Mass casualty incident response planning training program presented at the Idaho Prepares Conference.

1. Idaho Multiple Patient Incident Response Nick Nudell, NREMT-P Regional Operations Manager Idaho EMS Bureau

4. Mass Casualty Incidents:

5. Set-Up at Columbine:

6. Mass Casualty Incident

8. Mass Casualty Incidents:

10. Rural MCI Challenges

17. Secure Scene for Safety

19. Scene Size-Up

22. Egress:

24. START Triage Diagram:

25. JumpSTART Triage:

26. Triage Tags:

30. Patient Tracking:

39. Medical Incident Operations:

43. Logistics:

49. Vests for EZ ID:

50. Medical Incident Common Tools:

54. Medical Incident Communications:

56. Command Posts:

60. Rescue/Extrication:

62. Rescue & Extrication:

63. Decontamination:

65. Triage:

67. Portering:

71. Walking Wounded:

76. Treatment:

84. Patient Distribution:

85. Transportation:

91. Staging:

95. Ingress/Egress:

99. Transportation Recorder:

101. Cold Zone Incident Site Setup, bird’s eye view North Division South Division Treatment Group Transportation Group Entry/Exit Unit West Perimeter Division Triage Group 1 2 3 4 Hot Zone Warm Zone Incident Site W I N D (Civilian EMS/Hospitals) Medical Stabilization Casualty Evacuation Decon Check & Release H Casualties Checked & Released to Community Emergency Operations Center (EOC) Unified Command Post Non - Amb Decon Trailer Water Source Decon Triage First Responder Lane Ambulatory HAZMAT Storage Bladder Decon Decon Initial Fire Dept/EMS EMS Incident Command Post Staging Area Cold Zone Assembly Area (CZAA) First Responder Personnel Flow Casualty Flow Casualty Collection Point HZAA Hot Zone Assembly Area Hot Zone Coordinator IRP Team Leader located at Initial Rally Point Entry/Exit Point Cold Zone Coordination Cell Reconstitution of Supplies/Equipment

102. Incident/ Unified Command System Triage and Treatment Groups Incident Site W I N D Medical Treatment Site Setup (Remote from incident site) Medical Stabilization & Patient Admission Non - Amb Decon Trailer Water Source Decon Triage First Receiver Decon Lane Ambulatory Decon Decon Cold (Support) Zone Emergency Operations Center (EOC) Cold Zone Staging Area Reconstitution of Supplies/Equipment and personnel Casualty Collection Point Warm (Contamination Reduction) Zone Waste water S L O P E (> 10 minute) H Incident Command Post First Receiver Flow Casualty Flow Entry/Exit Control Point

104. Medical Supply:

111. Capability Based Planning:

112. Capability Based Planning:

113. A 10-Step National Process Achieving Target Levels of Capability How prepared are we? What should we prepare for? What tasks need to be performed? Which tasks are critical? How do we share responsibility to develop and maintain capabilities? What capabilities are needed to perform the critical tasks? What capabilities are required? Do we have adequate capabilities? What level of capability is needed to perform critical tasks for all scenarios? How should we allocate our resources to make the greatest improvements in preparedness? 6 4 5 1 2 3 7 8 9 10 Defining Target Levels of Capability Assessing Preparedness