2. Manitowoc County Mass Casualty Disaster Plan

3. Disaster Supplies 1. Cleveland First Responders - Cleveland 2. Kiel Ambulance Service - Kiel 3. Mishicot Ambulance Service - Mishicot 4. Valders Ambulance Service - Valders 5. County Mass Cass Trailer – Manitowoc Fire 6. Manitowoc Fire Department - Manitowoc 7. Two Rivers Fire Department - Two Rivers

5. First In Medical Team EMS Chief Officer and Triage

6. EMS Chief Officer Notify JDC of Mass Casualty Event and have them page all County EMS units to a designated staging area. Request: –Black Boxes –Helicopters –Mass Casualty trailer –Any other additional resources Co. Fire Depts. Utilities Red Cross/Sav. Army TRFD Blow up shelter Hazmat Buses Lighting Notifies area Hospitals of Disaster

7. EMS Chief Check List _____ Appoint triage officer and assistant if needed _____ Appoint a staging officer _____ Appoint an equipment area manager _____ Appoint a treatment area manager(s) _____Appoint a transportation officer _____ Appoint a communications officer _____ Appoint a liaison to the coroner if needed _____Appoint Safety Officer

8. Triage Officer 30 second eval of each patient. Walking wounded - Green R >30 Red P No Rad Pulse or > 2 sec Cap refill-Red M Can not follow simple command - Y Tag Vs Band Second Sweep or Assistant place name Give count to EMS chief

9. Triage Charts

10. Triage Tags and Bands

11. Staging officer Greet incoming units Provide accountability-Check in Assign units based on EMS chiefs needs Responsible for keeping a log EMS personnel on scene. –A.Name –B.Unit affiliation –C.Task

12. Treatment Officer Coordinates evacuation of patients with Transportation Officer to area hospitals or other intermediate facilities or locations. Nice to have Paramedic, but not necessary- Assigns staff to treat patients Sets up Red, Yellow and Green Tarps

13. Transportation Officer With approval and concurrence of EMS Chief Officer and EMS Triage Officer establishes: –1.Patient loading area –2.Ambulance staging area –3.Equipment staging area Establishes communications contact with Staging Officer and advises number of ambulances and special service equipment needed to perform patient transport. Coordinates ambulance routing and response to ambulance staging area. May require setting up special routes for ambulances to enter and leave staging areas. Establishes communications contact with Emergency Operations Center (if activated), Medical Control and area hospitals via Communications Officer to determines area hospital's capabilities to receive patients. Logs Patients as they are loaded into ambulances

14. Equipment Area Manager Establishes equipment area which should be strategically located between treatment and ambulance staging areas. Communicates with EMS Triage Officer and provides the needed equipment at the incident and treatment areas. Collects and inventories equipment and supplies from ambulances arriving at the scene Collects and inventories supplies as brought in from various sources. Label equipment if time permits to allow for proper return. Distributes supplies as requested in triage and treatment areas. Collects and inventories equipment at the end of the incident and returns the same to its proper source Sets up Mass Cass Trailer

15. Communications Officer Works with Transportation Officer, communicating via radio, to hospitals, with information on patients and estimated times on arrival. Establishes communications contact with Emergency Operations Center and Fire/Hazmat (if activated) (call JDC at 683-4201 for phone numbers) Medical Control, and area hospitals and determines area hospitals' capabilities to receive patients. This information shall be shared with the Transportation Officer. The Communications Officer shall be the only person contacting the hospitals with patient information and estimated times of arrivals. Gives report as patients leave transport area

17. Coroner Liaison Assist Coroner

18. Safety Officer -Make the scene safe Keep the scene safe May have been assigned already by IC

19. Disaster Boxes

23. Other Considerations Command Post Staging Buses Shelters Decon Unified command Do not rush take your time and do it RIGHT Assistants FR vehicles to transport Co FF to help move or Decon Traffic Control- MTSO, Co FF Safety of all responders Portable lighting Critical patient go by Helo What to do for DOA

24. MABAS Life Safety Card Accountability Mutual Aid Frequency

25. Questions