VERMONT EMS DISTRICT #5 Multiple Casualty Incident Management Plan EMS Commander Role  Establishing COMMAND, CONTROL & COORDINATION of the MCI scene is imperative to success of the operations.  The FIRST EMT on-scene should NOT begin patient care. The First EMT on-scene assumes Command; assesses the and directs others to respond. FIRST EMT is the EMS COMMANDER   The EMS Commander is responsible for directing all aspect of EMS Operations at the incident. This position may also be referred to as “Medical Group Supervisor” ,“Medical Command Officer” , or “EMS Control Officer”  Early establishment of EMS Command has proven to be essential at MCIs. Initially, there may not be enough EMS personnel to fill all positions. It is recommended to assign EMS command positions in the following order: 1. EMS Commander (also known as EMS Control Officer) 2. Triage Officer 3. Treatment Officer 4. Transportation Officer 5. Staging Officer  As more EMS providers arrive, assign additional personnel to fill-in the roles as needed. As additional personnel and resources allow and as the incident dictates, additional “roles” may be necessary. These may include:  Communications Officer  Transportation Recorder  Immediate Treatment Unit Leader  Intermediate Treatment Unit Leader  Green Treatment Unit Leader November 2012 - 9 -
VERMONT EMS DISTRICT #5 Multiple Casualty Incident Management Plan  EMS Command should not perform any Primary Triage or get involved with patient care as he/she needs to be evaluating the entire situation and communicating with incoming units and other agencies.  EMS Command should immediately report to Command Post (if established) to receive a situation status report from the Incident Commander or initiate a Command Post if not already established.  The EMS Commander should then notify EMS dispatch that “EMS Command has been established”. It is recommended that when EMS Command is established that you give a name identifiable with the location (i.e. Acme 101 has established Pine Road Command)  EMS Command may relinquish any or all responsibility to another qualified EMS provider if appropriate.
Appendix C: EMS Agency Resource List Agency Name Type of Service Highest of EMS Certification # of Ambulances Radio Transmit Frequency Radio Receive Frequency PL or CG Tone Dispatch Phone Number Ambulance EMT- Intermediate Ambulance EMT- Paramedic Ambulance Ambulance EMT- Intermediate / CC Ambulance EMT- Intermediate DHART Helicopter Critical Care Transport 2 ( 1-24 hrs, 1- 10a-10p) 155.3475 155.3475 136.5 both 1-800- 650- 3222 First Responder Ambulance EMT- Intermediate / CC Ambulance Paramedic Ambulance EMT-Basic Ambulance EMT- Intermediate / CC Ambulance EMT- Intermediate EMS Command JAS and Forms - 38 -
VERMONT EMS DISTRICT #5 Multiple Casualty Incident Management Plan Transportation Officer’s Hospital Availability Chart Hospital Location HEAR Frequency Encoder # ED Phone Red Yellow Green 155.340 155.340 155.340 155.340 Dartmouth Medical Center Lebanon, NH 155.340 020 603- 650-5000 155.340 155.340 155.340 155.340 155.340 155.340 155.340 155.340 155.340 155.340
Transportation Record Date: Incident Location:_ Ambulance & Unit ID Pt Name Pt Age Pt Gender Patient Status Hospital Destination Time Off- Scene  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black  Male  Female Red Yellow Green Black Print Transportation Officer/Recorders Name - 52 -
VERMONT EMS DISTRICT #5 Multiple Casualty Incident Management Plan 1ST FIRE DEPT AMBULANCE ADDITIONAL RESOURCES 4-8 Local 1st Responder 1 Engine Company 5 personnel 4 Ambulances notified and placed on launch stand- by. Medical Officer notified of availability. resources may be requested Follow Service Run card by Town. 4 Ambulances on Command: Establish staging area, DHART LZ II 8-12 patients Local & next closest. 2 Engine Companies 10 3 Additional Ambulances (1) MCI Trailer, Special call for all District 5 paramedics to Notify local bus service and advise ETA. resources may be requested Follow Service Run card by Town. 7 Ambulances on scene Lyndonville North - LRI MCI Trailer St.Johnsbury South - Waterford MCI/Rehab III 12-20 patients Waterford, Concord, Newark, Walden, Peacham, Gilman- Lunenburg Disp for Groton-Ryegate, Barnet Rescue. 3 Engine Companies 15 3 Additional Ambulances LRI & Waterford MCI Trailer, Newport Command Unit. All District 5, LRH/Lancaster paramedics to resources may be requested Follow Service Run card by Town. 10 Ambulances on scene. Notify local bus service and advise status Buses: Green patients Additional Ambulances: Additional Air Ambulances 1st Student NEWPORT 2 / NEMS 1 DHART Comm Academy VALLEY -3 Hanover Fire BARRE TOWN - 3 Capital Disp E