incident organizer · medical emergency checklist 1. declare an medical emergency, and clear...
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Incident Organizer TYPE 3, 4 & 5 INCIDENT ORGANIZER
Date: Time of Dispatch: Arrival on Scene:
Contained: Controlled: Out: P#: SO Fire#:
9 Fire Started On ( )--National Forest ( )--State ( )--BLM ( )--BIA ( )--Private
11 Character of Fire ( )--Smoldering ( )--Creeping ( )--Running ( )--Crowning ( )--Spotting ( )—Other________________
5 Spread
Potential ( )--None ( )--Low, 0-5 Acres ( )--Moderate, 6-10 Acres ( )--High, 10-50 Acres
6 Values at Risk
( )--Houses ( )--Improvements ( )--Cultural/Historical ( )--Public ( )--Other:
8 Hazards ( )--Snags ( )--Power lines ( )--Urban Interface ( )--Haz-Mat ( )--Mine Shafts ( )—Highway ( )--Other:
17 Cause LEO Ordered: Origin Location:
7 Additional Resources Needs:
1
4 Fuels Burning: ( ) Grass ( ) Brush ( ) Timber ( ) Slash ( ) Snag ( ) Other:_______
10 Adj. Fuels: : ( ) Grass ( ) Brush ( ) Timber ( ) Slash ( ) Snag ( ) Other:_______
12 Flame Length:
13 Position on Slope ( )--Flat ( )--Bottom1/3 ( )--Middle ( )--Top1/3
14 Percent slope ( )--0-20 ( )--20-40 ( )--40-60 ( )--60+ *NOTE*45degrees=100% slope
15 Aspect ( )--None ( )--South ( )--West ( )--North ( )--East
16 Wind Speed Dir ( )--South ( )--West ( )--North ( )--East
( )--Calm ( )--0-5 ( )--5-10 ( )--10-20 ( )--20+
3 Initial Size: Final Size: IC Type (3, 4, 5):
1 IC Name: IC Trainee:
Fire Name: Incident #:
2 Descriptive Location:
T: R: Sec: 1/4sec: 1/4sec:
Lat
Lon
Elev Wilderness: ( Y ) ( N )
Relay gray boxes to dispatch for initial size-up. Read 1-18 to dispatch for full size-up.
INCIDENT ORGANIZATION
TELEPHONE NUMBERS RADIO NETS PERSON NUMBER NET FREQUENCY
COMMAND
SUPPORT
AIR-TO-GROUND
AIR-TO-AIR
TAC
TAC
Incident Commander
2
Incident Objectives
1. SAFETY of firefighters and public
2.
3.
4.
NARRATIVE: Give a brief description of the suppression efforts. Include resources committed by number and type. Document any/all major decisions, observations, and problems.
TIME SUMMARY OF ACTIONS DATE(S):
OPERATIONAL PERIOD:
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After Action Review
-Do adjust the content of the AAR to reflect the events of the day, but don’t assume nothing happens on a quiet day. A crew can fall down on quiet days as easily as busy ones. Low stress can breed complacency.
-Don’t over -analyze the day’s events. Discuss only the most important fac-tors and move along. In some cases, you may need to guide or limit the discussion so it doesn’t get too deep or convoluted.
-Don’t allow AAR to bog down with trivia or unnecessary details that don’t relate to unit’s actions and events. If nothing happened, don’t feel obligated to extract a 30 min AAR from it.
-Do time your AAR proper ly. Gen-erally, immediately after the shift pro-vides the best learning. After time passes, people forget that they were confused or frustrated about a specific situation– emotional aspect fades.
Analyze key components of decision making model Recognition - When was the problem realized and by whom? Were there indicators?
Situational awareness— Who was aware of the situation and who was not? How was problem communicat-ed? Did people perceive situation dif-ferently? Why? What was the reality of the situation?
Option development—How effective was the selected option or options? If formally discussed, what was the rea-soning that led to the final decision? Was it valid?
Risk assessment and analysis—Were the critical risks identified? If not, why? Were the risks weighed appropriately?
Action—was the action communicat-ed to the crew in an effective, clear, and timely manner? Was the technical execution to standard? How success-ful was the action at achieving the desired result?
Identify Significant Barriers—Unanticipated barriers, communica-tion barriers, perception barriers, atti-tudes, stress, fatigue, exhaustion. Did the crew recognize and respond to any problems?
Successes—Situation was sized up correctly, potential danger noticed and communicated immediately, action executed exactly as planned, good ideas or options in handling emerging situation
Failures—inquiries and analysis should concentrate on what is right, not who is right. When a failure is identified, determine what should have happened, and secondly what didn’t happen (or happened wrong)
IRPG AAR format- -What was planned? -What really happened? -Why did it happen? -What can we do better next time?
Alternative AAR format- -Planning -Leadership -Obstacles -Weaknesses -Strengths
Mission-Centered Solutions Guidelines
Perimeter in Chains------average chains=acres
17=1 24=2 29=3 34=4 38=5 45=7 53=10
65=15
SECTION OF MAP: (1 MILE BY 1 MILE)
TOWNSHIP: RANGE: SECTION:
LAT: LONG:
STAGING-is
located at:
I. C. Post-is located at:
NOTES: (include roads, creeks, trails, etc.)
PREPARED
BY: POSITION: DATE:
TIME:
Map Sketch ATTACH MAP (if required)
NORTH
3
4
INITIAL ATTACK FORM (Based on 10 Standard Fire Fighting Orders)
1. Keep informed on fire weather conditions and forecasts Received today’s weather forecast: Y N Forecasted High temp ___ Forecasted low RH: ___ Forecasted wind direction: ___ Forecasted wind speed: ___ Forecasted changes: ___________________________ 2. Know what your fire is doing at all times Observe personally: Y N Use scouts: Y N 3. Base all actions on current and expected behavior of the fire Forecasted Haines: ______ Time of Day: ______ Fuel type changes: ______ Topography changes: ______ 4. Identify escape routes and safety zones, and make them known Escape Route(s) identified: Y N Safety Zone(s) identified: Y N All personnel briefed on location of ER/SZ: Y N Re-evaluate as conditions change! 5. Post lookouts when there is possible danger Lookout needed? Y N Reassess as conditions change Potential ignition below: Y N Fuel jackpots: Y N Spotting: Y N Hazard Trees: Y N 6. Be alert. Keep calm. Think clearly. Act decisively. Plan strategy and tactics: Direct / Indirect / Confine / Back off Trigger Points: RH, ROS, FL, Change in wind speed/direction, Topography, Aspect, Heat of Day, Are tactics effective? Y N Are you within your comfort level? Y N 7. Maintain prompt communication with your forces, your supervisor, and adjoining forces Frequencies and communications established/verified: Y N Frequencies being used: ____________________________ 8. Give clear instructions and be sure they are understood All resources briefed: Y N Mission: _____________ Purpose: ________________ End State: ________________ 9. Maintain control of your forces at all times All resources and dispatch know who is Incident Commander?: Y N Are you in control? (span of control) Y N Are you planning ahead? Y N 10. Fight fire aggressively, having provided for safety first Identify, recognize, and mitigate the Watch Out Situations that apply to your incident Reassess continuously-if there is a significant change or you are not sure or comfortable, fall back to #6 and reassess. CONCERNS:___________________________________________________________
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Page Intentionally Left Blank For District Specific Information
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Forecast
Spot WX Observations and Forecast Request
Incident Name:
Location:
Lat/Long:
Legal:
Top Elev.:
Bottom Elev.
Drainage:
Aspect:
Size (ac):
Fuel Type:
Sheltering (Full, Partial, or Unsheltered):
Observations:
Place Elev Time Wind Temp Wetbulb RH Dew pt. Sky/Weather
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Temps: Humidity: Wind: LAL: Haines
5
General Indicators
Ad hoc organization managed by Type 5 Incident Commander
Primarily local resources used
ICS command and general staff positions not activated
Resources vary from two to six firefighters
Incident is generally contained within first burning period and often within a few hours after resources arrive on scene
Additional firefighting resources or logistical support are not usually required
May require a Published Decision in WFDSS
General Indicators
Ad hoc organization managed by a Type 4 Incident Commander
Primarily local resources used
ICS command and general staff positions not activated
Resources vary from single resource to multiple resource task forces or strike teams
Incident is usually limited to one operational period, but may extend into multiple operational periods
Written IAP is not required. A documented operational briefing will be completed for all incoming resources. Refer to IRPG for briefing checklist
May require a Published Decision in WFDSS or other decision support document
Type 3 Incident Characteristics
General Indicators
Ad hoc or pre-established Type 3 organization managed by ICT3
IC develops organizational structure necessary to manage the incident. Some or all ICS functions activated, usually at the DIVS and or unit leader level
Incident complexity analysis process is formalized and certified daily with the jurisdictional agency. It is IC responsibility to continually reassess the complexity level of the incident. When the assessment of complexity indicates a higher complexity level, IC must ensure that suppression operations remain within the scope and capability of the existing organization and that span of control is consistent with established ICS standards
Local and non-local resources used
Resources vary from several resources to several task forces/strike teams
May be divided into divisions
May require staging areas and incident base
May involve low complexity aviation operations
May involve multiple operational periods prior to control, which may require a written IAP
Documented operational briefings will occur for all incoming resources and before each operational period. Refer to IRPG for a briefing check-list
ICT3s will not serve concurrently as a single resource boss or have any non-incident related responsibilities
May require a Published Decision in WFDSS
May require a written Delegation of Authority
Type 4 Incident Characteristics
Type 5 Incident Characteristics
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Medical Emergency Checklist
1. Declare an medical emergency, and clear tactical radio traffic. a. Identify the nature of the emergency (injury or illness?) b. If injury / illness is it life threatening?
2. If injury / illness is life threatening clear radio frequency to IC/dispatch.
3. Identify or delegate an on-scene Point of Contact (POC) by Resource and Last Name. (i.e. POC is Captain 37).
4. Identify on-scene medical personnel or first responder responsible for evaluation and care by Position and Name. (i.e. EMT Jones).
5. Identify the nature of the incident, number of injured, patient assessment(s), and location (geographic and/or GPS coordinates).
6. Identify preferred and alternate method of medical evacuation and get ETAs.
7. Order additional support personnel and equipment needed for packaging and transportation.
8. Maintain documentation of all information received and transmitted on the radio and phone.
9. Identify any changes in the on-scene POC or medical personnel as they occur.
Things to remember: Consider ordering a Line EMT or Paramedic when resource commitment is anticipated for more than 1 shift and 20 or more persons.
Medivac by air can be accomplished with agency aircraft if it will expedite patient care and accommodate any equipment being used.
Plan ahead for possible helispots for medivac when personnel are com mitted in walk-in situations.
Utilize qualified Helitack to prepare spots and marshal helicopters.
TONTO HEAT ILLNESS/INJURY PROTOCOL
Due to the high heat environment of Arizona. Individuals with signs and/or symptoms of heat related illness (Dehydration, heat cramps, heat exhaustion etc.) will be evacuated from the fire area, and treated as a medical emergency commensurate with the risk of harm to the individual.
The minimum is evaluation by an EMT able to administer IV therapy. Individuals who receive IV therapy will be evaluated by a physician. In all cases, Individuals will not return to fire duty for at least 24 hours. Medical Clearance may be required prior to returning to fire duty.
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Age Weight
Helispot Short Haul/Hoist Life Flight Other
Self-Extract Carry Out Ambulance Other
Function Channel Name/Number Receive (Rx) Tone/NAC* Transmit (Tx) Tone/NAC*
Ex: Command Forest RPT Ch 2 168.325 110.9 171.4325 110.9
COMMAND
AIR-TO-GROUND
TACTICAL
REMEMBER: Confirm ETA's of resources ordered, Act according to your level of training
Be Alert. Keep Calm. Think Clearly. Act Decisively.
Helispot/Extraction Site and Hazards
9. CONTINGENCY
Considerations: If primary options fail, what actions can be implemented in conjunction with primary evacuation method?
Patient's ETA to Evacuation Location
8. EVACUATION LOCATION
Lat/Long (Datum WGS84)
Ex: N 40° 42.45'x W 123° 03.24'
7. Communications
Other (i.e. splines, rope rescue, wheeled litter)
*(NAC for digital radio system)
Burn Sheet(s) Oxygen Trauma Bag
Medication(s) IV Fluid(s) Cardiac Monitor/AED
5. TRANSPORT PLAN
Air Transport
Ground Transport
6. ADDITIONAL RESOURCE/EQUIPMENT NEEDS
Paramedic/EMT(s) Crew(s) SKED/Backboard/C-Collar
Conscious? YES NO=MEDEVAC!
Breathing? YES NO=MEDEVAC!
Mechanism of Injury What caused injury?
Lat/Long (Datum WGS84) Ex: N 40° 42.45'x W 123° 03.24'
Patient Care Name of Care Provider 6
4. INITIAL PATIENT ASSESSMENT: Complete this section for each patient. This is only a brief, initial assessment. Provide additional info after completing report
Number of Patients Male/Female
Incident Name Geographic Name + "Medical" (Ex: Trout M eadow M edical)
Incident Commander Name of IC
Ex: Spains, strains, minor heat-related illness
3. INCIDENT STATUS Provide incident summary and command structure
Nature of Injury/Illness Describe the injury (Ex: Broken leg with bleeding)
PRIORITY- YELLOW Serious injury or illness Ambulance or consider air transport if at remote location. Evacuation may be DELAYED
Ex: Signif icant trauma, not able to walk, 2" -3" burns not more than 1-2 palm sizes
ROUTINE- GREEN Not a life threatening injury or illness Non-Emergency. Evacuation considered Routine of Convenience
SEVERITY TRANSPORT PRIORITY
URGENT - RED Life threatening injury or illness
Ex: Unconcious, dif f iculty breathing, severe bleeding, heat stroke, disoriented, severe burns
Ambulance or MEDEVAC helicopter. Evacuation need is IMMEDIATE
2. SEVERITY OF EMERGENCY, TRANSPORT PRIORITY
MEDICAL INCIDENT REPORT (ICS 206 WF)
FOR ALL MEDICAL EMERGENCIES: IDENTIFY ON SCENE INCIDENT COMMANDER BY NAME AND POSITION AND ANNOUNCE
"MEDICAL EMERGENCY" TO INITIATE RESPONSE FROM DISPATCH/ IMT COMMUNICATIONS
USE ITEMS 1-9 TO COMMUNICATE SITUATION TO DISPATCH/COMMUNICATIONS
1. CONTACT DISPATCH/COMMUNICATIONS Ex: " Communicat ions, Div. Alpha- Stand by fo Priority M edical Incident Report ." (If life threatening, request designated frequnecy by cleared for emergency traf f ic)