Medical Incident Commander

National Incident Command System and Medical Incident Command. 

GBC complete hlood count MIGS Medical Incident Command System... 

Each emergency service will appoint a forward (bronze) commander responsible for its operations within the irmer cordon. In very significant incidents, a forward medical incident commander may be appointed. In older terminology the forward commanders were known as forward incident officers. 

The emergency services responses at the scene are controlled by the individual service commanders, who together comprise the joint emergency services control centre or silver command. The silver commanders report to their gold command. Ambulance, police and fire commanders will usually be appointed. A medical incident commander will be appointed in incidents involving significant numbers of live casualties. 

Currently, the most common model for disaster response in the hospital sector is the Incident Command System (ICS) model (Federal Emergency Management Agency [FEMA], 2001). In 1992 the Hospital Emergency Incident Command System (HEICS) was first developed by the California Emergency Medical Services Authority and the San Mateo County Health Services Agency. It is important to remember that HEICS is not a disaster plan, but rather a model on which a plan can be developed. In 2006 the model was updated and it is now known as the Hospital Incident Command System (HlCS). The newer model of incident command for hospitals includes ... 

A streamlined organizational chart that is consistent with the National Incident Management System (NIMS), which includes nine key positions incident commander public information officer safety officer liaison officer section chiefs for operations, fi-nance/administration, planning, and logistics and a medical/technical specialist. 

California Emergency Medical Services Authority. (2007). Hospital Incident Command system. Retrieved April 2, 2007 from http //WWW. emsa. ca.gov/hics/hics.asp... 

The response phase should use the American Medical Association s DISASTER algorithm. This stands for Detect, Incident Command, Scene Safety and Security, Assess Hazards, Support Required, Triage and TLeatment, Evacuation, and Recovery. An explosion is... 

In retrospect, this was Incident Command and a modified Hospital Emergency Incident Command System (HEICS), as we would learn in the future. With the Code White in effect, many staff stayed on duty. This left many of the hospital staff without money, clothing, or medications. Some of the hospital staff worked double shifts, tried to sleep a few hours in closed departments or education classrooms, showered, and returned to work. Some staff traveled between home and work daily depending on how far they lived from the hospital. Water and electricity were the daily topic of conversation. 

Design a mechanism by which radio communications can be maintained between the hospital, the incident commander, and the senior medic at the chemical incident site. 

California Emergency Medical Services Authority. (2006), HICS Hospital Incident Command System. Sacramento, CA, California Emergency Medical Services Authority, October. Last viewed October 10, 2006, http /www.emsa.ca.gov/dms2/heics4project.asp... 

San Mateo County Health Services Agency Emergency Medical Services. (1998), HEICS The Hospital Emergency Incident Command System, Third Edition, Volumes I/II. San Mateo, CA, San Mateo County Health Services Agency, June. Last viewed October 10, 2006, http /H H H .en7ra.ca.gov/Dms2/heics3.htm... 

The Support Zone (also known as the cold or green zone) is where the Incident Commander, support teams, press, medical treatment areas, and ambulances are located. It is usually upwind, uphill, and a safe distance from the incident. 

V. Victim management Victim management includes rapid stabilization and removal from the Exclusion Zone, initial decontamination, delivery to emergency medical services personnel at the Support Zone perimeter, and medical assessment and treatment in the support area. Usually only the HazMat team or other fire department personnel with appropriate training and protective gear will be responsible for rescue from the hot zone, where skin and respiratory protection may be critical. Emergency medical personnel without specific training and appropriate equipment must not enter the hot zone unless it is determined to be safe by the Incident Commander and the medical officer. 

Once you determine there is a HazMat emergency or a terrorist attack and there are casualties, you should have one member of your team immediately notify yom supervisor, dispatch, law enforcement, all other responders, EMA, and medical direction, "four team leader will serve as temporary incident commander until the incident commander arrives on scene. As temporary incident commander. 

---