1. Northeast Colorado All Hazards Region Mass Casualty Incident Plan Training Section 4 - Operations

2. Northeast Colorado All Hazards Region 4-2 Overview  Operations Section Review  Operations Modular Structure  The Medical Branch  MCI Categories  Case Example

3. Northeast Colorado All Hazards Region 4-3 Operations Section Structure

4. Northeast Colorado All Hazards Region 4-4 Operations Section Function  Directs and coordinates all incident tactical operations  Is typically one of the first organizations to be assigned to the incident  Expands from the bottom up  Has the most incident resources  May have Staging Areas/special organizations

5. Northeast Colorado All Hazards Region 4-5 Operations Modular Structure  Span of control  Divisions  Groups  Branches

6. Northeast Colorado All Hazards Region 4-6 Operations Modular Structure  Small incidents  Large incidents All incidents regardless of size should utilize ICS

7. Northeast Colorado All Hazards Region 4-7 Medical Branch Positions  Medical Branch Director  Medical Group/Division Director  Triage Unit Leader  Morgue Manager  Treatment Unit Leader  Treatment Dispatch Manager  Immediate Treatment Manager  Delayed Treatment Manager  Minor Treatment Manager  Transportation Supervisor  Medical Communications Coordinator  Ground Ambulance Coordinator  Medical Supply Coordinator

8. Northeast Colorado All Hazards Region 4-8 MCI-0  2-5 patients  Establish/Report Command  Most qualified EMT attends most serious  EMT- B performs triage  Triage and tag  Request resources  Package all patients  Most qualified EMT sees all critical patients

9. Northeast Colorado All Hazards Region 4-9 MCI-1  6-15 Patients Personnel recommended  1 ALS EMT & 1 EMT or FR for each critical patient  1 EMT for every 3 non- critical patient  1 Senior EMT as Medical Communication & Transportation Leader  1 Senior EMT as Triage Control Officer

10. Northeast Colorado All Hazards Region 4-10 MCI-1  6-15 Patients Medical Command Must Assure:  Sufficient ambulance  Sufficient fire suppression  Activation of Hospital and Mutual Aid Frequencies

11. Northeast Colorado All Hazards Region 4-11 MCI-1  6-15 Patients Minimum Positions:  Triage Control Officer  Transportation Control Officer

12. Northeast Colorado All Hazards Region 4-12 MCI-2  16-50 patients Personnel recommended  A complete Medical Division appropriately staffed pursuant to the number of casualties.  1 ALS EMT per three critical victims.  1 EMT-B per seven minor injuries. Regional Mutual Aid will be needed

13. Northeast Colorado All Hazards Region 4-13 MCI-3  >51 Patients Personnel recommended  A minimum of one complete Medical Division.  1 ALS EMT per three critical patients.  1 EMT per seven minor injuries. County, and/or State assistance will be needed

14. Northeast Colorado All Hazards Region 4-14 Review & Questions  Operations Section Review  Operations Modular Structure  The Medical Branch  MCI Categories Questions about Operations?

15. Northeast Colorado All Hazards Region 4-15 Case Example The first arriving unit from the fire department assumes command and reports that there are 5 patients total. Four survivors and one probable fatality. Questions 1.What type of command needs to be established? 2.How will ICS be used in this situation?