a/v 5-1 unit 5: the initial response/basic organization

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UNIT 5:UNIT 5:THE INITIAL THE INITIAL

RESPONSE/BASIC RESPONSE/BASIC ORGANIZATIONORGANIZATION

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KNOWLEDGE OBJECTIVESKNOWLEDGE OBJECTIVES

• Five components of the basic organization.Five components of the basic organization.• Responsibilities of the Extrication Group Responsibilities of the Extrication Group

Supervisor.Supervisor.• Responsibilities of the Triage Unit Leader.Responsibilities of the Triage Unit Leader.• Responsibilities of the Treatment Unit Leader.Responsibilities of the Treatment Unit Leader.• Responsibilities of the Patient Transportation Responsibilities of the Patient Transportation

Group Supervisor.Group Supervisor.• Responsibilities of the Medical Group Responsibilities of the Medical Group

Supervisor.Supervisor.

The students will be able to describe the:The students will be able to describe the:

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ROLES AND ROLES AND RESPONSIBILITIES OF THE RESPONSIBILITIES OF THE

INCIDENT COMMANDER INCIDENT COMMANDER

• Ensures life safety of responders and Ensures life safety of responders and citizenscitizens

• Determines objectives and strategies, Determines objectives and strategies, setting immediate prioritiessetting immediate priorities

• Determines/Approves tactical Determines/Approves tactical objectivesobjectives

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ROLES AND RESPONSIBILITIES ROLES AND RESPONSIBILITIES OF THE INCIDENT COMMANDER OF THE INCIDENT COMMANDER

(cont'd)(cont'd)• Establishes an Incident Command Post Establishes an Incident Command Post

(ICP)(ICP)• Coordinates activities of assigned staffCoordinates activities of assigned staff• Authorizes release of information to the Authorizes release of information to the

news medianews media• Establishes an ICS organization to meet Establishes an ICS organization to meet

incident needs, both current and incident needs, both current and projectedprojected

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INCIDENTINCIDENTCOMMANDERCOMMANDER

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ROLES AND RESPONSIBILITIES ROLES AND RESPONSIBILITIES OF DIVISION/GROUP OF DIVISION/GROUP

SUPERVISORS AND UNIT SUPERVISORS AND UNIT LEADERSLEADERS

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RESCUE/RESCUE/EXTRICATION GROUPEXTRICATION GROUP

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RESCUE/EXTRICATION RESCUE/EXTRICATION GROUP SUPERVISORGROUP SUPERVISOR

• Implements assigned incident objectivesImplements assigned incident objectives• Provides tactical direction and Provides tactical direction and

supervision to assigned resourcessupervision to assigned resources• Determines resources needed to extricate Determines resources needed to extricate

patientspatients• Communicates resource requirements to Communicates resource requirements to

Incident Commander (IC) as necessaryIncident Commander (IC) as necessary

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RESCUE/EXTRICATION OFFICER RESCUE/EXTRICATION OFFICER (cont'd)(cont'd)

• Ensures safety of members operating in areaEnsures safety of members operating in area• Coordinates with Treatment Unit Leader for Coordinates with Treatment Unit Leader for

patient care during the rescue operationpatient care during the rescue operation• Ensures efficacy of rescue/extrication Ensures efficacy of rescue/extrication

operationsoperations• Coordinates patient transportation to triage Coordinates patient transportation to triage

areaarea• Provides frequent progress reports to the ICProvides frequent progress reports to the IC• Maintains incident documentationMaintains incident documentation

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MEDICAL GROUPMEDICAL GROUP

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TRIAGE UNITTRIAGE UNIT

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TRIAGE UNIT LEADERTRIAGE UNIT LEADER

• Determines location of triage area(s)Determines location of triage area(s)• Ensures that all patients are assessed Ensures that all patients are assessed

and sorted in accordance with and sorted in accordance with appropriate triage protocolsappropriate triage protocols

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TRIAGE UNIT LEADER (cont'd)TRIAGE UNIT LEADER (cont'd)

• Determines resources required to conduct Determines resources required to conduct triage operationstriage operations

• Communicates resource requirements to Communicates resource requirements to Medical Group Supervisor as necessaryMedical Group Supervisor as necessary

• Develops triage organization sufficient to Develops triage organization sufficient to handle assignmenthandle assignment

• Ensures safety and security of all members Ensures safety and security of all members operating in the triage areaoperating in the triage area

• Ensures efficacy of triage operationsEnsures efficacy of triage operations

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TRIAGE UNIT LEADER (cont'd)TRIAGE UNIT LEADER (cont'd)

• Provides frequent progress reports Provides frequent progress reports to Medical Group Supervisorto Medical Group Supervisor

• Establishes initial morgue operationsEstablishes initial morgue operations• Coordinates movement of patients Coordinates movement of patients

from triage area to treatment areafrom triage area to treatment area• Maintains incident documentationMaintains incident documentation

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TRIAGE UNITTRIAGE UNIT TREATMENT UNITTREATMENT UNIT

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TREATMENT UNIT LEADERTREATMENT UNIT LEADER

• Identifies and establishes a suitable Identifies and establishes a suitable area(s) for treatment operationsarea(s) for treatment operations

• Identifies and requests additional Identifies and requests additional resources as neededresources as needed

• Coordinates with Triage Unit Leader Coordinates with Triage Unit Leader the movement of patients from the the movement of patients from the triage area to treatment area(s)triage area to treatment area(s)

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TREATMENT UNIT LEADER TREATMENT UNIT LEADER (cont'd)(cont'd)

• Receives patients in the treatment Receives patients in the treatment area(s)area(s)

• Establishes communication and Establishes communication and coordination with Patient coordination with Patient Transportation Group SupervisorTransportation Group Supervisor

• Assigns, supervises, and coordinates Assigns, supervises, and coordinates personnel within the area(s)personnel within the area(s)

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TREATMENT UNIT LEADER TREATMENT UNIT LEADER (cont'd)(cont'd)

• Ensures safety of all members operating in Ensures safety of all members operating in area(s)area(s)

• Ensures efficacy of treatment operationsEnsures efficacy of treatment operations• Directs movement of patients to ambulance Directs movement of patients to ambulance

loading arealoading area• Provides frequent progress reports to the Provides frequent progress reports to the

Medical Group SupervisorMedical Group Supervisor• Maintains incident documentationMaintains incident documentation

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PATIENTPATIENTTRANSPORTATIONTRANSPORTATION

GROUPGROUP

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TRANSPORTATION GROUP TRANSPORTATION GROUP SUPERVISORSUPERVISOR

• Establishes an adequately sized, easily Establishes an adequately sized, easily identifiable patient loading areaidentifiable patient loading area

• Establishes communication with area hospitalsEstablishes communication with area hospitals• Designates an ambulance staging areaDesignates an ambulance staging area• Identifies and requests additional resourcesIdentifies and requests additional resources• Directs the transportation of patients in Directs the transportation of patients in

coordination with the Treatment Unit Leadercoordination with the Treatment Unit Leader

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TRANSPORTATION GROUP TRANSPORTATION GROUP SUPERVISOR (cont'd)SUPERVISOR (cont'd)

• Requests air and ground ambulances Requests air and ground ambulances as neededas needed

• Coordinates air ambulance Coordinates air ambulance transportationtransportation

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TRANSPORTATION GROUP TRANSPORTATION GROUP SUPERVISOR (cont'd)SUPERVISOR (cont'd)

• Establishes an air ambulance Establishes an air ambulance helispot(s)helispot(s)

• Maintains patient tracking records Maintains patient tracking records and other incident documentsand other incident documents

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PATIENTPATIENTTRANSPORTATIONTRANSPORTATION

GROUPGROUP

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Activity 5.1Activity 5.120th Street Incident 20th Street Incident

AnalysisAnalysis

PurposePurposeTo analyze the incident for basic To analyze the incident for basic command procedures, including command procedures, including communication processes and communication processes and development of the incident development of the incident organizationorganization

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Activity 5.2Activity 5.2Central City Traffic CollisionCentral City Traffic Collision

PurposePurposeTo address several issues relative to To address several issues relative to incident management, including incident management, including organization structure, identifying organization structure, identifying resource needs, and identifying resource needs, and identifying potential problems.potential problems.

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SCENARIO #1 BASIC SCENARIO #1 BASIC INFORMATIONINFORMATION

TIME: TIME: 16301630DATE: DATE: Friday, January 20 Friday, January 20WEATHER: WEATHER: 65 degrees, clear skies, 65 degrees, clear skies, breezybreezy

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1631 HOURS1631 HOURS

Liberty Communications toLiberty Communications toCentral City PoliceCentral City PoliceCentral Engine 101Central Engine 101Central Medic 103Central Medic 103Reported traffic accident at the Reported traffic accident at the intersection of US 10 and State Route 19intersection of US 10 and State Route 19No further information at this timeNo further information at this time

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Liberty Communication--Central City Liberty Communication--Central City PolicePolice

On scene with a two-vehicle accidentOn scene with a two-vehicle accidentOne vehicle is overturned. There is a One vehicle is overturned. There is a possibility of a trapped victim.possibility of a trapped victim.

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Liberty Communication--Central Medic 103Liberty Communication--Central Medic 103Central Medic 103 on scene. Two Central Medic 103 on scene. Two vehicles involved with one overturnedvehicles involved with one overturnedA total of 5 victimsA total of 5 victims2 critical, 2 moderate, and 1 minor2 critical, 2 moderate, and 1 minor1 of the critical and the minor-status 1 of the critical and the minor-status victim are trappedvictim are trapped

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Liberty Communications--Central Medic 103Liberty Communications--Central Medic 103Request two additional medic units, a Request two additional medic units, a

truck company, and a battalion chieftruck company, and a battalion chiefCentral Medic 103 assuming Highway Central Medic 103 assuming Highway

CommandCommandLiberty Communications--Central Liberty Communications--Central

Engine 101Engine 101Central Engine 101 on sceneCentral Engine 101 on scene

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Highway Command--Liberty communicationsHighway Command--Liberty communicationsAdditional resources and ETA's areAdditional resources and ETA's are

Central Truck 101--5 minutesCentral Truck 101--5 minutesCentral Medic 105--6 minutesCentral Medic 105--6 minutesCommunity Medic 31--8 minutesCommunity Medic 31--8 minutesCentral Battalion 1--10 minutesCentral Battalion 1--10 minutes

a/v 5-1 unit 5: the initial response/basic organization

Documents

incident needs

incident commander ic

treatment operationsidentifies

patient care

assignmentensures safety

resourcesdetermines

ics organization

life safety of responders