
| Establishing a Mass Casualty Management System (Pan American Health Organization (PAHO) / Organización Panamericana de la Salud (OPS), 1995, 58 p.) |
1. OPERATOR - DISPATCH CENTER
2. INITIAL ASSESSMENT TEAM
3.
FIRE SERVICES
4. SEARCH AND RESCUE TEAM
5. SEARCH AND RESCUE OFFICER
6.
COORDINATOR OF THE COMMAND POST
7. FIRE OFFICER IN COMMAND POST
8. POLICE
OFFICER IN COMMAND POST
9. HEALTH OFFICER IN COMMAND POST
10. ACUTE
TREATMENT MANAGER (MANAGER OF ADVANCE MEDICAL POST)
11. MEDICAL TRIAGE
OFFICER
12. RED TEAM LEADER
13. EVACUATION OFFICER
14. TRANSPORT
OFFICER
15. ADMINISTRATION CLERK TRIAGE AREA
16. ADMINISTRATION CLERK
EVACUATION AREA
17. AMBULANCE DRIVER
Action card
1. OPERATOR - DISPATCH CENTER
· Receives initial call or warning message concerning the
event
· Establishes: - caller's name and telephone number - nature of
event - exact location of event - time of occurrence - approximate number of
victims
· Verifies information (if an unqualified observer)
·
Mobilizes and sends a dispatch team to site for initial assessment
·
Alerts potential responders (stand by)
· Receives report of initial
assessment
· Dispatches necessary resources
Action card
2. INITIAL ASSESSMENT TEAM
· Travel to site expeditiously
· Identify a
leader
· Establishes - precise location of the event - time of the
event type of incident
· Estimates - number of casualties - added
potential risk - exposed population
· Team Leader reports initial
information to dispatch center
· Draws a single map of the area
indicating: main topographical features - potential risk areas - victims -
access roads - various field areas - limits of restricted areas - compass rose -
wind direction
· Directs resources arriving in the field until the
arrival of a high ranking office
· Hands over the map and briefs first
arriving officer of rank
· Reports to reassigned station
Action card
3. FIRE SERVICES
The Fire Services will be responsible for:
- safety
- search and rescue
- risk reduction
-
definition of restricted areas
- providing a senior officer as a staff member
of the Command Post
- providing the AMP with a Transport Officer
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4. SEARCH AND RESCUE TEAM
· Locates victims
· Removes victims from unsafe
locations to collection point if necessary
· Conducts initial triage of
victims (acute/ nonacute)
· Provides essential first aid
·
Transfers victims to Advance Medical Post
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5. SEARCH AND RESCUE OFFICER
· Coordinates search and rescue activities by: identifying and assigning teams - supervising team functioning - establishing a collection point when necessary - coordinating the transfer of patients from the collection point to the Advance Medical Post communicating with Command Post for resource reinforcement - ensuring safety and welfare of search and rescue teams
Action card
6. COORDINATOR OF THE COMMAND POST
· Performs overall coordination of the field
operations
· Receives reports from the other officers in the Command
Post
· Continuously assesses the general situation
·
Coordinates requests between sectors in field
· Ensures links between
sectors
· Ensures the welfare of all staff involved in Held
operations
· Liaises with central headquarters, (e.g., EOCs)
·
Authorizes releases to the media
· Acts as link between Held operation
and backup system
· Ensures adequate radio communication
Action card
7. FIRE OFFICER IN COMMAND POST
· Coordinates activities of the Fire Service in the field
(ensures safety, search and rescue)
· Assists in transport
organization
· Manages fire staff resource needs by: - continuous
assessment - requests for backup - timely rotation of staff - withdrawal of
staff no longer needed
· Reports to the coordinator of the Command Post
Action card
8. POLICE OFFICER IN COMMAND POST
· Ensures that radio communication is established and
maintained
· Implements security measures to: - maintain restricted
areas - provide crowd and traffic control
· Manage field police
resources by: - continuous assessment of needs - redeployment of police officers
- requests for backup - ensure adequate supply of necessary equipment
·
Generally is the coordinator of the Command Post
Action card
9. HEALTH OFFICER IN COMMAND POST
· Supervises the field care of victims
· Provides
the link between the health/ medical backup system
· Ensures the
adequate supply of manpower and equipment
· Receives reports from the
manager of the Advance Medical Post (acute treatment manager)
· Deploys
and manages health staff resources
· Reports to the coordinator of the
Command Post
Action card
10. ACUTE TREATMENT MANAGER (MANAGER OF ADVANCE MEDICAL POST)
· Supervises triage and stabilization of victims in
AMP
· Establishes the internal organization of the AMP
·
Manages the staff of the AMP
· Ensures that effective victim flow is
maintained
· Ensures adequate equipment and supplies are available in
each treatment area
· In collaboration with the Transport Officer, the
Health Officer in the Command Post, and receiving health care facility,
organizes the transfer of patients to health care facilities
· Decides
on the order of transfer victims, the mode of transport, escort and place of
transfer
· Ensures staff welfare
· Reports to the Health
Officer in the Command Post
Action card
11. MEDICAL TRIAGE OFFICER
· Receives victims at the entrance of the AMP
·
Examines and assesses the condition of each victim
· Categorizes and
tags patients as follows Red immediate stabilization necessary Yellow-close
monitoring, care can be delayed Green minor delayed treatment or no treatment
Black- deaths
· Directs victim to appropriate treatment area
·
Reports to the manager of the AMP
Action card
12. RED TEAM LEADER
· Receives patient from medical triage
· Examines
and assesses the medical condition of the victim
· Institutes measures
to stabilize the victim
· Continuously monitors victim's
condition
· Reassesses and transfers victims to other treatment
areas
· Prioritizes victims for evacuation
· Requests
evacuation in accordance with priority list
· Reports to the manager of
the AMP
Action card
13. EVACUATION OFFICER
· Receives victims for evacuation
· Assesses the
victim's stability
· Assesses the security of any equipment attached to
victims and corrects deficiencies
· Ensures that immobilization is
adequate
· Ensures that the tag is safely and clearly
attached
· Maintains observation of victims until
transported
· Supervises loading and ensure escort is
briefed
· Reports to manager of AMP
Action card
14. TRANSPORT OFFICER
· Coordinates and supervises the transportation of
victims
· Identifies access routes and communicates traffic flow to
drivers
· Supervises all available ambulance drivers and drivers of
assigned vehicles
· Receives requests for transportation
·
Assigns appropriate vehicle tasks in accordance with specific needs
·
Maintains a log of the whereabouts of all vehicles under his control
·
Reports to the manager of the AMP
Action card
15. ADMINISTRATION CLERK - TRIAGE AREA
· Maintains a register of all victims admitted to medical
triage
· Records - name or identification number - age when possible -
sex time of arrival - injury category assigned
· Reports to Triage
Officer
Action card
16. ADMINISTRATION CLERK EVACUATION AREA
· Maintains a register of all victims leaving the
AMP
· Records - victim name/number - injury category - time of
departure - mode of departure (vehicle) and escort - destination
·
Reports to the evacuation office
Action card
17. AMBULANCE DRIVER
· Remains in the vehicle at all times
· Responds
promptly to directives from Transport Officer
· Ensures that vehicle is
parked in designated area, and is ready to move
· Transports patients
in accordance with safety rules and instructions
· Reports to Transport
Officer