Major Incident Management System (MIMS) E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 42

Veröffentlichungsjahr: 2013

Beschreibung

This highly practical aid to management of major incidents is the refined and improved new edition of Prehospital Emergency Management Master. Concentrating on the essential elements in treatment and transport of the wounded in a major incident this new system provides easily assimilable information on:

• symbols and terminology; first actions; METHANE report; command; safety; communications; triage; treament; transport
• the system is produced on waterproof pages, and includes 12 separate action cards for use by auxiliary helpers, and a log for recording the facts.

The complete package comes in a handy sized ring binder, allowing users to add their own local notes. The use of colour and easily recognisable icons makes this a valuable aid even in the most difficult conditions.

Leseprobe

Contents

Symbol Key

1 FIRST ACTIONS

first ambulance at scene

first doctor at scene

2 METHANE report

METHANE report

CHALET report   

3 COMMAND

tiers of command

tiers of command

precedence at the scene

SCENE ORGANISATION

personnel recognition

hierarchy of ambulance command

hierarchy of medical command

briefing for duty (1)   

briefing for duty (2)   

4 SAFETY

SAFETY

decontamination

5 COMMUNICATIONS

using a radio

key words

phonetic alphabet

alternative methods

common hand signals

dealing with the media

6 TRIAGE

triage sieve

triage sort

expectant category

paediatric triage: principles

paediatric triage protocol – 1

paediatric triage protocol – 2

paediatric triage protocol – 3

7 TREATMENT

treatment priorities

CCS layout

8 TRANSPORT

casualty evacuation principles

vehicle selection

landing site: selection

helicopter landing site: marking

helicopter landing site: marking

helicopter marshalling (1)

helicopter marshalling (2)

helicopter loading

ACTION CARDS

silver ambulance commander

bronze ambulance commander

CCS officer

CCS layout

communications officer

METHANE report

equipment officer

hierarchy of ambulance command

loading officer

helicopter loading

parking officer

helicopter landing site: selection

primary triage officer – 1

primary triage officer – 2

primary triage officer – 3

primary triage officer – 4

safety officer

decontamination

secondary triage officer

ACTION CARDS

silver medical commander

bronze medical commander

CCS commander

secondary triage officer

medical team leader – 1

treatment priorities

medical team leader – 2

treatment priorities

medical team leader – 3

treatment priorities

medical team leader – 4

treatment priorities

body holding area doctor

hierarchy of medical command

INCIDENT LOG

© BMJ Books 2002

BMJ Books is an imprint of the BMJ Publishing Group

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording and/or otherwise, without the prior written permission of the publishers.

First published in 2002Second impression 2003BMJ Books, BMA House, Tavistock Square, London WC1H 9JR

This book is the second edition of The Pre-Hospital Emergency Management Master published in 1995.

This book supports the popular Major Incident Medical Management and Support (“MIMMS”) course that provides the only international standard for medical management at the scene of a multiple casualty incident. Like the second edition of MIMMS (2002), this book is generic in its approach with principles that cross international and civilian-military boundaries.

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

ISBN 0-7279-1614-9

Symbol Key

This page is relevant to AMBULANCE COMMANDER

This page is relevant to MEDICAL COMMANDER

Make a log entry

Send a message

Talk face-to-face

Go to page indicated

Terminology

This pocket aide memoire uses the generic terminology adopted by the international Major Incident Medical Management and Support system. For example, the term ‘AMBULANCE COMMANDER’ describes the role of the officer responsible for all ambulance assets at the scene, although it is recognised that other terminology may be used in individual countries.

1

FIRST ACTIONS

first ambulance at scene

first doctor at scene

first ambulance at scene

 Start a log and record time of arrival

 Wear protective clothing

helmet

high visibility coat or tabard

 Make METHANE assessment and send METHANE report

 Consider where arriving ambulances should park

 Consider where casualty clearing station should be placed

safe distance from incident (discuss with FIRE)

on vehicle circuit (discuss with POLICE)

on hard standing where possible

using available shelter

 Consider place for helicopter landing site (discuss with POLICE) and ensure this is marked

 Continue to assess and communicate with AMBULANCE CONTROL as details become available

 Continue duties of SILVER AMBULANCE COMMANDER until relieved

first doctor at scene

 Start a log and record time of arrival

 Wear protective clothing

helmet

high visibility coat or tabard

 Liaise with SILVER AMBULANCE COMMANDER and record his/her name

 Receive and record METHANE brief

 Obtain

radio, where issued

spare battery

headset or earpiece

call-sign for yourself and ambulance commander

tabard (vest) for medical commander

 Assume duties of SILVER MEDICAL COMMANDER until relieved

2

METHANE report

METHANE report

CHALET report

METHANE report   

M

My call-sign, or name and appointmentMajor incident STANDBY or DECLARED

E

Exact location • grid reference, or GPS where available

T

Type of incident

H

Hazards, present and potential

A

Access to scene, and egress route • helicopter landing site location

N

Number and severity of casualties

E

Emergency services, present and required

CHALET report   

C

Casualties, number and severity

H

Hazards, present and potential

A

Access to scene, and egress route • helicopter landing site location

L

Location, exact • grid reference, or GPS where available

E

Emergency services, present and required

T

Type of incident

Some emergency services use CHALET. METHANE is CHALET in a logical order