1. A/V 7-1 UNIT 7: THE EXPANDED ORGANIZATION/REINFORCED RESPONSE

2. A/V 7-2 KNOWLEDGE OBJECTIVES The students will be able to: Describe the responsibilities of the Staging Area Manager.Describe the responsibilities of the Staging Area Manager. Describe the responsibilities of the Command Staff.Describe the responsibilities of the Command Staff. Describe the expansion of the Incident Command System (ICS) organization.Describe the expansion of the Incident Command System (ICS) organization. Explain when and why the expansion of the ICS organization is necessary.Explain when and why the expansion of the ICS organization is necessary.

3. A/V 7-3 Incident Command Rescue/ Extrication Group Treatment Patient Transportation Group Triage Medical Group

4. A/V 7-4 Incident Command Rescue/ Extrication Group Treatment Patient Transportation Group Triage Medical Group Staging Area Manager

5. A/V 7-5 STAGING AREA MANAGER Ensures unimpeded access and egress to and from the Staging AreaEnsures unimpeded access and egress to and from the Staging Area Establishes an accurate inventory system for all responding unitsEstablishes an accurate inventory system for all responding units Manages an area for resources to be temporarily located while awaiting tactical assignment Assembles, coordinates, and controls resources assigned to Staging

6. A/V 7-6 STAGING AREA MANAGER (cont'd) Provides routing instructions for resources given tactical assignmentsProvides routing instructions for resources given tactical assignments Requests maintenance services for staged resources as neededRequests maintenance services for staged resources as needed Safeguards StagingSafeguards Staging Determines required reserve level(s) for assigned resourcesDetermines required reserve level(s) for assigned resources Advises Operations Section Chief when a resource is at or near minimum reserve levelAdvises Operations Section Chief when a resource is at or near minimum reserve level

7. A/V 7-7 STAGING AREA MANAGER (cont'd) Coordinates access to EMS vehicles with the Ground Ambulance CoordinatorCoordinates access to EMS vehicles with the Ground Ambulance Coordinator Ensures safety of members operating in the Staging AreaEnsures safety of members operating in the Staging Area Evaluates Staging Area operations for efficacy and communicates resources requirements to the Operations Section ChiefEvaluates Staging Area operations for efficacy and communicates resources requirements to the Operations Section Chief Provides frequent progress reportsProvides frequent progress reports

8. A/V 7-8 Incident Command Rescue/ Extrication Group Treatment Patient Transportation Group Triage Medical Group Staging Area Manager HelibaseManager

9. A/V 7-9 HELIBASE MANAGER Locates a safe and adequately sized Landing Zone (L/Z)Locates a safe and adequately sized Landing Zone (L/Z) Advises Command and the Transportation Officer of the L/Z locationAdvises Command and the Transportation Officer of the L/Z location Ensures L/Z site safetyEnsures L/Z site safety Maintains communications with helicoptersMaintains communications with helicopters

10. A/V 7-10 HELIBASE MANAGER (cont'd) Secures safe routes for ground ambulances entering and exiting the L/ZSecures safe routes for ground ambulances entering and exiting the L/Z Requests and supervises resources as neededRequests and supervises resources as needed Maintains incident documentationMaintains incident documentation

11. A/V 7-11 Incident Command Rescue/ Extrication Group Treatment Patient Transportation Group Triage Medical Group Staging Area Manager HelibaseManager Safety Officer Operations Section

12. A/V 7-12 SAFETY OFFICER Evaluates scene operations and advises the Incident Commander (IC) of all potential or actual unsafe environments or procedures at the sceneEvaluates scene operations and advises the Incident Commander (IC) of all potential or actual unsafe environments or procedures at the scene Constantly evaluates the total operation, making recommendations to the IC on enhancing effectiveness, efficiency, and safetyConstantly evaluates the total operation, making recommendations to the IC on enhancing effectiveness, efficiency, and safety Provides frequent progress reports to the ICProvides frequent progress reports to the IC Communicates resource requirements to ICCommunicates resource requirements to IC

13. A/V 7-13 Incident Command Rescue/ Extrication Group Treatment Patient Transportation Group Triage Medical Group Staging Area Manager HelibaseManager Safety Officer Operations Section Information Officer

14. A/V 7-14 INFORMATION OFFICER Controls media access to patient treatment areas and the Incident Command Post (ICP)Controls media access to patient treatment areas and the Incident Command Post (ICP) Obtains authorization from the IC for media releases relative to the incidentObtains authorization from the IC for media releases relative to the incident Obtains complete and accurate information relative to the incident and subsequent operationsObtains complete and accurate information relative to the incident and subsequent operations Coordinates all media requestsCoordinates all media requests Identifies and prepares personnel for interviewsIdentifies and prepares personnel for interviews

15. A/V 7-15 INFORMATION OFFICER (cont'd) Tracks media contactsTracks media contacts Consults with the IC when appropriateConsults with the IC when appropriate Develops materials for use in media briefingsDevelops materials for use in media briefings Communicates resource requirements to ICCommunicates resource requirements to IC Provides frequent progress reports to the ICProvides frequent progress reports to the IC

16. A/V 7-16 Incident Command Rescue/ Extrication Group Treatment Patient Transportation Group Triage Medical Group Staging Area Manager HelibaseManager Safety Officer Operations Section Information Officer Liaison Officer

17. A/V 7-17 SPAN-OF-CONTROL Pertains to the number of individuals one supervisor can manage effectively.Pertains to the number of individuals one supervisor can manage effectively. In ICS, the span-of-control for any supervisor falls within a range of three to seven. If fewer than three people report, or more than seven, some adjustment should be considered.In ICS, the span-of-control for any supervisor falls within a range of three to seven. If fewer than three people report, or more than seven, some adjustment should be considered. The rule of thumb in ICS is one supervisor to five subordinates.The rule of thumb in ICS is one supervisor to five subordinates.

18. A/V 7-18 Patient Transportation Group Medical Group Staging Area Manager Operations Section Triage Unit Triage Personnel Treatment Unit

19. A/V 7-19 Patient Transportation Group Medical Group Staging Area Manager Operations Section Triage Personnel Triage Unit Immediate Treatment Manager Treatment Unit Delayed Treatment Manager Minor Treatment Manager

20. A/V 7-20 Patient Transportation Group Medical Group Staging Area Manager Operations Section Triage Unit Immediate Treatment Manager Treatment Unit Delayed Treatment Manager Minor Treatment Manager Treatment Dispatch Manager Triage Personnel

21. A/V 7-21 Patient Transportation Group Medical Group Staging Area Manager Operations Section Triage Unit Immediate Treatment Manager Treatment Unit Delayed Treatment Manager Minor Treatment Manager Treatment Dispatch Manager Triage Personnel Medical Supply Coordinator

22. A/V 7-22 Patient Transportation Group Medical Group Staging Area Manager Operations Section Triage Unit Immediate Treatment Manager Treatment Unit Delayed Treatment Manager Minor Treatment Manager Treatment Dispatch Manager Triage Personnel Medical Supply Coordinator Morgue Manager

23. A/V 7-23 Helibase Manager Rescue/ Extrication Group Medical Group/ Division Supervisor Patient Transportation Group Supervisor Operations Section Staging Triage Unit Treatment Unit Treatment Dispatch Manager Treatment Teams Medical Supply Coordinator Medical Communications Coordinator Ground Ambulance Coordinator Air Ambulance Ambulance Coordinator Morgue Manager Lines of communications

24. A/V 7-24 Activity 7.1 Liberty County Vehicle Accident Purpose To address several issues relative to incident management, including organizational structure, resource needs, and potential problems.

25. A/V 7-25 SCENARIO #2 BASIC INFORMATION TIME: 2000 hours DATE: January 20 WEATHER: 45 degrees, winds from SSE @ 5 to 10 knots, overcast skies

26. A/V 7-26 2000 HOURS Liberty communications to: Liberty Engine 203 Central Truck 101 Liberty Battalion 1 LifeLine 22 Liberty County Sheriff's Units Reported traffic accident at the intersection of State Route 52 and East Lake. Possible people trapped.

27. A/V 7-27 2003 HOURS Liberty Communications--Able Flight 1: Currently over the East Lake accident. Appears to be a minimum of three vehicles. Two vehicles over the side. One appears to be a large vehicle. We will try to get a closer look. Liberty Communications--Liberty Battalion 1 Copy Able's traffic--multiple vehicles

28. A/V 7-28 2004 HOURS Liberty Communications--Able Flight 1: Confirmed three vehicles. Two over the side. One appears to be a bus. The other two sedans. Liberty Communications--Liberty Engine 203 Engine 203 on scene; stand by for report on conditions

29. A/V 7-29 2005 HOURS Liberty Communications--Liberty Engine 203 Three vehicles involved. Multiple victims trapped inside an overturned bus which is off the road and down an embankment 25 feet. Appear to be at least 15 victims. Assuming Lake Command Liberty Communications--LifeLine 22 On scene

30. A/V 7-30 2007 HOURS Liberty Communications--Lake Command This will be a mass-casualty incident. Triage in progress. Request an MCI response per Liberty County EMS plan. Lake Command--Liberty Communications Copy MCI response--prepare to copy resources Liberty Battalion 1 Copies

31. A/V 7-31 2007 HOURS (cont'd) Liberty Communications--Central Truck 101 On scene Liberty Communications--Liberty Battalion 1 On scene assuming Lake Command

32. A/V 7-32 2008 HOURS Lake Command--Liberty Communications Copy Liberty Battalion 1 now Lake Command Stand by to copy the MCI response Liberty Chief has been notified and is responding--ETA 20 minutes

33. A/V 7-33 2009 HOURS Lake Command--Liberty Communications MCI response and ETA's are Liberty Battalion 2--5 minutes Liberty Engine 201--6 minutes Liberty Engine 202--6 minutes Liberty Engine 205--7 minutes Central Truck 102--8 minutes W/3 Central Mass-Casualty--8 minutes W/1

34. A/V 7-34 2009 HOURS (cont'd) MCI response and ETA's (cont'd) Medflight 1--8 minutes Medflight 2--16 minutes LifeLine 21--5 minutes LifeLine 24--5 minutes LifeLine 25--8 minutes Community 31--6 minutes Community 33--8 minutes Community 34--9 minutes Central Medic 101--7 minutes Central Medic 103--9 minutes Central Medic 106--10 minutes

35. A/V 7-35 2010 HOURS Lake Command--Triage There is a total of 30 patients. Triage report is being brought to the Command Post at this time. At least 10 patients will require extensive extrication work. At least 2 hours to free all patients. The bus appears stable. No fuel leak detected at this time. Second vehicle stable with fuel leak. One DOA.