Town of Brookfield, Connecticut Mass Casualty Incident Plan
|
|
- Kerrie Bennett
- 5 years ago
- Views:
Transcription
1 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 Volunteer Fire Company would be able to transport and/or care for with the number of personnel and ambulances on scene. An example is 7 multi-trauma patients. This number would exceed the number we would be able to transport. 1.1 Early Alert: Any dispatcher, upon learning of the potential for a Mass Casualty event, shall provide an early notice to all responding units. They shall also alert Danbury Hospital for the potential of multiple patients. It is anticipated that the declaration of a Potential Mass Casualty event would occur once the initial arriving Brookfield Volunteer Fire Company personnel (EMT/Firefighter) provide an initial scene size up and assessment. Once an official declaration is made, the dispatcher will then notify all emergency services and agencies listed in the Dispatch Duties. 1.2 Dispatch Center: The Town of Brookfield Police Department is responsible for 911 service and emergency dispatches for the Town of Brookfield. Their local phone number is Determination of Incident Commander and Scene Size Up: The first arriving Brookfield Volunteer Fire Company personnel shall determine and report the following: A. Extent (number of casualties) B. Nature (mechanisms of injury) C. Severity (number of non-ambulatory patients) D. Spread (geographic area covered) 2.0 Declaration: The first responding Brookfield Volunteer Fire Company personnel may declare a Potential Mass Casualty. The official confirmation will come from Fire or EMS Command or the Paramedic on scene. They shall notify Brookfield Dispatch to Execute the Brookfield Mass
2 Casualty Plan. Once declared, the dispatcher will follow procedures as defined under Dispatch Duties. 2.1 Mutual Aid Dispatch, Preplans and Protocols: The Dispatch section of this document contains work sheets for the completion of local dispatch from the scene. These are provided as separate documents to allow the completed protocols to be filed at dispatcher consoles for direct consultation. 3.0 Equipment And Supplies: The following BLS (Basic Life Support) equipment items should be stockpiled by each ambulance service and unloaded at the Treatment Area upon arrival at the scene: Backboards, Cravats, Portable Oxygen (non-rebreathers and nasal cannulas), Dressings and bandages (in cases). Specialized rescue equipment will be called for by the Senior Fire Official/Incident commander in charge of the scene, and will be dispatched according to the pre-plan on file in the dispatch center and attached as an appendix to the document. ON SITE ORGANIZATION AND OPERATIONS 4.0 Command Structure: In a declared Mass Casualty situation, the following structure of command organization will apply: A. Incident Commander B. Fire Command Officer C. Police Command Officer D. EMS Scene Control Officer E. Primary Triage Officer F. Secondary Triage Officer G. Treatment Officer H. Communications Officer I. Loading Officer
3 4.1 Command Post: A Command Post will be established for coordination of all resources on the scene to include the following personnel: A. Fire Command Officer B. Police Command Officer C. EMS Scene Control Officer 4.2 Structure: Tower 100, Candlewood Utility 23, Car 101 or the Police Mobile Command Vehicle will serve as the Command Post due to their high visibility and versatile communications facilities. 4.3 Scene Access and Security: Brookfield Police and Brookfield Volunteer Fire Company s Fire Police will establish a secure perimeter to control access to the scene. When appropriate, Boundary Posts will be manned by Police Vehicles, Red Grass, Civil Defense, Utility 6 or Fire Police with portable radios in private vehicles located on all roads leading to the Mass Casualty Incident. Posts will be named Boundary 1, Boundary 2, ect. Communication will be established between the Command Post and police units via police vehicle or police portable radios, and police units at the Boundary Posts. Fire Police will operate on Firehouse Radios in order to verify the need for and to direct all incoming personnel and equipment. Private vehicles will not be permitted on the scene. All incoming vehicles will be directed as follows: A. Fire apparatus to Fire Command Officer B. Rescue Squads to Fire Command Officer C. Ambulances to Loading Officer once established or the EMS Scene Control Officer early in the operation. All incoming personnel will be directed as follows: A. Firefighters to Fire Command Officer B. EMS Personnel to EMS Scene Control Officer C. Police to Police Command Officer 4.4 Treatment Area: This area is the responsibility of the Treatment Officer
4 4.5 Equipment: When indicated, incoming ambulances will be asked to unload the following medical supplies at a stockpile adjacent to the Category 1 (RED) treatment area: A. Backboards B. Cravats C. Portable Oxygen and Oxygen supplies D. Dressings and Bandages E. Portable Suction F. Splints G. Airways H. Trauma kits and Supplies 4.6 Triage and Staging: After unloading medical supplies, ambulances will be requested to report to a loading area adjacent to the Category 1 (RED) treatment area and wait for assignment by the Treatment Officer or the Loading Officer. 4.7 Patient Categories: Category 0 (BLACK) Patients: Clinical Death hold for mortuary or transportation after all other category patients have been transported. CPR is not indicated in a declared Mass Casualty Incident. Category 1 (RED) Patients: Require rapid transport by ambulance to a hospital for definitive care or higher levels of medical treatment than available on scene. These are patients with immediate life threatening injuries. They will be carried on long boards to the treatment area for immediate care and stabilization (assigned by the Treatment Officer) and transportation. Category 2 (YELLOW) Patients: Delayed transport to the hospital would not place the patient in jeopardy but transportation by ambulance is indicated. Category 3 (GREEN) Patients: Ambulatory patients not requiring ambulance transport (walking wounded) will be escorted to an area for evaluation. This area will be staffed primarily by non-medical personnel but supervised by at least one EMT. An E.R.
5 physician or EMS personnel should evaluate everyone involved in the incident, including Category 3 (GREEN) patients. Regional protocols should indicate one of the following: Category 3 (GREEN) patients are those who remain in the field with minor injuries or who may require some minor emotional support. Category 3 (GREEN) patients that require transportation to the hospital that do not require life support (Ambulance) can be transported by other means (ex: Bus). They are transported after all bandaging and stabilization of injuries. An EMT must be on the bus and an ambulance must escort the bus. There will be a portable radio with Fire Repeater Frequency ( ) on the bus. 4.8 Transportation: Transportation is the responsibility of the Loading Officer. The E.R. Physician at Danbury Hospital will be the final authority in designating the hospital to which a patient will be transported. The hospital designation will normally be done after consultation with the Treatment Officer. If physician guidance is not available, the Treatment Officer will exercise their authority to distribute patients between Danbury, New Milford and Waterbury hospitals. All trauma patients should go to Danbury Hospital, taking into consideration the distance and stability of the patients. Ambulances will return to the Loading Officer for further instruction. Patients requiring inter-hospital transfer will be transported by an ambulance dispatched from the area of the sending hospital. 4.9 Termination: The EMS Scene Control Officer will assist the Incident Commander to decide when no additional resources are necessary and when the last patient has been transported, including all Category 3 (GREEN) patients. The Incident Commander will terminate the Mass Casualty operation. The EMS Scene Control Officer will decide which units are to remain at the scene during recovery operations when the Incident Commander has requested this. 5.0 Functions of the Incident Command Structure: The following pages contain the duties and job descriptions of the Incident Command Structure. Each of the officers should be trained and thoroughly familiarized not only with their specific duties, but also with duties of the other officers so that there will be smooth interaction throughout the chain of command.
6 Dispatch 5.1 Dispatch Assignment: This activity is assigned to the Brookfield Police Department Dispatcher. Function: Receive initial information of a possible Mass Casualty Incident, dispatch the appropriate resources to size up and initiate on scene activity and to act on authorized orders to dispatch additional resources required. Reports to: Chiefs of all services who have authorized their units and resources to be dispatched. Supervises: Dispatch Personnel. Operational Comments: Following written protocols, the dispatcher on duty will provide initial responses, and if indicated, additional resources, before a formal declaration of a Mass Casualty Incident is made at the scene. Tasks: 1. Receive initial information on the nature and extent of the situation. 2. Initial dispatching of the responding units. 3. When indicated, notify other public safety dispatchers to coordinate fire, police and area ambulances. 4. When initial information is received from the scene, following the written protocols, request additional resources accordingly. 5. When acting on authorized command from the scene, coordinate the dispatch of the required ambulances and other medical response units to the scene. 6. Following written protocols, provide early notification to area hospitals Radio call sign: Brookfield Dispatch
7 Incident Commander 5.2 Assignment: This activity is assigned to the Brookfield Volunteer Fire Company s highest ranking fire officer or senior firefighter. Function: Size up and formally declare a Mass Casualty Incident when indicated, serving then as the primary authority to make control decisions affecting coordination of the various agencies and services responding. Reports to: The First Selectman of Brookfield Supervises: A designated officer in each of the following public safety services: Fire, police and ems; and also all other agency and support groups responding to the situation including, but not limited to, civil preparedness, Red Cross, military support groups, CERT, ect. Operational Comments: 1. This person must avoid an extended span of authority limiting the number of personnel reporting and requiring guidance. 2. A command post may be set up to serve any of the following needs: A. To house the Police Command Officer, Fire Command Officer, EMS Scene Control Officer and civil preparedness. To provide direct face-to-face communications and decision making. B. To coordinate inter-agency tactical on-scene decisions. C. To communicate inter-agency strategic communications (scene to dispatch and other centers away from the scene). D. To serve as a focus for the news media to receive up-to-date information. E. A shelter for personnel who need a place to rest or location to store equipment, especially medications and valuable supplies.
8 Incident Commander (Continued) Tasks: 1. Designates the individuals to report to him, defining their Scope of Responsibilities and authority. 2. Communicates appropriate information and requests for decisions between officials involved 3. Designates emergency equipment staging areas. 4. Designated loading area adjacent to the patient treatment area. 5. Establishes outlying communication points. Radio Call Sign: Command
9 EMS Scene Control Officer 5.3 Assignment: This duty is assigned to the Brookfield Volunteer Fire Company s highest ranking EMS Officer or Senior EMS Personnel. Function: Directs all medical operations. Reports to: Incident Commander Supervises: 1. Primary Triage Officer 2. Secondary Triage Officer 3. Treatment Officer 4. Communications Officer 5. Loading Officer Operational Comments: This role should be assumed immediately by the Paramedic arriving on scene. This person may be relieved by an EMS Officer, Senior EMS Member or Paramedic Supervisor with concurrence of, or by order of, The Incident Commander. Tasks: 1. Obtain authority from the Incident Commander to enter the scene and establish medical opertations. 2. Communicate an estimate of casualty to Brookfield Dispatch, Incident Command and Danbury Hospital. 3. Designates a Primary triage Officer, Secondary Triage Officer, Treatment Officer, Communications Officer and Loading Officer. 4. Direct incoming EMT s to assist in triage and treatment. 5. Identify problem areas and reassign resources. Radio Call Sign Control
10 Primary Triage Officer 5.4 Assignment: This duty is assigned to the Brookfield Volunteer Fire Company s EMS Personnel. Function: Views all patients to identify and immediately correct the following life threatening problems: 1. Bleeding 2. Airway 3. Circulation Reports to: EMS Scene Control Officer. Supervises: Personnel assigned to treat immediate life-threatening problems. Operational Comments: Under ideal conditions, this function should be performed by the first arriving AEMT or Paramedic and then be reassigned as more EMS personnel arrive. If a fire or other hazard exists, the Incident Commander will decide on alternatives: 1. Evacuate all patients prior to any triage or care. 2. Control hazard first, followed by triage and care. Tasks: 1. Circulate among all patients. 2. Identify the life threatening problems defined above following the Smart Triage Tag System. 3. Direct others to conduct patient care. 4. After treatment of the immediate life-threatening problems mentioned above, remain in the casualty area and direct patient care of the remaining injured. 5. Assign personnel with EMT level training to bandage and immobilze patients on long boards for transfer to appropriate treatment areas. If needed, non-emt personnel may assist in moving patients as long as they are under the direct supervision of an EMT.
11 Secondary Triage Officer 5.5 Assignment: This duty is assigned to the Brookfield Volunteer Fire Company s AEMT, EMT or EMR. Function: Determine the order of patient evacuation from the scene to the treatment area. Reports to: EMS Scene Control Officer. Supervises: Other team members assigned with tagging. Operational Comments: Unlike the roles of EMS Scene Control Officer and Primary Triage Officer, this function should not be performed immediately. During the first minutes of the incident, when resources are limited, the focus must be on establishing a command structure and primary triage. It is likely that secondary triage will not occur until 30 minutes into operations. Tasks: 1. View all patients. 2. Classify all patients according to their need for treatment. 3. Tag all patients with Smart Triage Tags as follows: Category Color Indication 0 Black clinical death 1 Red rapid transport 2 Yellow delayed transport 3 Green non-transport or last to be transported 4. After all patients are tagged, remain in the area and assist Primary Triage Officer in directing the treatment removal of patients to the assigned treatment areas.
12 Treatment Officer 5.6 Assignment: This duty is assigned to the Brookfield Volunteer Fire Company s Paramedic, AEMT, EMT or ERM Function: Establish and supervise the treatment area including the assignment of personnel for patient care. Reports to: EMS Scene Control Officer. Supervises: All personnel moving and treating patients in the treatment area. Operational Comments: This person should be the Paramedic, or the highest level of EMS training and must match the limited treatment resources to patients on a priority basis, and must make appropriate assignment of Paramedic and medical personnel. Tasks: 1. Assume command and control over all personnel within the treatment area; supervise all patient care; and provide for required security arrangements. 2. Identify and mark patient treatment and staging area. 3. Assign personnel with advanced medical training to provide care in the treatment area. 4. Receive and review the condition of all patients as they arrive in the treatment area. 5. Mark Smart Triage Tags of each Category 1 (RED) patient as follows: A more critical B less critical 6. Position A and B patients in separate lines, thus dividing the Category 1 (RED) patients into two distinct priorities for treatment. 7. Maintain communication with the Loading Officer for medical transportation of patients and give periodic reports to the EMS Scene Control Officer. Radio Call Sign TREATMENT
13 Communications Officer 5.7 Assignment: This duty is assigned to the Brookfield Volunteer Fire Company s EMS Personnel with the highest knowledge of proper radio procedures. This officer will operate out of the command post. Function: Relays communications between Danbury E.R. and the Treatment Officer. Receives communications for the officers at the command post. Reports to: Incident Commander and EMS Scene Control Officer. Tasks: 1. Communicates with the hospital the Smart Tag Number, age and sex of the patient, major characteristics of injury, anticipated departure time. 2. Coordinates with Danbury E.R. patient distribution to area hospitals. 3. Maintains communication with Treatment Officer for medical consultations. Communications: Radio communications will be via C-MED radio in a vehicle with radio capabilities on the assigned radio frequency given by Northwest C- MED to Danbury E.R, from the command post to Danbury E.R. and on radio frequency Fire Repeater ( ). Radio Call Sign Communications
14 Loading Officer 5.8 Assignment: This duty is assigned to the Brookfield Volunteer Fire Company s EMS Personnel or Firefighter Function: Assign ambulance crews to receive patients. Reports to: EMS Scene Control Officer. Supervises: Ambulance crews. Tasks: 1. In the early phase of the event before the patients are ready for transport, assist the Treatment Officer in preparing the treatment area. 2. On requests from the Treatment Officer, assign ambulance crews to patients for the one-on-one patient care in the treatment. 3. Order ambulances to loading area from the holding area and dispatches them to the hospital designated by the Treatment Officer. All Category 1 (RED) patients will be transported first. All Category 2 (YELLOW) patients will be transported second. No Category 3 (GREEN) patients will be transported until all Category 1 (RED) and Category 2 (YELLOW) patients have been transported. Communications: Radio communications will be on Fire Repeater ( ) to the command post and to a fire vehicle in the holding area. Radio Call Sign LOADING
15 Dispatch Duties Any dispatcher, upon learning of the potential for a Mass Casualty Incident, shall provide early notice to Brookfield Emergency Services and Brookfield Police immediately, without waiting for later official confirmation from the scene, with the following message: 1.0 Initial Dispatch to Brookfield Fire Companies: By activating alert tone. Brookfield Fire and Ambulance personnel, a Potential Mass Casualty incident caused by, located at, has been declared by. All personnel are to report with Mass Casualty equipment. 2.0 To Brookfield Police: Inform them the following: A potential Mass Casualty incident caused by, located at, declared by. An initial estimate of casualties is. Brookfield Emergency Services are responding. IF A FIRE IS REPORTED, STANDARD PROCEDURE FOR DISPATCHING A FIRE SHALL BE COMPLETED PRIOR TO THE MASS CASUALTY INCIDENT PROCEDURE. After notifying the emergency services listed above, the dispatcher will immediately notify Danbury Hospital. Danbury and give them the following message: Brookfield Fire Company has reported a potential Mass Casualty in Brookfield caused by. An initial estimate of casualties is.
16 Confirmation of Mass Casualty Confirmation that we have an actual Mass Casualty Incident will be on the order from the Paramedic, Senior EMS/Fire member or Incident Commander to Execute the Brookfield Mass Casualty Plan. Upon receiving this order, the dispatcher will notify the following services in the order listed to give the following message to the individual contacted. 1. Contact VINTECH Management Service at Tell them Brookfield has activated their Mass casualty plan and to page the Manager on call. 2. Call Danbury Ambulance and request 2 BLS ambulances to be dispatched to Brookfield for a Mass Casualty Incident. 3. Upon the request by Command, call any services requested. Tell them, Ambulance/Fire/Rescue are requested to respond to a Mass Casualty Incident in Brookfield, caused by. Proceed to LOCATION with all available long boards and Mass Casualty (or special requested equipment). PHONE NUMBERS Newtown Dispatch (FIRE/EMS) Danbury Fire Dispatch (FIRE/EMS) Danbury Ambulance (EMS/ALS) EXT 2 New Milford Dispatch (FIRE/EMS) Bethel Dispatch (Bethel/Stony Hill FIRE/EMS) Litchfield County Dispatch (Sherman/ Bridgewater) New Fairfield Dispatch (Squantz/Company A FIRE/EMS, Ball Pond FIRE) Northwest C-MED (Roxbury EMS and REHAB, MED Control) Southwest C-MED Bus Company Note: The Dispatcher will advised the incident commander when all services have been notified.
17 DANBURY HOSPITAL Once Danbury Hospital has been contacted they will decide by the scope of the incident if they will send an E.R. Physician to Brookfield. Danbury E.R. will decide where patients will be transported. They should also notify other hospitals how many patients will be transported/diverted to each. If larger quantities of supplies are needed, a request may be made from Command to Danbury Hospital for assistance. (IE: Blankets, towels and medical supplies) TRAINING Primary personnel are those responsible for filling the officer roles and managing and MCI. Training requirements include documentation of a triage and Mass Casualty course completion and attendance at field evolution training for all personnel at the scene assigned or assuming a leadership role. Secondary personnel are those taking direction form officers at MCI supporting operations. Training requirements include documentation of a minimum one-hour overview in Mass Casualty scene management for all personnel at the scene assigned a support role. Revised 10/13
18 Safety Officer? State Mobile hospital? MCI trailer locations? USAR? Med control # NM DHER
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 informationBenton 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 informationMASS 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 informationCortland 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 informationChelan & 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 informationMass 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 informationSAN 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 informationATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST
ATTACHMENT 4 MCI Checklist FIRST UNIT ON SCENE CHECKLIST 1) CONSIDER: a) Safety Needs Full Personal Protective Clothing b) Decontamination c) Secondary Devices 2) MASS CASUALTY INCIDENT PLAN: a) Type of
More informationThis 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 informationEMS at an MCI. Jeff Regis, EMT-P Southern Maine EMS
EMS at an MCI Jeff Regis, EMT-P Southern Maine EMS qa@smems.org www.smems.org Today s Schedule EMS Function in ICS EMS at an MCI SMART Tag System Multiple or Mass Casualty Multiple-one more patient than
More informationAnnex 6: Lewis County Mass Casualty Incident Plan
Annex 6: Lewis County Mass Casualty Incident Plan Approved by the Lewis County EMS Council 11/21/06 Reviewed by Lewis County LEPC 11/27/06 and Fire Advisory on 12/20/06 Approved by the Lewis County 911
More informationCENTRAL 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 informationCENTRAL 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 informationOKALOOSA 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 informationMCI PLAN MASS CASUALTY INCIDENT PLAN
Pierce County Fire Chiefs Association MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted 1998 Revised May 2003 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organization Affected 5.0 Standard
More informationARLINGTON 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 informationMulti-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # /15/2017
Multi-Casualty Incident Response Plan County of San Luis Obispo Emergency Medical Services Agency Policy # 210 04/15/2017 - i - TABLE OF CONTENTS SECTION 1.0: MCI PLAN ADMINISTRATIVE ELEMENT 1.1 Scope
More informationThe 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 informationESCAMBIA 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 informationJackson 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 informationSouth 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 informationINCIDENT COMMAND SYSTEM MULTI-CASUALTY
INCIDENT COMMAND SYSTEM MULTI-CASUALTY Treatment Unit Leader November, 1990 Revised March, 1993 CONTENTS Contents...1 Course Outline...2 Unit 1 Lesson Plan: Introduction...3 Unit 2 Lesson Plan: Staffing
More informationMASS CASUALTY INCIDENTS. Daniel Dunham
MASS CASUALTY INCIDENTS Daniel Dunham WHAT IS A MASS CASUALTY INCIDENT? Any time resources required exceed the resources available. The number of patients is not necessarily large or small, and may be
More informationSan 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 informationActive 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 information9/10/2012. Chapter 62. Learning Objectives. Learning Objectives (Cont d) EMS Operations Command and Control
Chapter 62 EMS Operations Command and Control 1 Learning Objectives Explain the need for an incident management system and an incident command system in managing EMS incidents Compare command procedures
More informationResource 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 informationCITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES
DEPARTMENT OF EMERGENCY MEDICAL SERVICES (757)-385-1999 FAX (757) 431-3019 477 VIKING DRIVE, SUITE 130 VIRGINIA BEACH, VA 23452 CITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES OPERATIONAL
More informationMed-Care Ambulance Service. Mass Casualty Plan
Med-Care Ambulance Service Mass Casualty Plan 273 Main Street Mexico, Maine 04257 (207) 364-8748 Fax: (207) 369-0635 Web Site: www.med-careambulance.com Med-Care Ambulance MCI Plan Record of Updates/Revisions
More informationMass 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 informationMonroe County Medical Control Authority System Protocols MASS CASUALTY INCIDENTS Date: April 2010 Page 1 of 9
Date: April 2010 Page 1 of 9 The purpose of this protocol is to provide a uniform initial response to a Mass Casualty Incident (MCI). 1. Pre-hospital care providers will operate in accordance with medical
More informationMCI PLAN MASS CASUALTY INCIDENT PLAN
Pierce County Fire Chiefs Association MCI PLAN MASS CASUALTY INCIDENT PLAN Adopted 1998 Revised May 2003 TABLE OF CONTENTS 1.0 Purpose 2.0 Policy 3.0 Definitions 4.0 Organization Affected 5.0 Standard
More informationModel 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 informationMajor Incident Plan Emergency Operating Center American Fork Fire Department 96 North Center American Fork, Utah
Major Incident Plan Emergency Operating Center American Fork Fire Department 96 North Center American Fork, Utah 84003 801-763-3045 2017 Major Incident Plan Lead Department: The Department that has the
More informationEmergency 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 informationMosier 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 informationhttp://www.bls.gov/oco/ocos101.htm Emergency Medical Technicians and Paramedics Nature of the Work Training, Other Qualifications, and Advancement Employment Job Outlook Projections Data Earnings OES Data
More informationMANDAN 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 informationCOMMAND 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 informationNOTIFICATION, 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 informationMULTI CASUALTY INCIDENT PLAN
Approved: 10/14/2015 Revised: 7/1/16 EL DORADO COUNTY EMS AGENCY MULTI CASUALTY INCIDENT PLAN TABLE OF CONTENTS Policy Statement 2 Key Points 3 ICS Chart 5 Roles and Responsibilities Division Supervisor/Medical
More informationMOUNTAIN-VALLEY EMS AGENCY POLICY: POLICIES AND PROCEDURES TITLE: ALS or LALS EMERGENCY MEDICAL RESPONDER AUTHORIZATION
POLICY: 412.00 POLICIES AND PROCEDURES TITLE: ALS or LALS EMERGENCY MEDICAL APPROVED: Signature On File In EMS Office EFFECTIVE DATE: 1/1/2016 Executive Director REVISED: Signature On File In EMS Office
More informationFAUQUIER COUNTY FIRE RESCUE AND EMERGENCY MANAGEMENT
PURPOSE: To provide an accountability system that considers local conditions and characteristics; requires all members operating to actively participate; is used at all incidents; is flexible and allows
More informationColdspring Excelsior Fire and Rescue Standard Operating Policies 6565 County Road 612 NE Kalkaska, MI Section 4.13 INCIDENT COMMAND MANAGEMENT
Coldspring Excelsior Fire and Rescue Standard Operating Policies 6565 County Road 612 NE Kalkaska, MI 49646 Section 4.13 INCIDENT COMMAND MANAGEMENT The purpose of an Incident Command Management System
More informationAppendix C MCI and Disaster Management The EMS Perspective
Appendix C MCI and Disaster Management The EMS Perspective 1 Purpose The Suffolk County Department of Health Services, Division of EMS, in its role as the Regional Program Agency, has developed this plan
More informationTACOMA FIRE DEPARTMENT STANDARDS OF COVER EXECUTIVE SUMMARY
TACOMA FIRE DEPARTMENT STANDARDS OF COVER EXECUTIVE SUMMARY The Tacoma Fire Department (TFD) has a long history and proud tradition of service to the greater Tacoma community. From volunteer bucket brigades
More informationCITY OF SAULT STE. MARIE EMERGENCY RESPONSE PLAN
CITY OF SAULT STE. MARIE EMERGENCY RESPONSE PLAN 12/13/2017 Fire Service, Emergency Management Division Schedule A to By-law 2017-236 Page 1 CONTENTS 1. INTRODUCTION... 3 2. PURPOSE... 3 3. SCOPE... 3
More informationPlane 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 informationINCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT MANAGER I-MC-238. COURSE ADMINISTRATOR S GUIDE AND TRAINEE WORKBOOK Self-Paced Instruction
INCIDENT COMMAND SYSTEM MULTI-CASUALTY TREATMENT MANAGER COURSE ADMINISTRATOR S GUIDE AND TRAINEE WORKBOOK Self-Paced Instruction NOVEMBER 1990 Revised March 1993 This document contains information relative
More informationS T A N D A R D O P E R A T I N G G U I D E L I N E
C H AR L O T T E S V I L L E A L B E M A R L E R E S C U E S Q U A D S T A N D A R D O P E R A T I N G G U I D E L I N E TOPIC: Special Events Scott Stadium - Operations S.O.P. # 4.5a Approved by: Lair
More informationINCIDENT 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 informationRead 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 informationSANTA 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 informationCITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES
DEPART MENT OF EMERGENCY MEDICAL SERVICES (757)-426-5005 FAX (757) 425-7864 1917 ARCTIC AVENUE VIRGINIA BEACH, VA 23451 CITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES OPERATIONAL RESPONSE
More informationMultiple Patient Management Plan
2018 [NAME OF PLAN] Multiple Patient Management Plan Marin County Health & Human Services Emergency Medical Services Agency Supports the Marin County Operational Area Emergency Operations Plan and Medical
More informationHospital 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 informationIncident Command System Position Manual FIRELINE EMERGENCY MEDICAL TECHNICIAN ICS
Incident Command System Position Manual FIRELINE EMERGENCY MEDICAL TECHNICIAN ICS-223-10 July 12, 2000 This document contains information relative to the Incident Command System (ICS) component of the
More informationEMS Subspecialty Certification Review Course. Learning Objectives
EMS Subspecialty Certification Review Course Mass Gatherings: 4.3 Disaster Planning and Operations: 4.3.1 Human Resource Needs in Disaster Response 4.3.2 Care Teams 4.3.2.1 Physician Placement 4.3.2.2
More informationFire 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 informationEpisode 193 (Ch th ) Disaster Preparedness
Episode 193 (Ch. 192 9 th ) Disaster Preparedness Episode Overview: 1) Define a disaster 2) Describe PICE nomenclature 3) List 6 potentially paralytic PICE 4) List 6 critical substrates for hospital operations
More informationCRITICAL 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 informationDISASTER 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 informationBucks County Emergency Medical Services Mass Casualty Response Guidelines
Bucks County Emergency Medical Services Acknowledgements The Bucks County Emergency Health Council Advisory Committee and Bucks County EMS Chiefs Association wish to thank the Montgomery County Emergency
More informationCITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES STRATEGIC PLAN
CITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES STRATEGIC PLAN 2015-2020-2030 Published: 10/27/14 Last update: 10/27/14 CITY OF VIRGINIA BEACH DEPARTMENT OF EMERGENCY MEDICAL SERVICES STRATEGIC
More informationPalm 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 informationChapter 44. Objectives. Objectives 01/09/2013. Multiple-Casualty Incidents and Incident Management
Chapter 44 Multiple-Casualty Incidents and Incident Management Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved.
More informationCITY OF HAMILTON EMERGENCY PLAN. Enacted Under: Emergency Management Program By-law, 2017
CITY OF HAMILTON EMERGENCY PLAN Enacted Under: Emergency Management Program By-law, 2017 REVISED: October 27, 2017 October 2017 2 TABLE OF CONTENTS 1. Introduction... 7 1.1. Purpose... 7 1.2. Legal Authorities...
More informationEMERGENCY MEDICAL RESPONDER
EMERGENCY MEDICAL RESPONDER What is an EMR What will I Learn Degree Options EMR Become an Getting Started EMERGENCY MEDICAL RESPONDER TRAINING Becoming a certified emergency responder is first step to
More informationAppendix H Incident Command Structure. Draft
Dane County/Madison Metropolitan Area Evacuation Plan Appendix H Incident Command Structure Version 2.0 1 INCIDENT COMMAND SYSTEM STRUCTURE FOR EVACUATION This section describes the incident command system
More informationActive 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 informationBock Consulting JOB ANALYSIS
JOB ANALYSIS Job Title EMT, EMT IV, Paramedic Worker DOT Number 079.374-010 Claim Number Employer Lifeline Ambulance Employer Phone # 509-322-5859 Employer Contact Wayne Walker Date of Analysis 09/25/08
More informationSan 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 informationViolent Scenes Response
, SOG 3.21 Violent Scenes Response 1. Intent and Purpose: Whether units have been dispatched to a violent scene or they are on an ordinary call that develops into a violent / threatened scene Union County
More informationMCI:Management of Pre-hospital Operations
Tehran, Iran 16 Azar- 7 Dey 1390 Tehran University of Medical Sciences Disaster & Emergency Management Center 4th National Training Course Disaster Health Management & Risk Reduction DHMR-4 17-28 December
More informationPrimary Agency. Support Agencies. I. Introduction. Pacific County Fire District # 1 (PCFD1)
E S F 4 : F irefighting Primary Agency Pacific County Fire District # 1 (PCFD1) Support Agencies Pacific County Emergency Management Agency (PCEMA) Pacific County Fire Districts Municipal Fire Departments
More informationWake 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 informationScarborough Fire Department Scarborough, Maine Standard Operating Procedures
Scarborough Fire Department Scarborough, Maine Standard Operating Procedures Book: Emergency Operations Chapter: Firefighting Operations Subject: 3300 Structural Firefighting Policy Revision Date: 6/1/2017
More informationSTANDARD OPERATING GUIDELINE Civil Disturbances
Purpose Fire Ground Safety Initiative STANDARD OPERATING GUIDELINE Civil Disturbances This standard operating guideline has been developed to provide basic operating guidelines for the personnel responding
More informationE S F 8 : Public Health and Medical Servi c e s
E S F 8 : Public Health and Medical Servi c e s Primary Agency Fire Agencies Pacific County Public Health & Human Services Pacific County Prosecutor s Office Pacific County Department of Community Development
More informationSierra 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 informationBURLINGTON 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 informationTILLAMOOK 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 informationEMS Subspecialty Certification Review Course. Mass Casualty Management (4.1.3) Question 8/14/ Mass Casualty Management
EMS Subspecialty Certification Review Course 4.1.3 Mass Casualty Management Version: 2017 Mass Casualty Management (4.1.3) Overview of Emergency Management Overview of National Response Framework Local,
More informationEMS Group Supervisor
CI Resource Guide ES Group Supervisor Operations Chief ES Branch Director ES Group Supervisor Triage Unit Leader edical Supplies anager Treatment Unit Leader orgue anager Transportation Unit Leader Report
More informationApplication for Agency License Renewal Bureau of EMS & Trauma
Application for Agency License Renewal Bureau of EMS & Trauma SECTION I SERVICE INFORMATION License No: Name of Service: Physical Address: City: County: State: Zip: Mailing Address: City: County: State:
More informationMass Shooting Multi-Casualty Response San Bernardino City Fire Department
Mass Shooting Multi-Casualty Response San Bernardino City Fire Department At the end of the session, the participant will be able to: Familiarize with the events and response to the Waterman/IRC Incident
More informationGUERNSEY 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 informationVOLUSIA COUNTY FIRE CHIEFS ASSOCIATION MODEL OPERATING PROCEDURE
VOLUSIA COUNTY FIRE CHIEFS ASSOCIATION MODEL OPERATING PROCEDURE GUIDE # 100.06 SUBJECT: MAYDAY COMMUNICATIONS DATE ISSUED: March 24, 2004 REVIEW DATE: March 14, 2015 I. PURPOSE A. To establish a guideline
More informationPosition 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 informationNUMBER: UNIV University Administration. Emergency Management Team. DATE: October 31, REVISION February 16, I.
NUMBER: UNIV 3.00 SECTION: SUBJECT: University Administration Emergency Management Team DATE: October 31, 2011 REVISION February 16, 2016 Policy for: Procedure for: Authorized by: Issued by: Columbia Campus
More informationParamedic 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 informationMarin County EMS Agency
Marin County EMS Agency Multiple Patient Management Plan Excellent Care Every Patient, Every Time July 2013 899 Northgate Drive #104, San Rafael, CA 94903 ph. 415-473-6871 fax 415-473-3747 www.marinems.org
More informationChapter 1, Part 2 EMS SYSTEMS EMS System A comprehensive network of personnel, equipment, and established to deliver aid and emergency medical care
1 3 4 5 6 7 8 9 10 11 1 Chapter 1, Part EMS SYSTEMS EMS System A comprehensive network of personnel, equipment, and established to deliver aid and emergency medical care to the community. IN-HOSPITAL COMPONENTS
More informationSECTION 1: SURGE PLAN
Placer County Surge Plan D. Community Surge Plan. 1 E. Hospital Surge Template. 14 SECTION 1: SURGE PLAN Section I: Page 1 of 33 COMMUNITY SURGE PLAN A. DEFINITIONS 1. Control Facility is the facility
More informationIncident 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 informationPalm 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 informationDayton MMRS. Metropolitan Medical Response System
Confidential - FOUO This presentation is CONFIDENTIAL (nonclassified) and For Official Use Only (FOUO). Presentation is a security record under Section 149.433 of the Ohio Revised Code. This is NOT a public
More information2.4.3 Fire Preparedness and Response/Evacuation Procedure
America s Teaching Zoo Procedure Manual Procedure No. 2.4.3 Fire Preparedness and Response/Evacuation Procedure. Revised 7/1/11 2.4.3 Fire Preparedness and Response/Evacuation Procedure I. Purpose This
More informationKING COUNTY FIRE MODEL PROCEDURE Section 10 Personnel Accountability
KING COUNTY FIRE MODEL PROCEDURE Section 10 Personnel Accountability Adopted Unknown Revised 6/5/2017 1. PURPOSE 1.1 This model procedure is endorsed by the King County Fire Chiefs Association as a template
More informationMonroe 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