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close this bookEstablishing a Mass Casualty Management System (Pan American Health Organization (PAHO) / OrganizaciĆ³n Panamericana de la Salud (OPS), 1995, 58 p.)
View the document(introduction...)
View the documentPreface
View the documentAcknowledgements
Open this folder and view contents1. Introduction
Open this folder and view contents2. Definitions
Open this folder and view contents3. Field management
Open this folder and view contents4. Transfer organization
Open this folder and view contents5. Hospital organization
Open this folder and view contents6. National mass casualty management plan
Open this folder and view contents7. Assistance from a neighboring countries or territorie
Open this folder and view contents8. Implementation of a mass casualty management system
View the documentAnnex 1 action cards
View the documentAnnex 2 standard job profiles
View the documentBibliography

Annex 1 action cards

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

Action card

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

Action card

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