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MVI

MULTIPLE VICTIM INCIDENTS

OBJECTIVES

Describe the key factors of an organized response to multiple victim incidents Recognize the relationship between a normal day to day medical aid call, expanded into a multiple victim incident, expanded into a mass casualty incident Understand the major incident command components of a multiple victim incident

What is a Multiple Victim Incident (MVI)? .

MVI DEFINED  A multiple victim incident is a medical emergency which exceeds normal first response capabilities and is severe enough to require the use of a streamlined mode of operation to assure proper patient treatment .

What are some of the problems that you have encountered on an MVI? .

IDENTIFIED MVI PROBLEMS  NEED ADDITIONAL RESOURCES  Who is responsible for requesting additional manpower and equipment? .

TRIAGE PROBLEMS  WHO IS RESPONSIBLE FOR TRIAGE?  Little / none / or improper triage performed .

EMS PROBLEMS  NO EMS INCIDENT COMMAND STRUCTURE  Paramedics performing operational functions instead of treating patients Who’s in charge of the scene v.s. who’s in charge of the patient  .

COMMUNICATIONS…  Confusion with multiple radiomen  Single radioman (radioman overloaded) .

TRANSPORTATION  Extended scene-time waiting for ground and air ambulances Ambulances blocking exiting from the scene Split ambulance crews (need to locate to transport)   .

QUALITY ASSURANCE  Reluctance to admit errors Good old boy (pat yourself on the back syndrome) System improvement accountability   .

We must use the Incident Command System (ICS) on small incidents in order for it to be useful on large incidents .

What is the difference between a Multiple Victim Incident (MVI) and a Mass-Casualty Incident? .

from an incident command point of view. we really mess up the bigger fires” .“We have learned from our firefighting experience that if we don’t approach a single dwelling house fire.

MVI INCIDENT COMMAND POSITIONS  INCIDENT COMMANDER TRIAGE UNIT LEADER  TREATMENT UNIT LEADER  MEDICAL COMMUNICATIONS COORDINATOR  AMBULANCE MANAGER  .

INCIDENT COMMANDER Identify and prioritize problems  Assign triage function  Determine total number of patients  Declare the incident an MVI  Request additional resources  Assign staging areas  Assign and brief staff  .

TRIAGE PERSONNEL  Return triage tag ends to supervisor Safety considerations   Provide medical treatment when appropriate .

TREATMENT UNIT LEADER Request sufficient medical teams  Identify priority patients  Request medical equipment and supplies  Use Standing Orders  Re-triage  .

MEDICAL COMMUNICATIOINS COORDINATOR (MED-COM) Usually a paramedic position  Open communications immediately  Communicates with medical control  Transmit scene information  Locate the most critical patient  Receive briefing from treatment team  Coordinate with ambulance manager  .

AMBULANCE MANAGER Ambulance staging established early  Ambulance crews staged with units  Supervise patient movement  Report time ambulances off-scene  .

the IC may also be the Triage Unit Leader. and part of the Triage Personnel   .FIRST RESPONDERS  It is essential to the plan that working positions are assigned first This means build from the bottom up If only a few Responders initially arrive onscene.

PARAMEDICS  Paramedic resources are limited so they should be used for treatment and not managing .

MVI INCIDENT COMMAND STRUCTURE INCIDENT COMMANDER TRIAGE UNIT LEADER TREATMENT UNIT LEADER MEDICAL COMMUNICATIONS COORDINATOR AMBULANCE STAGING MANAGER TRIAGE PERSONNEL IMMEDIATE TREATMENT TEAM DELAYED TREATMENT TEAM MINOR TREATMENT TEAM .

First Responder Group Regular Medical Aid Call INCIDENT COMMANDER TREATMENT UNIT LEADER (MED-COM) IMMEDIATE TREATMENT TEAM .

Are there any questions or comments about the Multiple Victim Incident System? .