.

It wasn't raining
when Noah built the ark.
Howard Ruff
Pre-event Overview

Recovery

Post-event
Prepared
Event
Response Reconstruction
ness Rehabilitation
 Overview
Preparedness
Pre-event

Planning
Equipment

Training
 Overview
Response
Event

Command and Control

Safety
Communication
Assessment
Triage
Treatment
Transport
 3R Overview
Post-Event

Recovery
Reconstruction
Rehabilitation
Definition

(Mass Casualty Incident, MCI)

(Disaster)



(External assistances)
 Overview
Preparedness
Pre-event

Planning
Equipment

Training
Planning
1.
(Incident command system)
Public information officer
Incident command

Command staff Safety officer

Liaison officer

Operation section

Planning section
General staff
Logistics section

Finance/Administration
section
Planning
2.
(Operation section-Field commander)
Field commander Field medical commander

Field police commander

Field fire commander

Field rescue commander

Planning
3.
(Field medical command)
Liaison /
Communicator

Safety officer
Field medical

commander

Parking officer

Triage officer

Medical officer

Loading officer

 Public information officer
Incident command
Command staff Safety officer
Field medical commander

Field commander
Liaison officer

Field police commander

Operation section

Planning section Field fire commander

General staff
Logistics section
Field rescue commander
Finance/Administration section

Liaison /

Planning
Communicator

Safety officer
Field medical

commander

Parking officer

Triage officer

Medical officer

Loading officer

Equipment

(Personal protective)

(Medical equipment)

(Communication equipment )
Equipment
Commander identification
Equipment
Incident commander
Equipment
Police commander
Equipment
Fire commander
Equipment
Medical field commander
Equipment
Communication officer
Equipment
Triage officer
Equipment
Medical officer
Equipment
Parking officer
Equipment
Safety officer
Equipment
Loading officer
Equipment
Supporter
Equipment
Triage equipment

Equipment
Medical equipment

Decontaminator
Triage tag
Life-saving first aid
Advanced life support
Specialist medical tool
Training
Preparation and training

Paper exercise
Table top exercise
Practical exercise
without casualty
Practical exercise with
casualty
Preparedness
Preparation

P T
E
 Overview
Response
Event

Command and Control

Safety
Communication
Assessment
Triage
Treatment
Transport
 Command and control

Public information officer Liaison /

Communicator
Command Safety officer Field medical
Incident command

Field commander
staff Safety officer

Field medical

commander
commander
Liaison officer Parking
Field police officer
Operation section commander
Triage officer
Planning section Field fire commander Medical
General staff officer
Logistics section
Field rescue
Loading
commander officer
Finance/Administration section

commander
 Command and control

PC

MC FC

Local
Authority

Incident commander
 Command and control

- (field commander)
-
-

-

 Command and control

Inner
cordon Outer cordon
.
 Command and control

 Command and control
commander
 Command and control
commander
 Command and control
commander
 Command and control

 Safety
Safety first

- Commander

-
(Ambulance Safety
Officer)
 Communication

1.
2.
3.

(messenger)




 Communication

M Major incident ? Standby or declared

E Exact location

T Type of incident

H Hazards : Present and potential

A Access and egress

N Number and severity of casualty

E Emergency services : Present and required

 Assessment

-
-
-
-
 Triage
Primary triage Secondary triage
By EMS By Treatment team

1- 1-
2- 2-

3-


Triage
No Yes 10-29
? ?

Yes
<10
Try open airway <120
>29
3-

1- 2

 Triage

1
2 30
3
4 20 8 / 70 /
5 40 14 150 /
40 16 / 110 /
6
24 35 /
7 120 /
24
8

21
Triage
 Triage

 Treatment and 2nd triage

Triage 2 (Triage sort)


 Treatment and 2nd triage
Triage Revised Trauma Scare : TRTS
10-29 4
>29 3
(Respiratory rate) 6-9 2
1-5 1
0 0

>90 4
76-89 3
(Systolic blood pressure) 50-75 2
1-49 1
0 0

GSC 13-15 4
9-12 3
6-8 2
4-5 1
3 0
 Treatment and 2nd triage
Triage Revised Trauma Scare : TRTS

0-10 11 12
T1 T2 T3

Transportation
 3R Overview
Post-Event

Recovery
Reconstruction
Rehabilitation
 Post event

Pre-event Wrap-up

Recovery

Post-event
Prepared
Event
Response Reconstruction
ness Rehabilitation
Reference

,. . (
)
,
.
,.
ER rama : (Mass casualty incent),
.