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MCI Incidents - How would you handle this?
You are doing an occupancy inspection with your engine company and this happens...
You have zero time to be prepared for this so now what?
Do you know and understand START?
Do you know and understand ICS?
Good luck!
CBz
Replies to This Discussion
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Permalink Reply by Marc on
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if i was the Captian.
Immdeiatly have my engineer respot the engine for Incedent protection. Next, i would get on the radio "OCD from engine 58, i have a still alarm traffic with mulitpule injuries. I am going to need 2 more engine companies, 2 taskforces, Heavy Rescue, 2 EMS Captians, a Battlion cheif, and 6 Rescues (Ambluances').
Next, i would have all 3 other memebers of my engine throw on helmets and turnouts and grab the MCI tabs and go and check the severity of the injuries of each person and tag them. The people who are walking i would have to stand over by the ledge (right before the truck flipped there is a little hill thing). Then I would have my members start to treat the wounded depending on the severity. I would also try to find a good triage place for the amount of victims. (i am going to say about 10 people.) Then as more resources arrive turn over command to the first truck captian and then they will turn it over to the Battlion captian.
I would have my crew continue helping triage and patient care while i was over at the command post.
Thats all i got for right now
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Permalink Reply by Fireyladd - Retired Chief Sharp on
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all this after you shitt yourself?
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Permalink Reply by Paul Montpetit on
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Dispatch.....I have a Code Brown.......I need 2 pairs of Fruit of the Loom size large... STAT !!!.....(I just shit myself)
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Permalink Reply by Jonathan Halverson on
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If the engine was in the right place to be moved, move it, I'd put it beyond the incident, as that's where the traffic seems to come from. Another engine company, 2 rescues (squads), a truck for manpower and more blocking, EMS Supervisor, Battalion Chief, Operations Deputy if needed. 2+ MCI task forces (4 medics, MCI unit.) Fairfax 1 and LifeFlight would be in the air, perhaps a Maryland State Trooper helo or two, depending on how many people would be needing medevac. Another 2 engines for LZ pieces, Trauma center is going on stand by.
I'd let the medic on the engine take the lead on this one. The other members would be tagging, driver would be grabbing gear and spotting out staging positions. The walking are going over to the grass by the houses, serves as an immediate "green" zone.
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Permalink Reply by Matthew Powers on
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I would radio to dispatch the need for the full department, 1 or 2 LEOs, and an initial ambulance response describing the approximate victim count. Next, being the only EMT on my volunteer department, I would assign the next most qualified guy as IC. I would start the simple triage and mark people as well as I could without tags as we do not carry them. Luckily for me, and the victims, there looks to be mostly green tags, but the guys that did not get thrown clear look to have it the worst. We should have enough c-collars but I believe we would have to utilize the green carded people to maintain support once the collar is on. When my boys showed up, they could take over c-spine control and work on hemorrhage control. By this time I should have a firm number on the victim count and I would be able to request additional ambulances if needed. It is likely that we would have to pull from another ambulance district's resources. It would then be prudent to let the hospitals know how many people are on their way. When the ambulance shows up, I would transfer EMS support to them and assist them as needed or report back to any officer that has assumed command.
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Permalink Reply by Mike Schlags (Captain Busy) Retd on
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good points but not sure if there is really that much traffic on this rural road... lol
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Permalink Reply by Roy Walker on
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Captain busy with all due respect we need to investigate how you always seem to be on scene to document these situations. Everybody seems to have covered most of the bases except if this is in the afternoon in a rural setting manpower may be an issue so mutual aid is likely necessary.
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Permalink Reply by Station10Capt106 on
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I'm just wondering why in the world someone would be video taping there in the first place. Doesn't seem to be much going on. Makes one wonder if they flipped that vehicle and caused all kinds of trauma just to win $10,000. :)
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Permalink Reply by Capt./Chaplain Mike Petrosky on
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upon arrival and having a general idea of how many pt's we have I would radio to central that indeed we have a MCI, additional Engines ( 4 ) to start, Rescue, 2 medical trucks, and chiefs. Assume command and give BIR. Call for additional EMS rigs and supervisor w/trailer ( they have EMS trailer w/extra command, and EMS supplies ). Put call in for LZ ( I'm thinking 3 helos initially ). Close down road way back where we first saw truck come down that hill. Tag the wounded and inplement MCI SOGs ASAP-you are going to have to make tough decisions on who gets treatment and who has to wait or get passed by initially. Remember, get the walking wounded to an area that they can stage at and be triaged, the sooner you get them triaged and staged to a area the sooner you can concentrate on the truly needy pt.'s. Let central and EMS know a pt. count and type of pts ( green, yellow, red, black ) asap-then they can make arrangements for hospitals and see who will take what pts. Chaos will ensue if the scene is not handled well from the get-go. Hopefully this never happens to any of our depts. Stay Low, Stay Safe. God Bless. Chaplain Mike.
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Permalink Reply by FETC on
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I would have to say that someone knew they were coming, they zoomed in before the truck came into sight. Also explains the swerving back and forth for the camera to look cool.....
Secondly, probably don't I speak the language either.
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FETC-maybe they did ! Maybe it was a commercial or a south of the border movie being filmed and everything just went terribly wrong. Maybe the driver was aiming at the wheelbarrow and didn't get a good go at it and wha-lah ! I can see the statement on the bottom of the film already **Do not try at home, these are professionals on a closed course** or **No animals we hurt in the making of this film, only humans**. YIKES.
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Permalink Reply by Oldman on
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If anyone is interested, there appear to be 15 in the bed, and 3 in the cab.
Reminds me of one I was involved in years ago in West Texas. Pickup with a camper shell hauling 21 migrant (illegals) farm hands blew a stop sign. T boned by another car. It looked like the pickup exploded. We only had two ambulances in town and a two bed emergency room. The START program hadn't been developed in those days.
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