2 Plan Objectives

More information

Fire and Rescue Operations Chapter 20 Incident Management System (IMS) March 2009

Fire and Rescue Operations Chapter 20 Incident Management System (IMS) March 2009 Division 06 Fire and Rescue Operations March 2009 POLICY To establish a procedure that will provide for a uniform on-the-scene management system for emergency operations. Allows for initial implementation

More information

After Action Report / Improvement Plan

After Action Report / Improvement Plan After Action Report Improvement Plan Columbia Chemical Calamity A HazMat Response Full-Scale Exercise February 20, 2014 Columbia County Emergency Management Department 1 Page ADMINISTRATIVE HANDLING INSTRUCTIONS

More information

Thurston County Technical Rescue Response Mobilization Plan and Operating Guidelines

Thurston County Technical Rescue Response Mobilization Plan and Operating Guidelines Thurston County Technical Rescue Response Mobilization Plan and Operating Guidelines Thurston County Fire Chief s Association JANUARY 2013 A. INTRODUCTION The Thurston County Special Operations Rescue

More information

UNIT 6: CERT ORGANIZATION

UNIT 6: CERT ORGANIZATION In this unit you will learn about: CERT Organization: How to organize and deploy CERT resources according to CERT organizational principles. Rescuer Safety: How to protect your own safety and your buddy

More information

Model City Emergency Operations Plan and Terrorism Annex

Model City Emergency Operations Plan and Terrorism Annex WMD Incident Command Course Model City Emergency Operations Plan and Terrorism Annex Model City Emergency Operations Plan and Terrorism Annex Update: June 2004 CH073004V2.0 THIS PAGE INTENTIONALLY LEFT

More information

ESF 9. Search and Rescue

ESF 9. Search and Rescue ESF 9 Search and Rescue This page left blank intentionally. 2 1 Introduction: Purpose and Scope The purpose of ESF 9 is to coordinate Search and Rescue operations and resources during emergency response

More information

COURSE TITLE Course Subtitle LESSON ICS-361-8

COURSE TITLE Course Subtitle LESSON ICS-361-8 TOPIC: TIME FRAME: LEVEL OF INSTRUCTION: TECHNICAL SPECIALIST HAZARDOUS MATERIALS REFERENCE 30 Minutes Level I BEHAVIORAL OBJECTIVE: Condition: Given a written examination Behavior: The student will recognize

More information

Hospital Care and Trauma Management Nakhon Tipsunthonsak Witaya Chadbunchachai Trauma Center Khonkaen, Thailand

Hospital Care and Trauma Management Nakhon Tipsunthonsak Witaya Chadbunchachai Trauma Center Khonkaen, Thailand Hospital Care and Trauma Management Nakhon Tipsunthonsak Witaya Chadbunchachai Trauma Center Khonkaen, Thailand Health protection and disease prevention Needs Assessment Disasters usually have an unforeseen,

More information

HAZARDOUS MATERIAL INCIDENTS

HAZARDOUS MATERIAL INCIDENTS San Francisco Police Department 8.07 GENERAL ORDER Rev. 12/19/16 HAZARDOUS MATERIAL INCIDENTS This order establishes policies and procedures for officers and supervisors to follow when a hazardous material

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual: Subject: Emergency Medical Services Administrative Policies and Procedures Multi-Casualty

More information

This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities.

This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities. A N N E X C : M A S S C A S U A L T Y E M S P R O T O C O L This Annex describes the emergency medical service protocol to guide and coordinate actions during initial mass casualty medical response activities.

More information