Tuesday, July 22, 2014

Massachusetts - MCI Info

http://www.mass.gov/eohhs/docs/dph/emergency-services/treatment-protocols-1101.pdf
- see page 159

Their definitions

MCI = any situation where the NUMBER of patients exceed capability

Level 1 - no mutual aid needed

Level 2 - mutual aid is needed

Level 3 - local and regional EMS are overwhelmed

------------------------------
-----

If there is a person with a sprained toe in Holland Mass (Region ?3),
but the only responder is coming from New Braintree (Region ?4) with a
bag of ice - is this a level 3 MCI? It sure is by these definitions.

By these definitions, every incident is a Level 3 MCI until someone
gets onscene and gives a report.

By these definitions, every time that a ambulance is slow to be
staffed, that is a Level 1 or 2 MCI.

By these definitions, every time that a 2nd ambulance is needed in a 1
ambulance town, that is a Level 2 MCI.

------------------------------------

What is a MCI really? A massive casualty incident. Either some heavy
patients - or alot of not heavy pateints.

Maybe it would be good to dump all of this level 1 / level 2 / level 3
/ Phase 5 stuff. The focus should be on getting a report of the number
of injurys to the dispatcher as soon as possible. 5 critical and 6
walking wounded. That is all the dispatcher needs to know. (maybe a
few more details would be good - 3 decon pateints - 2 burn patients -
etc - but that is not common)

----------

Simpler still

Initial report - "approx 15 patients"

Followup report (within 5 minutes) - "we have 3 black + 3 red + 3
yellow + 3 green" - any special conditions? - "yes, 2 of the red need
to be deconned"

Thats all she wrote

No comments:

Post a Comment