EMS INCIDENT MANAGEMENT

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EMSINCIDENT MANAGEMENT

• by
• Captain Michael W. Robinson, M.A., NREMT-P
• Baltimore County Fire Department
• Fire-Rescue Academy

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EMS/IMS OVERVIEW

• HISTORY
• PURPOSE of EMS/IMS
• TERMINOLOGY
• IMPLEMENTATION in BCOFD
• MANAGING the EMS INCIDENT
• SUMMARY

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EMS/IMS History

• Initially, only utilized for major mass-casualty
  incidents
• California FIRESCOPE
• Phoenix Fireground Commander
• NFA ICS
• AMTRAK Incident-1987
• IMS Consortium
• BCOFD IMS

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EMS/IMS Purpose

• Fix Accountability/Responsibility
• Organize Incident
• Manage/Control Incident
• Effective Patient Flow/Disposition
• Prioritize Resource Utilization
• Insure Effective Patient Care

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EMS/IMS Terminology

• MEDICAL GROUP
• Functional Responsibility for all medical
  activities on an incident scene
• Medical Group Supervisor (responsible)
• MEDICAL BRANCH
• Functional Responsibility for all EMS functions
  related to the incident operations.
• Supervised by EMS Branch Director

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EMS/IMS Terminology

• MEDICAL DIVISION
• Geographic location for EMS actions on an
  incident scene.
• Medical Division Supervior responsible for
  oversight of same
• Medical Division 20 all EMS actions on the 20th
  floor
• Medical Division Alpha EMS action in front of
  structure.

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EMS/IMS Terminology

• TRIAGE GROUP
• TRANSPORTATION GROUP
• TREATMENT GROUP
• ALL DEFINE FUNCTIONAL RESPONSIBILITIES UNDER THE
  EMS BRANCH (Large Scale Incidents)

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EMS/IMS Terminology

• MEDICAL UNIT EMS function for incident scene
  personnel. Reports to the Logistics section not
  to Medical Group/Branch.
• REHAB GROUP Responsible for rehab of incident
  responders. Under Logistics.
• MOTOR VEHICLE INCIDENT
• Formerly a 10-50 any incident involving a motor
  vehicle

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IMS/EMS Terminology

• STRIKE TEAM 5 or more like units with an
  assigned leader.
• MEDICAL STRIKE TEAM4 Medic units a support
  engine and an EMS Supervisor
• MEDICAL TASK FORCE 4 Medic units, a support
  enginge, Rescue Squad and Battalion chief

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EMS/IMS Managing the EMS Incident

• Scene Safety
• Size-Up
• What do I have?
• Where is it going?
• What do I need to control it?
• Brief Initial Report (B.I.R.)
• Assume Command

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EMS/IMS Command Function

• First arriving person shall assume command
• Any incident with two or more units
• IC will request resources
• IC will determine strategy
• IC will organize incident
• IC will evaluate/manage resources
• IC will change command as required

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Routine IncidentMotor Vehicle Rescue
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Large Scale Incident
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Operations Section
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Medical Unit
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EMS/IMS BCOFD -Implementation

• Marketing Staff, Volunteers, Chiefs, 1311
• Development of IMS Manual
• Radio Terminology Change
• Training Program
• Implementation/Cutover
• Evaluation Feedback

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EMS/IMS Training Program

• AWARENESS LEVEL All personnel-4hr.
  program/simulations
• DISPATCH LEVEL All uniformed and civilian
  personnel- (6 hrs.)
• STAFF COMMAND LEVEL All officer grade and
  selected staff persons. Two day (16hrs.)

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IMS/EMS SUMMARY

• Strong command required at every incident
• History of EMS/IMS -transition
• Terminology will change
• BCOFD Implementation
• Managing the EMS incident
• Development of Consistency in all operations
  All risk system