Ashtabula County MCI Procedures

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Ashtabula County MCI Plan
Equipment, Triage Procedures
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Multiple MCI Trailers

• Four Trailers located
• Harpersfield
• Windsor
• Conneaut 3
• Andover
• All units dispatched via ATFD
• 997-4641

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MCI Trailer-Guidelines

• Trailers are designed to support initial
  operations- not a primary response asset
• Available for training, but any materials used
  must be replaced by the training agency.

• Trailers are the property of ACEMA, questions or
  issues should be directed to them.
• Towing Issues
• 2 5/16 ball hitch
• 7 wire trailer pigtail

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MCI Trailer Inventory

• Front Section
• Oxygen delivery equipment
• PPE
• Lighting
• Casualty bags

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MCI Trailer Inventory

• Left Side Section
• Spinal immobilization equipment.
• Splinting supplies
• Backboards (13)

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MCI Trailer Inventory

• Right Side Section
• Treatment supplies
• Blankets
• BB Straps
• Backboards (12)

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MCI Trailer Inventory

• Also included
• 2500 KW generator
• Fire extinguishers
• Scene lighting

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MCI Kits

• Pre-issued to all dept.
• 1 per EMS agency
• Should be on the first response equipment
• ALL the same

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MCI Kits

• Inventory
• Command Vests (medical sector only)
• Triage tags
• Clipboards (2)
• Color coded triage tarps
• MCI plan job action sheets and forms
• Splints

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MCI Kits

• Treatment bag Scissors
• Scope/Cuff/penlight
• Pens/pencils
• Triage tags
• Gloves/goggles
• Kerlix
• Dressings/bandages

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MCI Kits

• Triage Fanny packs
• Triage tags
• Pens/pencils
• Gloves
• Vionex packets
• Goggles

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MCI/Disaster Procedures

• Coordinated county-wide plan
• Accepted by all EMS agencies Ash Co. Fire
  Chiefs
• ICS based and NIMS compliant
• Medical sector only
• Job action sheets detail responsibilities
• Forms are pre-printed and available in kit.

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Concepts of ICS

• Flexible
• IC may fulfill other roles depending on the size
  of the incident
• May need to sector event based on size and
  continue to sector
• Geography
• Floors
• Areas
• Add levels as needed, but ends up with one IC,
  overall and each sector

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Concepts of ICS

• Facilitates communication
• Face to face at the IC level.
• Each sector uses its own com network, subdivided
  as needed.
• Freelancing must be avoided.

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Concepts of ICSSimple organization
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Concepts of ICSModerate organization
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Concepts of ICSLarge Incident
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Required ICS Training for responders

• ICS 700 (NIMS overview)
• ICS 800 (national response plan)
• ICS 100 or equivalent
• ICS 200 or equivalent

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EMS Branch Functions

• EMS Command
• Triage
• Treatment
• Transport
• EMS Staging

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Triage

• Sorting of patients based upon the severity of
  their injuries
• Primary triage
• Secondary triage

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The START System

• Simple Triage and Rapid Transport
• Based on
• Ability to walk
• Respiratory effort
• Pulses/ perfusions
• Neurological status

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Triage Tags

• Alerts care providers to patient priority
• Prevents re-triage of the same patient
• Serves as a tracking system

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The METTAG
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Discussion