Chapter 38: Incident Management

What does NIMS stand for?

National Incident Management System

What does the incident commander do?

In charge of the overall incident

What is the unified command system?

Large MCIs, such as a hazmat

What is a single command system?

One person is in charge, even if multiple agencies respond

What is the logistics section of the IC responsible for?

Responsible for communications equipment, facilities, food and water, fuel, lighting, and medical equipment and supplies

What is the operations section responsible for in IC?

Manages tactical operations usually handled by the IC on routine EMS calls

What is the planning section of the IC?

Obtain data about the problem, analyze the previous incident plan, and predict what or who is needed to make the new plan work

What does the liaison officer do?

Relays information and concerns among command, the general staff, and other agencies

What is an open incident?

One that is not yet contained

What is the rehabilitation supervisor do?

Establishes an area that provides protection for responders from the elements and the situation

What does IDME stand for?

Used for triage

Immediate (red)

Delayed (yellow)

Minor or minimal (green; hold)

Expectant (black; likely to die or dead)

What do patients’ that would be considered immediate (red-tag) usually have problems with?

Problems with ABCs, head trauma, or signs and symptoms of shock

What do patients’ that would be considered Delayed (yellow-tag) usually have problems with?

Multiple injuries to bones or joints, including back injuries with or without spinal cord injury

What do patients’ that would be considered green-tag usually have problems with?

Minor fractures, minor soft-tissue injuries

What do patients’ that would be considered Black-tag usually have problems with?

Obvious death, obviously nonsurvivable injury, such as major open brain trauma

Respiratory arrest (if limited resources)

Cardiac arrest

JumpSTART Pediatric MCI triage

Able to walk → yes→ minor → secondary triage *evaluate infants first in secondary triage

• If no

Breathing? → no → Position upper airway → breathing → immediate

• → apneic→ palpable pulse?

  • No: Expectant

Respiratory rate→ <15 or >45 Immediate

Palpable pulse: NO: Immediate

AVPU: P or U Immediate

AVPU: A V or P Delayed

What is the warm zone?

Where personnel and equipment transition into and out of the hot zone