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Chapter 40
Incident Management
| Term | Definition |
|---|---|
| Incident command system (ICS) | makes it possible to do the greastest good for the grestest number |
| National Incident Management System (NIMS) | promotes efficient coordination of emergency incidents at the regional, state and national level . |
| Implemented in 2004 | Provides a framework to enable federal, state, and local governments to work together. Includes private-sector and nongovernmental organizations |
| The purpose of the ICS is | Ensure responder and public safety. Archieve incident mandament goals. ensure the efficient use of resources |
| CFLOP | Command, Finance, Logistics, Operations, Planning, Command staff |
| Command Incident commander (IC) | is in charge of the overall incident. It is important to know who the IC is, how to communicate with the IC, and where the command post is located. An IC may turn over command to someone with more experience in a critical area. |
| Finance | Responsible for documenting all expenditures at an incident for reimbursement |
| Logistics | Responsible for communications equipment, facilities, food, and water, fuel, lighting, and medical equipment/supplies. |
| Operations | At a very large or complex incident, responsible for managing the tactical operations usually handled by the IC. |
| Planning | Solves problems as they arise. Develops an incident action plan |
| Command Staff | The safety officer monitors the scene for conditions or operations that may present a hazard. The public information oficer (PIO) provides the media with clear and understandable information. The liaison officer relays information and conccerns among com |
| Communications and information Managament | All agencies should be able to communicate quickly and effortlessly via radios. |
| Accountability | means keeping your supervisor advised of your location, actions and completed tasks. Once the incedient has been stabilized, the IC will determine which resources are needed and when to begin demobilization. |
| Preparedness | involves the deisions made and basic planning done before an incident occurs. |
| Establising command | Command should be established by the most senior official. Notification to other responders should go out. Necessary resources should be requested. Command must be established early. |
| Communications | If possible, use face-to-face communications to limit radio traffic. If you communicate via radio, do not use 10-codes or signals. |
| Medical incident command | is also known as the medical (EMS) branch of the ICS. |
| Triage Supervisor | In charge of counting and prioritizing patients Ensures that every patient receives initial assessment of his or her condition Do not begin treatment until all patients are triaged. |
| Treatment supervisor | Locates and sets up the treatment area with a tier for each priority of patient Ensures that secondary triage is performed and that adequate patient care is given Assists with moving patients to the transportation area |
| Transportation supervisor | Coordinates the transportation and distribution of patients to appropriate receiving hospitals Documents and tracks the number of transport vehicles, patients transported, and the facility destination |
| Staging supervisor | Should be assigned when scenes require a multivehicle or multiagency response Emergency vehicles must have permission to enter the scene and only drive in the directed area. The staging area should be established away from the scene. |
| Physicians on Scene | Make difficult triage decisions. Provide secondary triage decisions in the treatment area. Provide on-scene medical direction for EMTs. Provide care in the treatment sector as appropriate. |
| Rehabilitation supervisor | Establishes an area that provides protection from the elements and situation Rehabilitation is where a responder’s needs for rest, fluids, food, and protection from the elements are met. Monitors responders for signs of stress |
| Extrication and special rescue | Determines the type of equipment and resources needed for the situation. Usually function under the EMS branch of the ICS |
| Morgue supervisor | works with area medical examinewrs corenors diasaster mortuary assistance teams. and law enforcement agencies to coordinate removal of bodies and obdy parts. the morgue area should be out of view of the living patients and other responders |
| mass casualty incidents | Involves three or more patients Places great demand on the EMS system Has the potential to produce multiple casualties |
| Triage | means to "to sort" patients based on the severity of their injuries. assessment is breif and patient condition categories are basic. |
| Primary triage | is done in the field |
| Secondary triage | is done as patients are brought to the treatment area. |
| Four Common categories | Immediate (red) Delayed (yellow) Minor or minimal (green; hold) Expectant (black; likely to die or dead) |
| START triage | Simple Triage And Rapid Treatment First step is to call out to patients and direct them to an easily identifiable landmark. Injured persons are the walking wounded. Second step is directed toward nonwalking patients. Assess respiratory rate, |
| JumpSTART triage | for pediatric patients Intended for use in children younger than 8 years or who appear to weigh less than 100 lb Begin by identifying the walking wounded. Several differences within the respiratory status assessment compared with START Assess the |
| Identify patients as contaminated or decontaminated in hazmat incidents. | |
| Destination decisions | All patients triaged as immediate (red) or delayed (yellow) should be transported by ground or air ambulance. In large situations, a bus may transport the walking wounded. Immediate-priority patients should be transported two at a time until all are |
| A disaster | is a widespread event. Disrupts the functions and resources of the community Threatens lives and properties Many disasters may not involve personal injuries, but many disasters (floods, fires, hurricanes) result in widespread injuries. |
| Hazwoper | first responders at the awareness level should have sufficient training or experience to demonstrate the following competencies. |
| Hazardous Material | poses an unreasonable risk of damage or injury if it is not properly controlled during handling, storage, manufacture, processing, packing, use and disposal, and transportation. |
| Occupancy and location | a wide variety of chemicals are stored in locations such as: warehouses , hospitals and laboraories |
| Senses | The senses that can be safely used are those of sight and sound. Using any of your senses that bring you in proximity to the chemical should be done with caution or avoided. Clues that are seen or heard from a distance may enable you to take precaut |
| Bulk and nonbulk | A container is any vessel or receptacle that holds a material. Often the container type, size, and material of construction provide important clues about the nature of the substance inside. |
| Container volume | Bulk storage containers are found in buildings that rely on and need to store large quantities of a particular chemical. These containers are often surrounded by a secondary containment system to help control an accidental release. Large-volume hori |
| Totes | have a capacities ranging from 119 gallons to 703 gallons |
| Intermodal tanks | are both shipping and storage vessels . Can be pressurized or nonpressurized. |
| Nonbulk storage vessels | hold commonly used commercial and industrial chemical. Bags are commonly used to store solids and powders. |
| Carboys | transport and store corrosives and other types of chemicals. |
| Material safety data sheets (MSDS) | The chemical makeup of a substance The potential hazards it presents Appropriate first aid in the event of an exposure Other pertinent data for safe handling |
| Shipping papers | Required whenever materials are transported from one place to another. Include names and addresses of the shipper and the receiver, identify the material being shipped, and specify the quantity and weight of each part of the shipment |
| Chemical Transportation Emergency Center (CHEMTREC) | CHEMTREC is operated by the American Chemistry Council |
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Alawe05